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All right. Okay. Court will now come to order. Good morning. Welcome to commissioners court meeting of tuesday,
August 4th, 2026.

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as you can hear, my voice has been. I've had not. I've lost my voice with allergies. So I guess it's god telling me that he wants to me for
Me to be quiet today,

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but I don't know if I can do that. But sometimes,
Commissioners, I may ask y'all to run the meeting while my voice rests.

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so with that I'd like father pat o'brien of the saint pius catholic church to come
Forward.

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and I'd like to introduce father pat. Come to the podium,
Please.

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he currently serves as pastor of saint pius,
The 10th catholic church, which is in my neighborhood on the northeast san antonio farms.

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and he wears many hats. And he I have come to know father pat,
And he has a very interesting life history.

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right, father pat? Some say that. Some say that chaplain at antonian college preparatory
High school,

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host of theology on tap. Tap means doesn't mean beer,
Does it?

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pat, it could mean judge. All right. Presider of the catholic television,
San antonio's monday and saturday televised masses.

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as a child of military parents, father o'brien's path has taken him all over the world.

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born in new york, and we'll let that one pass. Father pat. He entered seminary at the archdiocese of denver,
Becoming ordained as a deacon in 1988 and a priest in 1989.

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his distinguished business and community leadership can be seen in many ways,
And this is what's quite remarkable father pat,

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during a leave of absence, pursued a business career and became a commercial division
Leader for the real estate company remax.

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so he knows how to sell, right? Commissioner I mean right. Oh, I'm going to make you an elected official now,
Father pat. Yes.

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so he has served in many civic roles, such as the planning and zoning commissioner,
Council,

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council member, mayor pro tem in the city of cibolo. You are have been elected official, then president chair of the randolph metrocom chamber
Of commerce,

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president of the randolph air power community council and liaison for the u.s.

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air force academy. Father brian, we thank you for your service to the community and to the
Lord,

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and we welcome your invocation this morning. Could we please stand do the opening prayer,
And after that,

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please remain standing for the pledge of allegiance. Let us pray.

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we thank you for the blessings you have bestowed upon bexar county and for the opportunity
To gather in service of our community.

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I ask you to grant wisdom, integrity and compassion to our judge,
Commissioners and all who serve the people of bexar county.

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help them to seek the common good, to protect the vulnerable,
And to use all of our resources wisely,

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and to make decisions that promote justice, peace,
And the flourishing of every resident.

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we ask your blessing upon today's deliberations. May they be respectful dialog, thoughtful discernment,
And sincere desire to work together despite differences.

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always remembering that public office is a sacred trust. Today, I especially wish to express my gratitude for the service of judge peter sakai.

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we. I want to thank him for the dedication and leadership and countless hours of service
He has done on behalf of the courts and now of bexar county.

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bless him, his family, and all who have worked alongside him. And may the good accomplished during his tenure,
He continued to bear fruit in the years ahead,

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and may he know the appreciation of those that he has served.

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guide each of us to be faithful stewards of the responsibilities entrusted to us,
And to seek what is true,

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good and just. We ask all this in your holy name.

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amen. Amen. Please stand. Pledge of allegiance. I pledge allegiance to the flag of the united states of america and to the republic for
Which it stands.

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one nation under god, indivisible, with liberty and justice for all.

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thank you for that. Okay. Let us take up the

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first agenda. Item three request of commissioner court to identify items from consent
Agenda.

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consent agenda for additional discussion to approve remaining consent agenda items.

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commissioner. Clay-flores. Any matters to pull for individual consideration. Nothing to
Pull. Commissioner. Rodriguez. Commissioner moody.

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item 1212. Item 12, which I believe

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is a sheriff's issue. We will take that up after.

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somewhere down in the morning. All right. Commissioner. Calvert. Commissioner. Calvert. Do we know if commissioner calvert has any matters to pull?

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nope. All right, well, we'll come back when commissioner calvert returns to the dais.

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I make a motion to approve the consent agenda. Second. Motion by commissioner rodriguez. Second by commissioner clay-flores on the approval of
The remaining matters.

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consent. All those in favor signify by saying aye. Aye. Any opposed? Any abstention? Motion carried.

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I believe we have a point of personal privilege by commissioner rodriguez. Yes. Thank you
Judge. Good morning. We just approved one of the items on the consent agenda was item 84.

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secretary cisneros is here. I wondered if you would indulge us by coming up and just
Speaking on this item.

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for those in attendance and watching, this is a motion to approve bexar county joining the
Central texas alliance

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as an anchor county founding member in the amount of $30,000 for 2027 dues.

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this is a project that I know secretary cisneros has been intimately involved in the work
On the growth of the corridor between

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austin, travis county and san antonio, bexar county.

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so this is a new alliance and I know it's a lot of work ahead on the fulfilling the
Potential of the growth of that corridor.

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so this has been approved mr. Secretary, today as a member founding member,
But I wanted to give you the opportunity to say a few words on the work that you're doing

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there. Judge, members of the court, thank you very much for the opportunity to personally
Invite you into the

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central texas alliance. It's a new organization modeled on the north texas alliance,
Which for 50 years has been

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addressing infrastructure and critical needs in north texas,
Which has grown immensely as a result of their attention to infrastructure,

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rail, the airport, water, higher education, and many other things.

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austin and san antonio are growing together as a region. It's not just two cities, and it's not just the corridor between us,
But williamson county to the north of austin is going to have a million people itself.

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round rock, pflugerville, those places. And then we have to the east.

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the growth along sh 130, where we're seeing plants like the tesla plant east of austin and
Seguin,

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which is acquiring advanced manufacturing japanese firms and such.

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it's a region, the region today. And this is going to surprise you.

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the region today from north of austin to south of san antonio is 5.3 million people.

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we don't think of ourselves as part of a region of 5.3 million people.

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but even more importantly, the census tells us in 2050,
Just 24 years from now, that's going to be 8.3 million

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people with the rate of growth. That's a city the size of chicago coming into our region.

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if we're not talking together, if we're not planning together,
Then we're going to see congestion,

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water issues, lack of power for new electrification that's going on,
Not going to be maximizing our educational potential.

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our green space needs to be preserved if we're going to have it in this region.

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so all of those things require us to come together. Thank you for putting bexar county in the lead to create this entity.

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it's well on the way toward creation. Aj rodriguez,
Who you all know is the designated ceo of this effort to address those

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critical issues. The roadway between us, transportation,
Potentially rail water issues adequate electrical

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power in forcing, rather encouraging our great universities to grow to national status.

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k through 12 education, preschool, the whole range of things that will serve the region.

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so again, thank you for putting bexar county in the lead.

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it'll be an example to others that they should come aboard. Thank you. Well, henry, let me also put on the record that you and I have worked together
During my four years,

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and it's been a wonderful collaboration, especially you and your leadership on.

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I believe you have dubbed the mega corridor. Correct.

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is that the correct mega mega region now? And so obviously,
We have focused in between the metropolitan austin,

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san antonio and all those in between. But this is a further expansion of that dialog.

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and I want to thank you for your leadership,
Because I haven't been able to establish great relationships with judge brown there in

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travis county, judge becerra, hays county, and may rest in peace,
Judge krauss over in comal county.

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and so the bexar county, along with all the other counties in the rural areas.

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judge whitman down in wilson, judge ku down at escosa,
Judge lutze down in medina, bexar county and judge kelly in kerr,

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especially with what happened in the flooding last year. Bexar county has stood up judge hidalgo in harris county.

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with the flooding, bexar county has stood and to develop a regional aspect to its
Governance and that we're all in this together.

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and I want and hope that the central texas alliance continues.

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that pathway that we all have to work together. Is that is that where we want to go? Absolutely,
Absolutely.

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the upside of working together is immense in terms of making that growth work for us
Creating jobs,

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incomes, better education, training for our people to be able to get those jobs.

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this region is one of the fastest growing regions in america and indeed the world.

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its best days are yet to come just in terms of the sheer growth,
But how we harness that and make it work for our people who've been left out is a big part

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of the agenda. Judge, thank you for taking the leadership on working with the other
Judges.

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there are 13 counties in the footprint of this central texas alliance.

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and you know them. You know them all. So let me close with this. This is what I hope the commissioners court will go forward for the years to come.

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good government doesn't just stand still. It listens,
It evaluates and it keeps improving.

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and as you know, henry, that's called kaizen,
The japanese culture. So thank you very much for all your long standing contributions to our community and to
The world.

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thank you very much. Can we give henry a round of applause? Thank you judge. You're right. I've had the privilege of standing before you here as
County judge.

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I've known you for many years before that. And it may be that I will not be before the
Court again before you.

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your term expires. So let me just thank you for all you've done for our county.

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put it on an even keel, accomplish things, work well with the courts.

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thank you for your service. Thank you. All right.

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oh. Commissioner. Calvert. Thank you. Judge. Thank you.

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commissioner rodriguez, for co-sponsoring this particular improvement to our regional
Planning.

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and I want to thank you, henry, for over 40 years of dedication to the vision of the
Megalopolis that's happening between san antonio and austin

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regions, and it is obvious that we are becoming a megalopolis as you travel down 35.

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I do now, as I mentioned to you, because I'm in the graduate program at the university of
Texas at austin.

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so I'm on those highways 2 or 3 times a month traveling to class.

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and there's no doubt that I think in the future,
The visions that have been laid out on transportation improvements are going to be more

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necessary as talent traverses the corridor. It is one of the top three fastest growing
Economic corridors in the united states and going to be

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even more so as our center of military medicine,
Our various tech entrepreneurship innovations happen as a

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result of, frankly, tier one university investments as a result of other federal programs.

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and I think in the in the decades ahead, the united states will be much more connected
From a rail standpoint than we are today.

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and that's a good thing, because when you look at the infrastructure of nations like china
When I go to their,

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excuse me, their train stations, they've got 20 tracks of train where if we had just half
Of that to help this 35 corridor

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not just austin san antonio corridor, but even going into laredo to move traffic to get
Trucks off the road,

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it would be an important thing. I hope that this particular group will help in the most
Immediate needs of infrastructure and

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safety. We've talked about transportation, but flood control is a big one.

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sometimes our brothers and sisters in our rural counties have not employed the state's use
Of the flood control tax.

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that flood control tax can fund hundreds of millions,
Billions of dollars in drainage and save lives.

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all of us have a vested interest in the development of safe roads and safe buildings,
Because we are becoming one region,

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and you may be on a vacation in new braunfels or san marcos,
And a storm comes.

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and the tragic loss of life that we've seen over the last year has has been an awakening.

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but, but but there's also some tools and resources that we can be an exemplar of enacting
To our bigger brothers.

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excuse me. Are our smaller counties around the region? I also think in health care. That's also one of the areas that we are blessed to have our
University health staff here today.

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but we take in a lot of regional patients because there's a lack of primary and other
Health

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care options. And I hope that the great work the university health system has done can be
An example for the fact that other regional

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counties can invest in that health care infrastructure as well. So we look forward to
Supporting to providing some insight and serving with the group of elected

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officials who are paving the way. Thanks, henry,
For your work. Tommy. Thank you, commissioner.

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and let me just say the main central activity,
I believe, well, two things of this entity.

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one will be to sort of vision the future and prepare for it,
And the other will be advocacy to get the resources from the state for this region and

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national for this region to work on exactly the kinds of things that you have mentioned
That that we look to being about 130

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people strong between the 13 county judges, the mayors,
The mpos, the cogs, the university presidents,

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the school district heads, the business leaders,
Business organizations, and economic development groups.

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that's a pretty strong advocacy for the for the whole range of things that you've
Mentioned.

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thank you. One I did forget was water. Judge becerra asked me to participate in a forum
With his constituents on the data center growth

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that's happening in hays county, and their concern is very acute.

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and you probably heard some of the residents coming out to large numbers when you don't
Have data centers that are using the fourth,

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excuse me, the fourth generation technologies for water conservation,
Energy conservation,

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those are really critical that we serve as a voice of reason in a time of escalating and
Cramped resources.

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thank you. That is another example. Yeah. Thank you judge.

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good luck. Thank you very much. Thank you. All right. Thank you. Okay. I'm I'm alerting. I want to tee up a special guest for commissioners
Court.

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are we ready for our special guest? If we are,
We're making a presentation of a proclamation on behalf of commissioners court recognizing

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the san antonio spurs under extraordinary 2025 2026 nba season.

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there he is, the one, the only, the coyote.

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all right. And the spurs team. And although they're not tall and they don't I don't know
If they oh I don't know if you can make a few baskets.

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but we got the spurs teams that make things happen every day. Right. Bobby portis. All right. Commissioner.

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clay-flores. You have a proclamation to read. So coyote, thank you so much for being here in such a busy schedule on behalf of the
Spurs.

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I like that you are a man of few words, so I'm glad that you're not going to say much
Because we have a really long agenda.

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but it was really important for me, along with my colleague commissioner rodriguez,
To bring this,

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to acknowledge the work that you all have done,
Because I have always said that there is so much division in our country,

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in our state and in our county, and the spurs is one of the few things that bring us
Together.

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so when I give speeches, I'm still talking about using the spurs as an example for
Different things.

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when I'm at schools or even in the business community. And so I'm just so excited to be able to read this proclamation.

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whereas the san antonio spurs have long represented the pride,
Resilience and spirit of san antonio and the surrounding region,

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inspiring generations of fans through their commitment to excellence both on and off the
Court.

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during the 22 I'm sorry. During the 2020 526 nba season,
Santos demonstrated exceptional determination,

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teamwork, and perseverance. Whereas, through outstanding leadership,
Remarkable, remarkable athletic achievement and an unwavering commitment to their pursuit

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of excellence, the spurs captured the western conference champion. Y'all can. Y'all. Y'all can clap. Game seven is one for the books and advance to the

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nba finals, marking one of the most memorable seasons in franchise history.

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and whereas the players, coaches, staff and organizations exemplified professionalism
Unlike some of the other teams

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sportsmanship. Unlike some of the other mascots and dedication,
Unlike some of the other fans

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that wasn't in here, those are my words. Serving as ambassadors for san antonio,
Inspiring young athletes,

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I would say, and old throughout our community. And whereas the success of the san antonio spurs extends far beyond the basketball court,
We know we go into mexico and france generating economic activity,

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strengthening community pride and uniting residents from all walks of life in support of
Their hometown team.

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the san antonio spurs have once again demonstrated why they remain one of the most
Respected organizations in professional sports,

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and their accomplishments this season will be celebrated and remembered by spurs fans for
Years and decades and centuries and generations to come.

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now, therefore, be it resolved that the bexar county commissioners court do hereby
Recognize and congratulate the san antonio.

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spurs go, spurs go. Why don't y'all come up? Bobby.

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bobby, do you want to say a few words? Bobby. Judge. Court. I'm going to yield the floor to rollie.

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he's going to step up. Okay. Good morning judge. How are you doing? Good morning
Commissioner. I just want to say thank you so much for this recognition. As you mentioned,

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commissioner clay-flores, the unity and the unforgettable memories that are going to stick
With these families for years to come. The reason why we show up to work every day,

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and we're just so grateful and honored to be part of a community that wraps their arms
Around us,

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and that really is a part of our fabric and our dna as an organization. So just again, thank you so much. And and go,
Spurs.

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go go go go. Come take a picture. Oh! Hey. Come down!

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all right.

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very warm in there.

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we need more people on this side.

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maybe like one more.

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go for it. Go go go.

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got it. Thank you.

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all right. Okay. We'll take the second presentation.

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let me just kind of alert y'all. We're going to we have some really superstars besides the
Spurs.

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we have other superstars of the community. We have a presentation of a proclamation on
Behalf of commissioners court recognizing august 2026 as a tribute to the

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icons, icons of tejano and norteno industry. I'm proud to sponsor this with our county
Clerk,

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lucy adame-clark. Would you please come forward? And I believe we have the stars in the house.

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okay, don't push and don't just be nice. All of y'all come forward and stand behind our
County clerk who will make some introductory

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remarks. We'll have, I believe, lucy, you have somebody respond to behalf of the group.

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yes. And then commissioner calvert, if you'll read the proclamation after lucy finishes
Her,

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or I'll open with you. Commissioner. Calvert and allow you to make your remarks and read
The proclamation.

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and lucy, I believe, steve huerta, you all have gifts or recognitions to make of the
Recognition.

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yes. Yes. Yes. Yes. Good morning, commissioners court,
Distinguished guests.

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I am lucy adame-clark, the county clerk of bexar county. It is true, and an honor to be here today and celebrate and recognize the incredible
Contributions of our tejano artists and community leaders

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that some have passed away. Today we have the privilege of presenting proclamations from
Commissioners court and county judge.

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and certificates of flags flown over the alamo in honor of their dedication,
Their sacrifices,

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and everything they do for our community. Their talent and service has impacted our
Community.

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today, I wear my mexican flag, my azteca brooch to recognize our tejanos of our nation.

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tejano music is more than just music. It is the soundtrack of our history,
Our culture, and our families.

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our community is dealing with so much right now. It brings generations together, preserves our heritage,
And tells the stories of resilience,

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love and faith and pride that defines each and every one of these individuals.

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the artists we honor today have carried many traditions forward from their families,
Their grandparents,

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and their great grandparents that come from the tierra de mexico with passion and
Excellence,

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inspiring our audience for many, many years and years to come.

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but their influence extends well beyond just the stage.

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through their generations and mentorship and community involvement and commitment to
Preserving our culture,

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they have strengthened our neighborhoods and inspired young people to become musicians
Themselves and to dream big.

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some of these individuals come from the projects here in san antonio,
Texas, and reminded us all of the importance of giving back to where they come from.

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their work has created opportunities, build connections,
And has brought joy to many individuals and many individuals lives.

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these proclamations are a small token of our appreciation for their impact to each and
Every honoree that has made it here today.

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they represent our gratitude for the music that they've shared,
The doors that have opened,

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and the legacy, not legends, the legacy that will continue to be built on each and every
One of you for the future of our generation to come.

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to each of our honorees. Thank you. Thank you for doing this for our community.

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thank you for bringing your talent forward. Thank you for putting your corazon,
Your heart,

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and your unwavering dedication in your music. Your contribution has made our community stronger,
And I hope today unites our community deeply.

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and I'm deeply proud to recognize our tejano heritage. Please join me as we congratulate our distinguished honorees,
And thank you all for everything you have done.

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I want to say this as I want to thank commissioners court.

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I want to thank judge peter sakai. Peter sakai has brought light to our culture,
Our tejanos and nortenos,

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our latinos, our hispanos, our route to our roots of our community.

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thanks to peter sakai for allowing this to happen in commissioners court,
Because this is who we are.

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my own grandfather, who was born in guadalajara,
Jalisco, mexico, toribio alba martinez is why I'm proud to do this today.

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my first individual will be emilio navaira family to be recognized here today.

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can you please step forward? Thank you. And thank you for being here.

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thank you so much. And stay here. Don't don't walk away because we're gonna get a picture.

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please. Second los aguilares genaro y emilio familia to be recognized.

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mr. Raulito is here. And I'm not mistaken. I

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think his daughter has followed in his footsteps. The third one would be henry.

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similarly or similarly, I mirror you turned me gringa family to be recognized.

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are you the one? To get it correct. There you go.

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thank you. This is a big one. Vicente barrera.

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this is an amazing woman who continues to do big impacts on our community,
Has gotten educated and continues to make a presence in our community.

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doctor patsy torres.

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the next young lady is also a very well recognized individual in our community.

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elsa garcia. I had the honor of recognizing her at the event,
So I'm very honored as well.

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thank you lucy. You're welcome. Thank you, judge sakai,
With all my heart. And toby de luna, everybody that's involved in this,
I'm very proud and I'm very proud to share the stage with these amazing talents as well.

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gracias, gracias. Thank you. Thank you. Thank you.

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the next one will be freddy martinez senior. He didn't make it here today,
Though.

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we're going to grab him next time. The next one is jaime deanda.

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come on over. Thank you so much. Thank you for everything.

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the next one is la sombra.

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I'm a daughter of a marine. That's what it is,
He said. You have strong hands. I'm a daughter of marine. Thank you all.

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thank you so much. Thank you. Thank you for waiting. Congratulations.

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thank you. The next one is hugo guerrero.

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ruben is accepting on behalf of the great ruben ramos is here.

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with his wife. So he's here to accept it and his honor because his wife just passed away.

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our condolences. Their condolences. Thank you ruben.

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and the next one is going to be. Who is hugo guerrero,
Los palominos.

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congratulations. Thank you. Thank you. Thank you. Thank you.

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gracias. The next one is frank tovar y los tavarez band.

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and thank you for being here. Thank you. The next one is a very popular name as well,
Too,

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in the state of texas and nationally. Roberto pulido.

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ruben ramos. El gato negro. I know him because my father,
My parents, el gato negro, has been around for

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a long time. And I'm 54. Ruben but that's all I heard,
Right?

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I feel like. You did. All of you are. We are so honored to have you here

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today. Thank you. We're honored to have you all here to. Gracias. Gracias, gracias. Los desperados.

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thank you. Thank you. Thank you. The brother. No, no no, no, you didn't make it up. Well, here's your flag.

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thank you, thank you. Excuse me. I'd like to say thank you very much. Judge peter sakai, the council, and of course,
All of our peers, our fellow musicians.

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congratulations. And I'd like to dedicate this to my my grandfather,
Librado villarreal, who was a pioneer and a,

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he was one of the originators of conjunto music here in san antonio. I also like to dedicate it to my father, librado villarreal jr.

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thank you. Thank you. The next one will

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be sunny ozuna. He didn't make it today, but the great sunny ozuna.

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thank you so much. And the next one will be agustin ramirez agustin.

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his family is a family from ramirez here. Did I make it okay?

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thank you so much. The next one is carlos guzman.

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the great carlos has been has been a musician since 1969.

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thank you. Thank you very much. Gracias. Por todo. Gracias. Thank you. Thank you. The next one is david and joe farias la tropa f.

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this one has stayed busy and still continues to continue to continue the family tradition.

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raulito. Navarra. I just want to say thank you to the city

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of san antonio. Thank you for always supporting our music,
Our culture and thank you for supporting la familia navarra from espada.

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that's right. Gracias. The next individual is an old mariachi and has been around and
Continues to be a force in our community.

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placido salazar, the father of the sheriff, javier salazar.

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is he here? Did I make it? Okay, so I'll get him.

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the next individual is going to be juan ortiz campanas de america,
Mariachi usa.

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the next individual is sami nino brown alvarez.

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thank you, judge mr. Moode. Thank you. You're welcome. Thank you so much. Thank you, thank you. The next individual is going to be henry brown.

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henry brown. Congratulations. Thank you. Thank you.

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and the next individual, judge peter sakai and I in the court could not have done this.

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any of this starting this year in 2026. If it wasn't for this individual,
There is an individual in the community that has been an advocate,

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a big supporter of bexar county, and bringing this to the forefront to make sure that we
Bring tejano norteno music back to our court,

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back to our community. That is a great toby deluna also honoring him.

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also honoring him for being recognized. We have an individual here from the state of texas
Representatives who contributes to the texas music industry.

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so before we give him our certificate or proclamation,
I ask that steve ray comes forward to say a few words.

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thanks, everyone for having me here today. This is a really special day for me and for all
The people.

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we're being honored. In 2018. Toby deluna arranged for jay perez to receive recognition
For 25 years as a solo

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artist. In 2019, I ran into toby at the toronto music awards.

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I didn't recognize him and he called me on it. He had this idea to recognize more tejano musicians.

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I told him that I knew a little bit about tejano world,
But would need help.

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side note in 2025, my year end spotify stats showed that tejano music was my second
Favorite genre,

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so I guess he helped me quite a bit. So we set out to recognize career anniversaries and
Awards at the state level,

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and it's been a great partnership. With toby's help,
We've gotten state recognition for groups like intocable,

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la fiebre, artists like chente barrera, stefani montiel,
Ramon pereira, ruben ramos, elida reyna,

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and so many others. And we're not done. He makes it so easy.

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I just do the office work at the state level,
And by the time I show up, everything's in place for the event.

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and we've become friends and have really gotten to know his family.

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which brings me to this. His wife, priscilla,
Sent me a note asking if I could fly a flag over the texas state capitol for toby.

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so on july 23rd, this flag was flown over the great state of texas in honor of mr.

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toby deluna and his contributions to the state's music industry.

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wow. I'm never speechless, but wow. First and foremost,
I want to thank god and from heaven above my wife,

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letting me do what I love to do on my own time and being a supporter for me,
My family here with me today.

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my family that's not here today. My mom, my dad,
My sisters.

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it's an honor to to do what I do because like I told lucy and I've told you guys before,
If nobody else recognizes our artists behind me,

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they're never going to be recognized. And I do it because the love of music and I do it
Because these guys behind me need to be recognized as part of what they do.

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you know, every weekend, in and out, in and out. And that's the career they chose. And they make people laugh,
They make people cry.

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and well, you know the story, right? But once again,
Judge sakai, the commissioners, thank you all so much for letting us have this time.

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and when the tejanos come out, they come out,
Man.

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they open the balcony, they have the balcony for today. But once again, thank you so much. I appreciate everything.

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cynthia garcia g 289. Other people. Trina guevara,
Thank you for it's not on me.

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I have a team that helps me and I couldn't do it without me and lucy,
Thank you for everything you do.

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thank you. Can we get a picture this time? Toby,
We have your certificate that was flown over the alamo.

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so you not only have a state recognition, but you have a local county recognition.

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so this is for you. And I want to say thank you. Thank you for everything you've done. Judge,
Thank you for allowing us to do this. But I want to also give credit to my team chief,

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priscilla hernandez, my project coordinator,
Eddie pichardo, and especially our executive who is the executive to the county clerk.

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it does take a village to complete our efforts. Also, kate and all your staff judge, that put a lot of effort in putting this together to
Make it possible today.

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so congratulations to each and every one of you. Muchas gracias for being here and
Continue to play the beautiful music of tejano norteno mexicano hispanos aqui in san

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antonio, texas. Gracias, gracias. Thank you for listening.

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let's go forward. Everybody come forward for a picture. Please come forward for picture. Everybody come forward for a picture,
Please.

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all the icons. All the icons. Elsa, how are you?

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thank you for. Come on.

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all right. Oh, great. Great. Thank you.

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you want to take video?

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I can't. See the camera? The camera?

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excuse me. Sorry, sorry. I got one. Hi. Thank you.

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oh.

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if y'all want to continue to take pictures outside,
We have to get to the next.

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we need to get to the next proclamation. Don't forget to vote for bobby.

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do you want to take pictures outside? We need to get to the next proclamation. Please.

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hey, partner. Yeah, I remember when you had dark hair.

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let's go. Y'all get pictures and autographs. We got work to do,
Right?

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tina. Better be ready. Tina. I don't see david or thomas.

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they're a bit busy. All right. Presentation. Proclamation.

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behalf of commissioner corp.. Recognizing national poll workers recruitment day in bexar
County. Commissioner rodriguez, you have the floor.

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okay, we'll give them a minute. Judge. They're waiting to get in. No no no no no. We'll we'll knock it out here shortly.

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or this. Yeah. Just give them a minute.

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can I help you out?

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if you're here for the next proclamation, you can go ahead and come up to the podium.

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this is just number eight. And then this is for the jail.

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and then this is heather. Heather. Heather. Go ahead and start bringing your group up. I know it's crowded, but okay. Upstairs. 061 was what?

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I believe that was okay. I'll see. Okay. I need to bring him.

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I need to bring him back after this. Okay. This is number eight and then jail.

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yeah, I just got it. I'm going to have commissioner rodriguez.

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separate that. I want that separate. Her. She's speaking to someone that's doing it.

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00:47:10,560 --> 00:47:13,520
oh, she's going to read it or do you want commissioner. I don't want it. Yeah. And she's she has to leave.

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00:47:15,720 --> 00:47:15,720
I told him I would. Okay, okay. This is all the people go to jail,
Right?

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00:47:20,360 --> 00:47:20,360
all of them? Yes. Marianne. She's taking it from what?

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00:47:27,700 --> 00:47:30,780
what's that now? Okay, heather, I think we can. We can start to hear a little bit as folks fall in.

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these next proclamation is on behalf of the court recognizing national poll worker
Recruitment day.

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thank you all for being here. We've had some big athletes here,
Performance heroes.

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and now we got some election heroes in our midst. So I'm going to go ahead and read the proclamation.

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00:47:55,420 --> 00:47:55,420
hope you guys can hear me. Okay. So the proclamation reads,
Whereas the u.s.

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election assistance commission launched national poll worker recruitment day as an
Initiative to promote civic engagement and address the ongoing need for poll workers by

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encouraging people to work elections. Poll workers play an essential role in upholding
Election integrity.

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their service ensures that voting procedures are carried out accurately and securely,
Fairly transparently,

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and providing voters with the confidence in the democratic process. And whereas since 2009, per the texas election code,
High school students in the state of texas have been allowed to serve as student election

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clerks beginning at the age of 16. And in 2020,
Approximately 7% of the poll workers in texas were under the age of 18.

353
00:48:42,130 --> 00:48:42,130
and whereas youth do vote began its recruitment of high school and college student poll
Workers in october 2022,

354
00:48:48,570 --> 00:48:48,570
enabling more young people to play a critical role in the democratic process,
While also helping provide positive voting experience for those residents here in bexar

355
00:48:57,970 --> 00:48:57,970
county. And whereas, during the november 2020 election,
Hundreds of poll workers will be needed to serve as election clerks,

356
00:49:06,170 --> 00:49:09,450
judges, technicians, and voting centers throughout bexar county. Youth do vote will continue to work in partnership with bexar county elections department
To recruit the next generation of poll workers and ensure free and fair elections for

357
00:49:18,530 --> 00:49:18,530
generations to come. The continued recruitment and training of poll workers,
Especially new generations of voters,

358
00:49:24,350 --> 00:49:24,350
help strengthen civic engagement and fosters long term,
Long term participation in elections.

359
00:49:30,270 --> 00:49:30,270
now, therefore, be it resolved, the bexar county commissioners court hereby recognizes and
Proclaims august 11th,

360
00:49:36,070 --> 00:49:36,070
2026 to be national poll worker recruitment day signed by your commissioners court.

361
00:49:42,790 --> 00:49:42,790
a big round of applause for all of those here that do the work.

362
00:49:48,190 --> 00:49:48,190
and I know you've been a big part of that. And I know we've had some conversations going
Forward about a budget item coming up to help with furthering your

363
00:49:58,030 --> 00:50:01,030
recruitment and what you're doing. But thank you for being here. Thank you all for being here, michelle. Thank you for standing with them. I'll turn it
Over to you, heather, for a few words. Thank you. Well, I know y'all say the most exciting

364
00:50:07,750 --> 00:50:11,390
proclamation for last, so thank you. Thank you very much. Thank you, commissioner rodriguez, and good morning,
Judge. Commissioners, as the founder and director of youth devote, I proudly stand here

365
00:50:17,470 --> 00:50:17,470
today with elections administrator michelle carew and her team with fellow election
Judges,

366
00:50:22,370 --> 00:50:22,370
as well as high school and college students who have worked as election clerks,
Judges and technicians since 2022.

367
00:50:29,130 --> 00:50:29,130
our organization has been building a pipeline of student poll workers,
Which directly aligns with bexar county's own democracy from the ground up platform.

368
00:50:36,570 --> 00:50:36,570
today, you will hear from sage mireles, a senior at castlehead high school in east central
Isd,

369
00:50:41,890 --> 00:50:45,170
who has worked five elections as a student election clerk. You will also hear from elizabeth chalmers, a clark high school grad now attending
Northeastern university who has worked three elections,

370
00:50:51,650 --> 00:50:51,650
including including the 2024 presidential. Thank you,
Commissioner rodriguez, for recognizing national

371
00:51:01,530 --> 00:51:01,530
poll worker recruitment day. We are grateful to jessica commissioner rodriguez and their
Staff members for investing in the civic leadership of student poll workers like myself.

372
00:51:10,770 --> 00:51:10,770
I am proud to share that last semester, I was able to recruit 13 of my classmates to work
The march primary.

373
00:51:17,410 --> 00:51:17,410
I have already learned so much about elections that I will be more than ready to vote when
I turn 18 in january.

374
00:51:23,550 --> 00:51:23,550
with hundreds of election judges and clerks,
Democracy is possible thanks to their hard work to make sure every vote counts and every

375
00:51:29,870 --> 00:51:29,870
voter feels heard. While americans of all ages are encouraged to sign up to be a poll
Worker,

376
00:51:35,230 --> 00:51:35,230
according to the u.s. Election assistance commission,
Less than 17% of poll workers in the 2024 election were under the age of 40.

377
00:51:47,750 --> 00:51:47,750
as one former e e commissioner stated, bringing in a new generation of poll workers is
Essential.

378
00:51:54,590 --> 00:51:54,590
we know the positive impact it has when voters see their neighbors,
Friends and members of their community serving in these positions.

379
00:52:01,150 --> 00:52:01,150
our generation also brings much needed familiarity with technology.

380
00:52:05,270 --> 00:52:05,270
as election administration continues to modernize to keep up with security needs.

381
00:52:09,910 --> 00:52:09,910
last school year, youth to vote recruited and placed 82 student election clerks
Representing 31 different high schools and eight colleges,

382
00:52:16,940 --> 00:52:16,940
including my own. Nearly half of these students worked at least two elections.

383
00:52:21,220 --> 00:52:21,220
however, at the june election commission meeting,
County clerk lucy adame-clark challenged us to recruit and place 300 student election

384
00:52:28,300 --> 00:52:28,300
clerks during the 2627 school year, and we would love to meet that goal.

385
00:52:36,860 --> 00:52:36,860
all right. In closing, I want to thank the growing list of election judges who have worked
With you to vote to hire students for their election teams.

386
00:52:43,700 --> 00:52:43,700
many of these judges have become mentors to this next generation,
And we cannot do this work without their partnership.

387
00:52:49,460 --> 00:52:52,140
and a lot of them are standing behind me. So thank you to them. Thank you again to commissioners court and to bexar county elections department for this
Ongoing collaboration to ensure young people have a seat at the table.

388
00:52:59,780 --> 00:52:59,780
this support will have a long term impact on the bexar county electorate and local
Election administration for years to come.

389
00:53:06,100 --> 00:53:08,460
thank you. Come up for a picture, guys. Come on,
Come on. Thank you. Future youth workers.

390
00:53:18,880 --> 00:53:18,880
how are you? How are you doing? Good to see you.

391
00:53:23,560 --> 00:53:23,560
thank y'all. Y'all want to squeeze in a little bit?

392
00:53:33,480 --> 00:53:33,480
there we go.

393
00:53:53,200 --> 00:53:56,240
thank you guys again. Thank you. Thank you. Thank you guys. Thank you. Hey, michael. How are you? How are you?

394
00:53:59,440 --> 00:53:59,440
I love you. Thank you.

395
00:54:16,580 --> 00:54:19,100
all right. We gotta do some time. Certain court. Let's get to time. Certain. Move it through. And then I'm just alerting.

396
00:54:24,380 --> 00:54:24,380
we have quite a few citizens to be heard on matters that are being taken up.

397
00:54:29,780 --> 00:54:29,780
so. So citizens to be heard. Not all of y'all are going to come on agenda eight.

398
00:54:35,700 --> 00:54:39,060
I may call you up on specific items that you signed up for. So just please be aware that you may be called up.

399
00:54:41,660 --> 00:54:41,660
and if you're not here, we'll be moving on. So at this time,
The nine time is 10:02 a.m..

400
00:54:48,540 --> 00:54:48,540
I'm calling up and asking the court to do a public hearing and invite the public input
Regarding the proposed holly heights special

401
00:54:58,380 --> 00:54:58,380
improvement district, item 5a5a I'm going through the citizens be heard.

402
00:55:03,980 --> 00:55:03,980
I have yet to see. Is there anybody signed up for item five a.

403
00:55:12,000 --> 00:55:12,000
five aye once, twice, three times. We are moving through now for a presentation
Discussion.

404
00:55:19,040 --> 00:55:19,040
appropriate action regarding order granting a petition for the creation of holly heights
Special improvement district.

405
00:55:26,720 --> 00:55:26,720
appointment of directors. Imposition of ad valorem and sales tax and use taxes for the
Authority to enter into economic,

406
00:55:36,120 --> 00:55:40,000
economic development agreements, grants and loans. Miss shannon. Good morning, judge and commissioners.

407
00:55:42,840 --> 00:55:45,240
melissa shannon, office of the county manager. As you said, this is the action to create holly heights special improvement district.

408
00:55:51,840 --> 00:55:51,840
we've got representatives from the improvement district here,
Paul landa, engineer, james mcknight from mcknight,

409
00:56:01,040 --> 00:56:01,040
from mcknight and kevin de anda from autism mcknight.

410
00:56:05,240 --> 00:56:09,110
so just why don't you bring him up? Stand behind you in case there's any questions. Just to remind you, judge and commissioners,
On april 14th, earlier this year, you approved a resolution of intent

411
00:56:18,750 --> 00:56:18,750
for this pit, and the city of san antonio approved their 30 year non annexation
Development agreement.

412
00:56:25,950 --> 00:56:25,950
on june the 11th. So you're all very familiar with this chapter in statute

413
00:56:35,550 --> 00:56:35,550
government code 382. It sets out all the powers that a kid can have taxation powers,
Construction authority,

414
00:56:43,510 --> 00:56:43,510
etc.. So this pit in particular is located in precinct four is j.

415
00:56:50,550 --> 00:56:50,550
j. Aye development is the developer. They're seeking a 30 year term.

416
00:56:55,110 --> 00:56:55,110
they're seeking ad valorem sales tax use authority.

417
00:56:59,710 --> 00:56:59,710
they're located on right at 70 acres outside loop 410 along saint hedwig road and west of
Shuttleworth road.

418
00:57:08,690 --> 00:57:08,690
the land is currently vacant and is used for agricultural use for tax purposes.

419
00:57:15,330 --> 00:57:15,330
so we see we receive the county does about $17 a year currently in in general fund tax
Revenue.

420
00:57:24,330 --> 00:57:24,330
so our proposed revenues on this period are tax revenue will be right at 4 million.

421
00:57:32,370 --> 00:57:35,130
and the sales and use tax is to be determined. We they can go up to a 2% sales and use tax. We don't know what that will be yet,
But there could be sales tax also.

422
00:57:43,930 --> 00:57:43,930
so the proposed development 90 single family homes.

423
00:57:47,970 --> 00:57:47,970
the commercial acreage is to be determined. There will also be open conservation space.

424
00:57:54,530 --> 00:57:54,530
and now I'll go through the actual development.

425
00:58:01,690 --> 00:58:01,690
the development reflects 5.7 million for streets,
Sidewalks, water, drainage.

426
00:58:06,910 --> 00:58:10,870
they'll be on site. Sewer facilities. Individual septic. 100,000 in traffic signal and turn direction lanes for a total of 5.8 million in public
Infrastructure development.

427
00:58:19,670 --> 00:58:19,670
it will create about 29 million taxable value when it's fully developed by 2030.

428
00:58:26,830 --> 00:58:26,830
the revenues generated for various tax entities in bexar county are reflected here as well
As I know we've been asked in some previous

429
00:58:36,830 --> 00:58:36,830
meetings to indicate what the school district might receive off of this.

430
00:58:41,350 --> 00:58:41,350
we're estimating about $7.2 million. And that is my presentation.

431
00:58:50,070 --> 00:58:53,110
all right. What precinct is this project precinct for? Commissioner. Calvert. Do you have any comments? Thank you very much,
Judge.

432
00:58:56,390 --> 00:58:56,390
thank you. Melissa. I just want to ask the applicants just to come forward or the
Representatives of the applicants just to talk a little bit more about the infrastructure,

433
00:59:04,890 --> 00:59:04,890
the solar lights, and some of the other tree infrastructure,
Things of that nature that were added to this particular development.

434
00:59:11,850 --> 00:59:11,850
yeah. Thank you. Commissioner kevin deanda with ortiz mcknight 112 east pecan street.

435
00:59:16,330 --> 00:59:16,330
infrastructure for holly heights will include the solar lights that you just mentioned.

436
00:59:20,690 --> 00:59:20,690
we contemplate roughly 11 total solar lights being within the community.

437
00:59:25,770 --> 00:59:25,770
and those are specifically located at at roadway intersections within the development.

438
00:59:32,810 --> 00:59:32,810
also, this development will help bring about a traffic signal at sherwood road and fm
1346,

439
00:59:39,610 --> 00:59:39,610
which is desperately needed, as you know. And I also wanted to highlight that after
Coordinating with you commissioner,

440
00:59:46,090 --> 00:59:46,090
we agreed to include more tree planting with this within this development.

441
00:59:50,890 --> 00:59:50,890
so each lot is contemplated for roughly ten trees.

442
00:59:55,770 --> 00:59:55,770
amazing. I think that is a real value added and it's less of a burden on the county in the
Long run.

443
01:00:02,760 --> 01:00:02,760
we all have, and those of us who have large unincorporated areas where we don't have a cps
Licensing agreement for lights,

444
01:00:10,440 --> 01:00:10,440
we are all challenged by the density of development and there not being enough
Streetlights for people to be able to see.

445
01:00:17,520 --> 01:00:17,520
so I want to thank the applicant for working with us to invest in that infrastructure,
Keeping traffic incidents,

446
01:00:25,880 --> 01:00:25,880
accidents down, incidents with children going to school or waiting for a bus,
And all kinds of other needs that the motorists may,

447
01:00:34,440 --> 01:00:34,440
may have. And of course, our tree canopy has taken a huge hit.

448
01:00:39,760 --> 01:00:39,760
we've lost 20% of our tree canopy. So this is a,
A great investment in, in that, in an environment that sometimes the real estate market is

449
01:00:48,240 --> 01:00:48,240
just kind of doing with all due respect, we call it a crackerjack box housing.

450
01:00:54,320 --> 01:00:54,320
and this is going to make the, the living environment a lot nicer for folks out there.

451
01:00:59,060 --> 01:00:59,060
thank you so much. I move approval. Second, any further discussion?

452
01:01:07,900 --> 01:01:07,900
anything else for all. Those expensive. Time is now.

453
01:01:17,900 --> 01:01:17,900
we have a call for another public hearing. I see the commissioners court.

454
01:01:25,340 --> 01:01:25,340
regarding the proposed. Special improvement district.

455
01:01:33,140 --> 01:01:33,140
are they the same principles involved? Yes. All right.

456
01:01:37,300 --> 01:01:40,780
is there anybody here signed up to speak on five? See, I've gone through the list. I see nobody signed up.

457
01:01:43,620 --> 01:01:43,620
is there anybody that signed up? We did not call 5c5c once.

458
01:01:51,220 --> 01:01:54,900
twice? Three times. Let's go immediately to five d. Presentation discussion appropriate action regarding an order granting a petition for the
Creation of a lone oak special improvement district.

459
01:02:02,360 --> 01:02:02,360
appointment of directors. Imposition of ad valorem sales and use taxes and for the
Authority to enter economic development agreements,

460
01:02:09,640 --> 01:02:09,640
grants and loans. Miss shannon. This also. Precinct for commissioner calvert miss shannon.

461
01:02:15,720 --> 01:02:15,720
so I'm not going to go through all the slides that I went through earlier.

462
01:02:20,080 --> 01:02:20,080
we're all familiar with this location is in precinct four,
92 acres.

463
01:02:26,120 --> 01:02:26,120
land use will be 353 single family homes as well as commercial space to be determined.

464
01:02:34,080 --> 01:02:34,080
this project is actually located along I 1604 south of I-10.

465
01:02:42,880 --> 01:02:42,880
as with the last one we mentioned, they are seeking ad valorem tax authority as well as
Sales tax authority to be determined.

466
01:02:52,200 --> 01:02:52,200
this is as well vacant land that we're getting about $32 in annual revenue because of farm
Use exemption.

467
01:03:00,780 --> 01:03:00,780
the actual project is proposed for the 300. And sorry I missed my slide.

468
01:03:07,460 --> 01:03:07,460
the development reflects 13.8 million for streets,
Sidewalks, water drainage, 2.6 million for sewer and 464,000 in traffic

469
01:03:17,420 --> 01:03:17,420
signal and turn deceleration lanes, for a total of 16.9 million in public infrastructure
Taxable value,

470
01:03:25,860 --> 01:03:25,860
we estimate to be at about 115 million when it's fully developed by 2032.

471
01:03:33,060 --> 01:03:33,060
and highlighting east central isd, we estimate right at about 26.2 million that they will
Receive off of this project.

472
01:03:40,980 --> 01:03:40,980
again, I look for your approval. Approval. Motion by commissioner calvert.

473
01:03:45,580 --> 01:03:45,580
second. Second by commissioner rodriguez. Any further comments? Hearing none.

474
01:03:49,660 --> 01:03:52,300
all those in favor signify by saying I. I. Any. Oppose in motion carries. Carry on. Get those projects up and running,
Gentlemen.

475
01:03:58,610 --> 01:03:58,610
all right, let's go. Now, the other time. Certain.

476
01:04:03,770 --> 01:04:06,810
and hopefully we're catching up here. 9:45 a.m.. This presentation discussion, appropriate action regarding the 2026 ad valorem property
Tax rate recommendation for the bexar county hospital district dba

477
01:04:17,090 --> 01:04:17,090
university health in support of its operating and debt service outlook for fy 2027.

478
01:04:24,090 --> 01:04:24,090
good morning, mr. Jimmy. Board chair for university health board.

479
01:04:29,090 --> 01:04:32,450
I believe you have your team, mr. Barnes and mr. Hurley, here. And I just want to say thank you to you,
The board, the administration, the executive team,

480
01:04:40,250 --> 01:04:40,250
and most importantly, the employees all the way down to the people who keep the hospital
Spic and span and provide the security for those facilities on and

481
01:04:50,210 --> 01:04:50,210
throughout the city, mind you. So, mr. Hasselhoff,
You have the floor.

482
01:04:54,750 --> 01:04:54,750
thank you, your honor. Judge commissioners, it's a pleasure to be before you again.

483
01:04:59,910 --> 01:04:59,910
we want to thank you for your support. Today.

484
01:05:05,230 --> 01:05:05,230
the attached is a copy of the proposed 2026 tax rate to support the operating debt service
Requirements for fiscal 27 for the bexar county hospital

485
01:05:15,030 --> 01:05:15,030
district, dba university health and the powerpoint for the presentation scheduled for
August 4th,

486
01:05:20,710 --> 01:05:20,710
2026. On tuesday, july 28th, the bexar county hospital district board of managers
Unanimously recommended the

487
01:05:30,470 --> 01:05:30,470
2026 tax rate recommendation for the approval of commissioners court.

488
01:05:35,150 --> 01:05:35,150
the board provided leadership that time and effort to ensure a comprehensive and complete
Review of the recommendations for your

489
01:05:44,470 --> 01:05:44,470
consideration. The 2026 tax rate recommendation is to maintain the existing tax rate of
0.276235 per

490
01:05:54,290 --> 01:05:54,290
100 property valuation. This rate will produce adequate support and continuing operations
And funding our debt service needs.

491
01:06:02,530 --> 01:06:02,530
due to increased exemptions and some softening in the existing property values.

492
01:06:07,850 --> 01:06:07,850
the existing rate will produce estimated total tax revenue of approximately 659 million,
Which is 4.7 million less than the current

493
01:06:17,450 --> 01:06:17,450
year. At this time. A submission we are pending the final certified values for the tax
Office.

494
01:06:23,770 --> 01:06:23,770
so? So the estimated results may vary. So with that I will move into our program editor.

495
01:06:31,930 --> 01:06:31,930
banos is here. Reid hurley is here. And we will I will turn it over to them.

496
01:06:37,170 --> 01:06:37,170
thank you again for your support and we appreciate working with the court.

497
01:06:42,050 --> 01:06:42,050
thank you. Mr.. Mr.. Judge. Commissioners. First of all,
I know reed hurley is behind me,

498
01:06:50,670 --> 01:06:53,870
but serena ravella, our chief legal. Well, tell him. Come on up, avery. Come on up. And andrew smith marketing or whoever you want beside you.

499
01:06:59,190 --> 01:07:03,150
and bill phillips, our chief operating officer here as well. I think they're shy. They're not shy. They want to be out of the line of fire.

500
01:07:08,430 --> 01:07:08,430
and first of all, we say this every year, but we have guiding principles to make sure that
University health is providing the best care for everyone in bexar county and all

501
01:07:18,390 --> 01:07:18,390
the, all the south texas. We focus that on providing our triple aim,
Plus making sure that every patient has quality and safe outcomes.

502
01:07:27,750 --> 01:07:27,750
and we continue to improve. We always want to improve the patient experience.

503
01:07:33,390 --> 01:07:33,390
as is with this budget, we know with potential governmental cuts and other reimbursement
Changes,

504
01:07:39,950 --> 01:07:39,950
we have to make sure that we can provide the most efficient care. And then of course we
Are.

505
01:07:44,510 --> 01:07:44,510
and we'll share some areas where we need to improve access,
Where everyone in bexar county in south texas can provide,

506
01:07:50,620 --> 01:07:50,620
can get quality health care wherever they need it.

507
01:07:56,380 --> 01:07:56,380
when it comes to patient care excellence, one of the highest recognitions you can get in
The united states is what's called the leapfrog hospital safety grade.

508
01:08:05,220 --> 01:08:05,220
we have received that now six years in a row for getting a straight a on all the national
Recognized patient safety outcomes

509
01:08:14,780 --> 01:08:14,780
and cms quality star rankings. We've also. Because we are required,
All hospitals are to.

510
01:08:22,020 --> 01:08:22,020
to survey their patients, we use a company press ganey and we are in the top 15%
Nationally for inpatient patient satisfaction scores.

511
01:08:31,700 --> 01:08:31,700
again, making our commitment to providing the highest quality and the best experience
Possible.

512
01:08:38,540 --> 01:08:38,540
what I would like to share with you is a little bit before reed gets into some of the
Budget and some of the challenges for next year give you an update of where we are.

513
01:08:47,160 --> 01:08:47,160
as you know, the court approved a few years ago the the expansion of our retama and palo
Alto hospitals.

514
01:08:53,680 --> 01:08:53,680
our palo alto hospital will be opening on february of 27.

515
01:08:58,760 --> 01:08:58,760
this project was on budget and actually under budget.

516
01:09:03,640 --> 01:09:03,640
and we you mean retama? I think you mean retama will be february 2020.

517
01:09:09,080 --> 01:09:09,080
I'm sorry, did I say I'm sorry? Sorry. Retama hospital will be opening in february of 27.

518
01:09:15,200 --> 01:09:15,200
and the board with we were under budget approved to build 20 additional patient rooms.

519
01:09:21,880 --> 01:09:21,880
palo alto, which started earlier but had a much more infrastructure needing to be built.

520
01:09:28,200 --> 01:09:28,200
will be opening in april. We're looking at around in april 14th date.

521
01:09:32,920 --> 01:09:32,920
and that will actually have an entire, another floor built out that will open one year
After we open.

522
01:09:40,080 --> 01:09:40,080
so we will have another 60 beds, bringing palo alto to 220 beds.

523
01:09:46,620 --> 01:09:46,620
here's where we are on a few pictures. These are the exact same hospitals so that we can
Make sure that staff,

524
01:09:53,660 --> 01:09:53,660
when they go in between hospitals, will be able to know where everything is. This is our
Palo alto hospital.

525
01:09:59,740 --> 01:09:59,740
and if you saw on social media over the weekend,
We just had our restaurant, flower of hope

526
01:10:09,540 --> 01:10:09,540
installed at our palo alto campus. We are very,
Very close as we are putting this is the lobby of,

527
01:10:17,980 --> 01:10:17,980
of both hospitals. This happens to be the rotunda hospital,
But they're identical.

528
01:10:24,060 --> 01:10:24,060
all the major equipment is being installed. We will be able to do advanced vascular
Surgery,

529
01:10:29,900 --> 01:10:29,900
cardiology, all heart attacks and advanced diagnostics.

530
01:10:36,460 --> 01:10:36,460
the other campus that that became, that we're on is we're currently working on the babcock
Campus,

531
01:10:41,120 --> 01:10:43,720
which is the old christus medical center hospital. We've already opened up physical therapy, women's heart,
And our asthma center on that campus.

532
01:10:49,800 --> 01:10:49,800
currently, we have a women's health, which is women's ob-gyn.

533
01:10:53,920 --> 01:10:53,920
and then also the university health has recruited a heart failure heart transplant surgeon
To expand our heart failure program.

534
01:11:03,800 --> 01:11:03,800
that program has already started at the hospital doing left ventricular assist devices.

535
01:11:08,360 --> 01:11:08,360
and we continue to expand heart failure, a huge need in the community as well as
Cardiology.

536
01:11:15,520 --> 01:11:15,520
electrophysiology will be on that campus. The hospital is currently under renovations
Because it closed.

537
01:11:23,200 --> 01:11:23,200
we have to get it relicensed by the state. And that means it has to be brought up to 2026
Standards in certain areas.

538
01:11:30,360 --> 01:11:30,360
that hospital was built in 1985 and we are updating it,
And it should open with 40 beds in an emergency room in 2027.

539
01:11:38,990 --> 01:11:38,990
summer. We currently are looking forward and discussions with the board.

540
01:11:46,270 --> 01:11:46,270
we have the campus at babcock. We are looking to move as much outpatient out of the main
Medical center as many people know that go there.

541
01:11:53,950 --> 01:11:56,630
it's parking is very tough. We are very busy. And I'll show you some growth that we've had in the hospitals in the next couple of
Slides.

542
01:12:01,350 --> 01:12:01,350
we have to. When we built the women's and children's hospital,
We had opportunities now where we can expand our lab.

543
01:12:07,830 --> 01:12:07,830
this is important. Knowing what we've done with covid and getting the most advanced lab
Equipment so that we can get this ahead of time and some of the highest

544
01:12:17,550 --> 01:12:17,550
technology and lab we are going to build and renew renovate our lab with all new equipment
That can do early detection.

545
01:12:26,390 --> 01:12:26,390
we also are looking because of our hospitals and pharmacy distribution center,
We are a 340 b hospital,

546
01:12:32,670 --> 01:12:32,670
which means we can get our drugs at very low cost,
And we can give them out many times for people that need it for free.

547
01:12:40,210 --> 01:12:40,210
that that has led us to about 8 million prescriptions filled a year.

548
01:12:45,250 --> 01:12:45,250
and we need a pharmacy distribution center that can work on our inpatient hospital and our
Outpatient,

549
01:12:50,890 --> 01:12:54,010
our north clinic is one of our busiest clinics. We have space there that hasn't been renovated.

550
01:12:57,130 --> 01:12:57,130
that will be moving forward. We are working with ut and the women in there.

551
01:13:03,690 --> 01:13:03,690
jin oncology there. Jin oncologist doctors. We are creating and looking forward to a
Dedicated women's infusion and jin onc center on

552
01:13:13,690 --> 01:13:13,690
the main campus. In partnership with ut. We will be moving our clinic over to over to
Macarthur.

553
01:13:22,250 --> 01:13:25,730
that's one of our that clinic is a city owned clinic. That was one we took over when we took over the city clinics about two decades ago.

554
01:13:31,850 --> 01:13:31,850
and what we'll be doing is expanding that clinic for women's services,
Pediatric ent.

555
01:13:37,590 --> 01:13:37,590
we just can't grow anymore in that clinic. We are looking at expanding our inpatient psych
Unit that is currently at the main hospital.

556
01:13:47,710 --> 01:13:47,710
this is so that we can have all of our psychiatric inpatient services at the main
Hospital.

557
01:13:53,270 --> 01:13:53,270
this will work with ut residents, the psychiatric residents and others and know that I
Know there's going to be some discussion later on about psychiatric and other services.

558
01:14:03,310 --> 01:14:03,310
and then we're also expanding our behavioral health and vita that opened last october,
November.

559
01:14:10,150 --> 01:14:10,150
we're continually seeing over 200 patients a month at that behavioral health center,
Both adolescent and adult.

560
01:14:17,270 --> 01:14:17,270
and we're going to continue to expand that on the third floor of our building.

561
01:14:22,790 --> 01:14:22,790
we're around the macarthur area. Will it be the near the high school?

562
01:14:28,870 --> 01:14:28,870
it's about a block or two away from the high school. Some of the new services that are
Currently being built.

563
01:14:36,490 --> 01:14:36,490
this was done with the women's and children's hospital,
But it's finally coming because when we moved our kitchen over to the new facility we are

564
01:14:45,210 --> 01:14:45,210
creating a milk bank. If you think of a milk bank,
A milk bank is like a blood bank for people that need blood.

565
01:14:52,170 --> 01:14:52,170
this will be women who are lactating that can give donate their milk,
What is then used.

566
01:14:57,890 --> 01:14:57,890
it would be processed with our and then given to our nicu babies or anyone that needs it.

567
01:15:03,730 --> 01:15:06,450
this is has been going on throughout the country. There's about ten of them in the country. And what we're doing is,
Is this was started with $1 million donation from frost bank.

568
01:15:14,810 --> 01:15:14,810
we'll be opening that late this year. And this will be able to provide milk for all the
Nicu across all of south texas.

569
01:15:21,210 --> 01:15:25,090
we will be the collection center, we will be the pasteurization,
And we will have a process. And then we will get certified through a national organization to have that and that
That's moving on as well.

570
01:15:32,520 --> 01:15:36,160
we also are moving our southeast dialysis clinic. We're calling it now. We're moving it to the pecan valley dialysis center.

571
01:15:39,720 --> 01:15:39,720
that's currently under construction. That was a very,
Very old one of our oldest dialysis centers.

572
01:15:44,840 --> 01:15:44,840
this will be opening with 28 chairs over. In pecan valley.

573
01:15:50,680 --> 01:15:54,240
and as I mentioned to you, the recruitment of heart surgeons. And we I think this month we'll be starting our director of heart failure program.

574
01:15:59,720 --> 01:15:59,720
she comes from a well-known heart failure program here in texas.

575
01:16:04,400 --> 01:16:04,400
and she's moving down and will lead that program along with doctor patel,
Our heart surgeon.

576
01:16:11,640 --> 01:16:15,280
this is, as I mentioned earlier, the growth that we've had. Many of you that have been on campus have known and seen how busy we are consistently.

577
01:16:20,560 --> 01:16:20,560
we now are close to 900 patients every single day in our hospital.

578
01:16:24,680 --> 01:16:24,680
our emergency rooms are continuing to grow. And as you can see,
Annualized, we're at 46,000.

579
01:16:32,220 --> 01:16:32,220
and I think we're going to be over 46,000. We hit new admission records every single
Month.

580
01:16:38,060 --> 01:16:38,060
and credit to all the staff that move the people through the hospital and still
Maintaining high quality and patient care.

581
01:16:46,420 --> 01:16:46,420
I'm going to turn this over to reed hurley now so he can share some of our challenges for
2027.

582
01:16:53,780 --> 01:16:53,780
thank you, judge and commissioners. Reed hurley,
Cfo at university health. You know, the biggest I'll just come right out of the gate.

583
01:17:00,500 --> 01:17:00,500
the biggest financial challenge we have in 27 is just opening the new community hospitals.

584
01:17:06,020 --> 01:17:09,380
so we'll have about a thousand employees that will have to start. It'll be about 500 in each hospital. And if you think about it,
Like any business, when you first open,

585
01:17:13,820 --> 01:17:13,820
we will have to hire those people, train those people on board them,
And I won't have any revenue coming in for those two new locations for several months.

586
01:17:20,820 --> 01:17:23,940
and I'll give you some more detail on that later. But that's, that's the big one. There are always every year there's medicaid supplemental
Funding challenges.

587
01:17:29,360 --> 01:17:29,360
it seems like texas always seems to have an issue with the feds,
Regardless of who's in power in dc.

588
01:17:36,320 --> 01:17:36,320
so that happens every year. And a lot of our programs,
We always say they're at risk.

589
01:17:40,880 --> 01:17:40,880
I'm confident they'll they'll get approved, but there's delays a lot of times.

590
01:17:45,480 --> 01:17:45,480
and there are some that are scheduled to be reduced,
That nate program that's going down by 17 million this year.

591
01:17:51,760 --> 01:17:51,760
and then we'll end that'll be the last year of 27 that we'll get that we get 34 million a
Year out of that program.

592
01:17:57,400 --> 01:17:57,400
now there are a lot of different pressures on 340 b drug prices that ed mentioned
Different payment mechanisms,

593
01:18:03,800 --> 01:18:03,800
different things where we're going to see some pressure there,
Which could increase our cost.

594
01:18:08,840 --> 01:18:08,840
our property tax revenue, if we keep the existing rate will be pretty much flat.

595
01:18:13,640 --> 01:18:13,640
now that we have certified values and we sent the report in,
We didn't have the certified values. Now that we have the certified values, it's literally

596
01:18:19,040 --> 01:18:19,040
within like $300,000. So we should be very close,
Pretty much flat to 26 revenue for property taxes.

597
01:18:27,540 --> 01:18:27,540
there was a new business personal property exemption that went in place with the state
That pushed us down some deflation and some existing property values that pretty much ate

598
01:18:37,540 --> 01:18:37,540
up all the new property values that we had. So most years,
If everything else is normal, we benefit from the new properties by about 15 to 20 million

599
01:18:46,380 --> 01:18:46,380
this year. That was we lost that lift because of some deflation in existing values and
That extra exemption that the state put in.

600
01:18:54,540 --> 01:18:54,540
and just as a reminder, in 25 our imino went down by 21 million because we increased the
Homestead exemption.

601
01:19:02,300 --> 01:19:02,300
again, as ed mentioned, high demand for clinical services,
If we build it, they will come.

602
01:19:07,460 --> 01:19:07,460
we talked about the ramp up stuff. And then,
You know, when you look back, a lot of our facilities are fairly new,

603
01:19:12,660 --> 01:19:15,540
but the skytower will be 14 years old next year. So a lot of times that patient equipment beds,
There's a lot of equipment in hospitals.

604
01:19:19,900 --> 01:19:23,370
it's very expensive. And at about that 10 to 15 year mark. A lot of that stuff will have to be replaced as we move forward.

605
01:19:28,450 --> 01:19:28,450
hey, before you go on. So the what was the expected revenue projection before the
Homestead exemptions and the deflation of the values?

606
01:19:38,090 --> 01:19:38,090
like because you, you made forecasts based upon projections of what was the.

607
01:19:45,290 --> 01:19:45,290
yeah. Normally we'd project about $20 million increase each year if keeping the existing
Tax rate just from new properties and increased values.

608
01:19:55,290 --> 01:19:58,090
we didn't get that. We won't have that for 27. What is it. It's about it's about $663 million in total.

609
01:20:04,290 --> 01:20:08,090
and then there's just under 100 million of that goes to debt service. And so the management operations the m and o portion will be about 562 $563 million.

610
01:20:14,730 --> 01:20:14,730
you were expecting 21 million. So the the delta became you know,
I mean, if in a normal year,

611
01:20:21,310 --> 01:20:21,310
we'd be closer to probably 580 if if everything would have,
You know, if you would have asked me a year ago,

612
01:20:26,550 --> 01:20:26,550
so was it $21 million? Roughly just money that we won't get because of deflated

613
01:20:36,110 --> 01:20:36,110
values and that extra exemption in this by the state.

614
01:20:40,630 --> 01:20:40,630
so the new property was about 6 billion, which is pretty standard,
Usually new properties or have a market value of between 6 and 7 billion almost every

615
01:20:50,270 --> 01:20:50,270
year. Your your projections previously really didn't I don't think did it a zero.

616
01:20:59,150 --> 01:20:59,150
you probably had a couple. Yeah. When we look if we're looking back,
We always do a multiple year projection.

617
01:21:03,750 --> 01:21:03,750
we would have projected that tax revenue to go up probably about 15 to $20 million.

618
01:21:07,990 --> 01:21:07,990
we're usually fairly conservative. We know that the valuations that we had,
You know, four and five years ago when values were kind of skyrocketing,

619
01:21:15,070 --> 01:21:15,070
we knew that was we projected that to come to an end,
But we didn't project a little bit of the deflation in the state.

620
01:21:21,690 --> 01:21:21,690
that extra exemption from the state. So looking at that,
As I mentioned, we usually do, you know,

621
01:21:28,770 --> 01:21:32,370
we kind of do multi year projections. And again,
It's just a projection. We've known when the new hospitals open we would have downward pressure on our bottom
Line.

622
01:21:37,010 --> 01:21:37,010
so this is just a this is a 24 month projection for 26 and 27.

623
01:21:42,650 --> 01:21:42,650
so the maroon bars are actual bottom line. The blue bars are what we budgeted.

624
01:21:48,250 --> 01:21:51,210
and then the orange bars are that projection. And so you can see as this year, kind of the middle of the graph is december 26th.

625
01:21:55,730 --> 01:21:55,730
you can see as we start to ramp up hiring for retama and palo alto,
Our bottom line will get pushed down.

626
01:22:01,970 --> 01:22:05,810
and then we anticipate going negative for about the first half of next year. Just because again, I'm going to have all those people on board,
A lot of extra expenses operating those facilities, and it will take a while for the

627
01:22:11,610 --> 01:22:11,610
volume to pick up in those facilities and the revenue to start coming in,
And then we'll start coming out of it probably about this time next year is when we'll

628
01:22:18,750 --> 01:22:18,750
kind of come out of that dip. And this is we've known this,
We have two hospitals that are going to open very close together. It's not a surprise.

629
01:22:24,350 --> 01:22:24,350
it's just I want everybody to be aware. So this year we're projecting without community
First,

630
01:22:30,190 --> 01:22:33,630
we're projecting our bottom line to be about $112 million. Next year. We're projecting that's going to be pretty tight. We're going to project it at
About $3 million. Read the time between I noticed in the slides

631
01:22:44,030 --> 01:22:44,030
open, let's just say open february or open april and then operational 2028.

632
01:22:51,190 --> 01:22:51,190
is that did I read that right? No, no, those were for those additional beds.

633
01:22:55,910 --> 01:22:55,910
so the hospitals will be open in open in early 27 and operational seeing patients.

634
01:23:01,910 --> 01:23:01,910
and then those we can't. My understanding is we can't be under construction.

635
01:23:06,670 --> 01:23:06,670
active construction when the state comes in and does their inspections and gives us our
License.

636
01:23:11,310 --> 01:23:11,310
once we get operational, then we can start to build out there doing some stuff early,
Drilling some holes through the floors and things like that.

637
01:23:17,620 --> 01:23:17,620
but when they come in to do their inspection,
We can't be actively building on the hospital.

638
01:23:25,020 --> 01:23:25,020
so again, as I mentioned, this is just a little high level p and l of the what we call our
Clinical services division.

639
01:23:31,180 --> 01:23:34,220
again, in 25, we had a bottom line of 268 million. This year it's going to be about 112 million.

640
01:23:36,460 --> 01:23:39,060
and then next year we're looking at about 3 million. Then we will come out of that in 28 and, you know,
Be better.

641
01:23:44,260 --> 01:23:44,260
it's just the really just the onboarding and ramp up of those community hospitals.

642
01:23:48,580 --> 01:23:52,540
it's a thousand extra staff. Currently, we have about 13,000 employees. You had 1000 more that are not revenue producing for that time period.

643
01:23:56,460 --> 01:23:56,460
and that and that ramp that's going to it'll it'll push our bottom line down.

644
01:24:00,900 --> 01:24:00,900
property values. Again, as I mentioned, the,
The market values, total market values went up 4.4% to 329 billion.

645
01:24:09,460 --> 01:24:12,800
homestead residences increased to 416 16,000. That was up 2.4% over prior year. Average market value 328,000.

646
01:24:17,320 --> 01:24:17,320
the taxable value is 267,000. So for the hospital district,
The average homestead tax is $738 a year.

647
01:24:26,880 --> 01:24:26,880
average is $185 savings for the exemptions that we have.

648
01:24:33,080 --> 01:24:36,920
and again, that 20% homestead exemption started in 24. And that saves the taxpayer $67 million. Or conversely discounts our revenue by $67
Million.

649
01:24:46,600 --> 01:24:46,600
that saves the average homeowner $161. And then we have the $30,000 over 65 exemption,
Which is about $13 million benefit to the

650
01:24:56,400 --> 01:24:56,400
taxpayers and about $75 a year for taxpayers that are over 65 that claim that exemption.

651
01:25:02,880 --> 01:25:06,200
so our proposal is to maintain the existing rate. Again, the the debt service is going to go down about $1.2 $2 million.

652
01:25:11,180 --> 01:25:11,180
this is. The slide has been updated to the latest values,
Which are very close to the certified values.

653
01:25:16,580 --> 01:25:16,580
we had a date after we submitted our report. So again,
Very close to this year from a tax standpoint,

654
01:25:23,260 --> 01:25:23,260
about 565 in m and o and 98.5 in debt service for a total of $664 million.

655
01:25:31,380 --> 01:25:31,380
and again, that can move a little bit based on collection percentages and other stuff can
Impact that,

656
01:25:36,060 --> 01:25:36,060
that number. So again, so our recommendation is.

657
01:25:41,540 --> 01:25:41,540
to approve the existing tax rate. Happy to answer any questions.

658
01:25:46,300 --> 01:25:49,860
we do have some later information that we got from the tax offices. We will not need a public hearing because in our form there's a thing called the no new
Revenue rate.

659
01:25:55,420 --> 01:25:59,340
and it's a little bit complicated. But we will be below the no new revenue rate. So we will not require public hearing whenever we come back in september for the final
Approval of the tax rate.

660
01:26:04,420 --> 01:26:04,420
let me ask for a motion, please. Judge I've got the motion that's required by by,
By state law.

661
01:26:11,560 --> 01:26:11,560
and it reads I move to approve the proposal to set the 2026 total tax rate in support of
Bexar county hospital district,

662
01:26:18,280 --> 01:26:18,280
doing business as university health operations and debt service for fiscal year 2027 by
Adoption of the existing total tax rate of 0.27623

663
01:26:28,000 --> 01:26:28,000
$0.05 per $100 property valuation, record such vote and set a public hearing and a vote as
Follows.

664
01:26:35,080 --> 01:26:35,080
public hearing on september 15th, 2026 at 9:30 a.m.,
If required, and vote on the tax rate immediately thereafter.

665
01:26:42,440 --> 01:26:42,440
such proceedings shall be held in the double height courtroom. Second floor bexar county
Courthouse,

666
01:26:47,200 --> 01:26:47,200
100 de la rosa, suite 2.01, san antonio, texas.

667
01:26:51,840 --> 01:26:55,280
second, mr. Moody, did you second? Yes. All right. Motion by commissioner rodriguez, second by commissioner moody. Any further questions,
Commissioner? Commissioner, let's go with commissioner moody. Thank you.

668
01:27:04,840 --> 01:27:04,840
judge. Just a few comments and, and a couple just thoughts going forward.

669
01:27:10,830 --> 01:27:10,830
thank you for being here. And I just wanted to highlight again,
You had it in your presentation,

670
01:27:16,270 --> 01:27:16,270
but the 20% homestead exemption that university got to in 2025,
That was a big deal for our community.

671
01:27:25,550 --> 01:27:25,550
and I like your numbers because it reinforces my estimate.

672
01:27:30,310 --> 01:27:33,350
I said it was about $70 million. You had 67 million. I'll go with your number going forward. But that's,
That's a big deal for our community.

673
01:27:37,590 --> 01:27:41,390
and jimmy, I appreciate your leadership on that as well. I remember the conversations we had. So thank you.

674
01:27:46,470 --> 01:27:46,470
I also in this motion today holding the tax rate constant,
Obviously, we know we're going into budget season and there's a lot of pressures right now

675
01:27:55,830 --> 01:27:55,830
when it comes to appraisal values and the lack of,
Of revenue generation.

676
01:28:02,630 --> 01:28:02,630
and so being able to hold that tax rate constant while you have all these increases in
Operational expenses with new hospitals,

677
01:28:08,970 --> 01:28:08,970
is is a big deal as well. And I thank you for that.

678
01:28:16,810 --> 01:28:16,810
I also just want to say thank you for the collaboration on the,
The jail discussions that we've had going back to last year.

679
01:28:24,890 --> 01:28:24,890
ed, you've been been a champion there and been willing to sit down and have discussions.

680
01:28:30,210 --> 01:28:30,210
and I know we're going to have some discussions here today,
But I appreciate that.

681
01:28:34,450 --> 01:28:38,050
and I think it's important for our community going forward. Just two things I would like to mention, though,
That I still think we we need to consider in the coming year and going forward.

682
01:28:46,810 --> 01:28:46,810
number one, when it comes to public health, and I've said it many times from this dais a
Public health consolidation between us and between

683
01:28:56,610 --> 01:28:59,970
bexar county makes a lot of sense, in my opinion. Both the opportunity to save dollars, and also just a more effective and streamlined
Version of that support when it comes to public

684
01:29:09,750 --> 01:29:12,310
health. You all have public health department. We have public health employees. How can we streamline that and make it more effective and
Save taxpayer dollars?

685
01:29:18,790 --> 01:29:18,790
I would just challenge you with that. And then I know you mentioned the psychiatric
Increase in beds for,

686
01:29:26,270 --> 01:29:26,270
for inpatient, but obviously lots of discussions here around mental health facilities and
The need for that going forward and what we can do as a county.

687
01:29:36,110 --> 01:29:36,110
but I would just challenge us as a partner in that to what other opportunities exist that
We could work on together going forward.

688
01:29:45,110 --> 01:29:45,110
but again, thank you for everything you've done and your work for our community and happy
To support this.

689
01:29:50,390 --> 01:29:50,390
thank you. Thank you. Judge. Reed, while you're up there,
Let me ask a couple of, I guess,

690
01:29:55,390 --> 01:29:55,390
finance related questions. I know first of all,
This is the setting the tax rate discussion.

691
01:30:01,180 --> 01:30:04,540
we will have a larger discussion about your budget. I think you take that to your board sometime in the fall.

692
01:30:08,060 --> 01:30:08,060
we take it up in december. So I'm not going to get into the weeds on on budget related
Questions,

693
01:30:14,180 --> 01:30:14,180
but I want to just clarify and make sure that I understand the financial circumstances
That you guys

694
01:30:24,180 --> 01:30:24,180
are dealing with. The county is dealing with our friends at the city are dealing with.

695
01:30:28,660 --> 01:30:28,660
and just make sure it's clear in my head, number one,
And also to our community I think you mentioned that year over year,

696
01:30:37,100 --> 01:30:37,100
you would expect even our project, even keeping the tax rate the same additional 15 to $20
Million in revenue.

697
01:30:48,100 --> 01:30:48,100
that is not the case this year. That is basically from year to year.

698
01:30:52,460 --> 01:30:52,460
this year. You're more or less expecting to generate the same number in terms of revenue
As you did last year.

699
01:31:01,880 --> 01:31:01,880
is that correct? That is correct. Correct statement. Okay. So again,
I think we we all need to be aware of that and make some really tough

700
01:31:11,800 --> 01:31:15,640
and informed decisions on what our priorities are. I also want to just acknowledge and ask a clarifying question.

701
01:31:19,960 --> 01:31:19,960
you had a reduction in the debt service and I know you always keep an eye on interest
Rates,

702
01:31:28,080 --> 01:31:28,080
our outstanding debt even in increasing interest rate environment.

703
01:31:33,320 --> 01:31:33,320
I know you guys were out in the market recently and did some refunding of some outstanding
Debt,

704
01:31:37,960 --> 01:31:37,960
got some savings. Is that what resulted in the reduction in the debt service?

705
01:31:43,640 --> 01:31:43,640
what was the number, you know, off the top of your head? I know it's not today dollars,
But in present value.

706
01:31:50,200 --> 01:31:54,040
what was the savings on that refunding? We saved about $7 million on that refunding. That'll be that's in present net present value.

707
01:31:56,560 --> 01:31:56,560
that's so those savings are spread over time. Okay. About 7 million.

708
01:32:00,740 --> 01:32:00,740
7 million. We saved. We saved. Yes, sir. So we have the opportunity to do some additional
Refunding.

709
01:32:05,580 --> 01:32:08,220
again, it all depends on on market rates. Yeah. So when we come back with the probably when we bring the budget,
We'll probably have a parameters order again just to set us up for another potential

710
01:32:17,580 --> 01:32:21,180
refunding in the springtime. And that, that should generate. So, so just, but just to clarify, that doesn't mean you've got $7 million in your bank
Today that you can spend on operations.

711
01:32:28,500 --> 01:32:28,500
I mean, that, that is to be very disciplined about paying down your credit card,
Essentially.

712
01:32:34,180 --> 01:32:34,180
yes. Okay. I just wanted to acknowledge that because those,
Those are things sometimes that get overlooked.

713
01:32:40,420 --> 01:32:40,420
and I think it speaks to I think your oversight and the team you've got that you're doing
Those things.

714
01:32:48,060 --> 01:32:48,060
let me just mention to editor, I guess reed,
You're off the hook for a minute.

715
01:32:53,380 --> 01:32:56,680
editor. I know again, we're going to talk more. You guys are going to be here for a little bit longer this morning.

716
01:32:59,520 --> 01:32:59,520
but talk about jail operations, your role there.

717
01:33:04,120 --> 01:33:06,920
so I'm going to save those for the next presentation. But I do want to make sure I acknowledge the fact that,
You know, we've, we've talked and met about this for,

718
01:33:13,360 --> 01:33:13,360
for a while. We're going to, I think I don't want to speak for the court,
But I think it's safe to say the county's relationship with university health is

719
01:33:22,240 --> 01:33:24,880
important. And we're going to lean into that. To make sure that we are doing what's best for the community,
Including those who are in our jail.

720
01:33:30,400 --> 01:33:30,400
so thank you for, for stepping up. I also want to just a little preview for the budget.

721
01:33:37,080 --> 01:33:37,080
we are also having to make tough decisions here at the county related to the arpa dollars
Coming off.

722
01:33:44,520 --> 01:33:44,520
I know we invested significantly in the institute for public health with university
Health.

723
01:33:50,080 --> 01:33:50,080
that is another area that I think we're going to have to partner and lean into you guys,
Because there are some programs that we established with arpa dollars

724
01:34:00,790 --> 01:34:00,790
specifically in preventative health, behavioral health that we're going to have to figure
Out a way to,

725
01:34:06,870 --> 01:34:06,870
to, to put our heads together and continue some of those programs because they have been
Impactful.

726
01:34:14,150 --> 01:34:14,150
and so that's something that we're going to have to talk about as the budget develops.

727
01:34:18,750 --> 01:34:18,750
and then, you know, always in terms of the affordability gaps in my precinct on the west
Side I really want to visit with you guys on some

728
01:34:28,750 --> 01:34:28,750
some demonstrable ways we can, we can really move the needle and make an impact,
Whether it's through a pilot program or something more significant in

729
01:34:38,510 --> 01:34:38,510
zip codes, like 78207. I know I've talked to anita,
My board member there.

730
01:34:44,510 --> 01:34:47,750
jimmy, your participation and support has been great. So again, I don't want to get into all the details because I know we're going to have a
Lot of discussion on this,

731
01:34:53,370 --> 01:34:53,370
but I just want to thank you for your leadership,
And we look forward to the continued partnership.

732
01:34:58,170 --> 01:34:58,170
thank you judge. Commissioner clay-flores, thank you for being here.

733
01:35:02,250 --> 01:35:02,250
of course, I am one of the biggest fans of us,
Not only because my own care with colon cancer,

734
01:35:09,410 --> 01:35:09,410
but I continuously hear testimonies from constituents about amazing care at and so I'm
Really excited about the

735
01:35:19,410 --> 01:35:19,410
south side hospital that's opening. And as you all know,
I have consistently talked about preventative health and part of that

736
01:35:29,370 --> 01:35:29,370
being mental health access, which is why I advocated so vigorously.

737
01:35:34,530 --> 01:35:34,530
and so thank you that the third floor of the viva clinic is solely dedicated to mental
Health.

738
01:35:39,890 --> 01:35:39,890
and can you just emphasize again, for the hearers and the audience how many constituents
Consistently go for mental health

739
01:35:49,870 --> 01:35:49,870
services. We just. In our behavioral health services alone,
We see about 30,000 visits.

740
01:35:56,070 --> 01:35:59,310
we average now with the vita clinic over 200 visits a month. And it's continuing to grow. And our commitment to behavioral health is to make sure that
People that need it will get it either outpatient

741
01:36:09,310 --> 01:36:09,310
or in the worst case scenario, we can get their inpatient services at any facility,
But also in the inpatient side of the hospital.

742
01:36:17,790 --> 01:36:17,790
so I just thank you for your advocacy that with that,
Your partnership with that, we're going to have this bigger discussion in a little bit.

743
01:36:25,990 --> 01:36:25,990
but I always focus on preventative before they get to the point where they need,
You know,

744
01:36:33,190 --> 01:36:33,190
to be institutionalized or to help them not get into,
Into jail.

745
01:36:38,230 --> 01:36:41,350
so thank you so much for your work that we continue to do to that with that. And also just want to emphasize even though,
Of course, financially, as commissioner rodriguez was talking about.

746
01:36:47,370 --> 01:36:47,370
it's a hard time, as everyone know, that's not a secret,
But the fact that you guys, your finance team continuously does so well in making sure we

747
01:36:55,690 --> 01:36:55,690
meet the needs of our community and not just bexar county,
But all of south texas for the for the harder cases,

748
01:37:02,090 --> 01:37:02,090
send their patients here. And we are still having all these homestead exemptions and over
65 and all that kind of stuff.

749
01:37:09,170 --> 01:37:12,210
so I really applaud. You want to recognize bill phillips? I didn't see him earlier because the polls in the way.

750
01:37:14,650 --> 01:37:17,930
but all of his work that he continues to do. So thank you. And I look forward to continuing to work with you all and preventive health.

751
01:37:21,370 --> 01:37:24,570
thanks. Commissioner. Calvert. Thank you judge. Can I just get the specific pecan valley location for the dialysis?

752
01:37:29,610 --> 01:37:29,610
is that near the freezing kidney? Do you know the old hospital?

753
01:37:34,730 --> 01:37:37,250
the where? The old hospital closed down there. Southeast baptist, you mean? Yeah. South cross.

754
01:37:40,130 --> 01:37:42,690
so you're talking about the methodist dixon clinic area. But there was an old there was a hospital that built that never really opened because when
The old hospital closed,

755
01:37:47,600 --> 01:37:47,600
we took over their old emergency room, first floor and are leasing that and converting
That into south crossing,

756
01:37:54,240 --> 01:37:54,240
you know. Off of ww white, south cross and ww white.

757
01:38:00,760 --> 01:38:00,760
okay. I just wanted to coordinate on the opening with our office.

758
01:38:05,000 --> 01:38:07,840
I think it's really important coming from fair over there. And I appreciate the investment on south cross.

759
01:38:09,840 --> 01:38:09,840
we certainly need shots in the arm there. So we'll just coordinate with lenny.

760
01:38:14,360 --> 01:38:14,360
good old lenny. Good to see you. And you know,
Make sure the community is aware that that's coming.

761
01:38:20,200 --> 01:38:20,200
and what's that opening time, roughly? We think four more in december.

762
01:38:24,560 --> 01:38:27,360
area december time this year. Okay. All right. So we'll do a maybe we'll do a, a holiday party or something.

763
01:38:30,920 --> 01:38:34,640
that'll be fun. Certainly by the end of the year. Right. Gentlemen. Thank you. Okay. So in terms of we've talked a little bit about

764
01:38:44,540 --> 01:38:44,540
editor, you and I, about mental health in the northeast because of the amount of substance
Use in the,

765
01:38:50,980 --> 01:38:50,980
in the northeast area. And I look forward to working with your team on trying to identify.

766
01:38:55,540 --> 01:38:55,540
well, I think your idea was great in terms of the 41 acres that we have at retama and
Maybe some other areas that we could bridge closer to the inner city.

767
01:39:06,060 --> 01:39:06,060
I just want to thank you all for you know, dealing with the challenging times and,
And one last question.

768
01:39:13,780 --> 01:39:13,780
are you hearing anything from the legislature about additional exemptions coming or being
Proposed?

769
01:39:21,020 --> 01:39:21,020
not really on extra exemptions. There are rumors that they may try to,
You know, and they did this two years ago as to try to put a limit,

770
01:39:29,180 --> 01:39:29,180
the increase of expenses, which I don't see how you can do that in health care.

771
01:39:33,300 --> 01:39:37,060
so it's like, we can just like, you know, stop seeing people in november if we ran out of
It, you know, we used all the money. So there's some different kind of things going on.

772
01:39:41,300 --> 01:39:41,300
you hopeful. It makes sense. So hopefully we can get those squashed.

773
01:39:45,720 --> 01:39:45,720
is it tailored to healthcare? The expenses cap or whatever they call it,
Governmental was what they had,

774
01:39:54,240 --> 01:39:54,240
what we had heard. They may again. And we currently on a,
The other item that will probably come up again is a limit on a property tax rate

775
01:40:02,280 --> 01:40:02,280
increase. So again, we're the cities and counties are at 3.5% cap,
And we're at 8% still at the hospital districts.

776
01:40:11,360 --> 01:40:13,400
we've never gone up, you know, close to that. Some of the smaller districts still need that for the just in cases.

777
01:40:17,320 --> 01:40:17,320
so that's another item that may come up. Thank you very much for letting us know. I think
We need to keep a close eye on that with our legislative team. So thank you again,

778
01:40:25,080 --> 01:40:29,040
jimmy. Appreciate your team of board of advisors,
All the great staff. We appreciate you all. Thank you all. Thank you. All right.

779
01:40:32,320 --> 01:40:32,320
I'll close where I began to say thank you again.

780
01:40:36,800 --> 01:40:36,800
I believe the budget presentation was extraordinary.

781
01:40:42,140 --> 01:40:42,140
and it was extraordinary because one, I heard no property tax increase.

782
01:40:47,420 --> 01:40:47,420
I heard no deficit. I heard that we are growing and expanding and increasing access to
Health care access,

783
01:40:55,460 --> 01:40:55,460
especially to the underserved community, dealing with specific issues of mental health and
The issues at the jail.

784
01:41:04,340 --> 01:41:04,340
and you got a balanced budget. And so that's what I call leadership.

785
01:41:10,300 --> 01:41:10,300
it isn't about watching problems unfold. It's about bringing people together and bringing
The teams together,

786
01:41:18,020 --> 01:41:21,860
more importantly, making decisions and improving outcomes. I will call for a vote. All those in favor of the motion signify by saying aye.

787
01:41:26,060 --> 01:41:26,060
aye. Aye. Any opposed? Any abstention? Motion unanimously carries.

788
01:41:31,420 --> 01:41:31,420
carry on. Gentlemen, get the work done. I think you all are still part of the
Presentations,

789
01:41:37,250 --> 01:41:37,250
two. I want to I want to thank you. Judge and the court commissioners for their strong
Commitment.

790
01:41:44,410 --> 01:41:44,410
this is such an important hospital district that that we have.

791
01:41:50,610 --> 01:41:50,610
this would not be possible without the court's strong commitment.

792
01:41:55,370 --> 01:41:58,650
and thank you very, very much. Thank you. Jimmy,
I'm sorry. I forgot to say one thing that I'm also excited about,
That the new palo alto hospital will also you'll also be able to get your colonoscopies

793
01:42:05,330 --> 01:42:08,490
there. So my next one, I will be in my on my part of town. So I'm excited about that too. You let us know.

794
01:42:11,210 --> 01:42:14,530
we make sure you can get colonoscopies at the southside hospital. Thank you. Thank you. Excited? Okay, court, I have to alert you.

795
01:42:21,690 --> 01:42:21,690
we're going to the next time. Certain item of 10 a.m.,
Which is the discussion.

796
01:42:26,610 --> 01:42:26,610
appropriate action regarding implementation of the bexar county enhanced medical screening
Early intervention initiative to support the early detection of acute medical

797
01:42:35,950 --> 01:42:35,950
conditions, behavioral health crisis substance withdrawal symptoms facilitate timely
Intervention among arrested persons before admission to the adult detention

798
01:42:45,870 --> 01:42:45,870
center, including one authorizing necessary coordination with university health for the
Delivery of enhanced medical screening services,

799
01:42:54,790 --> 01:42:54,790
authorizing the procurement delivery installation of a modular medical screening facility
Within the facility.

800
01:43:01,470 --> 01:43:01,470
sallyport at the justice intake assessment annex,
Known as gia three.

801
01:43:06,990 --> 01:43:06,990
finding the modular facility, finding that the modular facility and related improvements
Are necessary to preserve and protect public health and safety,

802
01:43:15,950 --> 01:43:15,950
and granting the exemption from competitive bidding requirements pursuant to local
Government code 262.024,

803
01:43:23,550 --> 01:43:23,550
subsection a, two and four, authorizing an appropriate budgetary transfer in the amount of
$250,000.

804
01:43:31,150 --> 01:43:31,150
however, before we take up this action item,
We have citizens to be heard that I want to take up at this time.

805
01:43:41,330 --> 01:43:41,330
and we have quite a few caught. And this may take this may take us up to the lunch hour,
To signaling to the court and to the team.

806
01:43:51,330 --> 01:43:51,330
I have about 14 people that are signed and I will call them up at this time.

807
01:43:56,090 --> 01:43:59,570
the first speaker you have three minutes. I'm going to be I'm going to be real blunt. I'm going to be very strict in light of trying to get everybody heard and done,
At least before the lunch hour.

808
01:44:06,330 --> 01:44:06,330
and then obviously, the court will continue. And I do believe we will break for lunch.

809
01:44:12,330 --> 01:44:12,330
correct. Mr. Thomas. Okay. We will be breaking for lunch,
So we will break lunch at the appropriate time.

810
01:44:19,890 --> 01:44:19,890
the first citizen to be heard, miss laos, miss laos.

811
01:44:26,690 --> 01:44:26,690
donde esta?

812
01:44:42,950 --> 01:44:46,350
good morning, judge sakai, commissioners county officials. Sheriff's office of leadership, accountability,
Transparency and immediate family notification.

813
01:44:53,710 --> 01:44:53,710
I would like to address an important statement made on july 29th at a community event that
Javier salazar was present on january 29th,

814
01:45:03,350 --> 01:45:03,350
2026. During community event, sheriff javier salazar stated that the bexar county
Sheriff's office contacts family within approximately

815
01:45:12,870 --> 01:45:12,870
two hours when an individual in custody experiences a medical emergency or dies.

816
01:45:19,870 --> 01:45:19,870
if that is the sheriff, sheriff, expectation or policy,
Then every family deserves the.

817
01:45:26,790 --> 01:45:26,790
that level of communication. Unfortunately, that was not my experience and I am certain
That my sons thought of not coming home.

818
01:45:35,740 --> 01:45:35,740
my. My son julian suffered a medical emergency while in the custody of the bexar county
Jail.

819
01:45:41,500 --> 01:45:41,500
I was not notified while my son was experiencing that medical emergency.

820
01:45:46,300 --> 01:45:46,300
instead, I was notified approximately ten hours later after my son had already been on
Life support.

821
01:45:54,900 --> 01:45:54,900
that delay meant I was denied the opportunity to know my son was fighting for his life.

822
01:46:01,260 --> 01:46:01,260
I was denied the opportunity to be there, to ask questions,
To receive updates, or simply to just know that my child needed me.

823
01:46:10,860 --> 01:46:10,860
no parent, spouse, child, sibling, or loved one should have to wait hours or until the
Following day to be notified by the media

824
01:46:20,820 --> 01:46:20,820
to learn someone they love has suffered a life threatening emergency,
Medical emergency, or has died while in most dangerous,

825
01:46:29,320 --> 01:46:29,320
in the most dangerous bexar county jail in custody detention.

826
01:46:33,400 --> 01:46:33,400
while this is why family notification cannot depend on unwritten practices or individual
Discretion.

827
01:46:41,560 --> 01:46:41,560
it must be governed by a written, enforceable policy requiring immediate notification
Whenever a person in custody experiences a life threatening

828
01:46:51,560 --> 01:46:51,560
medical emergency, is transported to a hospital in critical condition or dies while in
Custody.

829
01:46:58,040 --> 01:46:58,040
that policy should also require notification attempt to be documented,
Including the time of the emergency.

830
01:47:06,560 --> 01:47:06,560
the time notification was initiated, the person contacted the method of communication,
And any additional attempts to be made to reach the

831
01:47:16,320 --> 01:47:19,840
family. Documentation creates accountability. Accountability creates transparency. Transparency builds public trust.

832
01:47:25,900 --> 01:47:25,900
every family deserves timely communication because when every minute matters,
Every phone call matters.

833
01:47:31,860 --> 01:47:31,860
in memory of my my son julian, an organ donor.

834
01:47:36,500 --> 01:47:39,820
thank you for your time. Lydia. Leo's voices behind us. Thank you, miss leo's. Thank you so much. Allison.

835
01:47:42,620 --> 01:47:42,620
greer.

836
01:47:55,060 --> 01:47:55,060
are they clapping for me? Was that I said? Were they clapping for me?

837
01:47:59,140 --> 01:47:59,140
absolutely no. Good morning. Good morning, commissioners.

838
01:48:03,460 --> 01:48:03,460
judge, I'm allison greer. I work for kcs. A little bit later this morning,
You're going to be briefed on a system of care and good systems of care work when all of

839
01:48:13,300 --> 01:48:13,300
the components are involved. And what I'm asking you today is that you give us a seat at
The table.

840
01:48:20,420 --> 01:48:20,420
chc is an important part, an important component of the crisis continuum and and the
System of care that you will be discussing.

841
01:48:28,320 --> 01:48:28,320
yet we have not been at the table. I am here to respectfully request that you reinstate
Our contract for outpatient services at the gia.

842
01:48:37,000 --> 01:48:40,200
for those individuals who are eligible for diversion. There is not such a place to send them now. And I'm also respectfully asking that you
Reinstate our contract with specialty courts.

843
01:48:48,280 --> 01:48:48,280
I wanted to also provide a brief comment on our diversion center work group that is going
On in collaboration or conjunction with the ad

844
01:48:58,120 --> 01:49:01,160
hoc work group, the city county ad hoc work group. We are working on a plan you will hear a little bit later from doctor testa on some more
Details,

845
01:49:06,080 --> 01:49:06,080
but we are working on a plan that we hope to have to you in at the end of the calendar
Year.

846
01:49:11,920 --> 01:49:11,920
so our next meeting, which is our third meeting,
Is taking place on august 25th.

847
01:49:16,160 --> 01:49:16,160
we are developing or operationalizing, if you will,
What a diversion treatment center will look like.

848
01:49:22,110 --> 01:49:25,750
we hope to have that to you. As I said by the end of the year. And I want to finish with this. We know we can't incarcerate our way out of our problem.

849
01:49:30,750 --> 01:49:30,750
we've we've got issues. We can't incarcerate our way out of this anymore.

850
01:49:35,070 --> 01:49:35,070
we can't keep doing the same things over and over and expecting the same outcome.

851
01:49:40,150 --> 01:49:40,150
and we can't change the outcome unless we adequately,
Adequately fund the mental health continuum in bexar county.

852
01:49:46,870 --> 01:49:46,870
and that includes upstream outpatient services that will prevent people from going to jail
In the first place.

853
01:49:53,510 --> 01:49:53,510
thank you so much for your service and your time. Thank you. Allison. Kate rodriguez and I
Understand that henry rodriguez has yielded your time,

854
01:50:03,350 --> 01:50:03,350
his time to you get to. What you want to come up here,
Henry, with.

855
01:50:12,750 --> 01:50:12,750
stand behind her or beside her. Excuse me. No.

856
01:50:17,550 --> 01:50:17,550
probably behind her. Right, henry. Okay. Good morning.

857
01:50:22,170 --> 01:50:24,530
good morning, judge. Sakai and commissioners. My name is kita rodriguez, and I serve as the director of community and government affairs
For lula.

858
01:50:29,050 --> 01:50:29,050
concilio zapatista 4383. As a member of our nation's oldest and largest hispanic civil
Rights organization,

859
01:50:37,010 --> 01:50:37,010
we are here because far too many families in our community have experienced an
Unimaginable loss.

860
01:50:43,530 --> 01:50:43,530
since 2020, as you all know, at least 92 people have died while in custody in bexar
County.

861
01:50:48,850 --> 01:50:52,290
most had never been convicted of a crime and were presumed innocent. Many of their families are still waiting for answers.

862
01:50:55,330 --> 01:50:55,330
last week, lula consiglio zapatista hosted a community forum on in-custody deaths.

863
01:51:01,010 --> 01:51:04,610
because we believe these conversations belong in public. And because this crisis deserves urgent attention.

864
01:51:08,610 --> 01:51:08,610
judge sakai, thank you so much for attending sheriff salazar.

865
01:51:12,930 --> 01:51:12,930
university health ceo and ceo for center for health care services.

866
01:51:19,430 --> 01:51:19,430
miss jolene, jolene jamison also joined us. Each of you answer difficult questions from
Families and community members for two hours.

867
01:51:28,950 --> 01:51:32,430
we sincerely appreciate your willingness to engage. Commissioner rodriguez, thank you for your written statement and for bringing forward
Today's agenda item.

868
01:51:37,430 --> 01:51:37,430
directing staff to develop a public dashboard for the adult detention center.

869
01:51:41,910 --> 01:51:41,910
transparency was one of the immediate actions that we asked for,
And we appreciate seeing movement in that direction.

870
01:51:48,230 --> 01:51:48,230
we invited every member of this court and every agency with a role in this issue to
Participate,

871
01:51:54,310 --> 01:51:54,310
either by attending or by providing a written statement for the public record.

872
01:51:58,950 --> 01:51:58,950
some attended, some submitted written statements,
Some declined, and others chose not to respond.

873
01:52:06,190 --> 01:52:06,190
we don't say that to criticize anyone. We say it because we promised this community
Transparency and that we would hold ourselves accountable as well.

874
01:52:15,630 --> 01:52:19,210
we promised to publish all information from the forum publicly. Every invitation, every response, every statement we received,
And those still outstanding so that families,

875
01:52:25,770 --> 01:52:25,770
reporters and residents can see the public record for themselves.

876
01:52:30,410 --> 01:52:30,410
accountability begins with transparency. The tracker that we promised is now live,
And it will continue to be updated as progress is made.

877
01:52:38,810 --> 01:52:38,810
as we said during the forum, 92 deaths since 2020 are not the failure of one office.

878
01:52:45,930 --> 01:52:45,930
they are the result of a system and systemic problems require system,
Systemic level solutions or systems level solutions.

879
01:52:54,650 --> 01:52:57,570
as I review today's agenda, I noticed a pattern. You are discussing screening, diversion, implementation of recommendations from the bexar
County justice intake and assessment annex evaluation study led by doctor alexander

880
01:53:07,410 --> 01:53:07,410
testa. You're discussing transparency, and we appreciate that each of these initiatives
Initiatives is important,

881
01:53:14,720 --> 01:53:16,800
but they're still being addressed separately. The very challenge identified in the county's own commission study.

882
01:53:20,960 --> 01:53:20,960
for example, the study found that agencies operating within the gia often work in silos
And specifically recommends greater cross-agency collaboration through interdisciplinary

883
01:53:30,440 --> 01:53:30,440
task forces and working groups. One employee interviewed for that study described how one
Agency can change a policy without informing the others,

884
01:53:39,240 --> 01:53:39,240
creating confusion and increasing the amount of time someone spends in jail.

885
01:53:43,480 --> 01:53:43,480
additionally, as a result of the study, responsibility for the behavioral health for
Behavioral health transferred from the center for health care services to university

886
01:53:51,720 --> 01:53:55,320
health system without a coordinated transition plan. This isn't about blame. This is about coordination.

887
01:53:58,880 --> 01:53:58,880
because people don't usually fall through the cracks inside one agency.

888
01:54:03,120 --> 01:54:03,120
they fall through the cracks between agencies and during the implementation of the best
Intended plans.

889
01:54:09,680 --> 01:54:09,680
we appreciate the work of the ad hoc, the ad hoc committee diversion is certainly an
Important part of the solution,

890
01:54:18,060 --> 01:54:18,060
but diversion alone cannot address double magistrate,
Behavioral health coordination, medical care investigations following an in-custody death.

891
01:54:25,980 --> 01:54:25,980
communication with families or accountability across the entire system.

892
01:54:30,620 --> 01:54:30,620
the opportunity before this court is not simply to improve individual programs or
Departments.

893
01:54:40,180 --> 01:54:40,180
it is to bring every agency that touches this issue to one table.

894
01:54:44,940 --> 01:54:44,940
that was the intent of the forum. We asked each agency that plays a role in this system to
Participate in the forum and,

895
01:54:51,380 --> 01:54:51,380
if unable to attend, to provide a written statement for the public record.

896
01:54:55,820 --> 01:54:55,820
we also asked each of you to sponsor or co-sponsor an agenda item.

897
01:55:03,140 --> 01:55:03,140
sorry. We also asked each of you to sponsor or co-sponsor a multi-agency task force

898
01:55:13,160 --> 01:55:13,160
to address this issue holistically and report its progress publicly.

899
01:55:18,360 --> 01:55:18,360
judge sakai, we sincerely appreciate your commitment to bringing this back to the court.

900
01:55:22,840 --> 01:55:22,840
and though we did not see it on the agenda for today,
We look forward to seeing it at the next session.

901
01:55:27,720 --> 01:55:27,720
we appreciate your commitment, along with those made by university health,
The center for health care services,

902
01:55:33,080 --> 01:55:33,080
and the sheriff's office. So our request today is simple place an item on the next
Commissioners court agenda establishing a formal multi-agency task

903
01:55:42,680 --> 01:55:42,680
force that includes, at a minimum, the county,
The sheriff's office, university health, the center for health care services,

904
01:55:49,880 --> 01:55:49,880
the district attorney, the city of san antonio,
And community organizations that have stood behind beside these families from the very

905
01:55:58,760 --> 01:55:58,760
beginning. We recognize that individual committees and workgroups will continue their
Important work,

906
01:56:04,040 --> 01:56:04,040
but that should not replace one coordinated body that is accountable to the public.

907
01:56:09,620 --> 01:56:13,260
not another study, not another series of disconnected meetings. One table, one coordinated plan. One system of accountability.

908
01:56:18,020 --> 01:56:18,020
at our forum. Participating agencies also committed to working toward a public action plan
By october 30th of 2026.

909
01:56:25,740 --> 01:56:25,740
our organization will continue tracking those commitments publicly so that this community
Can measure progress.

910
01:56:32,020 --> 01:56:32,020
I'll close with this. Our community partners,
Including all of us, are non-texas hdrc and the texas jail project,

911
01:56:39,900 --> 01:56:39,900
have developed a thoughtful, evidence based recommendations,
A complete framework that will save lives.

912
01:56:46,900 --> 01:56:46,900
we ask you to consider it and build upon it. It is also linked from our website.

913
01:56:52,420 --> 01:56:56,420
we are not asking this court to adopt every recommendation today. We are asking you to bring everyone together,
Develop one coordinated plan, and make that work visible to the public because 92 lives

914
01:57:06,210 --> 01:57:06,210
deserve more than siloed work. They deserve one coordinated response.

915
01:57:11,450 --> 01:57:11,450
and this community deserves one transparent system of accountability.

916
01:57:16,130 --> 01:57:16,130
thank you so much for your service to our community. Thank you. Let me have amanda.

917
01:57:21,930 --> 01:57:21,930
thomas.

918
01:57:32,210 --> 01:57:32,210
amanda. Thomas. Oh, there she is.

919
01:57:56,530 --> 01:58:00,530
thank you. Do you have a written statement for the record? No, it's a it's a handout about what I'm talking about.

920
01:58:04,050 --> 01:58:04,050
okay. For you all. All right. Okay. My name is ananda thomas.

921
01:58:09,110 --> 01:58:09,110
I'm the executive director of act for esser,
And I'm speaking today for the over 116 lives that have been lost in bexar county jail

922
01:58:16,990 --> 01:58:16,990
since 2017. Commissioners. We acknowledge the enhanced medical screening and early
Intervention initiative that you're about to hear from university health today.

923
01:58:27,110 --> 01:58:27,110
the $250,000 modular facility, eight new registered nurses and jail based paramedic will
Save some lives,

924
01:58:34,190 --> 01:58:34,190
and we support any step that reduces harm. But let me be equally clear our framework,
Introduced last week and shared with you,

925
01:58:43,070 --> 01:58:45,870
is not in competition with what has been presented. It is meant to be added to current plans, to supplement gaps and to make sure the pieces
That you approve today and in the future do not become another set of unfunded or

926
01:58:55,830 --> 01:58:55,830
unfollowed promises. But we have to talk about scope.

927
01:59:00,190 --> 01:59:03,690
the proposal that you are hearing today begins at the jail door. A real continuum of care begins at the point of arrest,
Follows a person through booking and housing,

928
01:59:09,610 --> 01:59:09,610
and continues through court release and reentry for critical differences must be on the
Record.

929
01:59:16,290 --> 01:59:16,290
first families the proposal presented today contains zero family facing infrastructure,
No notification protocol,

930
01:59:24,370 --> 01:59:24,370
no liaison, no family rights. Our framework includes a family bill of rights and a family
Liaison office.

931
01:59:32,330 --> 01:59:32,330
because when a government takes a person into custody,
It takes responsibility for that person's family as well.

932
01:59:39,490 --> 01:59:39,490
second, contracts with teeth, blanket approving contracts without performance metrics,
Enforceable deliverables and real penalties is how we got

933
01:59:49,450 --> 01:59:49,450
here. The texas commission on jail standards has issued notices of noncompliance against
The bexar county jail,

934
01:59:56,290 --> 01:59:56,290
including findings tied to clinical care failures under university health systems watch.

935
02:00:02,350 --> 02:00:02,350
that is a contract without teeth. Our framework framework requires a us contract to be
Renegotiated to include defined clinical performance

936
02:00:12,150 --> 02:00:12,150
metrics, financial penalties for preventable deaths and persistent metric failures,
And mandatory independent death reviews,

937
02:00:20,510 --> 02:00:20,510
along with real time data sharing. Anything less than this is a is a press release.

938
02:00:26,430 --> 02:00:26,430
it's not a public safety plan. Third, no single entity should hold both the medical and
Behavioral health contracts alone.

939
02:00:34,910 --> 02:00:34,910
we are in support of chcs entering back into this conversation and into a contract.

940
02:00:40,870 --> 02:00:40,870
again, as long as it comes with enforceability,
Diversion, competency support and behavioral health linkage are not side duties,

941
02:00:50,350 --> 02:00:50,350
they are core public safety functions. Fourth,
Directly impacted leadership people who have been incarcerated inside the bexar county

942
02:00:58,700 --> 02:00:58,700
jail. People with incarcerated loved ones, family members of those who have died should be
On every committee,

943
02:01:05,500 --> 02:01:05,500
on every ad hoc committee, on every multidisciplinary team formed on this issue with real
Insight,

944
02:01:12,260 --> 02:01:12,260
real input, and real oversight over implementation and commissioners we have to name a
Severe failure.

945
02:01:19,420 --> 02:01:22,260
organizations like all of us are none. Texas. Texas civil rights project accuracy, and texas jail projects have been documenting these
Deaths,

946
02:01:27,900 --> 02:01:31,180
supporting these families, and building this research for years. We have decades of experience between us, but until last week,
None of us have been invited to the table to share.

947
02:01:37,780 --> 02:01:37,780
time has expired. Thank you. Renegotiate the contracts.

948
02:01:42,460 --> 02:01:42,460
bring us back. Bring the family liaison office and make sure that our people are at the
Table.

949
02:01:48,420 --> 02:01:48,420
thank you, thank you. Amanda, let me have anthony paseo and anthony.

950
02:01:54,740 --> 02:01:54,740
kendra fernandez has yielded your time to you.

951
02:01:58,800 --> 02:01:58,800
so you have six minutes. Anthony pestello. Thank you.

952
02:02:03,680 --> 02:02:03,680
how are you guys doing today? I think everybody knows me because I wrote you guys before I
Went into the county jail.

953
02:02:08,880 --> 02:02:08,880
and I wrote you all while I was in there, and I told you all exactly what the problems
Were and you guys ignored them.

954
02:02:15,720 --> 02:02:15,720
and now there's been how many deaths? Because I told you before it happened about the
Suicides and how bexar county was going to be the leader in suicides here in

955
02:02:25,680 --> 02:02:25,680
texas. And you guys did it exactly that, the highest suicide rate in the state of texas.

956
02:02:32,280 --> 02:02:32,280
you've yanked radios away from inmates, tvs that were on lockdown.

957
02:02:37,360 --> 02:02:40,840
you stripped books, mail. They can't get pictures. They sit in a box for 24 hours a day, sometimes longer.

958
02:02:45,000 --> 02:02:45,000
sometimes it's 48 hours. Would any of you guys sit in a bathroom?

959
02:02:49,520 --> 02:02:49,520
I want I want you guys to take a bathroom challenge. Go sit in the bathroom and see if you
Can sit there for 24 hours with nothing in there.

960
02:02:56,460 --> 02:02:56,460
nothing at all. And see how you can do it. You know,
We just got a letter today from a lady that her husband has ptsd.

961
02:03:04,940 --> 02:03:04,940
he's stuck in a cell the same way. And she's saying,
You know, he's stuck in there for five hours throughout the day and five hours.

962
02:03:11,180 --> 02:03:11,180
she doesn't know what's happening throughout the rest of the jail. I mean,
They're suffering with just the five hours. That's the general population. And that's

963
02:03:19,220 --> 02:03:22,620
that's I mean, that's not even the bad parts. You look at the second floor where the entire facility is locked down.

964
02:03:26,500 --> 02:03:28,860
people are lucky to get out three hours a day. This is the only jail in the state of texas where people are locked down all day long.

965
02:03:33,820 --> 02:03:33,820
houston, harris county, all the other jails,
People are out all day, every shift change.

966
02:03:39,060 --> 02:03:39,060
you guys have to lock the entire county down. You can't count without locking everybody in
Their cell for three, four, five hours at a time.

967
02:03:44,900 --> 02:03:44,900
come on. I mean, no radios, no books. What is this helping?

968
02:03:49,460 --> 02:03:49,460
you know, when you isolate people, it's proven to make people more aggressive.

969
02:03:53,680 --> 02:03:53,680
and that's what you're doing. You're locking them in a cage. So you guys are responsible
For public safety here in bexar county and why people are being

970
02:04:03,680 --> 02:04:03,680
more aggressive and committing more crimes when they're getting out. Because you're not
Rehabilitating, you're locking them in a cage. And we need center for health care services

971
02:04:11,040 --> 02:04:11,040
back over there. But yes, they need they need to be held accountable for what they're
Doing also.

972
02:04:17,040 --> 02:04:17,040
but you have officers bullying the health care providers in there.

973
02:04:22,400 --> 02:04:25,840
you have them bullying the mental health care providers in there. They're scared to step forward and say everything.

974
02:04:28,280 --> 02:04:28,280
I filed many, many grievances on this. I wrote you guys about it.

975
02:04:32,480 --> 02:04:36,040
you guys have all ignored it. I went in there within the first week. I was assaulted by a sergeant, by a sergeant ranking officer.

976
02:04:40,840 --> 02:04:40,840
I had broken ribs and a broken finger. I think I wrote all of you guys about that.

977
02:04:45,520 --> 02:04:49,000
they filed criminal charges. What happened with him? He's a lieutenant today. But you guys fired somebody for giving an inmate food.

978
02:04:51,630 --> 02:04:51,630
come on. What's going on? You can beat us and and keep your job if you can't feed us.

979
02:04:56,830 --> 02:04:56,830
come on. It's ridiculous. So until you guys understand what's happening from the bottom
Up,

980
02:05:03,350 --> 02:05:06,230
you're never going to fix it. It's the blind leading the blind. You guys are saying you're telling the community we're giving you.

981
02:05:10,230 --> 02:05:14,070
we have detox protocols. You don't. I'm a former heroin addict. I've done it. I went through that jail 20, 30 times and withdrew every single time.

982
02:05:20,550 --> 02:05:23,750
and I know I wrote you about it. I know you got the letters. Your chief of staff got it. I've talked to you about it in person.

983
02:05:26,790 --> 02:05:26,790
I told you guys what I was doing, that I was doing a documentary about what's happening in
This county jail,

984
02:05:32,790 --> 02:05:32,790
and you guys all wanted to see it. You're part of it,
And you're not doing a very good job.

985
02:05:37,590 --> 02:05:37,590
it's going to be very embarrassing when we release this,
When the community and the nation sees it.

986
02:05:43,790 --> 02:05:43,790
we have an opportunity here in bexar county to do something historic to fix the criminal
Justice system instead of passing blame here and there.

987
02:05:53,930 --> 02:05:57,810
you're wondering why the crime rate keeps going up. Obviously cops aren't fixing it. You keep pouring more into it and it's not working.

988
02:06:01,970 --> 02:06:01,970
try something else. You know, if you guys. You've got sheriff salazar.

989
02:06:07,130 --> 02:06:07,130
he can't pick up. He's a goddamn man. Pick up the phone and call her and say I'm sorry
Your son died.

990
02:06:12,290 --> 02:06:15,650
I don't know what happened. I will let you know when I find out. I understand there's liability issues. His job is not to protect the liability of the
County.

991
02:06:21,130 --> 02:06:23,570
his job is to represent the people in that office. That's why we put him in the office. That's why we elected him.

992
02:06:26,530 --> 02:06:26,530
and that's why we elected all of you guys. And you guys are more worried about liability
And protecting the state and the county and whatever.

993
02:06:33,650 --> 02:06:33,650
but no, your duty lies with us, the people, and that's what we want you guys to do.

994
02:06:39,170 --> 02:06:39,170
we want you guys to start holding sheriff salazar accountable,
And the public needs to hold him accountable.

995
02:06:44,410 --> 02:06:44,410
and you guys need to investigate what's happening in that jail. You need to put people
That have been through there.

996
02:06:49,270 --> 02:06:53,270
we need peer support positions. You can't understand what's happening. You can't. There's no bridge of communication between what's happening at the ground level
And what's happening at the top.

997
02:07:00,390 --> 02:07:03,910
I hear sheriff, sheriff salazar says it sounds good. He has good intentions, but it's not being implemented down at the bottom.

998
02:07:08,030 --> 02:07:11,030
the chiefs have no clue what's going on in the jail. I've talked to them. They've come and talked to me. I talked to the classification
Officers and they tell me, you know,

999
02:07:16,150 --> 02:07:16,150
talk to the chief. We tell the chief this, we tell the rank that they don't want to listen
To us.

1000
02:07:20,310 --> 02:07:20,310
so you're not even listening to your frontline officers who are down there who have
Experience with all of these things.

1001
02:07:27,230 --> 02:07:27,230
so until you guys get serious about fixing this and listen to the people who are directly
Affected,

1002
02:07:33,550 --> 02:07:33,550
affected, it's not going to change. But I hope all of you guys now realize how serious
This is and step up and change what's going on.

1003
02:07:40,830 --> 02:07:40,830
thank you. Thank you, mr. Patel. Steve huerta.

1004
02:07:51,170 --> 02:07:51,170
steve.

1005
02:08:04,690 --> 02:08:04,690
good morning. Good morning. Good morning, judge sakai and commissioners.

1006
02:08:11,490 --> 02:08:14,530
I've been up for 24 hours traveling to get here,
So bear with me. I wrote this as I sat down today. You have before you an opportunity to take another
Meaningful step towards protecting human life.

1007
02:08:25,050 --> 02:08:25,050
the investment in early medical screening is an important one,
And I commend this court for recognizing that every

1008
02:08:34,770 --> 02:08:34,770
moment matters when a person enters the custody of the bexar county jail.

1009
02:08:41,770 --> 02:08:41,770
but let us also remember, no single reform by itself answers the crisis that has claimed
So many lives.

1010
02:08:51,760 --> 02:08:51,760
screening is not the destination. It is the beginning.

1011
02:08:55,800 --> 02:08:55,800
it is the first link in the chain of care that must continue through treatment,
Diversion,

1012
02:09:02,480 --> 02:09:02,480
accountability, successful reentry and stronger communities.

1013
02:09:07,440 --> 02:09:07,440
every person who enters that jail is more than a booking number.

1014
02:09:11,760 --> 02:09:11,760
they are someone's son or daughter, someone's mother or father,
Someone's brother or sister.

1015
02:09:19,280 --> 02:09:19,280
the measure of our justice system is not found only in how we respond to crime.

1016
02:09:23,960 --> 02:09:23,960
it is found in how faithfully we protect human dignity.

1017
02:09:28,200 --> 02:09:28,200
that conviction, along with countless requests from our community partners and community
Members,

1018
02:09:33,440 --> 02:09:33,440
is what led all of us to learn to develop the bexar county continuum of care framework.

1019
02:09:38,520 --> 02:09:38,520
we did not write it to criticize. We wrote it to contribute.

1020
02:09:42,620 --> 02:09:42,620
it brings together research to lived experience and practical recommendations,
Because we believe this community already possesses the knowledge to save

1021
02:09:52,100 --> 02:09:52,100
lives. What is needed now is the determination to transform knowledge into action.

1022
02:09:58,980 --> 02:09:58,980
today's action is a worthy beginning, but no beginning fulfills its promise unless it is
Followed to determine action.

1023
02:10:06,980 --> 02:10:06,980
that is why all of us are not in. Texas has been invited to submit further recommendations
On diversion,

1024
02:10:12,940 --> 02:10:12,940
housing, employment and reentry. We accept that responsibility not as a privilege but as a
Duty.

1025
02:10:19,460 --> 02:10:19,460
we will continue to offer practical solutions grounded in lived experience and informed by
Evidence.

1026
02:10:25,380 --> 02:10:25,380
because the measure of our work will not be the reports we write,
But the lives we saved and the families we keep home.

1027
02:10:32,260 --> 02:10:35,860
the people of bexar county are not asking for perfection. They are asking for progress. They are asking for leadership that has the courage to con
Difficult truth and the wisdom to embrace practical solutions.

1028
02:10:45,960 --> 02:10:45,960
they are asking for a government that values prevention as much as response.

1029
02:10:50,160 --> 02:10:50,160
hope as much as accountability and partnership as much as policy.

1030
02:10:54,960 --> 02:10:54,960
let this be remembered not as another agenda item,
But as the moment when bexar county chose to move beyond reacting to tragedy and began

1031
02:11:03,680 --> 02:11:07,160
building a system worthy of people it serves. History will not ask whether we had enough meetings.

1032
02:11:11,160 --> 02:11:14,400
it will ask whether we had the courage to act. Thank you all very much. Thank you. Let me have antonio diaz,
Also.

1033
02:11:20,560 --> 02:11:20,560
antonio. Diana rodriguez, y'all usually come together.

1034
02:11:24,960 --> 02:11:24,960
are y'all here? Antonio. Diana, do you want to come both at the same time or do you wish
To speak separately?

1035
02:11:35,120 --> 02:11:35,120
sir. Diana. Antonio.

1036
02:11:46,180 --> 02:11:49,500
do you want to come at one time? Y'all sometimes speak at one time. Come forward. Both.

1037
02:12:10,620 --> 02:12:10,620
again, this. This situation at bexar county jail is unacceptable.

1038
02:12:17,460 --> 02:12:17,460
there's over double digit deaths nearly every year,
And.

1039
02:12:24,740 --> 02:12:24,740
the jail standards, I think, failed. Bexar county jail in 2020 and 2025.

1040
02:12:31,020 --> 02:12:31,020
right now, it is in compliance. But there is an issue you that the dare county deputies
Have been doing the

1041
02:12:40,770 --> 02:12:40,770
inspections. So it's like inspecting your own self instead of having a third party
Inspection,

1042
02:12:47,050 --> 02:12:47,050
which I believe is being called for this at this time,
Which if it were truly a third party instead of another,

1043
02:12:56,970 --> 02:12:56,970
I don't, I don't, I wouldn't trust the texas rangers as they have an atrocious history
Regarding mexican americans.

1044
02:13:05,930 --> 02:13:05,930
so I would actually suggest, as some civil rights organization,
Third party to do those jail standards investigations.

1045
02:13:16,690 --> 02:13:16,690
it's it's it's simply unacceptable to have people go in with mental illnesses or drug
Dependency and

1046
02:13:27,130 --> 02:13:27,130
commit suicide in their within hours or within days.

1047
02:13:32,970 --> 02:13:32,970
that's unacceptable in our county as we see creating new subdivisions and all this
Continually enlarging

1048
02:13:42,510 --> 02:13:42,510
itself for, I guess, tax purposes. It still creates a larger population with a,
Again, perhaps a more

1049
02:13:52,630 --> 02:13:52,630
larger jail population, which seems to be 100% all the time.

1050
02:13:59,470 --> 02:13:59,470
we're even sending people to what burnett county and kerr county because our county jail
Is overfilled,

1051
02:14:06,470 --> 02:14:06,470
so it must be addressed. I. I salazar I believe is doing the best he can.

1052
02:14:15,590 --> 02:14:15,590
I believe he's, he's, he's a person of conscience and he tries to do his job well,
But it must be,

1053
02:14:24,430 --> 02:14:24,430
as has been said, down, down the rank and file.

1054
02:14:30,110 --> 02:14:30,110
so those investigations into the jail. I believe should be done by some sort of civil
Rights organization that is actually independent

1055
02:14:39,930 --> 02:14:39,930
from policing entities that would turn a blind eye for a fellow officer.

1056
02:14:45,850 --> 02:14:45,850
we don't need that anymore. Did this happen very much within sapd and bexar county
Sheriff's department?

1057
02:14:53,690 --> 02:14:53,690
I've had personal experiences of myself and of other people that come with complaints to
Me of their experiences,

1058
02:15:02,050 --> 02:15:02,050
and by my own experience, I believe that it's not it's not out of it's it's not
Outlandish,

1059
02:15:11,850 --> 02:15:11,850
but they tell me it's very believable. And just within hours at one this this double
Registration,

1060
02:15:21,170 --> 02:15:21,170
I've done the process and I've seen what happens at the municipal holding

1061
02:15:31,630 --> 02:15:31,630
the guards. There need to be more regulated. I don't know if there actually is some sort
Of videotaping of their actions with the people that they are processing,

1062
02:15:41,830 --> 02:15:41,830
because I've seen violence towards many and and I don't hear of any how they're held
Accountable for their

1063
02:15:51,510 --> 02:15:51,510
actions. If they still hold those, those positions that where they abuse people that
They're processing.

1064
02:15:58,630 --> 02:15:58,630
and this goes also to, to bexar county. So again,
We have good people in both sapd and the bexar

1065
02:16:08,510 --> 02:16:08,510
county sheriff's departments, but we also have bad people within them,
And they must be held accountable and they must be let go when they violate

1066
02:16:18,830 --> 02:16:18,830
their position. That is what I have to say because it this is I mean,
I it's mostly our people,

1067
02:16:29,460 --> 02:16:29,460
mostly those that are there, that are low income and are from either the west side,
East side,

1068
02:16:36,460 --> 02:16:36,460
south side, our people. So that's why I'm here,
Because I've grown up in these areas and so is my family.

1069
02:16:44,940 --> 02:16:44,940
and I must stand up for myself, my community and my relatives that this can't can't just
Be overlooked.

1070
02:16:55,180 --> 02:16:55,180
and we elect everyone up here hoping that you see us as as equal human beings,
Not as someone

1071
02:17:05,060 --> 02:17:05,060
that somehow doesn't fund your campaigns or is it not of your economic level and can be
Overlooked?

1072
02:17:13,500 --> 02:17:13,500
we should not be overlooked. We are equal and our rights,
Even though people are in jail for reasons,

1073
02:17:22,220 --> 02:17:22,220
right? They're not in there because they, they're totally compliant,
But they should be treated with some dignity,

1074
02:17:29,760 --> 02:17:29,760
not abused. No violence committed against them or violence seen at the time they're being
Processed to be overlooked.

1075
02:17:38,360 --> 02:17:38,360
they should be held accountable. Thank you very much for your time.

1076
02:17:43,640 --> 02:17:43,640
thank you. All right. Brandon johnson.

1077
02:18:02,080 --> 02:18:02,080
good day, judge county commissioners. My name is brandon johnson and I work for the center
For health care services.

1078
02:18:09,080 --> 02:18:09,080
I started off my time at the center for health care as a project manager for the substance
Abuse and mental health grant,

1079
02:18:16,120 --> 02:18:16,120
a multimillion dollar and multi-year grant under the leadership of miss jamison and clinic
Administrator johnny harris at the time.

1080
02:18:26,620 --> 02:18:26,620
I'm proud to say that not only that, we successfully complete that grant,
But we exceeded expectations laid out by the number of clients that we served right here

1081
02:18:35,900 --> 02:18:35,900
in bexar county. I come here before you to ask the court to restore the center for health
Care services as a contracted outpatient treatment provider for

1082
02:18:45,620 --> 02:18:45,620
individuals eligible for diversion. And through the gia program and participants through
Our bexar county specialty courts.

1083
02:18:54,260 --> 02:18:54,260
the center for health care services is an important component of the mental health
Continuum.

1084
02:18:59,500 --> 02:18:59,500
it completes pathways from screening to treatment,
According to the ut health foundation.

1085
02:19:06,500 --> 02:19:06,500
the gia evaluation of fiscal year 2020 for gia conducted nearly 19,000 assessments,
But only

1086
02:19:15,780 --> 02:19:15,780
481 diversion requests were made. 278 were granted and just 116 people were released to
Center for health care

1087
02:19:25,680 --> 02:19:25,680
services for treatment. That tells us that the system's greatest weakness is not
Identifying folks who have behavioral health needs,

1088
02:19:34,480 --> 02:19:34,480
but getting them into treatment through the center of health care services.

1089
02:19:38,560 --> 02:19:38,560
approximately 60% of people processed through gia are released through bond without ever
Entering the jail.

1090
02:19:45,480 --> 02:19:45,480
imagine someone being identified with serious mental illness.

1091
02:19:49,560 --> 02:19:49,560
released with a court date and a referral, but never scheduled for an appointment,
And never treated with medication or connections to behavioral health programs.

1092
02:19:59,400 --> 02:19:59,400
that person may be back in crisis in an emergency room or back in a jail.

1093
02:20:04,760 --> 02:20:04,760
university health can continue to screen at intake,
And the center for health care services can provide community based outcomes and

1094
02:20:13,440 --> 02:20:13,440
treatments for behavioral health. Pretrial services and specialty courts can provide
Accountability.

1095
02:20:21,070 --> 02:20:21,070
bexar county built its national reputation by connecting these systems together.

1096
02:20:25,950 --> 02:20:25,950
bexar county was once recognized as a peer learning site because of its coordinated
Approach.

1097
02:20:32,230 --> 02:20:32,230
we can get back to our national standards, but it takes all of us in here.

1098
02:20:37,350 --> 02:20:37,350
again, I ask the court to bring back the center for health care services outpatient
Agreement with the county,

1099
02:20:43,270 --> 02:20:46,030
so we can continue to do the work in this community. Thank you very much. Thank you. Patrick van dolen.

1100
02:21:17,630 --> 02:21:17,630
good morning judge commissioners. My name is patrick von dohlen.

1101
02:21:23,210 --> 02:21:23,210
I'm a resident of bexar county, precinct three,
Here to speak to you about four items today.

1102
02:21:28,330 --> 02:21:28,330
first, the jail. This is a crisis, and it's costing us the taxpayers lots of money.

1103
02:21:36,810 --> 02:21:36,810
it's costing us dearly. Our jail holds approximately 5075 inmates.

1104
02:21:42,530 --> 02:21:42,530
we're running way over that limit. We just paid burnett and kerr counties $1 million to
House our overflow,

1105
02:21:49,930 --> 02:21:49,930
and that's just for four months. That's on top of the $7 million a year.

1106
02:21:54,890 --> 02:21:54,890
we believe outsourcing a problem this court over the last decade has failed to fix.

1107
02:22:00,610 --> 02:22:00,610
every month we delay. You're choosing to pay other counties instead of building what bexar
County actually needs.

1108
02:22:07,650 --> 02:22:07,650
and that's $15 million in overtime pay as well.

1109
02:22:12,930 --> 02:22:12,930
fix it now so we can stop the rapes and the human deaths in our jail.

1110
02:22:18,270 --> 02:22:18,270
second, honor the vote. Last november, this county's voters approved proposition a to fund
The freeman coliseum frost bank center in stock show and

1111
02:22:27,990 --> 02:22:27,990
rodeo facilities. That was a promise made directly to the people who elected you.

1112
02:22:33,590 --> 02:22:33,590
it brings. Item 94 brings that agreement forward today,
And I thank commissioner moody for bringing it forward.

1113
02:22:40,590 --> 02:22:43,550
approve it exactly as presented on the ballot. Don't renegotiate a promise voters have already said yes to.

1114
02:22:48,150 --> 02:22:48,150
third, approve the motorcycles for constable vojvodich in precinct three.

1115
02:22:53,310 --> 02:22:56,390
two motorcycles dedicated to school zone safety. As our kids are about to head back to class. This court has already approved the exact
Kind of budget transfer today on item number 78 for precinct two

1116
02:23:07,310 --> 02:23:07,310
and back in 2019 for precinct one. Apply that same standard for precinct three.

1117
02:23:14,450 --> 02:23:14,450
fourth stop the non-essential spending. Today's agenda alone hands out over $220,000 in
Discretionary,

1118
02:23:22,170 --> 02:23:22,170
taxpayer funded sponsorships, while staff projects await a $148 million shortfall for
2028.

1119
02:23:30,690 --> 02:23:30,690
fund the jail not favored organizations that should seek private funding.

1120
02:23:36,250 --> 02:23:36,250
fix the jail. Honor. Prop a protect our kids.

1121
02:23:41,690 --> 02:23:41,690
hold the fiscally responsible line. Thank you for your time and attention.

1122
02:23:59,090 --> 02:23:59,090
norma bazan. Okay, there she is.

1123
02:24:11,330 --> 02:24:11,330
hi. My name is norma and. I'm just waiting for y'all.

1124
02:24:19,880 --> 02:24:19,880
before I came down here, I did some research,
And I rebeca justin grant moody, tommy, I

1125
02:24:29,720 --> 02:24:29,720
but I've noticed I've been observing and you've been very attentive to,
To the fact of mental health and what's going on in our jails.

1126
02:24:37,000 --> 02:24:37,000
and I really appreciate that. And as far as the judge,
I've heard excellent things about you.

1127
02:24:42,360 --> 02:24:45,360
I've always said, I wish I could get into his courtroom. Now, I know that the county commissioners, which you all do,
Is you allocate money, so it's not your fault what's going on.

1128
02:24:53,000 --> 02:24:53,000
but you all need to know that the kind of money that's being handed out to these
Organizations,

1129
02:25:00,640 --> 02:25:00,640
I mean, we're looking at 2040. I'm just going to say 45,040 know for it could be in the
Millions.

1130
02:25:09,960 --> 02:25:09,960
and these programs are not working. And that picture I'm passing around.

1131
02:25:14,380 --> 02:25:14,380
that's my son. He's in prison right now. And one of those pictures shows him with his head
Knocked out.

1132
02:25:20,580 --> 02:25:20,580
one of the serfs decided he got in an altercation with him.

1133
02:25:25,820 --> 02:25:25,820
so the cert put him in jail. I mean, in prison,
He.

1134
02:25:30,180 --> 02:25:34,140
if you only knew what he went through. I couldn't get out of bed for one week. And like I
Said, y'all are the commissioners handing out the money. But this these programs,
They're not working.

1135
02:25:40,340 --> 02:25:40,340
they're not. And I really need you all to at least look into them and make a difference,
Because this

1136
02:25:50,220 --> 02:25:50,220
is taxpayers money. You know, I've never done this,
And I am I'm going to use the word flabbergasted of the kind of money that's being given

1137
02:25:58,460 --> 02:25:58,460
out to hospitals. $200 million. But we don't have one hospital.

1138
02:26:06,020 --> 02:26:08,720
we have one state hospital for mental health. One and the hole in san antonio. You know, my son is in prison right now.

1139
02:26:14,640 --> 02:26:14,640
he got knocked on the head bled because the search is the search.

1140
02:26:20,400 --> 02:26:20,400
I actually have a conversation that I recorded,
And I got lucky because I decided to record the call,

1141
02:26:26,640 --> 02:26:26,640
and nobody has time to hear it. But in that recording,
He says, I'm calling for your son.

1142
02:26:31,880 --> 02:26:31,880
he's in his cell 22 hours a day. It makes me want to cry because I've been in there,
He says.

1143
02:26:38,280 --> 02:26:40,920
and I know your son has a mental illness, he says. And the way they treat him, it's pretty horrific.

1144
02:26:43,920 --> 02:26:43,920
he says, I didn't even know that because gabriel has a like his mind.

1145
02:26:50,360 --> 02:26:50,360
it's like he doesn't resonate. You know, sometimes I have a mental health diagnosis.

1146
02:26:55,600 --> 02:26:55,600
it took me years to figure it out. But gabriel has got such a sweet heart.

1147
02:27:03,240 --> 02:27:07,140
but I mean, he's not a murderer. He's not a pedophile. He's not in there for for any of those things.

1148
02:27:09,180 --> 02:27:09,180
and I bet you anything, if they went in there for those reasons,
Those certs would stay away.

1149
02:27:14,420 --> 02:27:17,540
that's a murder. I ain't going near him. That's a pedophile. I don't want to mess with him. But you've got people in there with a mental health
Diagnosis,

1150
02:27:22,420 --> 02:27:25,820
and there's so much money being given out to them. I mean, you t y'all have, like, given them millions of dollars.

1151
02:27:32,260 --> 02:27:32,260
time has expired. Like I said, it's not your fault,
But I want y'all to know where your money is.

1152
02:27:36,660 --> 02:27:40,620
taxpayers money is going. I didn't I don't know nothing about. Thank you. I sure hope like I said, you were very attentive.

1153
02:27:45,620 --> 02:27:45,620
I appreciate that. Rachel tucker, are you still here?

1154
02:27:50,580 --> 02:27:50,580
you have brought a statement on behalf of councilwoman terry castillo.

1155
02:27:54,700 --> 02:27:54,700
do you wish to read the statement or. All right.

1156
02:27:59,420 --> 02:28:01,380
and do you wish to make it part of the record? Yes. I will ask the county clerk to fall. Councilwoman.

1157
02:28:05,850 --> 02:28:09,610
castiel. You have three minutes. Thank you so much. Good morning, judge and county commissioners.

1158
02:28:11,890 --> 02:28:11,890
my name is rachel tucker. Special assistant to district five,
Councilwoman castillo.

1159
02:28:16,450 --> 02:28:19,970
and I'll be reading her letter into the record. Last october, I submitted a policy request to bring the city,
County, and relevant aid area agencies together to explore the creation of a

1160
02:28:29,250 --> 02:28:29,250
centralized diversion and recovery system and center.

1161
02:28:33,890 --> 02:28:33,890
I would like to thank the commissioner rodriguez and moody and their staff for being part
Of the working group that will bring the community changing effort to fruition.

1162
02:28:44,010 --> 02:28:44,010
multiple studies have shown that jail diversion reduces recidivism,
Improves health outcomes,

1163
02:28:50,490 --> 02:28:50,490
and is more cost effective than traditional incarceration.

1164
02:28:54,530 --> 02:28:54,530
I strongly believe that by working together through the ad hoc committee,
We have the opportunity to implement a model diversion center here in bexar county,

1165
02:29:03,470 --> 02:29:03,470
which accomplishes these goals in 2024. University health found that an average of 550
Inmates were being treated

1166
02:29:13,350 --> 02:29:13,350
for mental health needs. The members of the committee have a shared understanding that the
Jail has become the largest provider of mental health care

1167
02:29:23,070 --> 02:29:23,070
locally. I am grateful to them as we work to reverse this trend and move towards a
Different approach that will better our residents lives

1168
02:29:32,950 --> 02:29:36,470
in partnership with the center for health care services. We have a feasibility study in progress that will provide strong insight into implementing
An effective evidence based diversion system.

1169
02:29:46,790 --> 02:29:46,790
the committee is working is also working toward securing funding for a pilot program to
Divert individuals with low level,

1170
02:29:55,310 --> 02:29:55,310
nonviolent misdemeanor offenses who cycle through the jail because of untreated mental
Illness or substance abuse disorders.

1171
02:30:04,850 --> 02:30:04,850
the committee is currently pursuing funding opportunities to advance the pilot program.

1172
02:30:09,930 --> 02:30:09,930
in the spirit of continuing our transformative work together,
We request the court support through a funding contribution for this pilot program.

1173
02:30:18,170 --> 02:30:18,170
your investment in this initiative will signal that every one of our residents is
Deserving of a critical support,

1174
02:30:24,850 --> 02:30:24,850
that they need to improve their lives and permanently break the cycle of justice system
Involvement.

1175
02:30:30,730 --> 02:30:30,730
I am confident that together we can make this vision a reality.

1176
02:30:34,810 --> 02:30:34,810
I look forward to our continuing to continuing this meaningful,
Productive conversations with the ad hoc committee,

1177
02:30:41,410 --> 02:30:41,410
as well as the commissioners court collaboration with the city on the diversion center.

1178
02:30:46,090 --> 02:30:46,090
thank you again to the county. I cannot wait to celebrate the implementation of a pilot
Program and eventually a diversion center that meets the needs of those who proudly

1179
02:30:56,050 --> 02:30:59,110
call their county their home. Thank you. Sign. Councilwoman. Terry castillo, city council, district five.

1180
02:31:02,190 --> 02:31:02,190
thank you, miss tucker. All right. I believe that concludes the citizens to be heard on
This specific item,

1181
02:31:08,470 --> 02:31:08,470
I'm going to call up I've we on is it five f.

1182
02:31:13,390 --> 02:31:13,390
and so we will continue with thomas guevara. Why don't you come up and let me make the
Following comments before the presentation?

1183
02:31:21,230 --> 02:31:21,230
four months ago in april, we talked about deflection and diversion,
The ways we keep people who don't need to be in jail from being booked.

1184
02:31:29,030 --> 02:31:29,030
we spoke about how we streamline our intake process to make medical assessments more
Efficient by consolidating mental health and physical health screening under one provider

1185
02:31:38,950 --> 02:31:38,950
with a system a key recommendation of uthealth houston's doctor,
Alexander testa, and we directed staff to review data and

1186
02:31:48,710 --> 02:31:48,710
processes to make our system better. The idea the directive was to look for ways for the
Sheriff's office and us to find opportunities for better coordination.

1187
02:31:59,100 --> 02:31:59,100
while the commissioners court. The public hospital and the sheriff each have a unique
Organizational.

1188
02:32:04,340 --> 02:32:04,340
lanes with the sheriff as the operator and manager of the jail,
We could not sit back.

1189
02:32:09,700 --> 02:32:09,700
the commissioners court has an obligation to act,
Support, accountability and execute on ways to enhance services.

1190
02:32:16,980 --> 02:32:16,980
today we're going to focus on two things the people in custody at the county jail,
As well as those who go through the county intake process and the impact of

1191
02:32:27,020 --> 02:32:27,020
dual registration on the medical needs, treatment and safety of those in custody and those
Going through intake.

1192
02:32:32,820 --> 02:32:36,580
mr. Thomas guevara, I'll yield the floor to you. Thank you, judge. Commissioners. Just as you know,
The manager and I are managing to be in two places at once.

1193
02:32:42,980 --> 02:32:42,980
so for continuity of this presentation, I will have doctor greenfield laborde manage it.

1194
02:32:48,700 --> 02:32:48,700
but before I yield over to doctor g. I did want to provide some context and judge as you
Mentioned,

1195
02:32:54,740 --> 02:32:54,740
the purpose of this item is to continue that conversation related to programs,
Policies, and procedures associated with the arrest of persons entering our jail system.

1196
02:33:04,960 --> 02:33:04,960
just by way of background, april 28th, the court did receive a very robust briefing on joe
Diversion and deflection programs.

1197
02:33:13,360 --> 02:33:13,360
again, just kind of setting that stage at that meeting.

1198
02:33:17,720 --> 02:33:17,720
staff did commit to this court that we would continue to review opportunities for
Enhancements.

1199
02:33:23,160 --> 02:33:23,160
as a reminder, when we look at at this process,
We're looking at various intercept models in our justice process.

1200
02:33:31,080 --> 02:33:31,080
again, starting from community based programing,
Programing all the way to reentry and community corrections based on data.

1201
02:33:41,080 --> 02:33:41,080
we reviewed the data and working with our stakeholders and with high profile news reports
On jail death.

1202
02:33:47,320 --> 02:33:47,320
we wanted to focus on the county, wanted to focus on medical stabilization services at the
Bexar county justice intake and annex.

1203
02:33:57,780 --> 02:34:00,540
so before again, before I yield over to doctor g. I did want to just provide a little context. It's important to understand who enters into
Our detention center as it reflects the community's broader health challenges.

1204
02:34:09,580 --> 02:34:09,580
detainees frequently arrive with significant chronic conditions,
Acute injuries, and no medical history,

1205
02:34:16,420 --> 02:34:16,420
or for some, no medical history at all. Current data shows that the jail population is
Medically vulnerable.

1206
02:34:23,140 --> 02:34:23,140
health conditions commonly identified at intake include substance use disorders,
Diabetes,

1207
02:34:28,580 --> 02:34:28,580
obesity, limited or no routine medical care. So again,
The jail is not creating these health conditions.

1208
02:34:36,340 --> 02:34:36,340
they are receiving individuals who already have them often at a crisis stage.

1209
02:34:41,220 --> 02:34:41,220
so again, this reality underscores the need to strengthen medical care at intake and
Throughout the incarceration process.

1210
02:34:48,300 --> 02:34:48,300
detention process. With that I'm going to ask doctor greenfield to,
To come up kind of walk you through our current intake process and then we'll turn it over

1211
02:34:58,160 --> 02:34:58,160
to ed and his team to walk you through some of our recommendations.

1212
02:35:02,560 --> 02:35:02,560
thank you. Hello, commissioners and judge doctor conforti,
The director of ocj.

1213
02:35:11,080 --> 02:35:11,080
so I'm not going to go over every single part of this process flow as you see up there for
The sake of time.

1214
02:35:18,400 --> 02:35:22,400
however, if someone has questions, we can answer those. What I do want you all to focus
On, if you can, is the highlighted area on the first one where it says initial medical
Screening.

1215
02:35:29,440 --> 02:35:29,440
so the individual coming over from the city will start at this far left where it says sapd
Frio.

1216
02:35:35,480 --> 02:35:35,480
so someone's coming in. That's where they'll get an initial screening,
Which may be check the blood pressure,

1217
02:35:41,560 --> 02:35:41,560
ask some questions. Then they go through the rest of that whole process.

1218
02:35:45,600 --> 02:35:45,600
and when you see a p s ordered, then further down,
You'll see full medical screening, so they will not receive that full medical screening

1219
02:35:54,270 --> 02:35:54,270
until after they go through that whole process. I want to highlight that now because later
On in our presentation,

1220
02:36:01,190 --> 02:36:04,990
mine and also mr. Banos, we're going to talk about that. So I just want you, if you can just make a mental note of that.

1221
02:36:07,870 --> 02:36:11,190
doctor laborde, how much time on average is that. So I'm going to ask the court to please let the president we got a long presentation.

1222
02:36:17,590 --> 02:36:20,190
please hold your questions and we'll get to it. Commissioner, with all due respect, commissioner,
Doctor greenfield, continue.

1223
02:36:24,150 --> 02:36:24,150
okay. Yes. Okay. Did we miss one? Okay. I guess we didn't.

1224
02:36:32,350 --> 02:36:32,350
okay. So on this one, I'm going to let the research my data research person talk about
This slide.

1225
02:36:39,070 --> 02:36:39,070
because what happened is when some of these issues were happening in the jail,
Our office was tasked to look at the data.

1226
02:36:47,530 --> 02:36:47,530
the what was happening with the inmates that had passed.

1227
02:36:51,650 --> 02:36:51,650
so we're going to go over this real quick and then I'll come back up. Of the 91 in-custody
Deaths.

1228
02:36:59,810 --> 02:37:02,210
identify yourself. I'm sorry. I'm jennifer dilla. I'm senior research analyst for the office of criminal justice.

1229
02:37:07,290 --> 02:37:07,290
of the 91 in-custody deaths since 2020, 73% were not eligible for diversion due to their
Charges.

1230
02:37:15,570 --> 02:37:15,570
40% died of natural causes. 44% died within the first seven days of custody.

1231
02:37:22,970 --> 02:37:22,970
and then of those 39 deaths that occurred within the first seven days of custody,
60% were not eligible for diversion,

1232
02:37:31,250 --> 02:37:31,250
25% died of natural causes and 37% died of accidental causes.

1233
02:37:39,450 --> 02:37:39,450
thank you. We wanted to highlight this because,
As thomas mentioned earlier when he started his presentation,

1234
02:37:46,190 --> 02:37:46,190
he talked about the individuals that are coming into our jails are those with not.

1235
02:37:55,350 --> 02:37:55,350
having good medical conditions. They're coming in with issues with high blood pressure,
With diabetes.

1236
02:38:01,990 --> 02:38:01,990
and so when we get when they get them in the jail,
We're getting these individuals that are not healthy already.

1237
02:38:08,630 --> 02:38:08,630
so that's just an example. And like jennifer talked about,
Those 44%, 44% of those 91 passed within those first seven days of being in

1238
02:38:18,070 --> 02:38:18,070
custody due to what you're seeing. Of the 30% that died of the substance toxicity or
Combined acute issues,

1239
02:38:28,550 --> 02:38:28,550
and then 25 from natural causes. So if you combine those together,
That's a huge amount of those individuals that are coming into our jail already sick and

1240
02:38:38,390 --> 02:38:38,390
needing some type of medical help. And then you compound it with some type of a detox,
Then it even gets worse.

1241
02:38:44,610 --> 02:38:44,610
unfortunately, many of these individuals that are coming in with poor health conditions
Aren't even aware that they have poor health conditions until they get to the gym.

1242
02:39:01,410 --> 02:39:01,410
so like, I was like, I was talking about before the vulnerabilities of those that are
Coming through intake.

1243
02:39:08,650 --> 02:39:08,650
and of course, with that dual registration, I know earlier commissioner calvert had a
Question and hopefully we'll be able to answer that later,

1244
02:39:17,170 --> 02:39:17,170
but that's the dual registration. Remember, they're sitting at the city for maybe 6 or 7
Hours or longer.

1245
02:39:23,450 --> 02:39:23,450
then they're coming over to us, having to go through that process,
Which could take another.

1246
02:39:28,730 --> 02:39:28,730
I don't want to give a wrong time. The sheriff's here,
So he can probably give a more accurate time, but I'm going to say eight. Continue on.

1247
02:39:35,730 --> 02:39:35,730
okay doctor greenfield let's go. And then we want to also mention that approximately 29%
Of

1248
02:39:45,600 --> 02:39:45,600
those arrestees coming into our jail are sapd arrests.

1249
02:39:52,360 --> 02:39:52,360
and we also have about 5,050% that are booked through gia in 2025.

1250
02:40:00,160 --> 02:40:00,160
so we're looking at a large amount of individuals coming in and not only just coming in,
Going through the process,

1251
02:40:06,160 --> 02:40:06,160
but also, like I said, many of them suffering some type of illnesses already.

1252
02:40:12,160 --> 02:40:12,160
and I'm going to turn it over to mr. Banos. And.

1253
02:40:20,800 --> 02:40:20,800
commissioner. I'm sorry. We can't hear you. Can't hear you.

1254
02:40:27,960 --> 02:40:27,960
just for clarification, that was 5000 individuals who came through gia,
Not 50%.

1255
02:40:35,360 --> 02:40:35,360
got it. Commissioner. Welcome back. Thank you.

1256
02:40:42,380 --> 02:40:45,420
what I wanted to share a little bit of information. First of all, saying that any of the organizations that spoke earlier,
I will tell you that my commitment is to make a schedule.

1257
02:40:54,700 --> 02:40:54,700
if you make an appointment or call me, I will meet with you because I want to know how we
Can improve this.

1258
02:41:01,020 --> 02:41:01,020
and my commitment, my commitment to all of you,
Is that we will we will improve the process.

1259
02:41:08,060 --> 02:41:08,060
and I will address this from a medical side. Now as doctor g presented,
This is an issue where we talk about that initial medical crisis that's

1260
02:41:18,020 --> 02:41:18,020
going on from a background standpoint. We have 316 health care professionals in the jail.

1261
02:41:26,380 --> 02:41:29,860
as a comment was made earlier, we do not have a contract. This is the property tax ad valorem tax that is used with university health to provide the
Services in the jail.

1262
02:41:36,540 --> 02:41:40,160
so we provide the services as part of our ad valorem. You can see the numbers and the medications and administration and others.

1263
02:41:44,360 --> 02:41:44,360
this is a very large facility. And I will say when I was when I became ceo,
One of the first things I did was sit down with the jail staff and the

1264
02:41:54,040 --> 02:41:57,760
sheriff and others to talk about how we can improve the process. Everyone gets screening and I'll talk about gia in a in a few minutes.

1265
02:42:01,960 --> 02:42:01,960
but what everyone comes into the jail, gets a medical assessment and gets seen in the jail
When they come in and when they

1266
02:42:11,680 --> 02:42:11,680
are processed through. And as was mentioned earlier,
Many of these have chronic management disease.

1267
02:42:20,360 --> 02:42:23,240
we provide everything from the physical exams. We have psychiatrists, social workers. We provide buprenorphine for people that are
Detoxing in there.

1268
02:42:32,360 --> 02:42:32,360
our staff have to go around out of the population of,
You know, 4000.

1269
02:42:38,820 --> 02:42:38,820
we deliver medications to them individually,
And we have to find them to live to deliver that.

1270
02:42:44,900 --> 02:42:44,900
we provide the services there. We have a dialysis unit,
An infirmary.

1271
02:42:49,980 --> 02:42:53,500
the infirmary, when you think of it, is not an inpatient bed. It's an infirmary where treatments go on because of what's needed,
Because of the acuteness.

1272
02:42:58,140 --> 02:42:58,140
but it is not a medical hospital bed where they're staying there.

1273
02:43:03,820 --> 02:43:03,820
we are providing care in the jail, but we are not a hospital in the jail.

1274
02:43:09,340 --> 02:43:13,020
many have not gotten their health care needs. Many need medications which we provide throughout the jail.

1275
02:43:17,540 --> 02:43:20,660
in a healthcare setting, you have call buttons. Again, if you're in a hospital and someone's in need,
Someone's in crisis many times because of how the jail is situated and there's nothing,

1276
02:43:29,380 --> 02:43:31,620
it's a jail. They're going to be in their cell. But we can't react as quickly if we don't know what's going on.

1277
02:43:35,410 --> 02:43:35,410
we are not present everywhere as the jail is a large institution,
And also we have limitations on how our staff can move through because of

1278
02:43:45,250 --> 02:43:45,250
security reasons that are known to make sure that nobody gets in inappropriate areas.

1279
02:43:52,970 --> 02:43:52,970
we are in conversations with the sheriff. Others are in the meetings.

1280
02:43:59,730 --> 02:43:59,730
we talked about those steps within the seven days.

1281
02:44:04,930 --> 02:44:04,930
many of those patients, when they come in, they might be on a substance.

1282
02:44:09,970 --> 02:44:09,970
they might go through the processing because in that high they're seeing,
They're okay.

1283
02:44:15,770 --> 02:44:15,770
the issue really is a day, two days later, when they're going through withdrawals,
If they aren't able to take those medications,

1284
02:44:23,410 --> 02:44:23,410
they or they start to detox along with their chronic medical illness,
There can be problems.

1285
02:44:29,330 --> 02:44:29,330
our staff, along with the others, have worked with the sheriff on cohorting identified
Detoxing individuals where we can cohort them together so we can

1286
02:44:39,230 --> 02:44:39,230
look to be the emergent response. We will be able to designate medically alert patients
For inmates with chronic conditions,

1287
02:44:48,630 --> 02:44:48,630
so that we can identify those people and make sure that that can be dealing with.

1288
02:44:53,550 --> 02:44:53,550
and then we support the intake and process of,
Of detainees in the sally port for a better further evaluation,

1289
02:45:02,830 --> 02:45:02,830
which many times they're not sharing all the information that they're able to.

1290
02:45:07,230 --> 02:45:07,230
so we will be able to try and get the best information as possible.

1291
02:45:11,950 --> 02:45:11,950
so when we look at the level of care for detoxing patients,
Cohorting them in a male and female unit,

1292
02:45:19,150 --> 02:45:19,150
we will balance the medical acuity risks in the security risks,
Making sure that we have appropriate safeguards there.

1293
02:45:26,870 --> 02:45:26,870
we will be able to. Now in the jail. We could not give advanced treatment like ivs and
Others when they were throughout the whole

1294
02:45:36,650 --> 02:45:36,650
jail. Here by cohorting these units, we can now work with our doctors,
Our nursing staff and others and be able to because many patients,

1295
02:45:45,010 --> 02:45:45,010
when they're detoxing go through withdrawals and these iv fluids and hydration needs would
Be able to be addressed.

1296
02:45:51,770 --> 02:45:51,770
we are able to then visually see these people similar to a hospital where you can go hurt
Them together.

1297
02:45:57,810 --> 02:45:57,810
we are we are committed to adding the nurses around the clock on this unit so that we can
Provide this level of care.

1298
02:46:06,570 --> 02:46:06,570
and then the associated costs, we also know that there is the opportunity where when
Someone is in a crisis,

1299
02:46:15,850 --> 02:46:15,850
they need to be transferred out quickly. So we've worked with acadian ambulance and we're
Working on getting an emt permanently in the

1300
02:46:25,730 --> 02:46:25,730
facility when there is an issue going on. Many times an ambulance comes,
But the jail is a very big place and how you can get to that person takes a lot of

1301
02:46:35,710 --> 02:46:35,710
time. This will speed up and deal with the advanced state of their condition much quicker,

1302
02:46:43,190 --> 02:46:43,190
and then we can get them onto a hospital. And then also,
And then we're working with them to actually have a dedicated ambulance.

1303
02:46:51,990 --> 02:46:51,990
we're working with them right now. We don't have that final commitment,
But we have the emt, but we're working on the acadian ambulance.

1304
02:46:59,790 --> 02:46:59,790
we also know because of double magistrates, there's people that come into the first part
And they're addressed,

1305
02:47:07,030 --> 02:47:07,030
but we're not using the same technology or the same,
I'm sorry, terminology in that area.

1306
02:47:12,510 --> 02:47:12,510
and then when there's a delay, eight, ten hours,
They're coming over and we don't know the medical condition of them.

1307
02:47:19,190 --> 02:47:19,190
so we're standardizing the medical terminology,
The how to alert our staff when they come over many times.

1308
02:47:27,540 --> 02:47:27,540
those people come over in groups of 10 or 12 because they've been there in,
In, in c mag.

1309
02:47:35,700 --> 02:47:35,700
and so what we want to do is make sure we can manage those people when they come in,
But also have them identified earlier in c mag and make sure that they're

1310
02:47:45,220 --> 02:47:45,220
addressed. And then all the protocols to see if,
When they present, if they have a higher level of medical need,

1311
02:47:54,060 --> 02:47:54,060
we want to get them out of the jail into a facility where they can be treated so that they
Don't go behind and into the jail.

1312
02:48:01,900 --> 02:48:01,900
we're looking at this strictly as a medical. We're not looking at this as they arrested
What's the you know,

1313
02:48:09,020 --> 02:48:09,020
the the charges, the others, if there's a medical issue,
They come to university hospital.

1314
02:48:13,940 --> 02:48:13,940
sheriff provides an officer to make sure that they get their treatments.

1315
02:48:18,540 --> 02:48:18,540
but we're looking at this just to say how we can address the medical needs.

1316
02:48:23,560 --> 02:48:23,560
faster, get them where they need to be and make sure that it's addressed.

1317
02:48:27,920 --> 02:48:27,920
and if it's before the jail, making sure that they get those services before they go into
The jail.

1318
02:48:36,600 --> 02:48:36,600
we are working, as I mentioned closely with the county and the others and and the
Facilities of the county to build a,

1319
02:48:44,880 --> 02:48:44,880
a better screening and intake support for people so that we can provide more advanced
Medical care in the screening,

1320
02:48:52,120 --> 02:48:52,120
thinking of it like as an urgent care or assessment where we can see what's going on and
Then try and identify these chronic problems that might be turning into something acute.

1321
02:49:02,160 --> 02:49:02,160
and then we want to maximize what we would talk about when our electronic medical record.

1322
02:49:08,440 --> 02:49:08,440
so when we come and see them down at the jail,
If they do come to uhuh already has that in the intake and in the medical record so that

1323
02:49:16,520 --> 02:49:16,520
the emergency room or other locations would be able to know what's going on with them when
They arrive.

1324
02:49:24,380 --> 02:49:24,380
I would like to take just a second to talk about we talked about gia and some of the other
Earlier to just give a little history.

1325
02:49:33,380 --> 02:49:33,380
from 1995 to 2018, university health has been the provider of door to door for mental
Health services in bexar county.

1326
02:49:42,460 --> 02:49:42,460
provide the services and c-mag until 2014, when chc assumed the responsibility.

1327
02:49:48,340 --> 02:49:48,340
and in 2018, when gia opened, chc staff moved over to the gia to continue their services
That they moved from.

1328
02:49:56,340 --> 02:49:56,340
from there, I will tell you that we talk about working together,
But I will tell you when you have two different

1329
02:50:05,620 --> 02:50:05,620
organizations working there. We were brought in when the issues were brought up a year ago
About coordination.

1330
02:50:13,220 --> 02:50:13,220
everything in gia and I will tell you, our staff saw that it was there were delays in
Required assessments,

1331
02:50:21,160 --> 02:50:21,160
notification processes that were inconsistent in communications paperwork between the two
Organizations were getting lost and,

1332
02:50:29,440 --> 02:50:29,440
and under and not being able to be found causing delays in treatment,
Lack of monitoring.

1333
02:50:37,120 --> 02:50:37,120
we had people that were being here sitting in gia,
But because they weren't turned over to us yet,

1334
02:50:42,640 --> 02:50:42,640
they were still getting they were sitting there waiting for treatment. We certainly agree
That people need to be diverted out or if possible,

1335
02:50:51,800 --> 02:50:51,800
in their charges, permit that. We also know that completing the 6 to 1620 twos were not
Always completed and then were put on staff.

1336
02:51:01,720 --> 02:51:01,720
and we have the numbers to show that. And additionally,
The overall process was very cumbersome when we took over the gia,

1337
02:51:11,080 --> 02:51:11,080
when we were asked by the county to take over gia,
We put that now on one medical record.

1338
02:51:16,720 --> 02:51:16,720
we have all the staff coordination. When they're on mental health alerts,
They go from the gia and transfer over to the mental health services that are in the jail

1339
02:51:25,390 --> 02:51:25,390
with our staff. We believe that this has improved the process.

1340
02:51:30,230 --> 02:51:30,230
if you look at the numbers over the last ten months,
The number of patients that have been transferred out due to mental illness and others are

1341
02:51:36,590 --> 02:51:36,590
having crisis, they have dropped. We believe that one ehr,
Electronic medical record has been a godsend to make

1342
02:51:46,430 --> 02:51:46,430
sure that all of this could be done, and we want to make sure that they can be diverted.

1343
02:51:50,950 --> 02:51:50,950
we support outpatient treatment programs, diversion programs,
And we believe there's more in the community that needs to be done.

1344
02:51:59,710 --> 02:51:59,710
when we look at the comment made about ut health,
They provide an excellent program that needs to be done.

1345
02:52:05,750 --> 02:52:05,750
what we all need together here is to commit. We want we do not want people in the jail
That shouldn't be in the jail.

1346
02:52:14,470 --> 02:52:14,470
we want them to get the treatments that they need where they can get the treatment.

1347
02:52:19,970 --> 02:52:19,970
but when they're in the jail, we would like a coordinated effort where we can provide all
Of these services in the 300 staff that are in that jail from university health,

1348
02:52:29,010 --> 02:52:29,010
I will tell you, they're angels. We might we get letters to talk about how the staff has
Brightened their day from inmates and others.

1349
02:52:38,690 --> 02:52:38,690
now, I'm not saying that everybody's perfect,
But I will tell you, the staff are providing care in that hospital.

1350
02:52:44,930 --> 02:52:44,930
stephanie. Stephanie, casey, denise, doctor jimenez are here behind me.

1351
02:52:50,450 --> 02:52:50,450
they're committed to making this better and working together with everyone else who can
Make it better.

1352
02:52:57,410 --> 02:52:57,410
if they're in the jail, we're going to take care of them,
And we will make sure that they get the best care possible.

1353
02:53:02,930 --> 02:53:02,930
and we certainly want them to be out of jail if they don't need to be in jail.

1354
02:53:07,370 --> 02:53:07,370
so I thank you. Thank you for the time to share the processes that we have.

1355
02:53:18,390 --> 02:53:18,390
okay, so like I said, when we were tasked to look at that research and look at the
Different individuals,

1356
02:53:25,390 --> 02:53:25,390
how they died, you did the same thing as mr. Benos just said,
And we found similar results.

1357
02:53:31,790 --> 02:53:31,790
they were passing within the first seven days of being in custody.

1358
02:53:35,830 --> 02:53:35,830
and also we agreed that medical needed to be moved up front.

1359
02:53:40,710 --> 02:53:40,710
so when you look at this chart compared to the other one that I showed earlier,
Where it's highlighted in blue,

1360
02:53:48,630 --> 02:53:48,630
they will be receiving a medical screening sooner on than having to wait later on in the
Time of being at gia.

1361
02:53:58,470 --> 02:53:58,470
so that is one of the enhancements that in the agreement with and,
And the county.

1362
02:54:06,350 --> 02:54:06,350
is this mine or dan's? Thank you,

1363
02:54:16,090 --> 02:54:16,090
doctor g. So with that, with the data driving these recommendations and working with our
Partners the sheriff's office facilities ocj

1364
02:54:26,250 --> 02:54:26,250
part of our proposals include a dedicated space for that comprehensive medical screening
That we just outlined.

1365
02:54:32,450 --> 02:54:32,450
right now we, we want to bring that medical screening to the beginning of that process.

1366
02:54:36,930 --> 02:54:36,930
we've identified the sally port as an opportunity to build out modular facilities there,
Including restrooms so that staff can

1367
02:54:47,370 --> 02:54:47,370
immediately upon arrival, pat down, we can get started on that process.

1368
02:54:52,490 --> 02:54:52,490
we'll continue to work with and with the sheriff's office to find out if there's any
Additional opportunities that doesn't require a facility enhancement,

1369
02:55:01,730 --> 02:55:01,730
but we are committed to bringing medical stabilization to the start of the process.

1370
02:55:09,930 --> 02:55:09,930
so with that, staff is recommending the following judge with your approval.

1371
02:55:16,560 --> 02:55:16,560
approval of implementation of the bexar county enhanced medical screening and early
Intervention initiative to support the early detection of acute medical conditions,

1372
02:55:26,120 --> 02:55:26,120
behavioral health crisis and substance withdrawal symptoms,
And facilitate timely intervention among arrested persons before admission to the adult

1373
02:55:35,440 --> 02:55:35,440
detention center, including one authorizing necessary coordination with university health
For the delivery of enhanced medical screening services.

1374
02:55:45,200 --> 02:55:45,200
two authorizing the procurement, delivery and installation of a modular medical screening
Facility within the vehicle.

1375
02:55:52,600 --> 02:55:52,600
sallyport at the justice intake and assessment annex three,
Finding that the modular facility and related improvements are necessary to

1376
02:56:02,200 --> 02:56:02,200
preserve and protect public health and safety,
And granting the exemption from competitive bidding requirements pursuant to texas local

1377
02:56:08,900 --> 02:56:08,900
government code, section two two, 62.024, subsection a,
Two and four, authorizing an appropriate budgetary transfer in the

1378
02:56:18,540 --> 02:56:18,540
amount of 250 000 with that judge staff's staff available for questions.

1379
02:56:26,380 --> 02:56:26,380
let me open a commissioner calvert. I go right back to you. Thank you.

1380
02:56:31,940 --> 02:56:31,940
the question of time for medical service and the question of of remote patient monitoring
Are at the center of our

1381
02:56:41,700 --> 02:56:41,700
issue. I in analyzing the causes of death when seeing cardiac

1382
02:56:51,380 --> 02:56:51,380
issues have recommended that a watch or some device of remote patient

1383
02:57:00,980 --> 02:57:00,980
monitoring be be given to our folks coming through the the jail and or the city's intake
Process

1384
02:57:11,960 --> 02:57:11,960
so that the medical staff at the university knows if someone's got a very high blood
Pressure or a heart rate or

1385
02:57:22,840 --> 02:57:22,840
diabetes glucose issues. Because when you look at the quote unquote,
Natural causes, I mean,

1386
02:57:29,040 --> 02:57:29,040
glucose, diabetes, deaths, monitoring glucose,
Those things are tools that can be

1387
02:57:38,960 --> 02:57:38,960
can be administered and assist the medical staff in a faster response.

1388
02:57:45,840 --> 02:57:45,840
I think, doctor, you began your question with it could be six hours at the city of san
Antonio's,

1389
02:57:53,560 --> 02:57:53,560
which is going to be the majority of people coming into the bexar county jail are coming
Through the city of san antonio. And then the previous iteration of our medical

1390
02:58:03,280 --> 02:58:03,280
did what in terms of time and how long did it take in terms of getting to the previous
Medical screening at uah before the change today?

1391
02:58:15,350 --> 02:58:15,350
commissioner with regard to the bracelets that you were just talking about,
We're actually going through the process of looking at vendors right now to,

1392
02:58:22,030 --> 02:58:22,030
to start testing them that in addition to. And so we're looking at probably in about,
We're shooting for about 150 of those that will be put.

1393
02:58:29,870 --> 02:58:29,870
right now, the target demographic will be for the folks that are going through
Detoxification.

1394
02:58:36,670 --> 02:58:36,670
in addition to that, we've got some of the folks that are a little more severely are
Dealing with more severe medical issues.

1395
02:58:44,830 --> 02:58:44,830
and right now, those are the folks that are in our jail cells,
In the cells that have the radar technology in the in the cell itself that remotely

1396
02:58:53,390 --> 02:58:53,390
monitors vitals. And then those are monitored on a screen just like this one that the
Deputies can see.

1397
02:58:58,630 --> 02:58:58,630
so we'll have two type two different types of,
Of medical monitor, remote medical monitoring on different folks within the jail.

1398
02:59:05,530 --> 02:59:09,210
will that include glucose? Yes, I believe so. Just some of some of those have glucose monitoring as well.

1399
02:59:13,410 --> 02:59:16,370
yes, that will be that will be one of the monitor vitals. So my, my back of the napkin analysis is that you're probably going to need more than 150.

1400
02:59:21,370 --> 02:59:21,370
I know you've got an acute medical group and you've got folks on detox,
But in light of the,

1401
02:59:28,970 --> 02:59:28,970
you know, just kind of the, the general population,
Health issues that you mentioned, you probably need a pretty robust monitoring system for

1402
02:59:38,850 --> 02:59:41,890
heart rate, at least glucose is a totally different issue. You can you don't need that, but for, for heart rate,
And that's not invasive, that's not a violation of anyone's rights.

1403
02:59:49,530 --> 02:59:49,530
and, you know, maybe there's a legal entity that might argue that,
But we'll work through that as we as we deal with that.

1404
02:59:58,290 --> 03:00:01,110
so I just want to express my support for that. So to answer the question, in the previous iteration of our health services,
Again, it was six hours potentially before transfer to you and the jail.

1405
03:00:10,830 --> 03:00:10,830
how long in the previous iteration might someone be in the jail from sapd before they get
The medical screening?

1406
03:00:20,830 --> 03:00:20,830
chief, do you know the answer? So there's two phases to the medical screening.

1407
03:00:24,950 --> 03:00:24,950
once they initially come in, they do what they call kind of like a pre screen,
Something you would see like at a hospital,

1408
03:00:31,830 --> 03:00:31,830
a triage. And then from there they would go through some of the process.

1409
03:00:36,390 --> 03:00:38,990
and then they go into the general seating area. And then you're looking at probably about another six hours depending on the population in
The booking area.

1410
03:00:45,350 --> 03:00:45,350
so I got to this analysis, just looking at the medical examiner's causes of death and
Seeing,

1411
03:00:50,750 --> 03:00:50,750
and you're hearing your input about some folks who may be arrested for drugs,
May ingest those drugs,

1412
03:00:56,390 --> 03:00:58,770
and you don't know that they've ingested those drugs. They're not going to tell you they ingested those drugs because they're in the system and
They're afraid that they're going to be more charges, and then their heart rate goes, and

1413
03:01:05,210 --> 03:01:05,210
then they die, right? Because they've ingested meth or cocaine or whatever it is that they
Or heroin or whatever it is that they've had.

1414
03:01:11,330 --> 03:01:11,330
so again, that is why I want to explain this to the public of why the wristbands can be a
Lifesaver or whatever remote patient

1415
03:01:21,050 --> 03:01:21,050
monitoring device that you're going to do, but the time is the key.

1416
03:01:25,650 --> 03:01:25,650
so we anticipate now still. Let me ask you a question about this new agreement.

1417
03:01:33,890 --> 03:01:33,890
the slide that said a pap is the city of san antonio.

1418
03:01:38,610 --> 03:01:38,610
are they agreeing to get the medical use our medical screening earlier?

1419
03:01:43,170 --> 03:01:43,170
are they have they agreed to that as well? I don't I don't believe there's an agreement
From the city just yet.

1420
03:01:49,810 --> 03:01:49,810
however, I can tell you that we've been talking to them about various topics,
This one being one,

1421
03:01:55,450 --> 03:01:55,450
the the elimination of double registration. And I can tell you,
The city has become they're very open minded about these sorts of things.

1422
03:02:03,360 --> 03:02:03,360
and of course, while I can't speak for them,
What I can tell you is we've seen some very positive movement forward with all of these

1423
03:02:11,200 --> 03:02:11,200
things that we're discussing with the city. So I have no reason to doubt that they'd be
Standing in the way of progress. Well, the biggest you know, the biggest thing putting my

1424
03:02:18,400 --> 03:02:18,400
ben crump hat on is liability to the city for those health care screening delays.

1425
03:02:24,600 --> 03:02:28,040
and y'all know what I'm saying when I'm saying put my ben crump hat on. I think unless the city wants to deal with that,
They should collaborate with us on this reunification of this process so that

1426
03:02:38,040 --> 03:02:38,040
we don't have these these kinds of deaths. Commissioner,
If I could just add one point when we made that recommendation in the sally port and how

1427
03:02:47,920 --> 03:02:47,920
we would build that out, it's with the intent and the understanding of what that chain
Looks like from freo.

1428
03:02:54,940 --> 03:02:54,940
so that is why we are recommending what we are recommending in terms of the facility
Enhancements,

1429
03:02:59,740 --> 03:02:59,740
thinking at any given time, that chain will show up and we need to be prepared for that.

1430
03:03:04,180 --> 03:03:04,180
so I thought I'd just make that point for you. Also,
My, my, for the record, in our assessment and research,

1431
03:03:11,060 --> 03:03:14,220
all the medical evidence comes from the medical examiner. So these are professional opinions that have been rendered by the expert.

1432
03:03:18,180 --> 03:03:18,180
let me put on the record that we've also found out that people have died at the city
Magistrate,

1433
03:03:23,580 --> 03:03:27,060
although it's been registered as a bexar county jail death. Correct, sheriff. Yes, sir. If they've already been remanded to our custody on paper.

1434
03:03:32,940 --> 03:03:36,540
yes, sir. Although they're physically located over at the city. Correct? Absolutely. Yes, sir. Ultimately, what we need to do is eliminate the double
Magistrate process.

1435
03:03:42,940 --> 03:03:42,940
yeah. There's things in the works for that. We've we've got a whole lot of work that's
Been done and a lot of positive feedback from the city thus far.

1436
03:03:50,700 --> 03:03:50,700
this this this this presentation, this illumination should move us into a different
Direction.

1437
03:03:58,880 --> 03:03:58,880
and I think a lot of the council can take more leadership in trying to work with the
Police chief,

1438
03:04:05,840 --> 03:04:05,840
you know, to to make that a reality. So to the point of time,
Right.

1439
03:04:11,440 --> 03:04:11,440
so we know that in the city of san antonio, if you call an ambulance,
It's 7 to 10 minutes on average that they want to be able to respond.

1440
03:04:18,480 --> 03:04:18,480
how much time from our beginning intake with this new process that we're going to
Implement,

1441
03:04:25,400 --> 03:04:25,400
will someone how much time will it take them to get a medical screening?

1442
03:04:30,320 --> 03:04:30,320
approximately approximately. So I'm sorry, commissioner,
What was the question with the new requested motion

1443
03:04:40,200 --> 03:04:40,200
and the new system of medical intake? How much time will it take for the average bexar
County inmate to

1444
03:04:50,080 --> 03:04:53,420
see or get to the medical intake immediately. That's what the whole proposal is about. Everything's going to be up in the front end. Are
The inmates care is going to be number one priority.

1445
03:05:00,060 --> 03:05:00,060
okay. Let me put on the record as to what we have found are reported to me.

1446
03:05:04,580 --> 03:05:04,580
if we get cooperation of the city, we can do this up front at the time they are officially
Processed,

1447
03:05:11,020 --> 03:05:11,020
but we are not there yet. Commissioner these are ongoing conversations.

1448
03:05:15,220 --> 03:05:15,220
this process is not a solution turnkey. We have many,
Many more steps to go and many more processes,

1449
03:05:23,180 --> 03:05:23,180
including the diversion at toward after they're in the jail or in the courts.

1450
03:05:28,700 --> 03:05:28,700
so. Commissioner, I'm just letting you know,
I'm letting the court know we still got a lot of work to do,

1451
03:05:33,020 --> 03:05:33,020
and there's going to be more reports coming back from this group and other groups,
Including commissioner rodriguez's group.

1452
03:05:39,780 --> 03:05:39,780
so I will use my political relationships at the city to get their council members to move
The city in the right

1453
03:05:49,770 --> 03:05:49,770
direction. The right direction is our consolidation and having one intake process in the
Interim.

1454
03:05:56,410 --> 03:05:56,410
of course, I think there's a solution for this medical check in to be done immediately
With the collaboration somehow.

1455
03:06:05,810 --> 03:06:05,810
I mean, if you're doing that, then you might as well just keep them in the bexar county
Jail.

1456
03:06:10,130 --> 03:06:10,130
but, you know, we don't know what'll happen,
But that should happen.

1457
03:06:14,410 --> 03:06:14,410
and I just want to, you know, try to make this obvious to the public if you're following
This.

1458
03:06:22,130 --> 03:06:22,130
as I just conclude my comments. Thank you to all the citizens and all the organizations,
All the staff,

1459
03:06:28,490 --> 03:06:30,690
everyone who has contributed, all the agencies. Thank you. I want to thank commissioner moody because I think his leadership in I can't
Think of the,

1460
03:06:38,770 --> 03:06:38,770
the, the, the adjective, but, you know what you stirred was a good thing and we needed to
Do

1461
03:06:48,550 --> 03:06:48,550
that. I have sympathized with commissioner simmons in tarrant county.

1462
03:06:54,470 --> 03:06:57,830
she's been trying to highlight some of the deaths in the jail issues as well. And she's gotten a lot of pushback to bexar county's credit.

1463
03:07:01,590 --> 03:07:01,590
this kind of collaboration is more productive than what they're going through in tarrant
County.

1464
03:07:06,510 --> 03:07:06,510
but it wouldn't have happened. But for your leadership,
Commissioner, and I thank you.

1465
03:07:12,350 --> 03:07:12,350
and I know a lot of people will thank you in the future for being an adjutant for change.

1466
03:07:18,110 --> 03:07:22,070
so it's not all bad. We need we need to have different perspectives. We need to have a little push. And, and my, my push is now to make sure these remote
Patient monitoring get on the

1467
03:07:31,750 --> 03:07:31,750
bodies of these folks because it's going to save a lot of lives and it's going to let your
Medical staff at us be able to respond a heck of a lot sooner.

1468
03:07:38,350 --> 03:07:38,350
so I think that's it for me for now. But thank you all for your effort,
I appreciate it.

1469
03:07:44,190 --> 03:07:47,850
commissioner clay-flores. Thank you for being here. I know we've been working on this for a while.

1470
03:07:50,690 --> 03:07:53,170
I know, sheriff, we've talked about this repeatedly. Doctor norma, we've met several times. I want to thank your team for getting all the
Numbers together over the years.

1471
03:08:00,570 --> 03:08:00,570
and sheriff, we've repeatedly talked about dual registration since.

1472
03:08:06,050 --> 03:08:06,050
since I've been here, since I'm sure way before I got here.

1473
03:08:11,410 --> 03:08:11,410
and we couldn't do anything about it because it's my understanding that the city was
Hesitant.

1474
03:08:17,610 --> 03:08:17,610
so what's the difference now so that we can make sure it actually happens.

1475
03:08:23,250 --> 03:08:23,250
we have some of our community activists who are still here from earlier who spoke,
Which I which I thank you all for being here.

1476
03:08:30,650 --> 03:08:33,770
as you all know, I consider myself a community activist. So I'm wondering if we need to you need to ask for their assistance so they can,
You know,

1477
03:08:38,730 --> 03:08:38,730
give a push to the people because we've been talking about this for years. So what's the
Difference now that all of a sudden now it's finally going to happen, which I hope it

1478
03:08:45,510 --> 03:08:45,510
does. I can tell you what what I what I believe one of the big changes was,
Is before we were just asking them to come to.

1479
03:08:51,470 --> 03:08:51,470
we were continuing to ask them to just come along to south tower,
Knowing that I know full well that the.

1480
03:08:56,910 --> 03:08:56,910
that the cities had reservations about south tower and the space availability and certain
Facilities or lack thereof that they see there,

1481
03:09:04,590 --> 03:09:07,790
because they had those same reservations when I used to work for the city. So I've known what the what the issues are now though we've been able to identify an
Actual facility that I believe would,

1482
03:09:14,830 --> 03:09:18,670
would, would, we could be used, brought to bear on this issue. We, you know, as you know, commissioner, you've seen the two dues facility right up the
Street right now.

1483
03:09:23,630 --> 03:09:23,630
it's been pressed into service as a training academy,
Kind of a makeshift training academy.

1484
03:09:28,750 --> 03:09:28,750
but I see, in my estimation, the highest and best use to borrow a real estate term,
The highest and best use for that facility would be to,

1485
03:09:37,430 --> 03:09:37,430
with some modifications, turn it into a booking facility where we could then bring
Everybody,

1486
03:09:42,980 --> 03:09:42,980
sapd included, could start using that as a as a as a booking facility.

1487
03:09:48,300 --> 03:09:48,300
eliminate the need for 401 south frio. Drop them off there to us at the at the at the new
To the to dos building,

1488
03:09:55,820 --> 03:09:55,820
they'd be able to get more immediate medical care,
Medical screening and diversion deflection away from the from the jail system if need be.

1489
03:10:05,180 --> 03:10:07,780
but it'd be that right there in and of itself would eliminate. Now the. The only thing standing in the way of that obviously,
Is the city saying yes, which they've already been taking tours of it,

1490
03:10:14,060 --> 03:10:14,060
and I can't again, I can't speak for them, but I have heard no objections from the city.

1491
03:10:18,500 --> 03:10:21,820
so we're proceeding as if it's probably going to happen at some point. I've just got to find a suitable training facility to move my cadets to.

1492
03:10:25,900 --> 03:10:25,900
but the short absence of those two things, I think that we're,
We're, it should be a pretty clear path forward to eliminate that registration process.

1493
03:10:34,620 --> 03:10:34,620
so we know that people can say yes, but until it goes to the city or commissioners court
To get passed,

1494
03:10:38,940 --> 03:10:38,940
it doesn't really mean anything. Correct. So I just need to make sure that we work with
The city or our staff,

1495
03:10:46,240 --> 03:10:46,240
coordinate with their counterparts to make sure it gets to council to get passed so that
We're not just talking about dual magistrate,

1496
03:10:53,040 --> 03:10:53,040
but we no longer have it. Absolutely. And the whole point of that,
As you all know, I have repeatedly talked about that every person in jail isn't just a

1497
03:11:01,080 --> 03:11:01,080
number. We talk about these deaths. They're not just numbers,
But they are people's relatives.

1498
03:11:07,360 --> 03:11:10,200
they are people's fathers and mothers and sisters. So they are all human beings and we need to treat them accordingly.

1499
03:11:15,160 --> 03:11:15,160
and with that, a lot of our a lot of the people are getting arrested.

1500
03:11:19,400 --> 03:11:22,680
and we know that they have underlying chronic health conditions. So I applaud that we are finally moving this to the front end.

1501
03:11:26,400 --> 03:11:26,400
doctor norm, I know that's something we had talked about previously,
So I'm excited about that. And I thank your staff for being here.

1502
03:11:32,200 --> 03:11:32,200
they already have hard work. I don't know if there's anything you all want to add.

1503
03:11:36,480 --> 03:11:36,480
I mean, I don't believe in people just coming to stand to to decorate the commissioners
Court.

1504
03:11:40,860 --> 03:11:40,860
but if there's anything that us staff want to want to add for this,
May I add that we pass all the comments and then we'll come back to you are part of my

1505
03:11:50,380 --> 03:11:50,380
questions still? Go ahead real quick, though,
Before they do that, commissioner, I just want to I know that constituent earlier talked

1506
03:11:57,500 --> 03:12:00,860
about the other counties do not have this issue. Taryn terrace, travis they do not have dual registration either.

1507
03:12:04,500 --> 03:12:04,500
so I just wanted to make that point too. Okay.

1508
03:12:10,180 --> 03:12:10,180
thank you. I mean, that wasn't part of my. But so can I go back to staff?

1509
03:12:15,220 --> 03:12:15,220
sure. So is there anything did you want to add any of your staff who are here since you're
Taking time out of your busy day?

1510
03:12:24,620 --> 03:12:27,540
doctor jimenez, medical director at the detention center. Commissioners. Again, every day I go to work,
I'm proud to again help our patients and give them the best health care that we can.

1511
03:12:36,120 --> 03:12:36,120
I think since I've been there, we extended a lot of things.

1512
03:12:40,360 --> 03:12:40,360
we added a map program, right? So we're adding addiction treatment for our patients.

1513
03:12:45,240 --> 03:12:45,240
we detox them provide close medical treatment for them.

1514
03:12:51,920 --> 03:12:51,920
right. And again, it's, it's a tough environment,
But I think we do the best we can and provide the best healthcare that

1515
03:13:01,920 --> 03:13:01,920
we can to them. Well, I will say from first hand experience talking to constituents in my
Own care,

1516
03:13:07,280 --> 03:13:07,280
being at us and different constituents who call our offices with children and siblings who
Are in and out of jail or other care facilities.

1517
03:13:15,840 --> 03:13:15,840
when I was working with the migrant center, you guys are testament that you honestly treat
Each individual as individuals and not as a number.

1518
03:13:22,840 --> 03:13:26,560
so I just applaud editor and your staff because the leadership starts from the top down. So thank you so much for that. I also just so thank you so much.

1519
03:13:30,720 --> 03:13:34,630
I also want to recognize this is not a conversation that just started. Maybe it just got on the agenda. But there have been lots of meetings over the years,
Lots of things we've been trying to push for,

1520
03:13:40,750 --> 03:13:43,470
and now we're starting to see the fruition of some of that. As the only woman on the court, I'm talking about women in leadership.

1521
03:13:47,390 --> 03:13:47,390
I have to recognize a couple of former women elected officials.

1522
03:13:52,110 --> 03:13:55,950
I believe the former sheriff is here. If you want to wave. It's good to see you. Thank you for being here.

1523
03:13:58,110 --> 03:13:58,110
and also commissioner devery, my former colleague,
My first year commissioner.

1524
03:14:03,350 --> 03:14:03,350
you can attest to the fact that we got some good things done that first year,
Even if we didn't always agree on things,

1525
03:14:08,430 --> 03:14:08,430
we always worked together. So it's good to see that we are finally moving things forward.

1526
03:14:13,310 --> 03:14:13,310
we still have a lot of work to do. So I applaud all the staff who are here today.

1527
03:14:17,830 --> 03:14:17,830
and with that, I'd like to make a motion for approval. Second motion by commissioner
Clay-flores, second by commissioner rodriguez,

1528
03:14:23,550 --> 03:14:23,550
commissioner moody. Thank you, judge. Several things I'd just like to to walk through
Here.

1529
03:14:33,330 --> 03:14:33,330
first of all, I just want to appreciate commissioner calvert kind words and comments.

1530
03:14:40,130 --> 03:14:40,130
this is obviously something I've been leaning on and pushing on for,
For some time.

1531
03:14:45,410 --> 03:14:45,410
some of these task force meetings that I pulled together last fall.

1532
03:14:50,890 --> 03:14:50,890
but I'm glad we're here. I think these are important steps to take going forward in the
Right direction.

1533
03:14:59,050 --> 03:14:59,050
as the judge said, I don't think this doesn't end today.

1534
03:15:03,770 --> 03:15:03,770
we have other areas. And actually our next agenda item is going to touch on you know,
Double magistrate.

1535
03:15:11,250 --> 03:15:11,250
and then we have another item to talk about some of the other areas and studies we've done
That identify other opportunities to improve the process at the jail,

1536
03:15:20,930 --> 03:15:20,930
address some of the other constraints that we have when it comes to facilities. And so I
Think there's there's a lot of work still to be done in this this area.

1537
03:15:28,330 --> 03:15:28,330
but I applaud the the the level of detail here and thought when it comes to the modular
Facility up front and trying to streamline

1538
03:15:38,870 --> 03:15:38,870
the medical screening process, I think it makes sense to me and I'm excited that we're
Moving forward with it.

1539
03:15:50,830 --> 03:15:50,830
well, let me just mention the wearables. That makes a lot of sense as well.

1540
03:15:56,830 --> 03:15:56,830
the devices that can monitor individuals that are incarcerated,
Their blood sugar, heart rate,

1541
03:16:03,710 --> 03:16:03,710
blood pressure, whatever the case may be identifying those individuals and then being able
To make sure that maybe we can have that higher standard of care.

1542
03:16:12,990 --> 03:16:12,990
that makes a lot of sense to me as well. I think commissioner calvert hit the,
The nail on the head when it comes

1543
03:16:22,510 --> 03:16:22,510
to and the whole discussion about double registration because let's just be clear.

1544
03:16:30,530 --> 03:16:30,530
you can say that we are going to now have initial medical screening within minutes.

1545
03:16:37,010 --> 03:16:37,010
but as it stands today, as it stands tomorrow,
If we have what was the percentage of of individuals coming through sapd

1546
03:16:46,770 --> 03:16:46,770
60 sorry. 49. Okay. So half those

1547
03:16:56,490 --> 03:16:56,490
individuals may have five, six, seven, nine hours before they have any medical screening.

1548
03:17:04,010 --> 03:17:07,570
I don't, I don't know sapd policy at that other facility. I don't know what's in place today, but it wouldn't be what we're talking about.

1549
03:17:11,850 --> 03:17:11,850
correct. Can anybody speak to that really quickly about what sapd currently has today at
Their other facility?

1550
03:17:24,330 --> 03:17:24,330
so the see. I'm stephanie. Stephanie. I'm the vice president of detention for university
Health.

1551
03:17:29,600 --> 03:17:29,600
speak up. So at the magistrate court, we provide medical services.

1552
03:17:37,760 --> 03:17:37,760
however, we do not screen 100% of those individuals coming in.

1553
03:17:42,880 --> 03:17:42,880
we screen those that request services and we screen those that have been in like a motor
Vehicle accident,

1554
03:17:50,640 --> 03:17:53,400
have seat belt marks, certain things like that. So it's not 100%. To answer your question, there would still not be 100% screening,
Nor is it the exact same screening because when they're coming into the jail,

1555
03:18:00,760 --> 03:18:00,760
the receiving screening is very lengthy. It goes into previous medications and everything
Else.

1556
03:18:06,160 --> 03:18:06,160
it is more of a triage screening that is done at the magistrate currently.

1557
03:18:10,400 --> 03:18:10,400
okay. Appreciate the detail there. And I think there's alignment generally here about
Eliminating double magistrate being the right path.

1558
03:18:20,560 --> 03:18:20,560
however, if in the meantime, we cannot do that or that takes some period of time.

1559
03:18:25,140 --> 03:18:25,140
I think we should look at what else we can do to ensure that those individuals come in
Through sapd,

1560
03:18:32,900 --> 03:18:32,900
have that screening moved up as well, and thinking about how we could do that or increase
The level of screening for those individuals until we can get this solved when it comes to

1561
03:18:42,260 --> 03:18:42,260
double registration. As we're talking about this,
And I know obviously there's, there's a reason we

1562
03:18:52,180 --> 03:18:52,180
have this double magistrate situation today. I don't fully I can't articulate every reason
And whether

1563
03:19:02,180 --> 03:19:02,180
that, what comes from sapd, what comes through political channels,
But I do think like, let's,

1564
03:19:09,380 --> 03:19:13,020
let's work together to find a way through it. And if there are other asks when it comes to our jail facility and the gia that we need to
Consider

1565
03:19:23,400 --> 03:19:23,400
in order to broker a deal and get this thing finally done.

1566
03:19:27,560 --> 03:19:30,960
then let's do that. Let's, let's put those things on the table. Because a lot of times we talk about the problem,
We talk about the problem, we talk about the problem. We know what we want to do. On the

1567
03:19:36,040 --> 03:19:36,040
other side of that, there's there's arguments that are being made that oppose that.

1568
03:19:41,080 --> 03:19:41,080
but how can we actually get to yes, how can we address those issues and make progress
Forward?

1569
03:19:46,440 --> 03:19:46,440
and I hope we we can enter those conversations in a way that tries to be constructive and
Solve it.

1570
03:19:59,720 --> 03:19:59,720
so just to be clear, the 250 k that we're talking about today is for the modular facility
For the upfront screening,

1571
03:20:06,880 --> 03:20:06,880
correct? Correct. Okay. Those other costs is planning to to bear.

1572
03:20:13,320 --> 03:20:13,320
that's correct inside the facility. Correct. Okay.

1573
03:20:23,140 --> 03:20:23,140
I think there was a lot of there were several slides there and that you kind of walked
Through when it comes to proposed enhancements in terms of the treatment and

1574
03:20:33,460 --> 03:20:36,900
monitoring individuals within the jail post screening. Right. So a question for the sheriff. So have all those proposed enhancements agreed

1575
03:20:46,900 --> 03:20:46,900
to in practice or generally, or where are we in that we can propose enhancements,
But obviously we need to make sure that there's a path to implementation.

1576
03:20:57,540 --> 03:20:57,540
anything that my partners standing up here with me propose as being the,
The best idea moving forward to save lives,

1577
03:21:06,420 --> 03:21:09,540
to save lives I'm in favor of. And we will not. We at the sheriff's office will not be the reason any of this gets delayed.

1578
03:21:14,100 --> 03:21:14,100
I've promised them that. I'm promising you that I'd swear it on a stack of bibles and I'd
Shout it from the rooftops.

1579
03:21:20,450 --> 03:21:20,450
okay, that's good to hear. Appreciate the commitment.

1580
03:21:25,330 --> 03:21:25,330
I guess as we take these next steps forward,
Trying to figure out what the priorities are,

1581
03:21:31,010 --> 03:21:31,010
what the plans look like for those implementations,
Because it sounds like there's universal agreement that they make sense.

1582
03:21:38,330 --> 03:21:38,330
I do think that we'll have to consider, you know,
What are the modifications or renovations that may be required when you're talking about

1583
03:21:48,090 --> 03:21:48,090
the additional care, the ability to have direct line of sight,
The ability for, you know,

1584
03:21:53,650 --> 03:21:53,650
rapid response within the jail, like what will that ultimately mean for this court in
Terms of modifications or renovations on,

1585
03:22:01,290 --> 03:22:01,290
on the current facility? And I don't think there's an answer to that right now. I just
Think that that's something we're going to have to look at carefully,

1586
03:22:08,650 --> 03:22:08,650
and I'm just going to use that to circle back to what we'll talk about in the meadows
Study here shortly or after lunch.

1587
03:22:14,890 --> 03:22:14,890
but this modular screening facility makes sense from a add on to the gia,
But when we're talking

1588
03:22:24,710 --> 03:22:24,710
about mid long term treatment within the facility and we get a response back about what
That's going to cost and the renovations required

1589
03:22:35,150 --> 03:22:35,150
in order to actually see all those proposed enhancements versus the discussion within
Meadows about a medical annex or that

1590
03:22:44,830 --> 03:22:48,390
included mental health services as well at the jail. Right. So those may be different price points that that can be considered,
But that was one of the recommendations.

1591
03:22:56,870 --> 03:22:59,630
obviously, it ties in with what we're talking about. It's just a question of what level of increased monitoring and care within these proposed
Enhancements and what the cost would be versus additional

1592
03:23:09,590 --> 03:23:09,590
facility and construction that's required to meet that level of care going forward.

1593
03:23:15,090 --> 03:23:15,090
so I think I touched on all my comments thus far for for this item,
But obviously there's,

1594
03:23:23,130 --> 03:23:27,050
there's more work to be done here. I'm excited about these steps going forward. And fully support. Thank you, mr. Rodriguez. Thank you.

1595
03:23:30,170 --> 03:23:30,170
judge. I'm not going to go through the whole gamut.

1596
03:23:34,370 --> 03:23:38,250
again, this is obviously important for a number of reasons. What I would say is you know, I'm at least encouraged that there is a number of folks at
The table because I know that

1597
03:23:48,170 --> 03:23:48,170
when I first got on the court 2019, we were talking about consolidating registration.

1598
03:23:54,850 --> 03:23:54,850
I'm sure it predates me. I think the commissioner calvert was the only one on the court
Before me.

1599
03:24:00,010 --> 03:24:00,010
so this has been a conversation that I feel like in some instances has been like running
In circles.

1600
03:24:08,490 --> 03:24:08,490
so I'm hopeful. Sheriff. I know we, we, we toured to do's recently.

1601
03:24:14,550 --> 03:24:14,550
I know there's some you know, capital investment that's going to be required,
But you know,

1602
03:24:21,390 --> 03:24:21,390
I, my sense is there's finally some momentum and it makes sense to actually make this
Happen.

1603
03:24:28,390 --> 03:24:31,550
and so thank you for your commitment on that. I also want to just also acknowledge former commissioner deberry because she also worked
On this.

1604
03:24:35,870 --> 03:24:35,870
and I remember in case you can't come back after lunch commish she's also working on the
Ad hoc committee and we're talking about our pilot diversion

1605
03:24:45,510 --> 03:24:45,510
program. So thanks for your work. Real quick,
I guess the only thing I wanted to clarify in my mind is I

1606
03:24:55,470 --> 03:24:55,470
get the process of moving the screening to the front end.

1607
03:25:00,670 --> 03:25:00,670
that makes complete sense. There is some reference to remote patient monitoring.

1608
03:25:09,670 --> 03:25:09,670
I need somebody to help understand. So what happens after that initial screening?

1609
03:25:16,740 --> 03:25:16,740
if the first seven days or ten days are the most critical,
I'm trying to comprehend how if we don't have that in place now,

1610
03:25:27,140 --> 03:25:27,140
how is that individual monitored for any progression of their medical condition?

1611
03:25:34,500 --> 03:25:34,500
if it's not diagnosed at the front end or there's maybe signs of something,
How I guess in other words,

1612
03:25:41,620 --> 03:25:41,620
the continuum of care or just oversight? How is that done in the,
In the process of the intake?

1613
03:25:49,420 --> 03:25:52,900
but also, you know, without, you know, throughout the next few days. Sure. Well, commissioner the, the wearables that we're talking about work,
Much like what the radar technology that we have in the jail now,

1614
03:26:02,780 --> 03:26:02,780
right now in some of the areas of the jail, certainly in the infirmary area,
We've got some technology it's not really it's not in use in any other major jails in the

1615
03:26:10,960 --> 03:26:10,960
state of texas, I might add. There's a sensor in the corner of the upper corner of the
Ceiling that's not accessible to the inmate readily,

1616
03:26:18,360 --> 03:26:22,200
but it's monitoring his or her vitals remotely. And then a deputy is sitting at a workstation and has a screen in front of them.

1617
03:26:26,280 --> 03:26:26,280
and it's got literally a little square for each inmate that's being monitored. They're all
Green.

1618
03:26:31,080 --> 03:26:31,080
should somebody start presenting some sort of issues with regard to their their vitals
That are monitored,

1619
03:26:37,480 --> 03:26:37,480
that that screen is going to turn, that portion of the screen is going to turn red,
And he's going to be able to let medical know,

1620
03:26:42,880 --> 03:26:42,880
like, I don't know why, but this guy's heart rate just spiked or went down or breathing
Is,

1621
03:26:47,880 --> 03:26:47,880
is affected. And then medical can then rush in and handle whatever needs to be handled.

1622
03:26:52,520 --> 03:26:52,520
the wearable devices that we're talking about would do,
In essence, the same thing.

1623
03:26:56,920 --> 03:26:56,920
right now, we're looking at various vendors that we're going through the process of
Looking at vendors that supply those to see what's better and what's not as far as

1624
03:27:05,560 --> 03:27:07,940
actually monitoring whatever condition it is. It's not going to tell me, well, you know, their cancer got worse or their whatever
Medical condition got worse.

1625
03:27:14,620 --> 03:27:17,860
they're just going to tell me their vitals are off and we don't know why. Let's get medical in here to figure out the why.

1626
03:27:20,300 --> 03:27:20,300
okay. So so currently you have access to the technology to monitor vitals,
I guess

1627
03:27:30,100 --> 03:27:30,100
in just in certain units. Or is that throughout the jail that's in the infirmary area?

1628
03:27:34,300 --> 03:27:37,820
but those people are in individual cells with that technology. The, one of the areas that we're talking about and.

1629
03:27:40,380 --> 03:27:40,380
commissioner moody, you made mention of some of the some of the modifications already
Being made. We've already consolidated certain parts of the of the jail in anticipation of

1630
03:27:49,460 --> 03:27:52,260
what one of the things that us asked us to do. So with regard to, to the, the, the inmates that are detoxing,
Actively going through detoxification,

1631
03:27:58,500 --> 03:27:58,500
one of the things that that us identified as they needed to be the ability to do with
These folks is keep them on an iv almost constantly.

1632
03:28:06,720 --> 03:28:06,720
dehydration is one of the big things with. With regard to detoxification.

1633
03:28:13,720 --> 03:28:17,400
it's harder for them to do that when these inmates that are detoxifying. Going through the detoxification are scattered throughout the jail. So they asked us to
Consolidate those folks into one area to make it easier for them to to monitor and to keep

1634
03:28:26,120 --> 03:28:26,120
those iv drips on. We have done that. We've we've consolidated we identified the areas
That we were going to be using.

1635
03:28:32,600 --> 03:28:32,600
we moved all the inmates that aren't affected. We're preparing for it. Now. One of the
Things that us has to do now is staff up on their end to be able to monitor those folks,

1636
03:28:41,200 --> 03:28:41,200
but we made it happen on our end. Those are the folks because they're not going to be in
An individual,

1637
03:28:45,520 --> 03:28:45,520
individual cell where I can put a radar unit in the corner and monitor their,
Their, their vitals,

1638
03:28:52,320 --> 03:28:54,520
I'm going to have to put something wearable on them. So that's where they'll be. And then it'll be. My understanding of it is it'll be
Basically the same setup.

1639
03:29:00,320 --> 03:29:00,320
somebody will be sitting with a monitor in front of them with little boxes and it will be
Monitoring each of the each of the folks that are wearing those devices.

1640
03:29:07,870 --> 03:29:07,870
okay. So I appreciate that, sheriff. I think short of whatever investment we're going to
Have to make,

1641
03:29:15,550 --> 03:29:15,550
I know we keep going back to central registration because I think that is significant
Here.

1642
03:29:20,990 --> 03:29:20,990
so I don't want to gloss over that. But having seen to dos,
It's not plug and play.

1643
03:29:29,270 --> 03:29:31,910
it's going to require some level of investment. And so I hope that we continue the conversation with the city on processes even before we
Have a facility ready to go.

1644
03:29:40,910 --> 03:29:40,910
I mean, I know that's a key component, but it also is about collaboration and what's in
The best interest of the community.

1645
03:29:48,630 --> 03:29:50,750
and so I know you're having those conversations. We are as well, but whatever the court can do to support that really,
The quicker we can get to that central

1646
03:30:00,650 --> 03:30:03,450
processing, the better it's going to be for our community. Yes, sir. If you can, you can keep us posted on those discussions.

1647
03:30:06,250 --> 03:30:06,250
absolutely. And just real quick from the onset,
I know that the the city's what they told me was their big concern was getting their

1648
03:30:13,370 --> 03:30:13,370
troops back on the street quickly. They didn't want them stacking up in a in a sally port.

1649
03:30:17,770 --> 03:30:17,770
I knew what those concerns were heard those concerns to do's,
I believe checks off all the boxes or once the modifications are made,

1650
03:30:25,050 --> 03:30:25,050
we'll check off all those boxes and we'll. We'll absolutely get their people back out onto
The streets sooner.

1651
03:30:30,610 --> 03:30:30,610
I can assure you all I'm doing the best sales job I've ever done in my life to get them
Through there and get them,

1652
03:30:36,410 --> 03:30:38,970
get them convinced that this is the way moving forward. As I mentioned, I've got nothing but good positive feedback from those at the city that
I've shown it to,

1653
03:30:43,610 --> 03:30:47,490
and I'm going to continue to work on it until we get you,
Come back to you and say, okay, we're ready to go. Okay. Thank you. Sheriff. Last question. Thomas.

1654
03:30:51,250 --> 03:30:51,250
you know, I think it's important that we obviously move forward today,
But that we have to grade our paper at some point.

1655
03:30:59,790 --> 03:31:03,670
yes, sir. What? What kind of measuring stick? Data. Can you provide maybe on a regular basis,
Back to the court so that we know these changing changes are making a difference?

1656
03:31:13,510 --> 03:31:13,510
I mean, is that is that something you can commit to or have the right folks report back to
Us how this is making a difference?

1657
03:31:20,350 --> 03:31:20,350
yes, sir. We'll continue to work with you, and we'll come up with those measurements,
And we'll bring those back to this court on a regular basis.

1658
03:31:29,430 --> 03:31:29,430
yes, sir. Thank you. Judge. Any further comments or questions?

1659
03:31:34,630 --> 03:31:34,630
I'll call for a vote. All those in favor of the motion signify by saying aye.

1660
03:31:39,270 --> 03:31:39,270
aye. Any opposed? Any abstentions? Motion carries.

1661
03:31:45,190 --> 03:31:45,190
let me conclude with this conversation. Today's action is the culmination of the work from
The first of the year.

1662
03:31:52,870 --> 03:31:56,230
and you've heard an initial report as what has been stated. It's just the beginning of continuous improvement.

1663
03:32:00,330 --> 03:32:00,330
the commissioners, the sheriff us have relied on data and process analysis.

1664
03:32:05,450 --> 03:32:05,450
their experience, institutional knowledge to guide us on this decision today.

1665
03:32:11,170 --> 03:32:11,170
this is the product of many months of collaboration and hopefully much more collaboration
With other stakeholders.

1666
03:32:18,810 --> 03:32:21,730
I'm going to say that again because it's important. This is the product of many months of deliberate collaboration that we know will improve
Medical screening and improve outcomes.

1667
03:32:30,770 --> 03:32:30,770
the commissioners court can't operate the jail,
But we can lead, ask hard questions, support accountability,

1668
03:32:39,450 --> 03:32:39,450
and invest in better solutions. Let's get the job done and let's provide a safer and more
Dignified jail for all those that are involved.

1669
03:32:48,690 --> 03:32:48,690
thank you very much. Thank you. Yes. We got two more agenda items.

1670
03:32:56,800 --> 03:32:56,800
I'm signaling. I know we're running late on lunch,
But let us know.

1671
03:33:01,160 --> 03:33:01,160
commissioner rodriguez I'm going to a specific item that is still germane to this
Conversation,

1672
03:33:10,840 --> 03:33:10,840
and that is 97. I'm going to 97. And the first action we must take discuss appropriate
Action related to

1673
03:33:20,240 --> 03:33:23,120
granting an exception to administrative policy. 1.2 to authorize the consideration of following late fall agenda item 97 aye.

1674
03:33:28,800 --> 03:33:28,800
is there a motion? So moved. Moved by commissioner rodriguez,
Second by commissioner clay-flores.

1675
03:33:34,720 --> 03:33:37,240
all those in favor signify by saying aye. Aye. Any opposed? Any abstentions? Motion carries.

1676
03:33:40,000 --> 03:33:40,000
let us now take up 97 a discussion. Appropriate action regarding directing staff to
Develop a bexar county adult detention center public

1677
03:33:49,360 --> 03:33:49,360
dashboard to provide accessible information about the detention system.

1678
03:33:54,180 --> 03:33:57,700
agency responsibilities and relevant operational outcome. Commissioner. Do you want to make a motion and open the floor?

1679
03:34:00,740 --> 03:34:03,260
yeah. To make a motion to approve. Judge. Second. Motion by commissioner rodriguez. Second by commissioner clay-flores. And I'll be brief.

1680
03:34:07,620 --> 03:34:10,820
I know this has been the topic of plenty of discussion. We've been kind of working on this in the background a little bit.

1681
03:34:14,740 --> 03:34:14,740
I think my staff's put up some sample type of dashboard,
But this item essentially is we know key to

1682
03:34:24,780 --> 03:34:24,780
really any government operation is transparency and a better understanding in this
Instance of how the jail system works.

1683
03:34:32,140 --> 03:34:32,140
and so right now, the information about the jail is maintained by several different
Agencies available through separate sources.

1684
03:34:40,340 --> 03:34:40,340
so this item is about bringing reliable information together in one place,
Clearly explaining who is responsible for what and creating a consistent way to report on

1685
03:34:50,200 --> 03:34:50,200
operations, outcomes and the work underway to improve the system.

1686
03:34:54,360 --> 03:34:54,360
specifically, the study recommended a centralized public information system,
Including an online portal where the public can find consistent and accurate information.

1687
03:35:03,880 --> 03:35:03,880
the dashboard will bring together information about jail operations,
Health care, deaths in custody,

1688
03:35:09,720 --> 03:35:09,720
agency responsibilities, oversight outcomes,
And system improvement improvements.

1689
03:35:15,080 --> 03:35:15,080
it will also help provide definitions and answers to common questions,
So the public can understand how the different parts of the system fit together.

1690
03:35:23,240 --> 03:35:23,240
so this item does not necessarily dictate every data point or assume that all information
Can be published.

1691
03:35:29,520 --> 03:35:29,520
but what I'd like to do is direct staff to determine what information is available,
Reliable and legally appropriate and useful to the public while protecting privacy,

1692
03:35:39,440 --> 03:35:43,440
security and active investigation. So this has been in the works. I'd like to ask if staff finds it feasible to no later than october 1st provide a proposed
Framework and an initial mock up

1693
03:35:53,340 --> 03:35:53,340
of the information. Thomas, is that you think a consistent timeline and one that is
Reachable?

1694
03:36:02,740 --> 03:36:02,740
yes, sir. We'll continue to work with our information technology department as well as ocj
And looking at some of the examples your office has already

1695
03:36:12,700 --> 03:36:12,700
provided to us. We think we can have something ready to show around that time frame.

1696
03:36:16,900 --> 03:36:16,900
happy to answer any questions, judge, but I think there's been a motion and would like to
Move forward.

1697
03:36:22,220 --> 03:36:22,220
question. Commissioner. Clay-flores. Yeah, no,
I just want to commend my colleague for making sure we got this.

1698
03:36:28,620 --> 03:36:28,620
make sure we're getting this done because a lot of times constituents will call our office
And then we have to dig to find out answers to help them.

1699
03:36:34,660 --> 03:36:38,340
so this should be a shortcut and to should be more helpful for our constituents. So thank you. Commissioner moody commissioner calvert,
I support this motion to commissioner rogers.

1700
03:36:44,740 --> 03:36:44,740
thank you for bringing up. I appreciate that even though it's late filed,
It is something that was very germane and is included in today's conversation.

1701
03:36:53,130 --> 03:36:56,410
I will call for a vote. All those in favor of the motion by saying aye. Aye. Any opposed? Any abstentions? Motion carried.

1702
03:37:00,770 --> 03:37:03,770
let us take up for the last time. We'll break for lunch and come back. Commissioner moody for a time. Certain on 1030.

1703
03:37:06,170 --> 03:37:06,170
but for now ten. 15%. Presentation, discussion of an update by the bexar county criminal
District attorney regarding prosecutorial review and related criminal justice

1704
03:37:16,050 --> 03:37:16,050
processes occurring between the city of san antonio processing center,
Located at 401 south rio and the bexar county justice intake and assessment annex,

1705
03:37:25,770 --> 03:37:25,770
located at 200 north comal street, including the sequencing and timing of arrest,
Review,

1706
03:37:32,490 --> 03:37:32,490
charging, registration, bond and diversion related processes,
The transfer of arrested persons,

1707
03:37:38,610 --> 03:37:38,610
case information between the facilities, the respective responsibilities of the
Participating governmental entities and opportunities to reduce unnecessary

1708
03:37:47,950 --> 03:37:47,950
duplication or delay and improve intergovernmental coordination case processing.

1709
03:37:54,110 --> 03:37:56,590
good morning or good afternoon? Good afternoon judge. I know everyone is ready to go to lunch and I'm sure commissioners. Canez. So I'll make
This brief.

1710
03:38:01,030 --> 03:38:01,030
my commentary is going to be quick, but I think it's important for you all to hear.

1711
03:38:05,830 --> 03:38:05,830
since the beginning of my administration, when I walked in january 29th,
We've been dealing with the dual registration issue.

1712
03:38:13,470 --> 03:38:17,230
and I think it is rare, if not unique to texas. And I do think that we are moving the ball down the field.

1713
03:38:21,310 --> 03:38:24,510
I hope that we're making some significant progress. I heard for the first time last night about this produce.

1714
03:38:28,750 --> 03:38:28,750
I'm sorry, the two deuce building project. I'm excited about what that would bring.

1715
03:38:34,950 --> 03:38:34,950
but but I think, as commissioner moody mentioned a minute ago,
We're not the ones that will make the decision about eliminating the dual

1716
03:38:45,850 --> 03:38:48,410
registration issue. It's got to be a collaboration. It's got to be us with sapd because our experience is sapd are the largest customers at
The bexar county district attorney's office.

1717
03:38:57,290 --> 03:38:57,290
they filed the most cases that we see here. So it's important that we work hand in hand
With sapd.

1718
03:39:05,850 --> 03:39:05,850
I will tell you that I have a good relationship with acting chief salomé,
And I hope to continue to work with him in the five months that I have left.

1719
03:39:14,370 --> 03:39:14,370
we certainly have been talking about this. I think it's going to take sitting down and
Coming up with solutions.

1720
03:39:21,410 --> 03:39:21,410
but the reality is we have dual registration because the city magistrates.

1721
03:39:27,170 --> 03:39:27,170
well, first of all, the law requires that an arresting agency bring an arrested person
Before a magistrate without unreasonable delay.

1722
03:39:35,090 --> 03:39:35,090
so that happened at the city side. They they bring them in front of a city magistrate,
But the city magistrate will only determine probable cause and

1723
03:39:45,070 --> 03:39:45,070
inform the detainee of his or her rights. Does not set a bond that does not happen until
That person is brought over to the county side to the jail

1724
03:39:54,870 --> 03:39:54,870
facility. So because of that, we see the average delay of six hours,
As doctor testa has already identified on the average.

1725
03:40:04,470 --> 03:40:04,470
so the solution to this is to be able to figure out a way to reduce or eliminate that that
Delay.

1726
03:40:11,630 --> 03:40:11,630
if we're not going to be able to convince sapd and chief solomon,
Those that are with the city to not use the facility,

1727
03:40:21,390 --> 03:40:21,390
maybe there's a way that we can figure out a way to have bonds set while those individuals
Are still over at frio,

1728
03:40:28,870 --> 03:40:28,870
maybe closed circuit tv, maybe we bring the county magistrates over to that facility,
But there's got to be a way to reduce the amount of delay from the city to the

1729
03:40:38,860 --> 03:40:38,860
county. So I'm here to tell you that I'm all in favor of being a.

1730
03:40:44,060 --> 03:40:44,060
partner to this I'm I'm willing to to push, to pull back or to

1731
03:40:54,780 --> 03:40:54,780
phase out the prosecutors that we have over at the frio facility to make the elimination a
Reality.

1732
03:41:02,780 --> 03:41:02,780
but we have to be careful how we do that. Again,
It has to be a collaboration of the da's office along with sapd.

1733
03:41:10,620 --> 03:41:10,620
so again, I'm here to say that I'm in support of the elimination of the dual registration.

1734
03:41:16,260 --> 03:41:16,260
I've been an advocate of that since the beginning of my term,
Rather the beginning of my administration.

1735
03:41:22,460 --> 03:41:22,460
I will continue to work with sapd to hope to to make that a reality.

1736
03:41:29,940 --> 03:41:29,940
I certainly am willing to continue, although,
As I mentioned, I only have five months to go.

1737
03:41:34,540 --> 03:41:34,540
I'm willing to continue to to be part of whatever committee to to talk about the,
The elimination of this dual

1738
03:41:43,960 --> 03:41:43,960
registration as a private citizen. But again,
I wanted you all to, to know my position.

1739
03:41:51,160 --> 03:41:51,160
I do hope that we can some day return to the,
To the days of single registration as occurred before the giant facility.

1740
03:42:01,200 --> 03:42:01,200
that's all I have. Any questions or comments on the das report for today in regards to the
Double registration.

1741
03:42:07,520 --> 03:42:10,920
all right. Thank you joe. We'll be asking you back. Let me also announce that I believe the media has asked for a briefing on this particular
Issue.

1742
03:42:18,040 --> 03:42:18,040
I will stay in the courtroom. I will invite all commissioners,
The da and the sheriff, or any other electeds who wish to remain.

1743
03:42:25,560 --> 03:42:25,560
we will have a briefing in here, but I will now call a recess.

1744
03:42:31,280 --> 03:42:31,280
give us about 45 minutes for lunch. But we also have a briefing that we're trying to get
Done.

1745
03:42:36,380 --> 03:42:36,380
so at this time, the court is in recess for lunch,
But we have a briefing and you all are so notified also those that are involved,

1746
03:42:44,700 --> 03:42:44,700
ed thomas you all need to remain for the briefing.

1747
03:42:49,220 --> 03:42:49,220
so at this time, court's in recess media. Monica,
Please help the media set up and we will talk.

1748
03:42:57,540 --> 03:42:57,540
yeah. Awesome. Man. Are we gonna eat? All right.

1749
03:43:05,540 --> 03:43:05,540
court's going to call in recess. I believe commissioner clay-flores is on her way,
But we'll start up let us continue time certain from 10:30 a.m.

1750
03:43:15,340 --> 03:43:15,340
discussion on those issues related to jail population,
Facilities related programs to include one,

1751
03:43:23,140 --> 03:43:23,140
two, three, four and five. Commissioner moody,
I believe this is yours.

1752
03:43:27,420 --> 03:43:27,420
let me just yield the floor to you, and you take up those that you wish to take up.

1753
03:43:34,920 --> 03:43:34,920
okay. Thank you judge. We had a robust discussion this morning with regard to some of the
Medical

1754
03:43:44,680 --> 03:43:44,680
facilities, medical treatment screening process at the jail.

1755
03:43:49,480 --> 03:43:49,480
this item was designed and was originally going to be brought last month but was tabled.

1756
03:43:57,880 --> 03:43:57,880
we are going to touch on some of the studies that are the other issues that we have
Identified surrounding the jail as well as some of the

1757
03:44:07,600 --> 03:44:07,600
the committees and getting updates on some of the other factors that are impacting the
Jail,

1758
03:44:13,880 --> 03:44:13,880
as we've kind of discussed so far. So the first thing I wanted to do was provide a quick
Update on laurel ridge

1759
03:44:25,400 --> 03:44:29,080
the laurel ridge treatment center. So I did get a quick update from strack. Unfortunately, both eric epperly and jordan couldn't be with us today.

1760
03:44:32,910 --> 03:44:32,910
they're actually up in austin with chief kidd,
But their notes said, you know, effective loss of 330 beds.

1761
03:44:43,510 --> 03:44:43,510
they have a small number of charity care beds open right now that are mostly walk ins.

1762
03:44:49,110 --> 03:44:49,110
this is required for them to get their center for medicare and medicaid services back and
A certain number of patients in the hospital.

1763
03:44:56,790 --> 03:44:56,790
but of those beds, 22 were contract beds for unfunded patients that were simply
Redistributed to the other psych facilities so that 300,

1764
03:45:06,750 --> 03:45:06,750
330 total bed loss is actually 40% of the psych inpatient market here in san antonio and
Bexar county,

1765
03:45:16,750 --> 03:45:16,750
40%. So we've lost almost half. When laurel ridge was shut down,
102 pediatric beds,

1766
03:45:26,510 --> 03:45:26,510
which is 50% of the pediatric psych inpatient market.

1767
03:45:31,650 --> 03:45:31,650
now, there are only 156 beds for children and adolescents in a county with a population of
440,000 between the ages of three and

1768
03:45:41,610 --> 03:45:41,610
17. So again, this is coming from from strack.

1769
03:45:46,850 --> 03:45:46,850
eric eppley, we're already seeing funded patients having to leave san antonio for
Inpatient treatment to austin and houston markets.

1770
03:45:54,810 --> 03:45:54,810
the impact of the loss of laurel ridge will be mainly felt by funded patients.

1771
03:46:01,850 --> 03:46:01,850
and the jail population is largely unfunded. The laurel ridge ceo notified us that they
Received notification from the center for medicare and medicaid

1772
03:46:11,370 --> 03:46:11,370
services of the acceptance of their reapplication to cms.

1773
03:46:15,810 --> 03:46:15,810
so that is the first step in a long journey back.

1774
03:46:20,050 --> 03:46:20,050
experts state that it's normally a 12 month or longer process.

1775
03:46:24,850 --> 03:46:24,850
united health systems continues to state their commitment to try to return back into the
Market as soon as possible.

1776
03:46:32,430 --> 03:46:32,430
so I just thought this was was important. This had occurred a few months ago,
And obviously mental health and our mental health beds,

1777
03:46:40,350 --> 03:46:40,350
both on the forensic side with regard to the jail and civil side,
Whether it relates to diversion or otherwise.

1778
03:46:47,710 --> 03:46:47,710
this is a big, big factor. We talk about the need for additional mental health beds,
And yet we're actually seeing right now nearly half of our

1779
03:46:57,830 --> 03:46:57,830
inpatient psych beds be eliminated, hopefully temporarily,
But but still for the time being eliminated.

1780
03:47:05,030 --> 03:47:05,030
so I think it was important that, that we highlight that and we continue to stay on top of
This and monitor it with the help of strack as we kind of go forward here.

1781
03:47:14,150 --> 03:47:14,150
the next item. Any any questions from the court?

1782
03:47:18,590 --> 03:47:18,590
okay. Thank you. The next item was just a update on the jail diversion ad hoc committee,
Which we did hear

1783
03:47:28,290 --> 03:47:28,290
from councilwoman terry castillo, staff member earlier.

1784
03:47:32,410 --> 03:47:32,410
but mr. Rodriguez, if you want to provide a county,
I'm happy to give just a quick, high level summary of what's happened so far.

1785
03:47:40,530 --> 03:47:40,530
so this is the joint city county ad hoc committee co-chaired by councilwoman castillo and
Myself that was established back in late

1786
03:47:49,530 --> 03:47:49,530
2025. The purpose is to develop a more coordinated diversion and recovery system that
Connects eligible individuals with behavioral health

1787
03:47:59,210 --> 03:47:59,210
treatment as opposed to being put in the jail.

1788
03:48:03,290 --> 03:48:03,290
so so far, we've met three times. And we've brought together a number of stakeholders
City,

1789
03:48:09,730 --> 03:48:09,730
county, health care professionals, law enforcement,
They've been very productive meetings.

1790
03:48:15,250 --> 03:48:15,250
we're working through some longer term solutions with respect to infrastructure,
Staffing procedural issues,

1791
03:48:22,730 --> 03:48:22,730
funding, etc. And as part of that effort, the.

1792
03:48:29,880 --> 03:48:29,880
engaged doctor testa. I know doctor testa is here who's been a great resource to do a
Feasibility study for a standalone joint

1793
03:48:39,960 --> 03:48:39,960
diversion center. So that study is examining the population that can be served treatment
Bed capacity,

1794
03:48:48,680 --> 03:48:48,680
operational and financial considerations. I think the timeline on that is probably closer
To the end of the year.

1795
03:48:54,200 --> 03:48:54,200
is that right, doctor testa? Yes. He's shaking his head. Yes. But in the meantime the work
Group is,

1796
03:49:01,600 --> 03:49:01,600
is currently working on a shorter term pilot program.

1797
03:49:07,080 --> 03:49:07,080
so that has been very productive. And the pilot planning currently involves again,
Developing the criteria for those that are eligible.

1798
03:49:15,720 --> 03:49:15,720
the screening and referral process, where to,
Where to locate it.

1799
03:49:20,480 --> 03:49:20,480
certainly right now they're not treating the pilot as a an alternative to the feasibility
Study,

1800
03:49:26,220 --> 03:49:26,220
but they're working in unison. And so it'll give us an opportunity to act in the near term
While doctor testa finishes the work on the longer term

1801
03:49:35,540 --> 03:49:35,540
solution. It sounds as if there is some consensus on.

1802
03:49:41,060 --> 03:49:41,060
I think procedurally who will be involved in the pilot program.

1803
03:49:45,460 --> 03:49:45,460
I think we're exploring some bed space with chc over off josephine street.

1804
03:49:51,180 --> 03:49:53,860
we're also talking with. And doctor aye has been very helpful. Doctor a's here on. You know, what happens in terms of after that initial intercept,
What kind of continuum of care

1805
03:50:03,860 --> 03:50:03,860
those individuals need? And we've talked to a couple of different nonprofits and groups,
Including ut health for that.

1806
03:50:10,020 --> 03:50:10,020
so I don't want to artificially say that this is going to happen tomorrow,
But my hope is and the councilwoman and I

1807
03:50:19,920 --> 03:50:19,920
have talked about. If we can figure out in really in the next few weeks what the pilot
Program may look like,

1808
03:50:27,960 --> 03:50:27,960
both the city and county putting something in our respective budgets here over the course
Of the next 6 to 7 weeks to help put that pilot program in

1809
03:50:37,760 --> 03:50:37,760
place. And so I know we've got another meeting scheduled at the end of this month in
August.

1810
03:50:44,760 --> 03:50:44,760
and I think it sounds like at least the pilot program may be coming to a head with some
Recommendation for both the city and county to consider for funding and

1811
03:50:54,680 --> 03:50:54,680
probably university health and other parties in jilin's also mentioned that she's reached
Out to the private sector on some private funding as well.

1812
03:51:03,680 --> 03:51:03,680
so it's been great working group, a lot of good progress,
And I'm hopeful that we will have a pilot program to launch here

1813
03:51:13,600 --> 03:51:17,400
in the next couple of months. Any questions? Yes. Just want. I just want to mention one thing. Dan barrett,
Chair of chc, came to me many years ago and talked about the fact that the northeast has

1814
03:51:26,100 --> 03:51:26,100
the most substance use, and it's got the least centers for substance use.

1815
03:51:32,660 --> 03:51:32,660
so the josephine is a good central location. That's a good centralized location,
Probably will help us a lot with our homeless and other inner city issues.

1816
03:51:42,140 --> 03:51:42,140
but there's and I don't want to overgeneralize it often can be an older user,
But a lot of your younger users are a little

1817
03:51:51,980 --> 03:51:51,980
further north in the county. So I looked with ed at the locations of our current mental
Health locations.

1818
03:52:00,900 --> 03:52:00,900
and they're kind of pretty western. So any consideration we can get for that,
Northeast and east and southeast would be really helpful.

1819
03:52:10,820 --> 03:52:10,820
yeah, I think it's a good point. I think when it came to the pilot.

1820
03:52:15,300 --> 03:52:15,300
right. Obviously that's a launching pad for hopefully a longer term solution.

1821
03:52:20,810 --> 03:52:20,810
the talk was about focusing on the central I guess sapd central zone or whatever you
However you refer to it.

1822
03:52:29,970 --> 03:52:29,970
so there wanted to be some proximity to, to that in terms of getting folks over there.

1823
03:52:35,610 --> 03:52:39,410
but again, these are low level nonviolent offenses. That, that will be eligible for some kind of immediate diversion,
But good point.

1824
03:52:44,090 --> 03:52:44,090
well taken. Commissioner. Did I miss anything good,
Doctor.

1825
03:52:50,250 --> 03:52:50,250
aye. Okay. That was try to sum it up in two minutes or less.

1826
03:52:55,530 --> 03:52:59,450
appreciate it. Thank you for the update on the diversion committee. Commissioner rodriguez. I did have one question for staff,
Though, because and there's a lot of support for for diversion.

1827
03:53:08,290 --> 03:53:08,290
and I think it's a a necessary but not sufficient for solving our issues.

1828
03:53:14,590 --> 03:53:14,590
but as we're going through this morning, is there a stat on the percentage of inmates who
Are eligible for diversion?

1829
03:53:24,510 --> 03:53:28,350
I don't know if I've seen some slides and some numbers at some point. I think we're working through some of the eligibility numbers because you know,
Obviously I think the natural reaction when we've been talking about

1830
03:53:38,350 --> 03:53:38,350
jail deaths is the assumption is they somehow could have been avoided if there was
Diversion.

1831
03:53:45,950 --> 03:53:45,950
the reality is a lot of, or some of the folks in the jail that that ended up in fatalities
Were there on felony and other more serious cases.

1832
03:53:55,390 --> 03:53:55,390
so I don't think we're approaching it as this is going to solve that issue,
But it certainly a part of the puzzle.

1833
03:54:03,670 --> 03:54:03,670
I don't know the number. I don't know if staff has that number,
But I think we're working.

1834
03:54:08,510 --> 03:54:08,510
that was one of the things we've been working through. Doctor gee,
Do you have something or. It's normally about 25%.

1835
03:54:18,250 --> 03:54:18,250
about 1200 people have eligible charges. It doesn't take into consideration their criminal
History or

1836
03:54:28,850 --> 03:54:28,850
anything like that. Okay. No, I knew it was ballpark somewhere in that range.

1837
03:54:34,450 --> 03:54:34,450
commissioner. Commissioner. Let me add a comment made at the public forum last week,
The lulac,

1838
03:54:40,850 --> 03:54:40,850
for which they made a citizens to be heard. Henry rodriguez,
Judge rangel put on the record.

1839
03:54:47,650 --> 03:54:47,650
and I want on the record that in regards to the diversion and as a pathway to get people
Out of the jail,

1840
03:54:56,570 --> 03:54:56,570
there are laws that have been passed through the governor's office and through the state
Legislature.

1841
03:55:02,890 --> 03:55:02,890
in the past, two legislatures that have restricted our court system,
Both the district court and county court laws that prohibit

1842
03:55:12,910 --> 03:55:12,910
the diversion of prisoners through what we call pr bonds.

1843
03:55:18,150 --> 03:55:18,150
and so, because they may have an act of violence,
Somewhere in their lifetime will rule them ineligible for

1844
03:55:27,350 --> 03:55:27,350
diversion. And that is something that I, as a former district court judge,
Will work with our judges.

1845
03:55:35,150 --> 03:55:35,150
and I believe I want to give credit and and appreciation to our current judges who work
Very hard on the jail population.

1846
03:55:43,910 --> 03:55:47,150
but this tells you that it is a multifaceted. It is a complex process, and it requires other stakeholders.

1847
03:55:51,430 --> 03:55:51,430
what we've done today is basically get some immediate solutions that will help alleviate
The jail,

1848
03:55:57,590 --> 03:55:57,590
but more importantly, recognize the needs of the people that are coming into the jail,
Especially those that are medically fragile or have medical issues and have difficulties

1849
03:56:07,350 --> 03:56:10,180
getting the services they need at the front end. And I think you heard some real great solutions.

1850
03:56:12,780 --> 03:56:12,780
and with the sheriff commitment and his staff commitment,
I believe we will have we'll see positive impacts as a result of today's action.

1851
03:56:21,860 --> 03:56:21,860
but I just wanted to put that on the record,
Commissioner, that as a commissioners court,

1852
03:56:27,700 --> 03:56:27,700
we're an extension of the state of texas, and those laws that get passed may not have the
Support of the court,

1853
03:56:37,060 --> 03:56:39,580
but that's just those are the rules we live by. And when we can't let people out of jail, then we need our legislators and our to come up
With solutions that will help us at the local level.

1854
03:56:48,300 --> 03:56:52,260
I'd like to put that on the record. No appreciate judge. And yeah, that is clearly the case. And we can agree to disagree on on whether we support
The laws or not at the

1855
03:57:02,100 --> 03:57:02,100
state level. My only point in highlighting this is just,
Again, the again, the necessary but not sufficient.

1856
03:57:08,360 --> 03:57:11,240
like this is a piece of the puzzle when it comes to diversion. But as we heard, only roughly 25% of individuals taken into the jail are even eligible for
Diversion.

1857
03:57:19,680 --> 03:57:19,680
right. So there's there's still a large population that that is not a solution for.

1858
03:57:25,280 --> 03:57:25,280
and I just want to make sure everybody's level set on that.

1859
03:57:31,000 --> 03:57:31,000
so the other three items c, d and e, we were going to doctor norma greenfield board if you
Could come up and

1860
03:57:41,160 --> 03:57:41,160
we were going to revisit the studies that we have previously paid for as a court I believe
About $250,000 this court has has put

1861
03:57:51,160 --> 03:57:51,160
into meadows study. Doctor testa study who's here with us today.

1862
03:57:55,760 --> 03:57:55,760
and then also I know dan curry you'll, you'll finish things out with kind of the sash
Reuse discussion that we had previously looked at maybe 18 months ago here in

1863
03:58:05,620 --> 03:58:05,620
this courtroom. But just again, to to highlight the issues beyond the medical intake
Screening

1864
03:58:14,740 --> 03:58:14,740
process. We've talked about capacity issues with the current jail and housing inmates out
At a cost,

1865
03:58:22,180 --> 03:58:22,180
which we aren't today, fortunately. But that comes and goes,
And we know that the mental health beds,

1866
03:58:29,060 --> 03:58:29,060
both civil and forensic. And then as it relates to kind of these medical enhancements and
Or facilities and what that looks like as well

1867
03:58:39,300 --> 03:58:39,300
at the current jail going forward. So I think a lot of these things get touched on within
These studies.

1868
03:58:45,700 --> 03:58:48,780
and so I'll just turn it over to you to kind of walk us through it. Okay. So I'm going to go ahead and start with the study,
Study doctor testa.

1869
03:58:57,180 --> 03:58:57,180
so when he came over and did his study, he also made some recommendations.

1870
03:59:02,640 --> 03:59:02,640
and so that's what you see here on this slide,
Were the recommendations that he made for us to include enhance whatever it may be.

1871
03:59:11,960 --> 03:59:11,960
so I want to go through them because I'm proud to say that just about all of them have
Been completed.

1872
03:59:21,040 --> 03:59:23,840
and I'll give you an update on the ones that have not. So the applewhite we, I know we've can you hold on one second?

1873
03:59:29,120 --> 03:59:29,120
can we get the slides up? There we go. Thank you.

1874
03:59:34,640 --> 03:59:37,840
because we don't have it. We don't have it physically. So can we get full screen? Sorry. Yeah. So we can actually read with with as we go to the
Control booth,

1875
03:59:45,200 --> 03:59:45,200
to the control booth. Can we get full screen on that for the court? Thank you. I'm sorry
Doctor,

1876
03:59:49,520 --> 03:59:49,520
go ahead. There we go. Got it. Okay. So for applewhite we had met with chief jarvis.

1877
03:59:55,920 --> 03:59:55,920
and so I think they've already have moved 138 from applewhite.

1878
04:00:05,910 --> 04:00:05,910
okay. 129 have been moved into that area that we that the court invested in for
Applewhite.

1879
04:00:13,230 --> 04:00:13,230
so that's up and running and helping with the moving people out of the jail into either
Ddr or isf or

1880
04:00:23,270 --> 04:00:27,270
safe p and let me just highlight that again. How many did you say? 129. 129 individuals because of the actions of this court?

1881
04:00:32,910 --> 04:00:32,910
yes, sir. Back in april and the discussion that we drove around this,
We were able to connect the dots on that.

1882
04:00:38,990 --> 04:00:38,990
and there was a gap. And this court helped provide that support when it came to
Prescriptions through us to ensure that that those beds could be filled and utilized.

1883
04:00:48,030 --> 04:00:48,030
I think that's a win for this court and we should highlight it. Yes,
Absolutely.

1884
04:00:52,230 --> 04:00:52,230
and then we had the creation of the gel based competency restoration program.

1885
04:00:58,650 --> 04:00:58,650
and that's with chc. We completed an mou with oc and bcso to work on that program.

1886
04:01:08,010 --> 04:01:08,010
and that that's where they screen individuals that have mental health issues or that can't
Go before court because they're incompetent.

1887
04:01:17,650 --> 04:01:17,650
so they work with those individuals. And so it's 128,
Right?

1888
04:01:22,050 --> 04:01:22,050
is that correct? That have been screened. The other thing was the chc restoration center,
Which would

1889
04:01:31,650 --> 04:01:31,650
provide 16 beds for crisis extended observation and 28 beds for residential detox.

1890
04:01:38,490 --> 04:01:38,490
and that has been completed as well. There was the contract with strack to provide eight
Psychiatric facility high acuity

1891
04:01:48,010 --> 04:01:48,010
beds for adults and children. And that was funded by arpa funding.

1892
04:01:55,850 --> 04:01:55,850
we had a contract with sober living houses to provide beds.

1893
04:01:59,870 --> 04:01:59,870
oh. I'm sorry. Am I reading the right? I'm sorry. I was like,
Okay, reading the wrong one here.

1894
04:02:05,590 --> 04:02:08,190
sorry, sir. That's the next slide. All right. So don't move it though. So the other one was electronic tracking for detainees.

1895
04:02:14,990 --> 04:02:14,990
bcso was looking into potential vendor vendors,
Which they're still looking for those.

1896
04:02:23,590 --> 04:02:23,590
cross-agency communication meeting with gia director and gia stakeholders.

1897
04:02:29,550 --> 04:02:29,550
that's been completed. Tony caceres heads that and he meets with the stakeholders,
Which includes da sheriff's department and any other parties that

1898
04:02:39,230 --> 04:02:39,230
work in the gia. Well, the dual registration,
Which we've discussed earlier with there's not a resolution,

1899
04:02:47,510 --> 04:02:47,510
but we're hoping to get there sooner. The computer hardware,
Wi-fi, we had some problems in there,

1900
04:02:54,610 --> 04:02:54,610
but that has been fixed and there are no issues with that any longer.

1901
04:03:02,370 --> 04:03:02,370
the pre-match case review, the process, the process is being identified and discussed in
Gm monthly meetings.

1902
04:03:08,930 --> 04:03:08,930
and those are the meetings that are with the cross agency communications that are
Happening pretrial financial interviews and risk assessments and intake

1903
04:03:18,850 --> 04:03:18,850
that continues to happen in gia and the transition to for mental health assessments and
From chcs

1904
04:03:29,410 --> 04:03:29,410
that is happening or we're working on getting that.

1905
04:03:34,370 --> 04:03:34,370
and then the integration of mental health and idd services under unified division.

1906
04:03:39,010 --> 04:03:39,010
and that's when we moved over with and acog. And we're looking for those contracts and

1907
04:03:50,850 --> 04:03:50,850
to establish, to expedite position and so for discharge.

1908
04:03:55,560 --> 04:03:55,560
expediters hired as part of a team which that's something else that us is doing.

1909
04:04:00,680 --> 04:04:00,680
not this has nothing to do with the medical enhancements. This is something else. And the
Social needs screener,

1910
04:04:07,760 --> 04:04:07,760
doctor testa felt that we needed someone in the gia to give social needs screening.

1911
04:04:15,360 --> 04:04:19,240
we are doing that. We're only doing it 9 to 5 right now. And we hope in future budgets to try to come back and get so that we can have 24 over
Seven.

1912
04:04:26,800 --> 04:04:26,800
that has been completed though. Doctor laborde,
Could you explain more of what is the expediter position at jag

1913
04:04:36,520 --> 04:04:36,520
tony. So the expediter position, the

1914
04:04:46,200 --> 04:04:46,200
role is when someone has been cleared for release from the gia,
And they have any necessary or appropriate referrals in their hand.

1915
04:04:55,660 --> 04:04:55,660
instead of having a social worker or a clinician be the person to kind of process all of
That paperwork.

1916
04:05:01,900 --> 04:05:01,900
an expediter is someone whose role is just to make it happen that much faster,
And expediting,

1917
04:05:06,540 --> 04:05:06,540
expediting a release and making sure they're checking for understanding and that they have
The appropriate referrals when they're released. I just want to go back

1918
04:05:16,500 --> 04:05:16,500
to this. Was the meadow study correct? No, this is this is this is doctor testa study.

1919
04:05:24,100 --> 04:05:24,100
the electronic tracking of detainees. Is that the wearables that we're talking about this
Morning for sure.

1920
04:05:29,500 --> 04:05:29,500
no, that was something else. Tony is tony. No,
Sir.

1921
04:05:38,380 --> 04:05:42,380
that's actually something to identify the individuals as they're going through the
Process. At this point, I know that the sheriff's office has been looking at multiple vendors to
See which one they believe would work best for the facility.

1922
04:05:49,920 --> 04:05:49,920
so is it from a medical or just knowing how long they've been there and where they're
Sitting?

1923
04:05:54,080 --> 04:05:54,080
correct. More where they've been to, what sections have been completed and where they're
At in the process.

1924
04:06:01,160 --> 04:06:01,160
okay. Got it. Thank you. It's like an ankle monitor kind of thing.

1925
04:06:06,320 --> 04:06:06,320
they were looking at bracelets. But again maybe there's a way to combine the medical and
Tracking device.

1926
04:06:20,200 --> 04:06:24,080
all right. And I did. And the one that's still in all of these have been completed. The ones where there's two in progress, the ones that tony just talked about and then the
Electronic bonds.

1927
04:06:30,760 --> 04:06:33,480
we have been working on that and there was some issues. And so it's going to set us back a little bit.

1928
04:06:36,960 --> 04:06:36,960
but we're working on that to expedite that. Let me make it clear,
I want that done before the end of the year.

1929
04:06:44,000 --> 04:06:47,220
yes. Or else I'll be checking on it every meeting. All right. Yes, sir. So you let everybody know.

1930
04:06:49,460 --> 04:06:53,380
judge sakai wants it done. That's what I'm telling you. All right. Thank you. Okay, let's see now. Let's go to the meadows.

1931
04:06:58,900 --> 04:06:58,900
okay. Now back to the meadows, which I accidentally started on first.

1932
04:07:02,940 --> 04:07:02,940
so this one let me. I'm going to go with the complete ones and then then in progress we
Probably will have to bring doctor a back up to discuss

1933
04:07:12,780 --> 04:07:12,780
those. So like I said, the jbc, which is the gel based competency restoration that has
Been completed.

1934
04:07:19,500 --> 04:07:19,500
and, and we continue to work through that. And that's,
Like I said earlier, if you if you want a little bit more detail of that,

1935
04:07:26,380 --> 04:07:28,900
I can have antonio come up and give that detail. If not, we'll move on to the next one. It's up to you.

1936
04:07:32,220 --> 04:07:32,220
okay. We're good. Okay. So. So we have like I said,
The

1937
04:07:43,060 --> 04:07:46,130
we've completed also, we talked about apple pie. We completed that and the restoration center to provide the 16 beds.

1938
04:07:55,610 --> 04:07:59,490
the contract with strack and the contract with sober living houses. I believe last commissioners court, the doctor aye and her team brought up for that those
That contract for

1939
04:08:08,770 --> 04:08:08,770
crosspoint and center court. So that's for that sober living houses and then the hospital
System.

1940
04:08:17,930 --> 04:08:17,930
okay. So we talked about strack or stick, which has been completed the contract with 12
Community substance users,

1941
04:08:25,010 --> 04:08:25,010
providers with opioid settlement fund funding that has been completed.

1942
04:08:30,130 --> 04:08:30,130
can we go back really quick? Sure, sure. The arpa multi-year funding for the psychiatric
Beds.

1943
04:08:36,890 --> 04:08:36,890
how long does that go out into the future? And you know what my next question is going to
Be?

1944
04:08:45,950 --> 04:08:49,510
yes. That I'll answer it before you can ask it. The psychiatric beds were arpa funded so that funding will end when arpa ends or did end
In june.

1945
04:08:58,150 --> 04:08:58,150
I'm going to ask the county manager's office if they if that particular project was part
Of the evaluation that was being conducted,

1946
04:09:05,390 --> 04:09:08,590
just to look at return on investment for for future funding. But no, those beds are no longer available. Okay.

1947
04:09:13,430 --> 04:09:13,430
thank you. Was that your question? Yes. Yes. So is there any

1948
04:09:23,030 --> 04:09:23,030
other questions you have or. Not here. You can go.

1949
04:09:30,070 --> 04:09:33,790
I think there's another slide that has some other recommendations. Unless there's questions from other members of court. Go ahead.

1950
04:09:39,310 --> 04:09:39,310
let me I would say this, one of the things that we we should consider is how we can use,
How we can work with the sheriff's department

1951
04:09:49,210 --> 04:09:49,210
and other law enforcement agencies with their asset forfeiture money by being preventative
With treatment and supporting capacity for

1952
04:09:58,970 --> 04:09:58,970
beds, we can invest in lower crime. Typically,
Those agencies will use those dollars for training and for equipment.

1953
04:10:08,850 --> 04:10:08,850
but there is an argument to make that their work in the field of law enforcement will be
Improved greatly by supporting some of these mental health

1954
04:10:18,650 --> 04:10:18,650
beds. So I think it's worth a conversation with the,
You know, everybody from dea to sheriff's department about could we use some asset

1955
04:10:26,890 --> 04:10:30,610
forfeiture monies to support some of these treatment services? Yes. Just a thought. No, I agree. Go ahead. Well,
Was there anything else?

1956
04:10:39,750 --> 04:10:39,750
go ahead. Continue. Well, this is what I was talking about earlier,
The gel based competency restoration.

1957
04:10:45,230 --> 04:10:47,550
I don't know if you wanted us to go into detail on that. That's something that's happening at the gel. Like I said,
We have an mou with chc and bcso to work with these individuals that are in custody to

1958
04:10:56,750 --> 04:10:56,750
help them restore for court so they can show up to court fully restored.

1959
04:11:04,510 --> 04:11:04,510
I can move on. Did you have the the slide that included the

1960
04:11:17,470 --> 04:11:17,470
I had it before this had the strategic recommendations for the adc and diversion.

1961
04:11:22,910 --> 04:11:22,910
let me see. There you go. Okay. All right. So these were the

1962
04:11:32,590 --> 04:11:32,590
recommendations I believe, that were brought at that april presentation.

1963
04:11:39,380 --> 04:11:39,380
so invest in new medical behavioral health facility on the current campus to improve
Capacity for behavioral health medical services.

1964
04:11:46,660 --> 04:11:49,540
and I believe that's something you were talking about earlier. Commissioner moody and current mandated treatment settings expand capacity at various
Locations for continued treatment outside of jail,

1965
04:11:58,500 --> 04:12:02,340
which applewhite will sash lifetime outpatient. And so that's one of the things that we have through contracts,
Like I said earlier with seneca and crosspoint with doctor

1966
04:12:12,380 --> 04:12:12,380
a's team and then other, we're in negotiation right now with that rfp that went out for
Outpatient services.

1967
04:12:18,900 --> 04:12:22,420
so we'll come back with those, those that have been selected. So we do have we're working on that. And then the last one,
Explore potential for diversion center outside of the jail to serve as a step down from

1968
04:12:31,500 --> 04:12:35,400
jail in a pathway to continue to the community based care. So that we talked a little bit about that with revamping to deuce as the sheriff was
Speaking about earlier.

1969
04:12:45,160 --> 04:12:45,160
we have also explored some areas with out in what's that area that we just went to mike
And

1970
04:12:54,880 --> 04:12:54,880
walsh's. O off of providence, sir. Yes, the providence center.

1971
04:13:03,360 --> 04:13:03,360
we also have been touring that as possibly also a step down.

1972
04:13:08,160 --> 04:13:08,160
so in other words, if they're diverted from the jail,
Assuming we have this perfect little weather they go to to deuce,

1973
04:13:15,360 --> 04:13:15,360
they're able to be diverted, then we're one of the places that we can divert them to is
We're looking at this area for some something to look at in the future.

1974
04:13:24,200 --> 04:13:27,360
so that way we have a place for them and a bed for them. Once again, we're looking at low level those that can receive.

1975
04:13:32,480 --> 04:13:32,480
they're eligible for a pr bond. So we're looking at that right now.

1976
04:13:36,820 --> 04:13:36,820
we don't have anything. You know, I haven't even I know the county manager is looking at
Me because that's something I haven't even really discussed with him. But we're looking at

1977
04:13:43,780 --> 04:13:43,780
some other options to come back to him and to you all and looking at other ways that we
Can keep them.

1978
04:13:51,980 --> 04:13:51,980
once we divert them, where do we want to put them and,
And give them ongoing services so that we don't see them come back?

1979
04:13:58,540 --> 04:13:58,540
yeah. And if, if I'm just looking at this slide and trying to simplify it for,
For those that the court mandated treatment settings,

1980
04:14:06,860 --> 04:14:06,860
we've done a lot in that space. The diversion center,
We're just talking about it.

1981
04:14:11,740 --> 04:14:11,740
commissioner rodriguez was talking about the ad hoc committee with the city of san antonio
Potential pilot,

1982
04:14:17,620 --> 04:14:17,620
and then see where that leads down the road. The first item,
Though, we haven't really given a lot of discussion to,

1983
04:14:25,060 --> 04:14:25,060
but it ties in with the medical screening to some extent.

1984
04:14:29,980 --> 04:14:29,980
but as I talked about this morning. There's the medical screening side,
And then there's like the treatment and medical services and mental health ongoing,

1985
04:14:40,000 --> 04:14:40,000
right? So the screening I think is easier to solve for us.

1986
04:14:44,680 --> 04:14:44,680
I know we talked about some enhancements that ed banos had laid out this morning.

1987
04:14:51,080 --> 04:14:51,080
right. Having an ambulance on site being able to cohort individuals who have more health
Needs so they can maybe

1988
04:15:01,000 --> 04:15:01,000
have more access. But I believe that ties in here in terms of discussion about like

1989
04:15:11,880 --> 04:15:11,880
what, what makes the most sense in terms of quality of service,
Quality of care, and what the cost would be to the county or to us.

1990
04:15:22,240 --> 04:15:26,120
so those items, there was no price tag on them. I have no idea what the price tag would be. I also know that there's a staffing component
To all of those things when we are ferrying those inmates,

1991
04:15:33,590 --> 04:15:33,590
as I'm sure the sheriff will mention later, we're ferrying those inmates back and forth to
The hospital.

1992
04:15:39,030 --> 04:15:39,030
that's, you know, additional personnel. Additional hours,
Overtime costs.

1993
04:15:43,710 --> 04:15:43,710
flsa. So I don't know what all those costs will look like,
But I think we should get a better sense of what those

1994
04:15:53,510 --> 04:15:56,510
costs are and compare those to, you know, what? If we were able to build a new medical behavioral health annex that would have mental
Health beds available,

1995
04:16:03,110 --> 04:16:03,110
as well as new military and military medical facilities on site that could reduce the
Requirement for

1996
04:16:12,550 --> 04:16:12,550
staffing, provide for more immediate care. And,
You know, at the end of the day, we don't even know what the cost comparison would be.

1997
04:16:22,350 --> 04:16:22,350
I also think because it would be a medical facility that we could have that conversation
With us.

1998
04:16:29,290 --> 04:16:29,290
and this wouldn't necessarily all be borne by bexar county.

1999
04:16:33,610 --> 04:16:33,610
so I think that this is something we need to continue to,
To explore in concert with the,

2000
04:16:41,130 --> 04:16:41,130
the sachse review study, which I know dan currie is on deck,
But, you know, we haven't really given this a serious discussion,

2001
04:16:50,570 --> 04:16:50,570
in my opinion, by this court to think about these other facilities and what,
What could be built that

2002
04:17:00,930 --> 04:17:00,930
you know, obviously we need the, the medical treatment and we need the,
The mental health beds.

2003
04:17:06,650 --> 04:17:06,650
this is potentially something that, that is,
You know, addresses both of those issues and could address,

2004
04:17:13,810 --> 04:17:13,810
you know, additional capacity needs over the coming decade or two.

2005
04:17:17,850 --> 04:17:17,850
because if you pull those inmates who have mental health you know,
Medical issues out of the existing

2006
04:17:27,470 --> 04:17:31,150
towers, then that provides additional space there. So I think it's continued needs to be continued to,
To explore and look at the cost comparison versus some of those enhancements we talked

2007
04:17:39,590 --> 04:17:39,590
about this morning. And then think about the trade offs in terms of care and timeliness of
That care and what that looks like.

2008
04:17:46,030 --> 04:17:46,030
and we should look at that as a court, but open any questions or comments from the rest of
The court.

2009
04:17:57,030 --> 04:17:57,030
okay. I think that you're correct in that in looking at that comparison,
Because we're at a place right now,

2010
04:18:06,230 --> 04:18:06,230
right where we have to decide what are we going to invest in?

2011
04:18:10,470 --> 04:18:10,470
and do we want to? And yes, some of these things are very costly,
I know, but we have to decide where do we want to put that cost?

2012
04:18:18,110 --> 04:18:18,110
do we want to put it up front to prevent other things that we're spending on?

2013
04:18:22,950 --> 04:18:22,950
and I'm glad that the court is looking at that,
Because I think it's going to be an important decision to make in the future,

2014
04:18:29,970 --> 04:18:29,970
is where do we want to spend those dollars to get the best return on that investment for
The future?

2015
04:18:35,970 --> 04:18:35,970
no, I agree. And, you know, I can't speak for anyone else on the court.

2016
04:18:41,610 --> 04:18:41,610
I don't know what concerns may be out there,
Whether it's the total cost or whether it's just a question about the additional capacity

2017
04:18:50,970 --> 04:18:50,970
or whether it's because I'm talking about it.

2018
04:18:55,410 --> 04:18:55,410
but clearly this wasn't my idea. This was the meadows study idea.

2019
04:18:59,850 --> 04:19:03,330
and they put it on the presentation that we paid for. And I guess I would like some feedback from the court and from staff at some point about
Like,

2020
04:19:11,010 --> 04:19:11,010
why, why we do not consider this as an option because it's obviously there on the page.

2021
04:19:18,690 --> 04:19:18,690
and I don't know if county staff. David thomas,
Anyone else can speak to that?

2022
04:19:25,920 --> 04:19:25,920
or you? Well, we've certainly put effort and time into trying to get the sash beds
Rehabilitated

2023
04:19:36,680 --> 04:19:40,000
and funded, but that didn't happen, as you know. But quite a bit of staff effort was spent trying to get that study ready so the
Legislature could help fund it and we could bring funding decisions to

2024
04:19:49,920 --> 04:19:49,920
you. But that hasn't happened. The sash reuse study that you're talking about.

2025
04:19:54,680 --> 04:19:56,840
yep. And we're going to hear about that next. Right. So if it's a if it's a question of we think sash reuse is a lower cost way to get
Mental health beds.

2026
04:20:04,640 --> 04:20:04,640
and that's the priority. Then that's a, you know,
A, you know, a fair position to hold.

2027
04:20:11,720 --> 04:20:11,720
it doesn't check the box for the medical facilities on site.

2028
04:20:15,800 --> 04:20:15,800
I still think we need to see what the total costs are and what the implementation of some
Of those enhancements we talked about this morning are.

2029
04:20:22,940 --> 04:20:22,940
but. Again, there's not a lot of feedback in terms of.

2030
04:20:29,380 --> 04:20:29,380
we talk about mental health beds. Everybody wants to talk about this being a crisis and an
Issue.

2031
04:20:33,980 --> 04:20:33,980
well, then what are we going to do about it? And this is one option that meadows presented
To this court two years ago,

2032
04:20:40,940 --> 04:20:40,940
three years ago. Sachse reuse is something county staff worked on,
Presented to this court 18 months ago.

2033
04:20:47,740 --> 04:20:47,740
we're going to hear about it again here in a second. If if sash reuse is something that we
Believe is the best option going forward,

2034
04:20:56,900 --> 04:20:56,900
and there's feedback and alignment by the court,
Then we can take that to austin.

2035
04:21:01,020 --> 04:21:01,020
we can't take anything to austin when we don't have a plan,
And we don't even know what we're advocating for on that front.

2036
04:21:07,500 --> 04:21:07,500
so I hope that we can get alignment on what that is.

2037
04:21:12,420 --> 04:21:12,420
that would be helpful. All right. Go ahead. I was going to get to,
I guess dance slide.

2038
04:21:18,720 --> 04:21:18,720
right. This one.

2039
04:21:28,880 --> 04:21:31,280
commissioners judge dan curry for the record. Director of facilities management. I'm not going to belabor this point,
But as you guys know, we did a study to explore the opportunity of taking over some of the

2040
04:21:40,120 --> 04:21:40,120
buildings that were vacated by the state of texas when they built their new mental health
Hospital and potentially leveraging those for county reuse.

2041
04:21:49,320 --> 04:21:49,320
we did this in november 2024. We identified seven existing buildings,
What they call the plaza buildings,

2042
04:21:57,480 --> 04:21:57,480
and they use some of them for geriatric care now,
But those would be potentially be available.

2043
04:22:02,240 --> 04:22:02,240
I know this is probably old news to you guys,
But again, we did a study to see what it would take to increase capacity and to renovate

2044
04:22:09,640 --> 04:22:13,600
those buildings to be compliant with current mental health treatment standards. It broke down to about $8 million per building seven of those buildings are not being
Used.

2045
04:22:19,670 --> 04:22:19,670
and again, we got. So we got far down the road. As david said,
We negotiated many, many times with the state of texas, couldn't come to terms on an

2046
04:22:25,670 --> 04:22:25,670
operational agreement. And I know that those things will come up again if the court
Chooses to add that to the legislative agenda.

2047
04:22:33,110 --> 04:22:33,110
you know, that's the court's discretion. But we do know that that those buildings can be
Repurposed for acute medical or mental health care.

2048
04:22:42,750 --> 04:22:42,750
now, the study studied everything from soup to nuts,
Like from community reintegration, work studies,

2049
04:22:48,230 --> 04:22:48,230
all those things. This was specifically concentrated on acute mental health beds to lessen
The jail population.

2050
04:22:55,110 --> 04:22:55,110
so happy to answer any questions. So are all these these beds are they existing?

2051
04:23:04,710 --> 04:23:04,710
like have the forensic civil, like flexibility or.

2052
04:23:09,830 --> 04:23:09,830
so we strictly looked at it from a lens from acute detention beds.

2053
04:23:15,770 --> 04:23:15,770
this is high custody, not a mix, because that was the critical population to try to
Address and get out of our existing detention facilities.

2054
04:23:26,010 --> 04:23:26,010
so again, these buildings are currently being used for 20 to 24 people.

2055
04:23:30,610 --> 04:23:30,610
we believe you can renovate them to treat 48 with those with some renovations.

2056
04:23:35,970 --> 04:23:39,410
and so we're trying to maximize capacity of some of those buildings. We explored looking 1 or 2 buildings at a time.

2057
04:23:42,890 --> 04:23:45,890
a pilot program. And I know there's conversations with the state. I know melissa shannon's going to give you guys an update here shortly.

2058
04:23:49,090 --> 04:23:49,090
you guys can ask her those questions about kind of those legislative agendas.

2059
04:23:53,330 --> 04:23:53,330
but again, the hurdle for us in doing this project was getting the state on board with
That operational plan.

2060
04:24:00,290 --> 04:24:00,290
so. First of all, I know kcs has said that hhs is also

2061
04:24:09,810 --> 04:24:09,810
considering a similar plan to renovate these buildings now.

2062
04:24:15,150 --> 04:24:17,990
so there may be some some competition in that regard. And if they they do it, then clearly they're going to maintain control of them.

2063
04:24:23,790 --> 04:24:23,790
what probably most people don't know is lubbock county actually did a very interesting
Legislative

2064
04:24:33,790 --> 04:24:33,790
effort last session. And they were able to get funding for a mix of forensic and civil
Beds that they actually have control

2065
04:24:43,710 --> 04:24:43,710
over. And so I talked to the lubbock county judge about this seems like an innovative
Approach.

2066
04:24:51,350 --> 04:24:51,350
I don't know, you know, what the, you know, whether it was seen as a pilot and whether
There was an opportunity for us to do the same thing,

2067
04:24:58,350 --> 04:24:58,350
but it's definitely worth exploring further. I believe I mentioned this previously in a
Court session probably last year,

2068
04:25:06,390 --> 04:25:06,390
but you know, both those two things we need to think about.

2069
04:25:11,890 --> 04:25:11,890
I think travis county also mentioned that they were exploring something similar as well.

2070
04:25:16,770 --> 04:25:16,770
but again, if this is a potential path forward and we think it makes sense,
Then let's align around exactly what an ask is and take to the legislature.

2071
04:25:27,210 --> 04:25:27,210
this versus the mental health behavioral health annex at the jail.

2072
04:25:31,970 --> 04:25:31,970
like what are the trade offs like? Where do people stand on the court? Are we opposed to
All these items?

2073
04:25:37,530 --> 04:25:37,530
I don't know. I'm just trying to bring it back and say,
Hey, this is what was presented.

2074
04:25:43,770 --> 04:25:43,770
these this is the work that staff has done. Let's get some feedback and alignment around
Where we stand,

2075
04:25:50,650 --> 04:25:50,650
what we want to try to do. If we agree this is a problem,
And then we can actually go with an aligned plan up to austin and make the ask.

2076
04:25:58,930 --> 04:25:58,930
but we don't have that yet. So I'll turn it over to the rest of the court.

2077
04:26:04,810 --> 04:26:04,810
we also don't have a speaker from lubbock county on our side.

2078
04:26:09,480 --> 04:26:09,480
so that was a little helpful as well. But but no,
I think it's a good conversation.

2079
04:26:15,360 --> 04:26:15,360
commissioner. And I think we've talked about it,
I think with the urban county folks too,

2080
04:26:21,400 --> 04:26:21,400
about the regional approach, what lubbock, what lubbock county did I think was a good
Model.

2081
04:26:27,760 --> 04:26:27,760
and I think it was a pilot program. But they did have some synergy and some help from the
Speaker as well.

2082
04:26:34,880 --> 04:26:34,880
but, but I think as we, if we go with some kind of a plan with a reasonable ask,
Then I think

2083
04:26:44,880 --> 04:26:48,560
we should start now and start working with our delegation. Absolutely. I appreciate the feedback. Commissioner.

2084
04:26:54,360 --> 04:26:54,360
yeah, so just a comment generally on all of this.

2085
04:27:00,640 --> 04:27:00,640
so I guess just because I may not bring something as an agenda item doesn't mean that I'm
Speaking for myself?

2086
04:27:07,060 --> 04:27:07,060
I can't speak for the rest of commissioner. It doesn't mean that it's not something that I
Have been working on continuously in 2022,

2087
04:27:12,940 --> 04:27:12,940
because I remember judge wolff was here and I was talking to we went to sash together and
I was taking too long. And he was like, by rebeca,

2088
04:27:18,700 --> 04:27:18,700
I'll see you later after like, I think an hour and 45 minutes,
I was like, okay, bye, judge.

2089
04:27:23,340 --> 04:27:23,340
and so I stayed there and I was talking to some of the patients and just really seeing how
We can reuse this.

2090
04:27:28,740 --> 04:27:28,740
and so it looks like the sash concept appears to depend on legislative,
Legislative authority in approximately $56 million.

2091
04:27:35,940 --> 04:27:35,940
so that is something frankie and I, my chief of staff,
Have gone up to austin a few times,

2092
04:27:41,820 --> 04:27:41,820
and we have continuously, regardless of if it was because I was specifically there for
Advocating for the esds or whatever it is I'm always

2093
04:27:51,620 --> 04:27:54,580
talking to them about. We need more mental health beds. That's been something I've been talking about and advocating for since day one. And so we
Will continue to work with our bexar county delegation to make

2094
04:28:04,400 --> 04:28:07,560
sure that they know that that is a priority for us. But I do think that this having everything here in black and white.

2095
04:28:13,760 --> 04:28:13,760
doctor norma, the rest of the staff, doctor andrea,
It's really has brought to light a lot of things.

2096
04:28:19,560 --> 04:28:19,560
say it's in progress. Complete working on contract feasibility study,
Launch monthly meetings.

2097
04:28:25,240 --> 04:28:25,240
pilot location identified. So it does show the work that we have been doing talking about
Enhancement and improvements.

2098
04:28:31,520 --> 04:28:31,520
so thank you for that. There's a lot of work to do when we talk about mental health.

2099
04:28:37,120 --> 04:28:37,120
I mean, even when we get a facility, I'm still going to be like,
We need more.

2100
04:28:43,120 --> 04:28:47,000
you know, we're finally getting the us south side hospital built. I advocated to make sure there's a third floor,
And that third floor is solely dedicated to mental health.

2101
04:28:52,280 --> 04:28:52,280
and it's wonderful. And I talked to us all the time about how excited I am,
But I'm like,

2102
04:28:56,600 --> 04:28:58,760
we need more. You know, we're going to need more. We're going to need to build more on this and expand on this.

2103
04:29:01,280 --> 04:29:04,180
so it's never going to be sufficient because we are already behind. And of course, we don't just take in bexar county residents,
But it's always you know, we also have to shoulder a lot of the burden from the rural

2104
04:29:11,620 --> 04:29:11,620
counties in the area. So we have a lot of work to do,
But I know that our county staff, as we continue to meet doctor andrea,

2105
04:29:19,940 --> 04:29:23,020
doctor norma, we meet repeatedly on different things. And I'm always talking about this and I'll continue to push us as well.

2106
04:29:26,500 --> 04:29:26,500
but you know, frankie has already told me that in january we're going to be going up to
Austin and we will continue to,

2107
04:29:33,500 --> 04:29:33,500
to work on things as well as other things that our constituents need. So thank you. Good.

2108
04:29:39,900 --> 04:29:39,900
thanks, commissioner. So I think the thing about so like commissioner clay-flores,
This is in my precinct,

2109
04:29:46,500 --> 04:29:46,500
I've been working. I think I was probably the first one to come up with the idea about
Using the land that's available and things to be renovated.

2110
04:29:54,900 --> 04:29:54,900
the issue is that we don't necessarily get a dedicated amount of spaces because as a state
Forensic thing,

2111
04:30:00,210 --> 04:30:00,210
in large part, those priorities of whatever counties are in the region usurp us.

2112
04:30:07,170 --> 04:30:07,170
so we have more control over the first proposal of the tower,
The 280 or whatever number,

2113
04:30:14,130 --> 04:30:14,130
$284 million thing. So that's I mean, we could put in a lot of I mean,
It's needed, don't get me wrong.

2114
04:30:21,490 --> 04:30:25,330
and it should be a layup for the state to get this done in the next session. But in terms of our diversion, I'd be leaning more towards the first capital improvement.

2115
04:30:36,770 --> 04:30:36,770
I appreciate all the feedback and it's a great point,
Right, to, to see the full value of this for bexar county or for our region,

2116
04:30:45,850 --> 04:30:48,890
then we have to get the, the lubbock deal, right. We have to have control over that asset and be able to fill those beds.

2117
04:30:53,970 --> 04:30:53,970
otherwise it's a state asset, which is, you know,
Marginally beneficial to, to us being here,

2118
04:30:59,390 --> 04:30:59,390
but we don't get the same value out of it. So,
I mean, it could also be a two pronged approach,

2119
04:31:05,110 --> 04:31:05,110
right? Where we can see if if we can get that control.

2120
04:31:10,230 --> 04:31:10,230
and if, if we don't get that control, then we still have to look at a bigger project that
We can control.

2121
04:31:17,270 --> 04:31:20,190
so that's, that's just coming out of the discussion here. Maybe, maybe there's a near-term path. And if it produces fruit,
Then then that's excellent.

2122
04:31:26,350 --> 04:31:30,070
and if it doesn't, then we have to pivot to a different option. I don't know, judge. Do you have any feedback? I want to just put on the record some
Statements that have been made both by the public and by the court and by

2123
04:31:39,750 --> 04:31:39,750
staff today. And I'm asking staff to please verify that right now,
I'm looking at our jail population.

2124
04:31:47,590 --> 04:31:47,590
as of today, we have a little over 4700 people that are in custodial jail population,
Which is a significant

2125
04:31:57,370 --> 04:31:57,370
decrease from the last two years. We also, as I see,
We have zero people housed out of

2126
04:32:07,330 --> 04:32:07,330
county. And I believe that's been that way for about a month now that we have nearly 400
Beds available.

2127
04:32:15,490 --> 04:32:18,970
although we have issues that are being discussed. I also want the public to understand that we have been working hard and the staff has been
Working hard,

2128
04:32:25,610 --> 04:32:25,610
and obviously we need to come up with long term solutions.

2129
04:32:30,770 --> 04:32:30,770
but one of the things that has also come on,
And I see mr.

2130
04:32:34,930 --> 04:32:34,930
curry, and I want on the record that we are going through a big renovation and upgrade of
The jail at this time,

2131
04:32:43,530 --> 04:32:43,530
and that has taken away beds at this time. Is that a correct statement?

2132
04:32:48,290 --> 04:32:50,650
and it will continue for about the next year. And how many beds are currently offline as a result of your renovation and upgrades right
Now,

2133
04:32:56,350 --> 04:32:56,350
about 128. That could rise to 300 in the coming new year.

2134
04:33:00,510 --> 04:33:00,510
and so within the year, we will probably have those beds come back online.

2135
04:33:05,430 --> 04:33:05,430
correct, correct. And so also would like to put on the record that this is a very complex
Process in order because we

2136
04:33:15,350 --> 04:33:15,350
have, as I indicated earlier, commissioner moody,
We have to have significant conversations with the judiciary,

2137
04:33:22,790 --> 04:33:22,790
our judges who help move the cases. We will have to have significant communication with
Our district attorney's office.

2138
04:33:31,470 --> 04:33:31,470
our current district attorney has come up with helpful solutions in regards to the double
Registration,

2139
04:33:38,510 --> 04:33:38,510
and I believe we will be able to hopefully resolve those issues by the end of the year.

2140
04:33:44,230 --> 04:33:44,230
but we also have a new day coming. And so I am cautiously optimistic that what we will
Have is with staff working as hard as

2141
04:33:54,220 --> 04:33:54,220
they can with the expertise that we have been given.

2142
04:33:58,420 --> 04:34:01,580
that I hear your frustration, commissioner moody. But I want to give the staff a pat on the back,
Because they work hard every day and they continue to work hard.

2143
04:34:10,260 --> 04:34:10,260
and I agree with you that we got to give them direction.

2144
04:34:14,340 --> 04:34:14,340
but I will draw a line as county judge until I leave at the end of the year.

2145
04:34:18,540 --> 04:34:18,540
we also have to be mindful that there is a capacity issue with the staff we have.

2146
04:34:24,380 --> 04:34:24,380
we don't necessarily have all the staff to do all the things that each of us want on this
Court.

2147
04:34:32,580 --> 04:34:32,580
and that's just the reality, because if we were to do that,
I would suggest to you we would work our employees into the ground.

2148
04:34:40,740 --> 04:34:40,740
and I don't think that's fair. And so I wanted to say thank you again to our employees,
To our staff,

2149
04:34:48,940 --> 04:34:52,840
and to the professionals that have helped us get to this point. The report I just heard today through doctor greenfield is that we have completed much of
The recommendations,

2150
04:34:59,960 --> 04:34:59,960
and the biggest recommendation is yet to be resolved at s double magistrate.

2151
04:35:04,640 --> 04:35:04,640
so I am cautiously optimistic that we have a very bright future.

2152
04:35:09,920 --> 04:35:09,920
but we do have tough decisions, commissioner rodriguez,
About the positions and the budget and the tax rate we are going to have to impose,

2153
04:35:18,520 --> 04:35:18,520
and I'm going to put on record. I'm not going to personally support a property tax
Increase.

2154
04:35:25,160 --> 04:35:28,720
you all decide what you all need to do. That's all I have to say today. Can I comment judge? So, you know, they built this new hospital and unfortunately the new
Hospital has the same number of beds

2155
04:35:38,680 --> 04:35:41,320
of the old facility, which I think is ridiculous. Right. When you put all this money into a new hospital,
Then let's build some more beds. Nonetheless, they didn't. We don't control the state, so

2156
04:35:48,080 --> 04:35:48,080
frankly, I don't care if this new facility that I've been talking about since day one that
I got here.

2157
04:35:54,660 --> 04:35:54,660
if it's a county facility or if it's a state facility,
We just need more beds.

2158
04:36:00,020 --> 04:36:02,700
so if the state's not going to do it, then we need to do it. But of course, the state is the one that has the funding.

2159
04:36:06,100 --> 04:36:06,100
and so we need to continue to advocate at the state level.

2160
04:36:10,420 --> 04:36:10,420
and we can't be reactionary in talking about,
Well, the jail, they're going to have less people and all this.

2161
04:36:17,060 --> 04:36:20,140
that's why I continue to advocate for preventative. That's why I fought for the $20 million for more social workers in our schools.

2162
04:36:24,620 --> 04:36:24,620
that's why we spend millions of dollars on to support our nonprofits that we partner with
For the recovery centers,

2163
04:36:30,620 --> 04:36:30,620
funding for courts. That's why I pushed for the clinic to have the third floor solely
Dedicated to mental health services,

2164
04:36:36,700 --> 04:36:36,700
because this is about preventative. So if we help on the front end,
Then we don't have to be so reactionary.

2165
04:36:43,380 --> 04:36:43,380
so that's just really important. Thank you. Well,
We've had several hours of discussion on a lot of

2166
04:36:53,360 --> 04:36:56,400
topics related to the jail and criminal justice system today. I just want to say, I appreciate we we got some feedback here today on,
On some of these items.

2167
04:37:03,720 --> 04:37:03,720
I don't think we got to any kind of conclusion or clear direction at this point,
But it's a step in the right direction,

2168
04:37:10,440 --> 04:37:10,440
I think in terms of getting some feedback and thoughts going forward.

2169
04:37:14,880 --> 04:37:14,880
I'll commit to to reengaging with the lubbock county judge and trying to better understand
The,

2170
04:37:21,040 --> 04:37:24,040
the solution that they have in place out there. And then I think ultimately we have to figure out if there's a specific ask for the
Legislative session around this what does that look like?

2171
04:37:32,560 --> 04:37:32,560
and who tries to carry it going forward? But that is,
I think all we had.

2172
04:37:40,840 --> 04:37:40,840
any closing thoughts on the item? All right. That's all I have.

2173
04:37:45,670 --> 04:37:49,270
all right. That concludes that particular agenda item. Let us now go to agenda item number six, filing for the record the following legal and
Administrative documents and directing the criminal district attorney's office to take

2174
04:37:58,030 --> 04:37:58,030
action if necessary. A through o. Number seven approval of commissioner court minutes for
Tuesday,

2175
04:38:06,030 --> 04:38:09,470
july 7th, 2026. Motion by commissioner calvert. Second by commissioner moody. All those in favor of the motion signify by saying aye.

2176
04:38:13,550 --> 04:38:16,670
aye. Any opposed? Any abstention? Motion carries. Let's get to citizens to be heard, and I. I know it's been a long day for all of us and
For those that stuck it out.

2177
04:38:23,630 --> 04:38:23,630
thank you. I'm sure you have something very significant to say.

2178
04:38:28,270 --> 04:38:28,270
so the first one up will be kristi watts watson and then sue ann pemberton and belinda,
You all are

2179
04:38:37,950 --> 04:38:37,950
following. Good afternoon. Thank you guys for giving us a moment to come and appreciate.

2180
04:38:45,650 --> 04:38:45,650
express our appreciation for your support. I represent project mend and we've been serving
The community for 34 years.

2181
04:38:53,010 --> 04:38:53,010
we are the second largest medical refurbishment organization in the nation with 20 staff,
And we are the first

2182
04:39:02,930 --> 04:39:02,930
largest in texas. So without your support, we would not be able to serve 85% of the
Clients that we serve are in bexar county.

2183
04:39:12,250 --> 04:39:12,250
60% of those that we serve are 60 and over. And I'm very proud to announce that we have
Recently received additional funding from tbc to

2184
04:39:22,010 --> 04:39:22,010
increase our services for veterans, their surviving spouses,
And their dependents.

2185
04:39:28,610 --> 04:39:32,050
so we're actually able to provide that support statewide. So thank you to the court. And thank you to each of you individually for supporting
Project mend.

2186
04:39:39,370 --> 04:39:42,670
I love project men. Thank you. Y'all have a good day. You too. Sue ann pemberton. And, belinda, you want to come up at the same time?

2187
04:39:49,830 --> 04:39:53,750
I believe y'all are my appointees to the bexar county historical commission. But what brings you? I think we're being served up for dessert. So you got three minutes.

2188
04:39:57,990 --> 04:39:57,990
belinda gavalas, chair of the bexar county historical commission and resident of precinct
Number three.

2189
04:40:04,910 --> 04:40:04,910
we are here as representing the bexar county historical commission to inform you and to
Make a request regarding the weakening of the national preservation act of

2190
04:40:14,270 --> 04:40:14,270
1966, section 106, and how it affects bexar county.

2191
04:40:20,270 --> 04:40:20,270
this is a national. Federal regulation that is very,
Very important to bexar county because it is the most

2192
04:40:29,830 --> 04:40:29,830
historically dense county in the state. In a nutshell,
Section 106 requires all federal agencies to consider the effects of

2193
04:40:39,770 --> 04:40:39,770
projects that that they carry out, whether that is to approve or in funding on historic
Properties,

2194
04:40:48,410 --> 04:40:48,410
which include structures, open land, archeological sites and cultural resources.

2195
04:40:57,090 --> 04:40:57,090
the bexar county historical commission is charged by the state statute to review any and
All projects having any federal dollars involved in its funding.

2196
04:41:07,210 --> 04:41:07,210
that is $1, two millions of dollars and a webinar.

2197
04:41:11,250 --> 04:41:11,250
last week, the national trust for historic preservation stated clearly that the national
Preservation act is under threat.

2198
04:41:17,810 --> 04:41:17,810
bexar county historical commission was part of over 5000 attendees from across the united
States.

2199
04:41:24,690 --> 04:41:24,690
that takes this watering down of the act very,
Very seriously.

2200
04:41:30,010 --> 04:41:30,010
bexar county, the most historically dense county in the in the state.

2201
04:41:35,010 --> 04:41:35,010
our commission believes that our historical assets will be at risk.

2202
04:41:40,960 --> 04:41:40,960
and I am going to hand this over to my colleague,
Sue ann pemberton, professor of architecture,

2203
04:41:48,080 --> 04:41:48,080
university of texas at san antonio. Good afternoon.

2204
04:41:52,760 --> 04:41:56,080
thank you, judge and commissioners. Yes, my name is sue ann pemberton. And section 106 has been part of the historic preservation act since 1966.

2205
04:42:03,600 --> 04:42:03,600
san antonio is actually in the crosshairs at that point,
And the work that was done at hemisfair actually influenced section

2206
04:42:13,560 --> 04:42:13,560
106. As a result of that, 22 historic structures are preserved along with the acequia in
That area and the advisory council for historic

2207
04:42:23,400 --> 04:42:23,400
preservation, which has a completely new makeup than it has in the past.

2208
04:42:30,520 --> 04:42:30,520
proposes changes to section 106 that will eviscerate the preservation of our shared civic
And cultural heritage in the united states.

2209
04:42:40,060 --> 04:42:40,060
and part of our task, our assignment from you all to to be on the historic commission is
To protect and represent bexar

2210
04:42:49,820 --> 04:42:53,700
county's historical heritage and watch over that. So currently it's the. It's being rewritten to make it easier for federally funded
Projects to take place and to

2211
04:43:04,660 --> 04:43:04,660
eliminate the protections of our heritage at this time.

2212
04:43:08,700 --> 04:43:08,700
so the preservation of critical is critical to our national level and also at our bexar
County level.

2213
04:43:16,820 --> 04:43:16,820
as belinda said, we have a very rich historic history,
Which you all are all familiar with.

2214
04:43:21,580 --> 04:43:21,580
so the heritage will be threatened with the new language.

2215
04:43:26,860 --> 04:43:26,860
bexar county historical commission requests your support in opposing these changes because
These changes eliminate local awareness.

2216
04:43:35,400 --> 04:43:35,400
in other words, we won't even get informed as to federal projects are taking place.

2217
04:43:39,480 --> 04:43:39,480
and it reduces our ability to protect our historic properties and our surroundings.

2218
04:43:46,280 --> 04:43:46,280
so historic preservation not only preserves what we what we have,
But what we do who comes to see us.

2219
04:43:54,640 --> 04:43:54,640
it affects our economy drastically in this area.

2220
04:43:59,160 --> 04:43:59,160
and so given the opportunity to weigh in, please protect the review process that has
Served us well since 1966.

2221
04:44:07,280 --> 04:44:07,280
so our ask at this point as a group from the bexar county historical commission is we
Request your permission to make a statement

2222
04:44:16,720 --> 04:44:20,400
representing to our elected officials, state and federal. Write a letter to express our disapproval of these changes and the negative impact on
Bexar county.

2223
04:44:28,040 --> 04:44:28,040
so we actually ask for your authorization today due to the very brief window for public
Comment.

2224
04:44:38,140 --> 04:44:38,140
and just to clarify, that window was given to us just what,
Last week at the webinar, during the webinar of the national trust for

2225
04:44:47,780 --> 04:44:51,420
historic preservation. And we have till the end of july. Is that correct? That we have we've already passed that. I'm sorry,
Not the end of july. End of august,

2226
04:44:55,980 --> 04:44:55,980
end of august. To get our thoughts to our elected officials.

2227
04:45:00,500 --> 04:45:00,500
it was deliberately compressed our opportunity to offer any sort of thoughts on weakening
This act was deliberately compressed.

2228
04:45:11,020 --> 04:45:11,020
so this is why we waited after our bexar county historical meeting yesterday.

2229
04:45:17,180 --> 04:45:17,180
we literally said we can't get on the agenda,
But we'll sign up to be heard because it's that important.

2230
04:45:23,500 --> 04:45:23,500
judge, can I just have a point of personal privilege? Sure,
Sure. Commissioner. So, miss pemberton,

2231
04:45:29,410 --> 04:45:29,410
good to see you. Thank you for your testimony. You said that they are proposing these
Changes to.

2232
04:45:35,810 --> 04:45:35,810
who are they proposing these changes to? I mean,
The federal government, the advisory council is proposing them to the secretary of the

2233
04:45:43,730 --> 04:45:43,730
interior, the department of the interior. Sorry for the for this law.

2234
04:45:50,210 --> 04:45:50,210
the section 106 is part of the preservation. I just went blank.

2235
04:45:55,490 --> 04:45:55,490
the the act. So they're wanting to change that act of 66 to become much easier to bypass.

2236
04:46:04,850 --> 04:46:04,850
have, have the commission historical commission been able to ascertain if congress gives
This authority,

2237
04:46:11,330 --> 04:46:11,330
because there's a lot of federal overreach where the administration winds up getting sued
Because they have no authority to do the things they're trying to do.

2238
04:46:18,050 --> 04:46:18,050
this this is why the, the, the national trust for historic preservation sent out the all
Points bulletin to conservation societies,

2239
04:46:26,770 --> 04:46:26,770
to historical commissions to all preservationists and historians to please act quickly
Because what they're going to do instead of,

2240
04:46:35,990 --> 04:46:35,990
for example, you want to build a cell phone tower out near mission san jose.

2241
04:46:40,910 --> 04:46:44,550
it protects the viewshed. It protects archeological finds. It protects cultural resources. Now, as the changes are going to be made,
That verbiage is now going to be.

2242
04:46:53,950 --> 04:46:53,950
if you choose to ask the county historical commission or the powers that be in the county
Of historic preservation,

2243
04:47:02,590 --> 04:47:02,590
you can. Or you don't have to. Yeah. But belinda,
My question is still, do they have the authority in the law from congress to make this

2244
04:47:11,430 --> 04:47:15,230
change? Do you know? No. Only congress can make the change. And this is why we we're requesting authority and approval from this body to allow us to
Write our.

2245
04:47:23,510 --> 04:47:23,510
our dissent of this change as a group. So, so because the bexar county historical
Commission is a tiger with no fangs.

2246
04:47:31,690 --> 04:47:31,690
yeah. You know, so, I mean, I have no issue. It's not agendized.

2247
04:47:36,530 --> 04:47:36,530
we could agendize it in the next meeting. But this is an administration that only
Understands a federal judge when it comes to these things.

2248
04:47:46,170 --> 04:47:46,170
and I submit to you that you might have better results talking with the conservation
Society about suing over this in the

2249
04:47:56,130 --> 04:47:56,130
appropriate jurisdiction. They may not want to come to the fifth circuit,
But they may want to look at a sister or historical in a more

2250
04:48:05,530 --> 04:48:05,530
favorable jurisdiction. So, you know, we can agendize it in the next meeting,
But they tend to do what they want to do,

2251
04:48:14,490 --> 04:48:14,490
even if it's not legal. And you need to go the legal course in order to really stop it,
Just like they did at in philadelphia,

2252
04:48:22,810 --> 04:48:25,310
where they removed all the information about slavery. It was a federal judge that said the administration didn't have the authority to do that.

2253
04:48:30,430 --> 04:48:30,430
our request. Can I comment? I'm sorry. Let me have commissioner rodriguez well,
I would I was just going to mention and I don't think he's here today,

2254
04:48:38,470 --> 04:48:38,470
but I have appointed somebody jason vasquez to the historical commission today.

2255
04:48:45,230 --> 04:48:45,230
so you'll have a new member. Yeah, he's a good guy from the jefferson neighborhood
Association.

2256
04:48:53,430 --> 04:48:57,230
so I wanted to mention that as to the other information. Thank you for for being here. I know we don't normally get into a back and forth. It's
Your time to be heard,

2257
04:49:01,990 --> 04:49:01,990
but I think we'll have you know, some, some good dialog if there's something that we can
Follow up on.

2258
04:49:07,110 --> 04:49:09,790
happy to visit with you afterwards. Thank you sir. Sure. Commissioner. Clay-flores. So we appoint your board.

2259
04:49:15,190 --> 04:49:15,190
so, larry, correct me if I'm wrong. As a board,
You guys can agree to go against this and write a letter or what have you,

2260
04:49:23,660 --> 04:49:23,660
and you all sign it. Correct. Now, if you want,
This is my thought, then larry can correct me.

2261
04:49:29,660 --> 04:49:32,100
so I would say y'all can do what y'all need to do. Now, if you want commissioners to sign, can you please send a draft letter to my office
Specifically to my chief of staff,

2262
04:49:41,620 --> 04:49:41,620
and I will make sure that she reviews it. And then we can edit appropriately and then
Individual commissioners can sign if they choose to.

2263
04:49:50,420 --> 04:49:50,420
okay. Can I have council to, to kind of guide us on this issue,
I think.

2264
04:49:55,500 --> 04:49:55,500
commissioner. Clay-flores is accurately stated,
But can you can you help our historical commission members?

2265
04:50:03,020 --> 04:50:03,020
well, so I don't know exactly if there's a change in the actual statute that's
Congressional.

2266
04:50:08,100 --> 04:50:08,100
if there's a change in the rules from a an agency,
There's typically a comment period where the federal agency.

2267
04:50:16,460 --> 04:50:16,460
that's just typical administrative process. So I'm not sure exactly what's going on.

2268
04:50:21,720 --> 04:50:24,440
the court could take no action today because it's not agendized. They've heard your comments. I guess I can look into it to see exactly what's happening.

2269
04:50:28,880 --> 04:50:28,880
there's either this is part of a comment period or it's part of a,
A campaign to make congress aware.

2270
04:50:35,440 --> 04:50:38,120
I'm not sure which that is. I didn't see the bulletin. If you want to send it to me, I'd be glad to look at it for on behalf of the court.

2271
04:50:42,240 --> 04:50:44,520
commissioner clay-flores is probably correct. They're probably. It's probably a campaign to bring awareness and maybe we're asking for a
Letter of support.

2272
04:50:51,320 --> 04:50:51,320
I'm not really sure. What specifically you're asking the court to do,
But certainly we can have that conversation through maybe commissioner rodriguez's

2273
04:50:59,480 --> 04:50:59,480
appointee. We take care of the section 106 approvals or rejections.

2274
04:51:06,320 --> 04:51:06,320
sue ann takes care of that. She is the chair of historic sites and structures,
And it is not with it is not my

2275
04:51:15,680 --> 04:51:15,680
practice to issue letters to entities representing the entire bexar county

2276
04:51:25,300 --> 04:51:25,300
historical commission without getting some guidance or approval from the judge.

2277
04:51:31,940 --> 04:51:31,940
then you should agendize that through the county manager's office and ask for that again,
Because certainly what happened yesterday and just finding out that

2278
04:51:41,860 --> 04:51:41,860
we have a very limited window and there is a sense of urgency that needs to take place.

2279
04:51:47,540 --> 04:51:51,420
it was it was not within the window of time that we could agendize this. Therefore, we did wait all day so that we could bring it to their bring it to their
Knowledge.

2280
04:51:55,900 --> 04:51:59,620
they need to know. Certainly no dispute there. Point of order. No action could be taken, judge.

2281
04:52:02,300 --> 04:52:05,820
I get it. Let me. Let me help y'all. Let me get it clear. Send a formal letter from either y'all individually you as a group,
Which would mean you would need action at your board if that's what you want

2282
04:52:15,920 --> 04:52:15,920
to do, so that you send it to me and cc david smith,
The manager, we will take it up.

2283
04:52:23,080 --> 04:52:23,080
we need to know exactly as you've heard. And so I'm trying to put clarity.

2284
04:52:27,760 --> 04:52:27,760
if you want individual letters from each commissioner or me,
They can you can ask that you can make your request directly to them.

2285
04:52:37,160 --> 04:52:37,160
if you're asking for a resolution from the court,
We will need to agendize it and put it on the 18th.

2286
04:52:44,680 --> 04:52:48,120
I will put on record that. I will approve it if it's late. I don't think it's late foul yet, but time is of the essence.

2287
04:52:51,920 --> 04:52:55,440
but you'll have to wait till august 18th. Right. August 18th for formal action, either for a resolution or if you're asking for the court
To approve the

2288
04:53:04,920 --> 04:53:04,920
actions that the bexar county historical commission wish to take as a group.

2289
04:53:11,400 --> 04:53:11,400
I think the key distinction is do you wish to speak individually?

2290
04:53:15,990 --> 04:53:15,990
do you wish to speak as a board? And do you wish to speak to the court individually,
Or do you wish for the court to speak as a group?

2291
04:53:25,150 --> 04:53:25,150
if it does, it takes formal action, which we cannot do today.

2292
04:53:29,230 --> 04:53:32,230
we cannot give you feedback to say as a group. But and I'll be honest with you, I need to do research.

2293
04:53:36,230 --> 04:53:36,230
I would be glad to discuss this with you one on one,
Both of y'all.

2294
04:53:40,990 --> 04:53:40,990
and then that way I can give you my opinion as to what I think is the best course of
Action.

2295
04:53:46,470 --> 04:53:46,470
thank you. I believe I believe each commissioner is free to decide whether or not they
Wish to support this request.

2296
04:53:54,790 --> 04:53:58,190
does that make it clear? Thank you sir, I appreciate that very much. At a minimum, I would like to be able to submit something to our higher elected officials,

2297
04:54:06,110 --> 04:54:06,110
governor and federal legislators as a group and sanctioned by the bexar county historical
Commission.

2298
04:54:14,130 --> 04:54:14,130
bear. Bear county commissioners court. Of course,
Anyone can write whatever they want to write.

2299
04:54:19,330 --> 04:54:19,330
and that's why I'm. I'm putting guardrails. You cannot make any statement in regards to
The court as a whole unless it is formally approved.

2300
04:54:28,930 --> 04:54:28,930
you can put each. If a commissioner wants to put their name to the letter,
So be it.

2301
04:54:33,930 --> 04:54:33,930
commissioners, y'all can make your name. I will not lend my name till I have my staff.

2302
04:54:39,730 --> 04:54:39,730
and I'm looking at staff to do my research and to advise me,
And then I will give you an immediate response.

2303
04:54:47,090 --> 04:54:47,090
perfect. Thank you so much. Thank you for your time. You're welcome. We just didn't want
To blindside you or.

2304
04:54:52,130 --> 04:54:52,130
but we think that we really need to get ahead of this. I appreciate that as as as a county
Judge and as behalf of commission and you as individuals.

2305
04:55:00,690 --> 04:55:00,690
sometimes I'll just say this. Sometimes we don't always get feedback from our board
Appointees or from the boards we pick.

2306
04:55:08,850 --> 04:55:11,950
so this is. Thank you for what you're doing. Thank you. It is important. It is transparent. And it is.

2307
04:55:15,110 --> 04:55:15,110
it is appreciated. Thank you, thank you. Good to see you,
Susan.

2308
04:55:19,830 --> 04:55:19,830
okay. We had a little civics lesson there. Okay.

2309
04:55:26,230 --> 04:55:26,230
is jermaine johnson from the city of sandy oaks still here?

2310
04:55:32,590 --> 04:55:35,230
are you here? Oh, my gosh, you're still here. Sandy oaks, I believe we approved your in consent,
So I don't know if you're aware of that,

2311
04:55:42,110 --> 04:55:42,110
but thank you for staying. And you have three minutes and I believe you're a constituent
Of precinct one.

2312
04:55:49,630 --> 04:55:49,630
so, mister johnson, you have the floor. Afternoon,
Judge.

2313
04:55:54,390 --> 04:55:54,390
commissioners. Judge, I'd just like to appreciate yourself as well as commissioner
Clay-flores for approving this this funding.

2314
04:56:04,310 --> 04:56:07,790
mayor michael martinez, the city council staff. And I want to personally thank you for the community development block grant.

2315
04:56:14,370 --> 04:56:14,370
commissioner. Clay-flores. The program. Your funding recommendation for the rochester
Street project is a direct result of the partnership we have built with your office.

2316
04:56:24,170 --> 04:56:24,170
the funding of this project means a great deal to our community,
And sandy oaks does not take it lightly.

2317
04:56:29,250 --> 04:56:32,690
we are grateful to have you in our corner. Thank you all. Thank you, mr. Chairman. Thanks for staying with us all day. Thank you and good luck to
The city of sandy oaks.

2318
04:56:37,890 --> 04:56:37,890
marianne votion. Are you still here? There you are.

2319
04:56:47,610 --> 04:56:50,210
good afternoon. You have something to hand out? Thank you. Good afternoon and good to see you today.

2320
04:57:00,010 --> 04:57:00,010
I'm marianne votion. I'm a mother and now a grandmother.

2321
04:57:04,770 --> 04:57:04,770
I'm a resident of president a precinct three and have been all my life.

2322
04:57:10,560 --> 04:57:14,480
I'm here today because of something very simple. I want my grandchild to make it safely across the street as he attends hidden forest
Elementary every school day morning,

2323
04:57:23,600 --> 04:57:23,600
kids in this precinct walk and bike through the school zones where drivers are routinely
Speeding through distracted rushing to where they need to

2324
04:57:33,560 --> 04:57:33,560
be. As a grandmother, that's not an abstract traffic statistic to me.

2325
04:57:40,440 --> 04:57:40,440
that's my grandchild standing on the curb. That's why I'm asking you to approve constable
Vojvodich request for two motorcycles

2326
04:57:50,000 --> 04:57:50,000
dedicated to school zone enforcement. Motorcycles can get through the drop off traffic in
Ways that police cars simply cannot,

2327
04:58:00,840 --> 04:58:00,840
and they're far more visible to drivers that visibility alone is what makes people slow
Down.

2328
04:58:08,220 --> 04:58:08,220
and the evidence backs this up. When officer.

2329
04:58:12,420 --> 04:58:12,420
when officers maintain a steady presence in school zones,
Citations drop dramatically from a thousand a month down to maybe

2330
04:58:22,220 --> 04:58:22,220
200 because drivers learn officers are actually there helping watch our children and keep
Them safe.

2331
04:58:31,900 --> 04:58:31,900
this court has already approved the exact kind of request before for precinct one and on
Today's own agenda,

2332
04:58:40,380 --> 04:58:40,380
precinct two. I'm simply asking for you to give precinct three children the same
Protection you've given the other areas of the

2333
04:58:50,060 --> 04:58:50,060
county. This isn't a big ask. Two motorcycles.

2334
04:58:56,180 --> 04:58:56,180
but to grandma, who's called honey. It means everything.

2335
04:59:00,900 --> 04:59:03,920
please approve this before the first day of school. It's just around the corner. Thank you. Thank you.

2336
04:59:07,680 --> 04:59:07,680
antonio diaz. Diana rodriguez, I believe you spoke this.

2337
04:59:12,440 --> 04:59:12,440
you're back. Antonio. Diana.

2338
04:59:26,360 --> 04:59:28,840
and I'll give him the same commendation. They're just. They come as a group. What? I don't know. He signed up again.

2339
04:59:37,200 --> 04:59:37,200
good afternoon. Antonio. Diana. You have to talk to antonio.

2340
04:59:41,400 --> 04:59:41,400
you have the floor. I'll let you talk. Again?

2341
04:59:49,480 --> 04:59:49,480
I chose to speak twice because of the jail issue,
Which is very, very concerning.

2342
04:59:56,560 --> 04:59:56,560
but so is this new proposed ice detention. I don't want to call it a sinner.

2343
05:00:03,820 --> 05:00:03,820
I is more of a prison. And we've seen we've participated in some of the actions out there,

2344
05:00:13,660 --> 05:00:13,660
but we've seen other, other actions one recently and it actually got some of the
Participants arrested.

2345
05:00:23,660 --> 05:00:23,660
and that is what it's coming down to because our community really,
Really opposes having this prison camp,

2346
05:00:32,420 --> 05:00:32,420
this concentration camp in our city and having ice agents already within the building

2347
05:00:42,380 --> 05:00:42,380
or fencing it in and protecting it when there's no one there yet.

2348
05:00:48,340 --> 05:00:48,340
I think it's just to instigate those people that choose to go out there and protest it.

2349
05:00:54,500 --> 05:00:54,500
and so we had an incident of arrests already this past friday.

2350
05:00:59,090 --> 05:00:59,090
and it's going to continue. I know that you all can't do anything,
Such as much of what's being spoken today and the funding of certain issues.

2351
05:01:06,890 --> 05:01:06,890
if the feds don't want to give you the money,
Or if the governor doesn't want to dispense it down to the counties,

2352
05:01:12,970 --> 05:01:12,970
you all can't do very much. And so I understand those logistics,
But it's that we have to continue to raise our voices against what we against what we are,

2353
05:01:22,730 --> 05:01:22,730
against what we oppose. And we oppose our people being treated like animals.

2354
05:01:29,410 --> 05:01:29,410
we, we, we mexican americans have native roots that are being denied,
Being denied by the colonization by spain,

2355
05:01:37,610 --> 05:01:37,610
and continue to be denied by the colonization of the texas republic and the anglos that
Took over,

2356
05:01:43,290 --> 05:01:43,290
that displaced our people, murdered, hung, burned our villages and towns.

2357
05:01:48,170 --> 05:01:48,170
it continues today with these sorts of actions because we are the targeted,
Even though we are the original people from here now,

2358
05:01:56,430 --> 05:01:56,430
the place they used to place a label of greasers of wetbacks on us to be able to
Discriminate against us.

2359
05:02:03,310 --> 05:02:03,310
now we are the illegals. So everybody can turn their back on us and say,
Well, they're illegal.

2360
05:02:09,430 --> 05:02:11,910
it's okay to shoot them. It's okay to incarcerate them. It's okay to put their children in prison because they are illegal.

2361
05:02:15,270 --> 05:02:15,270
well, once we were greasers, once we were mojados and wetbacks to be shot,
Hung, burned out of our houses.

2362
05:02:23,310 --> 05:02:23,310
it continues and we are totally against it. And that is why I'm here,
Basically to voice that out.

2363
05:02:30,870 --> 05:02:30,870
but in support of those ladies that were here. What will be attacked will be such
Buildings that native americans built thousands of years ago.

2364
05:02:39,030 --> 05:02:42,430
we see it already with the caves out here in texas. Those are targeted by this, trying to do this to,
To to, to section action 106.

2365
05:02:50,310 --> 05:02:50,310
so it's a priority. I hope you all look into it and whatever those ladies need for,
For for you to support.

2366
05:02:57,610 --> 05:02:57,610
please do so. Thank you, thank you. Jacqueline.

2367
05:03:02,330 --> 05:03:02,330
rita. Diana. I'm sorry. Go ahead, go ahead. Sorry,
Sorry.

2368
05:03:07,530 --> 05:03:07,530
apologize. I just want to say I hope you listen to these ladies,
Too, because I live on the south side also

2369
05:03:17,250 --> 05:03:17,250
we buried some family members in the in the cemetery by espada and and.

2370
05:03:29,250 --> 05:03:29,250
we're still here. I have pictures to. From my dad burying his uncle there,
You know?

2371
05:03:38,890 --> 05:03:38,890
and I mean, y'all are trying to develop. We're we're for it for development,
But hey, leave our cemeteries alone.

2372
05:03:49,170 --> 05:03:49,170
the the coronado was a cemetery itself, and I've been attacking the city to not really
Attacking,

2373
05:03:59,590 --> 05:03:59,590
attacking, but, you know, as an activist to try to get a swimming pool there and for our,
Our children,

2374
05:04:09,950 --> 05:04:09,950
you know, and us, we don't have one and we have to go to other places to go swim.

2375
05:04:17,630 --> 05:04:17,630
but it's because they didn't remove the bodies.

2376
05:04:22,590 --> 05:04:22,590
they, they crushed the, the stones. There's headstones.

2377
05:04:28,990 --> 05:04:28,990
and that's just that's all they did. I was alive when that happened,
You know, so I witnessed that.

2378
05:04:38,270 --> 05:04:38,270
so yeah. You know. I mean, you gotta leave the cemeteries alone and our historic

2379
05:04:48,910 --> 05:04:48,910
sites to one of my well, both of my my ancestors were there at the san jose mission.

2380
05:04:58,660 --> 05:04:58,660
I have pictures of them. And we have those dia de los muertos,
You know.

2381
05:05:04,980 --> 05:05:04,980
and I go over there and I take my pictures. So please,
You know, listen to them.

2382
05:05:11,900 --> 05:05:11,900
and I, I'm going to look and see if they help me out too,
Because I want to be involved.

2383
05:05:18,900 --> 05:05:18,900
you know, there's a lot of stuff that y'all are getting rid of.

2384
05:05:24,060 --> 05:05:24,060
y'all going to make a h-e-b over there by 410.

2385
05:05:28,420 --> 05:05:28,420
well, that's where that cemetery is at. So, you know,
Hey, and a lot of these meetings that y'all

2386
05:05:38,380 --> 05:05:38,380
put, y'all need to look into it too, because there was an ordinance on that,
That we're not supposed to have meetings in the city because

2387
05:05:48,300 --> 05:05:48,300
of all these accidents and everything that's going on.

2388
05:05:52,320 --> 05:05:52,320
y'all need to remove them again. I know you're trying to stop people from going.

2389
05:05:59,960 --> 05:05:59,960
time has expired so that you could get there.

2390
05:06:04,960 --> 05:06:04,960
get get them to catch them. You know, but these medians are stopping a lot of people and
Causing a lot of traffic.

2391
05:06:12,640 --> 05:06:12,640
thank you. Diana. Thank you. Muchas gracias. All right.

2392
05:06:18,160 --> 05:06:18,160
jacqueline. Rita. Jacqueline. Rita.

2393
05:06:30,000 --> 05:06:30,000
good afternoon, miss jackie. Good afternoon,
Judge peter sakai and commissioners.

2394
05:06:36,520 --> 05:06:36,520
I just wanted to elaborate on how I'm a mother first,
But I'm

2395
05:06:46,380 --> 05:06:46,380
also, it seems, the mother to the community. I have a with building brighter communities
Nonprofit and we have thousands

2396
05:06:56,380 --> 05:06:56,380
of clients that we've assisted since two since the covid.

2397
05:07:01,980 --> 05:07:01,980
I've been doing this for over 15 years, helping people with mental illness and assisting
Them,

2398
05:07:07,540 --> 05:07:07,540
getting them off the streets, helping them get to the point where they can live or take
Care of themselves.

2399
05:07:15,100 --> 05:07:15,100
I think that building brighter communities needs to be on a seat or have a seat on
Whatever board or whatever discussion,

2400
05:07:23,940 --> 05:07:23,940
because we are experts in it. We also have received the contract for relocating 300
Clients at the soap

2401
05:07:33,620 --> 05:07:33,620
factory, and we've done that with no incidents.

2402
05:07:40,100 --> 05:07:40,100
I just wanted to say, as far as mental health.

2403
05:07:46,280 --> 05:07:46,280
I have two sons. One is schizophrenic, the other one is bipolar schizophrenic.

2404
05:07:54,800 --> 05:07:54,800
my son is 30 years old. The other one is 35. My son was going to get medication at the ut
Downtown.

2405
05:08:06,080 --> 05:08:09,160
I had had back surgery, so I couldn't take him. And in turn, an officer on the bike said he gave a cigarette to one of the minor children
That was standing there.

2406
05:08:17,760 --> 05:08:17,760
but if long story short, if it hadn't been for an attorney that was sitting across the
Street eating lunch,

2407
05:08:26,160 --> 05:08:26,160
my child would be still in prison. I just wanted to say they

2408
05:08:36,160 --> 05:08:36,160
they called everybody that was at that bus stop.

2409
05:08:40,640 --> 05:08:40,640
that lawyer went and got their information. I'm trying to keep from crying because it's
Bringing back the memory.

2410
05:08:47,950 --> 05:08:47,950
but they arrested my child. They tortured him in jail.

2411
05:08:53,390 --> 05:08:53,390
at 35 years old, my son has to be coerced to come outside.

2412
05:09:00,790 --> 05:09:00,790
he was a student at saint philip's college. So yes,
I know mental illness

2413
05:09:11,070 --> 05:09:11,070
and I know what some people prejudge. All the witnesses at the bus stop stated that my son
Never

2414
05:09:21,990 --> 05:09:21,990
gave a cigarette to any children, and the case was dismissed.

2415
05:09:29,790 --> 05:09:29,790
but that doesn't negate from the fact that he was tortured.

2416
05:09:37,670 --> 05:09:37,670
so things like that, we all know, goes on in the prison and then in jail,
But he wasn't able to discuss because of his

2417
05:09:47,490 --> 05:09:50,650
mental illness. Discussed the whole entirety. What happened? He was able just to say that I'm coming from the hospital getting my
Medicine.

2418
05:09:58,770 --> 05:09:58,770
so that's one fact that people with mental illness and schizophrenia,
They sometimes when their medicine is diluting from their system,

2419
05:10:07,170 --> 05:10:07,170
they're not able to comprehend like we would.

2420
05:10:12,330 --> 05:10:12,330
but I just wanted to say that and make sure that you guys know that building broader
Communities.

2421
05:10:20,410 --> 05:10:20,410
I've done this free of charge, helping people in san antonio because I'm born and raised
San antonio.

2422
05:10:30,450 --> 05:10:30,450
I've traveled the world, and I made a promise that I would come back because of where I
Grew up.

2423
05:10:35,410 --> 05:10:35,410
I wanted to help other people time has expired,
And I appreciate your time, and I hope you guys consider

2424
05:10:45,390 --> 05:10:49,230
our nonprofit. Thank you, miss jackie. All right. Let me give you the opportunity. Skyler jackson,
If you're still here, you signed up for 9499.

2425
05:10:56,870 --> 05:10:59,630
we still have to go to executive and then come back out. Do you want to go ahead and I'll give you the opportunity to speak now and put your
Statements on the record.

2426
05:11:04,630 --> 05:11:08,150
or do you want to continue to wait till we call up that matter? You want to say what you want to speak now? You have three minutes,
Mr.

2427
05:11:11,470 --> 05:11:11,470
jackson. All I know it's been a long day, commissioners,
So I'll make it worth your time.

2428
05:11:19,870 --> 05:11:19,870
I'm here today. I am skyler jackson. I come from the united homeowners improvement
Association.

2429
05:11:26,790 --> 05:11:26,790
last month I just turned 24, but since before I was born,
We have been promised rezoning and multiple changes surrounding that

2430
05:11:36,230 --> 05:11:36,230
frost center for. It's been decades. And also I was one of the first neighborhood voices
To

2431
05:11:46,370 --> 05:11:46,370
publicly back the san antonio stock show and rodeo expansion plan in 2025.

2432
05:11:51,570 --> 05:11:54,250
we supported proposition a at the ballot box. We were we're, I'm here today because we believe this court is on the verge of delivering
Exactly what you have already told the public you intend to deliver.

2433
05:12:03,730 --> 05:12:03,730
and we want to make sure our neighborhood is not left out of how that gets built.

2434
05:12:08,210 --> 05:12:10,170
you have already told us where this is headed. We're asking you to follow through. As of the may 26th commissioners court meeting
Actually,

2435
05:12:16,490 --> 05:12:16,490
commissioner moody stated that this is a rodeo first plan and rodeo first commitment.

2436
05:12:21,250 --> 05:12:21,250
if there are things that have been put out there and other plans that complement the
Vision of expanded programing at the rodeo,

2437
05:12:26,850 --> 05:12:29,530
they could be considered. But ultimately it has to mesh well. If it doesn't, then we can't have three different versions competing on the same piece of
Ground that the county owns.

2438
05:12:35,000 --> 05:12:35,000
and what you describe, mr. Moody, is exactly what's happening right now in the interim.

2439
05:12:39,560 --> 05:12:39,560
we still have continued zoning for light industrial,
For freight.

2440
05:12:45,880 --> 05:12:45,880
and what's ended up what's going to end up happening is over time,
It's going to look more of the same if we allow that to happen.

2441
05:12:54,880 --> 05:12:54,880
calvert also you spoke on this. You say we put the the spurs first in the last 27 years.

2442
05:13:00,480 --> 05:13:00,480
and that meant in many ways the community came second.

2443
05:13:05,760 --> 05:13:05,760
if we don't put community first and the community will continue to continue to suffer and
We will continue to have development as an island. I aye is asking this court to make the

2444
05:13:13,600 --> 05:13:13,600
statement true in practice, not just in principle,
By giving our neighborhood association a real ongoing seat in this process,

2445
05:13:21,120 --> 05:13:21,120
because we have been a good steward of the east side for decades.

2446
05:13:25,560 --> 05:13:25,560
since my mother was born, this these changes have been promised.

2447
05:13:30,720 --> 05:13:34,020
so our requests and I'll, I'll try to speed this up. That item 94 grant and development agreement fully protect the rodeos,
Parking, trailers,

2448
05:13:39,020 --> 05:13:42,220
staging, and year round operational needs before it is executed. Honoring the rodeo first standard that any broader master development agreement with hunt
Development group,

2449
05:13:47,500 --> 05:13:47,500
lincoln property company, or any future partner keep genuine retail,
Dining and housing in the plan,

2450
05:13:52,700 --> 05:13:52,700
not allow it to shrink into additional freighter warehouse capacity,
Where our roads will continue to be distressed and have to be redone,

2451
05:13:58,620 --> 05:13:58,620
as was just done. We support a real mixed use district.

2452
05:14:04,220 --> 05:14:04,220
we oppose it becoming an industrial industrial buffer for against our homes.

2453
05:14:08,860 --> 05:14:08,860
and we also ask that the city's parallel rezoning case,
Which is going to include a letter for you guys to reference a z 2025 10700157.

2454
05:14:18,140 --> 05:14:18,140
direct parcels along belgium lane, gambler road and frost bank center toward retail and
Restaurant uses rather than additional freight or warehouses.

2455
05:14:27,860 --> 05:14:27,860
also a standing seat for the on the east side economic development advisory council and or
The community arenas board and formal inclusion in any community

2456
05:14:37,680 --> 05:14:37,680
input process tied to this redevelopment for as long as the master plan remains under
Negotiation either through the vice president alonso or president.

2457
05:14:45,600 --> 05:14:45,600
jackie. So basically there's two visions. Council we have the vision that currently
Exists,

2458
05:14:52,680 --> 05:14:52,680
which is going to be more freight, more disconnection from the community,
Or we have the opportunity to have something on the level of zilker park,

2459
05:15:00,280 --> 05:15:00,280
the stockyards in dallas and the cowboys stadium,
Or I guess, the spurs all in one location,

2460
05:15:05,920 --> 05:15:09,800
which would truly make san antonio way better than those other cities. Am I right, guys? Come on, we got to be the best.

2461
05:15:14,120 --> 05:15:14,120
thank you so much for your time. Respectfully god bless you guys.

2462
05:15:19,160 --> 05:15:19,160
thank you, miss jackson. All right. I believe that concludes citizens to be heard.

2463
05:15:23,240 --> 05:15:23,240
citizens be heard any more. All right, we have to go back.

2464
05:15:27,480 --> 05:15:30,700
we still have one more matter out of consent. We will now take up agenda item number 12. Notification of payment to those employees who
Have accumulated hours in effect in excess of the flsa

2465
05:15:40,420 --> 05:15:40,420
maximum level for an estimated amount of $1,391,815,
And approval of the appropriate budget transfer in the amount of

2466
05:15:49,780 --> 05:15:49,780
330 $600,316. Offices and departments with employees approaching the maximum age

2467
05:15:59,460 --> 05:15:59,460
limits are encouraged to take appropriate action to reduce such balances.

2468
05:16:04,700 --> 05:16:04,700
those offices and departments that have already exceeded the limitations have been
Notified that they need to immediately reduce the level of hours or pay the listed

2469
05:16:14,580 --> 05:16:14,580
employees below the flsa limit. Commissioner moody.

2470
05:16:19,060 --> 05:16:19,060
you pulled it. You have the floor. Thank you judge.

2471
05:16:24,540 --> 05:16:24,540
can we just I was just going to pull up the two graphs that I mentioned earlier.

2472
05:16:30,610 --> 05:16:30,610
yeah, that's not the case here, sir. It's the adc hours work for paid overtime and flsa
Hours.

2473
05:16:39,650 --> 05:16:39,650
yeah.

2474
05:17:00,330 --> 05:17:00,330
are they trying to find it or.

2475
05:17:35,990 --> 05:17:35,990
that's. We'll start there. And then there's the one other slide.

2476
05:17:45,750 --> 05:17:45,750
the total adult detention center hours worked.

2477
05:17:55,710 --> 05:17:59,590
I can talk about it. They know where the other one is. Okay. That one. That's the second one. All right. So I don't want to belabor this.

2478
05:18:06,110 --> 05:18:06,110
and we're not going to solve it here today. I've probably let the last couple flsa
Payments.

2479
05:18:14,910 --> 05:18:14,910
we've had a lot of work going on. And we had a lot of work going on today.

2480
05:18:19,070 --> 05:18:19,070
but can you go back to the previous slide.

2481
05:18:30,410 --> 05:18:30,410
so the first thing I was going to say is, you know,
There's there's a positive here, but there's a negative that comes with it.

2482
05:18:39,290 --> 05:18:39,290
the positive is the vacancies at the jail. We have been able to a large extent to address
Those.

2483
05:18:47,250 --> 05:18:47,250
and I think that's from right here from we went from 300 to 350 vacancies at the jail to
Under

2484
05:18:56,610 --> 05:18:56,610
200, 150 for quite some time. And we're never going to get to zero.

2485
05:19:01,850 --> 05:19:01,850
and we know that. Right. So there was a lot of success in that.

2486
05:19:07,130 --> 05:19:07,130
but the part of the expectation was that by eliminating those vacancies,
We should have

2487
05:19:16,330 --> 05:19:16,330
eliminated a significant amount of overtime. Now,
I know nothing's ever going to always be apples to apples.

2488
05:19:22,830 --> 05:19:22,830
and things are always changing at the jail. And there's there's changing inmate population
And changing,

2489
05:19:30,790 --> 05:19:34,630
you know, health situation and transportation and everything else. But go back to the other slide. But we have just seen a

2490
05:19:44,190 --> 05:19:44,190
tremendous continued growth over four years in terms of and this is a combined overtime in
Flsa from around

2491
05:19:53,630 --> 05:19:53,630
50 to 75,000 hours to over 250,000 hours. So we've more than tripled.

2492
05:20:00,470 --> 05:20:00,470
so all I'm saying is the status quo in terms of,
Of overtime or whatever management to address it just hasn't been

2493
05:20:10,310 --> 05:20:10,310
successful. I think as we go into the fall in the next time we see this,
We need to think outside the box about

2494
05:20:20,140 --> 05:20:20,140
new ways to be able to manage it and try to set a clear goal target of trying to reduce
That overtime over the next year and then over

2495
05:20:30,100 --> 05:20:30,100
the following year. And we continue to kind of work that down because.

2496
05:20:37,180 --> 05:20:37,180
and, and just in response to what what I'm sure some of the thoughts you have right now.

2497
05:20:43,620 --> 05:20:43,620
oh, you don't want to know. Yeah. Well, I'm sure that there were some of those issues in
2021 and 2022 as well.

2498
05:20:50,180 --> 05:20:50,180
right. And we had 50, 700 zero hours. And now we have 250,000 hours.

2499
05:20:55,540 --> 05:20:55,540
so I'll turn it over to you. Well, commissioner,
Rest assured, the deputies aren't working all this overtime because they want to be. Rest

2500
05:21:02,220 --> 05:21:05,100
assured they're not there because I want them to be. And if the if if the fact of the fact remains that they are working a lot of hours in the
Jail,

2501
05:21:10,620 --> 05:21:10,620
and they need to be compensated fairly for it,
That's that's all we're saying. With that being said,

2502
05:21:15,060 --> 05:21:15,060
there's only two real ways to affect overtime in the jail,
Reduce the number of inmates that are under roof,

2503
05:21:21,440 --> 05:21:21,440
or raise the number of deputies that are under roof.

2504
05:21:25,480 --> 05:21:25,480
we're trying to do both. Only only one of them is one that I can really affect.

2505
05:21:30,120 --> 05:21:30,120
I've got way too many inmates under roof that don't need to be there,
Inmates that should be in a hospital somewhere,

2506
05:21:35,920 --> 05:21:35,920
inmates that should be in a mental health facility somewhere,
Inmates that should be in a rehab center somewhere.

2507
05:21:41,440 --> 05:21:41,440
or inmates that should be at tdc that aren't because the jail is just way too slow or the
State is way too slow in coming to pick them up.

2508
05:21:49,400 --> 05:21:49,400
I get that you're going to defend the state the way you typically do when we're up here
Talking about this.

2509
05:21:54,520 --> 05:21:54,520
but the fact remains there's several hundred inmates that are there simply because the
State is taking way too long to come pick them up.

2510
05:22:01,520 --> 05:22:03,640
but that hasn't changed in the last three years. No, that's been very much stable. Business as usual.

2511
05:22:07,480 --> 05:22:07,480
30 days. I get it. But again, though, I'm up here yet again and I still can't help but but
Think that.

2512
05:22:17,900 --> 05:22:17,900
you seem to be one of those folks that that purports to support law enforcement until it's
Time to pay the bill for it.

2513
05:22:24,340 --> 05:22:24,340
and, you know, respectfully, sir, there's only so much we can do to bring down that
Overtime.

2514
05:22:29,780 --> 05:22:29,780
there's way too many inmates that are there because that that shouldn't be and we're doing
Our very,

2515
05:22:36,140 --> 05:22:40,060
very best to mitigate those circumstances that lend themselves to overtime. But with that being said, there is only so much we can do to,
To, to affect it.

2516
05:22:43,940 --> 05:22:46,500
well, I think there's more that we can do to affect it. I'd love to hear it, sir. Okay. Well, I will,
I will dive into it.

2517
05:22:50,620 --> 05:22:54,460
I just know that I mean the data, I mean, short of not paying the bill when it comes due. No. And we'd be violating the contract. Personal call to because I've never not voted to
Pay the bill.

2518
05:23:00,900 --> 05:23:04,780
and I do fully support law enforcement and I have. But that doesn't mean that we can't have honest conversations about accountability.

2519
05:23:08,820 --> 05:23:08,820
no, absolutely. And over years see 300% increases in paid overtime in flsa.

2520
05:23:14,880 --> 05:23:14,880
and and there's never an explanation for it. What do you think that they do there though.

2521
05:23:19,360 --> 05:23:23,080
the commissioner I mean they're not just standing around playing checkers. They're they're doing their job. And and we have to compensate them fairly when they do
That.

2522
05:23:28,760 --> 05:23:28,760
I mean, yeah, we are working with some vacancies. We've had a positive effect on,
On, on affecting those vacancies.

2523
05:23:33,680 --> 05:23:33,680
we moved them the right direction. But I'll be honest with you,
There are some things that are probably going to make it worse before it gets better.

2524
05:23:40,880 --> 05:23:40,880
you know, right now, one of my concerns that I'm watching it's on the horizon is the,
You know,

2525
05:23:45,640 --> 05:23:45,640
the city just got a contract in place and we're waiting on,
On a contract for, for our union,

2526
05:23:52,160 --> 05:23:52,160
which I know there's a process that has to take place. However,
I'd be lying if I said I wasn't really worried about the fact that the city is going to

2527
05:24:00,040 --> 05:24:00,040
start poaching deputies from us very soon. And those vacancies on the law enforcement side
And on the detention side are going to go up considerably if we don't do what we need to

2528
05:24:09,240 --> 05:24:12,790
do. And it's just going to make the problem worse. Well, I've I've laid out the data here. I think it speaks for itself.

2529
05:24:18,190 --> 05:24:22,110
I'm open to sitting down and discussing ways that we can try to address it. Sure. I'm not saying that they're not sitting in a seat and doing the work that they've
Been asked to do.

2530
05:24:28,390 --> 05:24:28,390
but I'm also not sure that, you know, we we address a lot of the mandatory forced overtime
Is my understanding.

2531
05:24:35,510 --> 05:24:38,710
and that was a big negative for detention officers. Right. But if you're talking about voluntary overtime,
There's a lot of folks who, you know,

2532
05:24:43,830 --> 05:24:43,830
rather get 70,060 thousand rather get 80,070 thousand.

2533
05:24:48,270 --> 05:24:48,270
and I don't know what the monitoring, the management,
The how we're monitoring those hours,

2534
05:24:53,870 --> 05:24:53,870
whether we're staffing positions more heavily than,
Than we had in previous years.

2535
05:25:00,230 --> 05:25:03,630
I mean, there has to be an explanation for that level of increase. One of the ones that that increased dramatically is hospital hospital visits.

2536
05:25:08,710 --> 05:25:08,710
as I mentioned, we were about 110 average hospital visits,
Inmates going to the hospital on a weekly basis,

2537
05:25:14,970 --> 05:25:14,970
around 110 just over the over the course of a couple of weeks,
It skyrocketed to 200 a week.

2538
05:25:21,450 --> 05:25:21,450
every one of those 200 inmates that has to go to the hospital is a certain amount of
Overtime that has to go into that.

2539
05:25:27,130 --> 05:25:27,130
and again, I know this is not what you're saying,
But not taking people to the hospital is not going to be an option.

2540
05:25:33,210 --> 05:25:33,210
and even even slowing down on it and trying to save monies here and there might not taking
People to the hospital,

2541
05:25:39,890 --> 05:25:43,730
unfortunately, we'll pay it out in other ways later on down the road through litigation. So that's just that's not an option. But again,
That is one of those real numbers that there's no real way for me to control it,

2542
05:25:49,930 --> 05:25:49,930
but it continues to go up and absolutely not suggesting that that's of course,
Of course.

2543
05:25:54,530 --> 05:25:54,530
right. Although it does play into our conversation on the previous item with regard to
Medical facilities on site,

2544
05:26:03,210 --> 05:26:03,210
because that would have a real impact on overtime costs and that staffing with varying
Inmates back and forth.

2545
05:26:12,230 --> 05:26:12,230
right. So as it relates to that other discussion and that decision,
Then we do need to understand the cost in terms of

2546
05:26:22,070 --> 05:26:22,070
faring. But no, I mean, we'll continue to, to work on this,
But I think, you know, we expected to see this break

2547
05:26:31,950 --> 05:26:31,950
and start to come back down. It hasn't, it's kind of at best plateaued or continued to
Increase.

2548
05:26:38,070 --> 05:26:38,070
and, and I just think we, we have to figure it out because we're busting at the seams with
Inmates.

2549
05:26:43,070 --> 05:26:43,070
15, 17, 20 million. Like where does it stop really?

2550
05:26:47,870 --> 05:26:47,870
we're going to have to, to we can't even budget because we don't necessarily know,
Like how high the overtime costs are going to run.

2551
05:26:56,230 --> 05:26:56,230
but, you know, with that, as I always have done,
Because we're going to pay the people who wear the uniform and sit there in the jail.

2552
05:27:03,710 --> 05:27:03,710
I'll move approval. We have a motion and a second discussion.

2553
05:27:10,650 --> 05:27:10,650
keep going. You finish it. Hearing none. All those in favor,
Say aye.

2554
05:27:14,970 --> 05:27:18,370
aye. Any opposed? That motion carries. Thank you,
Thank you. Thank you sir. Thank you. Sheriff. I believe that concludes all the matters from the
Morning session.

2555
05:27:24,290 --> 05:27:24,290
the consent. I am asking without objection. So we go to the executive session.

2556
05:27:32,370 --> 05:27:34,690
at this time, and I will read into the record. The court will now convene into executive session executive items.

2557
05:27:38,770 --> 05:27:38,770
but we need a vote, commissioners, because there's going to be a need to vote before we go
To executive pursuant to section 551071,

2558
05:27:47,130 --> 05:27:47,130
texas government code executive session will be held for consultation with the courts
Attorney for advice regarding pending or contemplated litigation or settlement offers in

2559
05:27:55,850 --> 05:27:55,850
the matters of gaona versus bexar county, ford versus bexar county,
Gregory versus bexar county.

2560
05:28:01,570 --> 05:28:05,160
garza versus bexar county. Martinez versus bexar county. Legal issues pertaining to the following matters in which the duty of the attorney for the
Bexar county.

2561
05:28:10,040 --> 05:28:10,040
under the texas disciplinary rules of professional conduct and the state bar of texas
Clearly conflicts with the open meetings act.

2562
05:28:16,320 --> 05:28:18,760
one. Legal issues related to the pending litigation. Litigation. The matters of the honorable nito.

2563
05:28:21,560 --> 05:28:21,560
presiding judge of 2025 thomas guevara, in his official capacity as deputy county manager
David smith,

2564
05:28:28,280 --> 05:28:31,400
in his official capacity as budget director. County manager. Respondent's cause number 26ci16747. Resource allocation as it relates to the district
Courts in any matters related thereto.

2565
05:28:40,200 --> 05:28:40,200
legal issues related to potential retention of outside counsel to bexar county in
Intervening and pending litigation.

2566
05:28:47,440 --> 05:28:47,440
the request of bexar county appraisal district bcat,
And a suit filed by bcat alleging a failure by certain housing finance corporations

2567
05:28:54,960 --> 05:28:54,960
operating bexar county to maintain tax exemptions as required by law.

2568
05:28:59,360 --> 05:28:59,360
legal issues related to stalled negotiations between bexar county and the city of san
Antonio,

2569
05:29:03,740 --> 05:29:06,540
and a master interlocutory interlocal agreement. And the addendum for crime lab specifically as it relates to the current crime lab pricing
Pursuant to 5510725 of the texas government code

2570
05:29:16,420 --> 05:29:19,380
to deliberate matters related to contract being negotiated. Specifically, one deliberate business and financial issues related to the negotiation,
Development agreement or similar document proposed to be negotiated between bexar county,

2571
05:29:28,300 --> 05:29:28,300
texas political subdivision, the coliseum advisory board,
And san antonio livestock exposition,

2572
05:29:33,660 --> 05:29:33,660
inc., a texas nonprofit corporation related to the redevelopment and revitalization of the
Freeman coliseum complex.

2573
05:29:39,620 --> 05:29:39,620
ground and facilities so long as before the convening the closed meeting.

2574
05:29:44,780 --> 05:29:44,780
one the court votes unanimously. The deliberation and open meeting would have a
Detrimental effect on the position of the commissioners court negotiations with third

2575
05:29:53,420 --> 05:29:53,420
persons and two. The attorney advising the court issues a written determination that the
Deliberation and open meeting would have a detrimental effect on the position of the court

2576
05:30:02,560 --> 05:30:02,560
in negotiations with third parties to deliberate business and financial issues related to
Negotiating an agreement with the deputy sheriff's association of bexar county entered

2577
05:30:11,440 --> 05:30:11,440
into, pursuant to chapter 174 of the texas local government code,
So long as.

2578
05:30:16,520 --> 05:30:16,520
before convening the closed meeting one the court votes unanimously that deliberation and
Open meeting would have a detrimental effect on the position of the commissioners court

2579
05:30:25,000 --> 05:30:25,000
negotiations with third persons and two. The attorney advising the court issues a written
Determination that deliberation in open meeting would have a detrimental effect on the

2580
05:30:33,320 --> 05:30:36,600
position of the court in negotiations with third person. At this time, I'll ask for a motion that we go to executive session on those two items
That require unanimous support motion by commissioner

2581
05:30:46,280 --> 05:30:46,280
rodriguez, second by commissioner calvert. Any further discussion?

2582
05:30:50,320 --> 05:30:54,040
all in favor? Signify by saying aye. Aye. Any opposed? Any abstention? Motion unanimously. Carries will carry those matters into executive
Session.

2583
05:30:58,980 --> 05:30:58,980
and at this time, the time is now. 3:42 p.m. Court is now in executive session.

2584
05:31:05,420 --> 05:31:05,420
I'll ask all those except for those that are required to be an executive,
Whether it's county staff,

2585
05:31:10,340 --> 05:31:10,340
attorneys or other designated persons, please be excused.

2586
05:31:14,900 --> 05:31:14,900
staff, help clear the courtroom so that we can begin executive session,
And we will come out to take action if necessary.

2587
05:31:29,660 --> 05:31:29,660
hello? Hello. All right. Okay. The time is 4:38 p.m..

2588
05:31:37,980 --> 05:31:37,980
the court has come out of executive session. I will call up item 90 for discussion.

2589
05:31:46,140 --> 05:31:46,140
all right. Is there a motion to dismiss on the item 94?

2590
05:31:50,500 --> 05:31:50,500
commissioner. Clay-flores. Is there a motion.

2591
05:31:55,420 --> 05:31:55,420
I'd like to make a motion for the authorization of approval for county judge to execute,
Contingent upon approval and execution by calcium advisory board,

2592
05:32:05,370 --> 05:32:05,370
cab and san antonio rodeo, a grant and development agreement between bexar county,
The cab board and the rodeo

2593
05:32:15,850 --> 05:32:15,850
regarding the proposed improvements to new and existing facilities and related
Infrastructure.

2594
05:32:20,450 --> 05:32:20,450
the final executive executed agreement will be placed on the next available commissioners
Court agenda following execution for eradication and record filing purposes.

2595
05:32:29,570 --> 05:32:29,570
second. Second by commissioner rodriguez. Is there any further discussion to be had?

2596
05:32:35,370 --> 05:32:35,370
hearing none. All those in favor of the motion signified by saying I,
I any opposed any abstentions?

2597
05:32:43,170 --> 05:32:43,170
motion unanimously carries. Congratulations. I don't I just want to recognize cody is here
From the rodeo and I don't think audrey's

2598
05:32:53,130 --> 05:32:53,130
here, is she? But I always recognize her because she worked so hard for us.

2599
05:32:58,310 --> 05:33:00,950
and karen also and then of course, our chair,
Dick evans. So thank you for your time. And along those lines,
The reason I'm standing here is to recognize,

2600
05:33:06,310 --> 05:33:06,310
especially kate and tony, who we couldn't have done it without them.

2601
05:33:10,990 --> 05:33:10,990
so thank you. Thank you. Thank you. All right.

2602
05:33:15,790 --> 05:33:18,910
cody, did you want to make any statement since you. I don't know if you've been here all day, but we have,
So make it brief, please.

2603
05:33:26,150 --> 05:33:30,070
okay. Hold on. Get the mic up. Y'all here? Okay. There we go. I enjoy hanging around here all day.

2604
05:33:32,710 --> 05:33:32,710
thank you. All know on behalf of san antonio stock show and rodeo I want to recognize
David and his staff.

2605
05:33:40,070 --> 05:33:42,670
I know it's been a lot of hard work back and forth. They've been great to work with, but thank you guys for your support in this first step.

2606
05:33:47,310 --> 05:33:50,470
it's the it's the first step. We've got a big one coming. But thank you guys. It's good to see us all working together like this. I appreciate it
Very much. We all do over here. So thank you.

2607
05:33:56,370 --> 05:33:56,370
okay. Alrighty. Larry, do you want to take up the other matters out of executive that are
Pertaining to you?

2608
05:34:04,450 --> 05:34:04,450
item 95 and 96 discussion. Appropriate action regarding settlement.

2609
05:34:08,490 --> 05:34:08,490
often a matter for mr. Burke county 24 c 1342.

2610
05:34:13,770 --> 05:34:17,730
and then immediately thereafter. Discussion item 96 discussion. Appropriate action regarding settlement offer in the matter of gregory versus bexar
County.

2611
05:34:22,010 --> 05:34:22,010
24ci24548. Larry, dictate the terms of the settlement.

2612
05:34:27,290 --> 05:34:30,410
okay. Thank you. Judge on item 95 during executive. The court discussed a settlement offer in the matter of jocelyn forbes versus bexar county
In the amount of 3000.

2613
05:34:36,250 --> 05:34:36,250
I'll need a motion on that one. So moved. Motion by commissioner rodriguez,
Second by commissioner clay-flores.

2614
05:34:41,770 --> 05:34:44,770
any further discussion? All those in favor signify by saying aye. Aye. Any opposed? Any abstention? Motion carries.

2615
05:34:47,610 --> 05:34:47,610
before we go to the next item, can I recognize jane also,
Who's been here most of the day.

2616
05:34:52,310 --> 05:34:54,830
thank you for your support, jay. Thank you. Jay. Megan. All right. Is there a motion on agenda item 96?

2617
05:34:59,670 --> 05:34:59,670
judge, during executive the court discussed the settlement offer in the matter of shannon
Gregory versus bexar county in the amount of $75,000 and get a motion on that one as well.

2618
05:35:09,030 --> 05:35:09,030
motion by commissioner rodriguez, second. Second by commissioner clay-flores.

2619
05:35:14,030 --> 05:35:17,590
any further discussion? Hearing none. All those in favor signify by saying aye. Aye. Any opposed? Any abstention? Motion carries.

2620
05:35:20,350 --> 05:35:23,830
thank you judge. Okay, let's make sure we don't miss it. I go back up to item 91 discussion appropriate action regarding approval of amendment
Amendment a to administrative policy.

2621
05:35:31,270 --> 05:35:31,270
8.1 purchase of goods and services a procurement of professional and personal services.

2622
05:35:37,550 --> 05:35:40,070
mr. Galloway, you've been here all day too. Sir. Yes, sir. Good afternoon, your honor. Commissioners.

2623
05:35:42,470 --> 05:35:45,670
I'll be very brief. I have slides, but I don't think I'll need them. We'll go pretty quickly. Just as a refresher for the court january 20th of 2026.

2624
05:35:51,900 --> 05:35:51,900
this year we presented to the court our bexar county purchasing department administrative
Policy.

2625
05:35:57,300 --> 05:35:57,300
8.1. You accepted and adopted that policy. We're here to bring back some modifications,
But I wanted to highlight that at that particular time when that was adopted.

2626
05:36:07,780 --> 05:36:07,780
there are certain subsections of provisions of the of the policy that hadn't been touched
Or updated in over three decades.

2627
05:36:16,820 --> 05:36:16,820
I'm happy to present that I was the one and my staff and along with some individuals that
I need to recognize two department heads,

2628
05:36:23,940 --> 05:36:23,940
specifically mr. Larry roberson of the da civil team instrumental in helping me put in the
Legal framework reviews,

2629
05:36:32,460 --> 05:36:35,500
multiple reviews of the policy. So thank you,
Sir. The other department head is miss renee watson of the small business entrepreneurship
Department.

2630
05:36:40,380 --> 05:36:40,380
she's here. Want to thank her and her staff,
Along with her advisory committee, which provided valuable input from the community level.

2631
05:36:51,040 --> 05:36:54,200
all right. Is there a motion? Move for approval. Motion by commissioner clay-flores. Second by commissioner rodriguez.

2632
05:36:57,600 --> 05:36:57,600
any further discussion? Hearing none. All those in favor signify by saying aye.

2633
05:37:02,000 --> 05:37:05,480
aye. Any opposed? Any abstentions? Motion carries. Thank you. I just want to thank. Thank. Embassy said you said three decades.

2634
05:37:09,800 --> 05:37:13,360
all right. Thanks for getting it done. Item 92 discussion. Appropriate action regarding approval of request to modify the revision and effective
Dates of administrative policy.

2635
05:37:18,720 --> 05:37:18,720
8.0 slovbe policy to align with recent updates made to administrative policy 8.1% policy.

2636
05:37:27,200 --> 05:37:29,800
miss renee watson, can I ask how you pronounce? That's lovbe now. S love b what's love be love b o small,
Local and veterans.

2637
05:37:39,080 --> 05:37:39,080
okay, so we don't have any presentation. We're just asking for a ratification because we
Had to move our implementation date to today to follow the

2638
05:37:48,900 --> 05:37:48,900
purchase and policy updates. Motion to approve. Second. Motion by commissioner rodriguez.
Second by commissioner clay-flores. Any further discussion? Hearing none. All those in

2639
05:37:56,300 --> 05:37:58,860
favor signify by saying aye. Aye. Any opposed? Any abstentions? Motion carries. We now believe to go to the final.

2640
05:38:04,620 --> 05:38:04,620
no. No no. 93% presentation. Discuss appropriate action regarding bexar county's
Legislative program for the 90th texas legislature.

2641
05:38:13,740 --> 05:38:17,180
miss shannon, you have a really quick report,
Don't you? Miss shannon, real quick, I am not going to go through my whole powerpoint.

2642
05:38:23,220 --> 05:38:23,220
what I will go through is we have been through an internal process that started back in
January.

2643
05:38:30,060 --> 05:38:30,060
so every all of the timeline that we laid out that we said that we would go through,
We have been through that.

2644
05:38:38,020 --> 05:38:38,020
so what I want to get to particularly is our initiatives.

2645
05:38:43,960 --> 05:38:47,360
so I'll go back very quickly. You know, we have policies. These are the items that guide us. Your testimony,
My testimony, how we register in support or opposition of bills.

2646
05:38:56,080 --> 05:38:56,080
so these are our guiding principles on these particular items.

2647
05:39:00,720 --> 05:39:00,720
and in, in your backup you should have a draft agenda in your ac f backup that explains
These items.

2648
05:39:10,440 --> 05:39:10,440
and what drives these policies. So what I do want to talk about very quickly on our
Initiatives,

2649
05:39:16,960 --> 05:39:16,960
which are items where we seek a statute change funding opportunity at the state.

2650
05:39:22,840 --> 05:39:22,840
so we're looking for something. We're looking for a bill to go through the process.

2651
05:39:28,440 --> 05:39:28,440
so the only item that I currently have is in particular in commissioner calvert precinct.

2652
05:39:35,720 --> 05:39:35,720
we've been seeing a lot of solid waste issue.

2653
05:39:41,230 --> 05:39:41,230
so you remember back in the 85th, I think it was we got a bill through senator menendez
And representative gervin

2654
05:39:50,790 --> 05:39:50,790
hawkins sb 1229 that allowed us to set up our solid waste program.

2655
05:39:58,030 --> 05:39:58,030
we went from a pilot program, a pilot to an actual program.

2656
05:40:02,670 --> 05:40:02,670
we are still staff is still running into issues.

2657
05:40:07,110 --> 05:40:07,110
and we need some assistance with some statute changes to help our environmental services
Office alleviate some of these

2658
05:40:16,630 --> 05:40:16,630
issues. So in particularly commissioner calvert and representative gervin hawkins met and
Talked about the issue.

2659
05:40:25,950 --> 05:40:25,950
and I attended this meeting with them where they're running what staff is running into
Abandoned properties with absentee or unreachable,

2660
05:40:36,110 --> 05:40:36,110
unreachable owners. They're attracting squatters and dumping or even corporate real estate
Investment trusts.

2661
05:40:43,450 --> 05:40:43,450
so reits out of state reits who have properties and people have gone in and just continue
To dump what staff is running in or out in these out and out of state,

2662
05:40:53,010 --> 05:40:53,010
impossible to contact. So staff must go through a six step abatement process to get these
Properties cleaned up.

2663
05:41:01,370 --> 05:41:01,370
so it's all lined out in statute. However, what happens is there's each step has a built
In.

2664
05:41:08,290 --> 05:41:08,290
and I and I think it's an unintended step or an unintended clock reset.

2665
05:41:14,130 --> 05:41:14,130
so every time our staff goes through this process and at each step,
If the property owner contacts us

2666
05:41:23,770 --> 05:41:23,770
back, says that they're going to take care of something,
That clock resets.

2667
05:41:28,690 --> 05:41:32,210
and so we, we, we have to start the process over. So you can imagine how this clock gets reset at each step of the way and can be reset
Multiple times.

2668
05:41:39,670 --> 05:41:39,670
so staff is telling me that this is a minimum of 45 days with full cooperation to get
Through the abatement process.

2669
05:41:48,110 --> 05:41:48,110
6 to 9 months is typical, but sometimes it can take up to two plus years for the complex
Issues to get through.

2670
05:41:55,390 --> 05:41:55,390
meanwhile, the constituents in the area have to drive by there.

2671
05:42:02,830 --> 05:42:02,830
it's devaluing their properties. So it's it's it's very onerous.

2672
05:42:08,470 --> 05:42:08,470
it's it's, it's just a bad situation for those who live in the area.

2673
05:42:13,310 --> 05:42:13,310
so we need some help with and that's what we're waiting for to see a bill draft out of
Representative gervin hawkins office.

2674
05:42:21,910 --> 05:42:21,910
so that's why we're here this early in the year.

2675
05:42:27,190 --> 05:42:27,190
ledge council that that these drafts have to go through there.

2676
05:42:31,310 --> 05:42:31,310
they were at about 3 or 4 months behind. So to have any chance of getting anything across
The finish line,

2677
05:42:39,130 --> 05:42:39,130
we really need to have it filed when pre filing begins in november.

2678
05:42:43,690 --> 05:42:43,690
that's that's in a in a perfect world. So we need to get a bill drafted sooner rather than
Later.

2679
05:42:50,530 --> 05:42:50,530
so as soon as we have that bill draft, I can come back to your offices and give you more
Details about what is in it.

2680
05:42:58,210 --> 05:42:58,210
but we just we really want to shorten the time timelines that staff has to go through,
Modernize the notification requirements and

2681
05:43:07,850 --> 05:43:07,850
clarify our access controls. So it's what I see it as very minor issues,
But until I can see the bill and tell you what's exactly in it,

2682
05:43:17,090 --> 05:43:17,090
I just I don't have a lot to tell you right now,
But this is normal for this process.

2683
05:43:22,130 --> 05:43:22,130
we just need, I need authority to approve our agenda.

2684
05:43:26,970 --> 05:43:30,930
and at the moment, I only have this one initiative on our agenda. If we want to add others later, we're free to do that.

2685
05:43:34,320 --> 05:43:34,320
I know that there has been some talk, judge. I received some information from your office
About forensic beds,

2686
05:43:40,520 --> 05:43:43,960
but I know a lot of the conversation that happened today. I'll I'll like I mentioned earlier, I'll fight for you.

2687
05:43:47,080 --> 05:43:47,080
I just need to know what I'm fighting for. So if we have a plan,
I'm happy to fight on the forensic bed front.

2688
05:43:53,800 --> 05:43:53,800
I just need a plan. So, melissa, just so I understand,
This is the framework for our legislative agenda.

2689
05:44:01,120 --> 05:44:04,280
obviously it's going to change as things come up. Specific bills are filed. I know you and I worked on with qc,
The land use policy related to data centers.

2690
05:44:12,360 --> 05:44:12,360
is that something that we may need to come back and have the court adopt?

2691
05:44:17,560 --> 05:44:17,560
so for now, though, this gives you a starting point and that's what you're asking for.

2692
05:44:22,040 --> 05:44:25,160
yeah. And I will come back after the legislature starts. I'll come back on those tuesdays and I will report to you in open session what the big
Issue of the of that week is,

2693
05:44:33,220 --> 05:44:33,220
and I'll get direction from you. I'll get whatever if we need letters written,
Whatever.

2694
05:44:39,100 --> 05:44:41,220
but this. Yes. This gives us a starting point. Motion to approve. Second. Motion by commissioner rodriguez.

2695
05:44:46,820 --> 05:44:46,820
second by commissioner calvert. Commissioner moody. There's just a couple other things I.

2696
05:44:52,300 --> 05:44:52,300
just one here and one I don't know. I think it's on your radar,
But I didn't see it written here.

2697
05:44:59,060 --> 05:44:59,060
when it comes to kind of initiatives and actual bills that will be filed,
But one is under the land use the radius for municipal zoning

2698
05:45:08,580 --> 05:45:08,580
changes that I know was an issue out in d nine area.

2699
05:45:15,460 --> 05:45:15,460
and I, I know there's, there's support within the delegation on that front and I'm glad to
See that that's included.

2700
05:45:21,940 --> 05:45:21,940
and then I know the esds are pushing a bill forward with regarding the voluntary
Annexation

2701
05:45:32,000 --> 05:45:32,000
when those esds not the esds, the pds retire,
That those individuals would have the same opportunity with current state

2702
05:45:41,800 --> 05:45:44,960
law in terms of deciding whether they're going to be annexed or not. So I know that that's another bill that's going to come forward,
And the esds are fully supporting that.

2703
05:45:50,280 --> 05:45:50,280
they need clarity in terms of being able to plan for whether they're going to have to take
On tens of thousands of new residents or not.

2704
05:45:56,920 --> 05:45:56,920
so I would hope that the court would support that as well.

2705
05:46:01,360 --> 05:46:01,360
just overall, there's I still have some questions here,
So I'm not able to support this overall,

2706
05:46:06,480 --> 05:46:06,480
but the illegal dumping makes sense. And I just want to bring those other things to your
Attention.

2707
05:46:11,680 --> 05:46:11,680
all right. There is a motion. All right. Just frankie's is working on some stuff.

2708
05:46:17,600 --> 05:46:17,600
melissa. So she'll be meeting with you to add to that. Perfect. Okay. Thanks. Yes,
Ma'am. Thank you. Anything else? All right. All those in favor of the motion signify by

2709
05:46:24,080 --> 05:46:27,500
saying aye. Aye. Any opposed? Any abstention. Motion carries. I believe that concludes. Is there a motion to adjourn?

2710
05:46:31,540 --> 05:46:31,540
second. Mr. Rodriguez second by commissioner clay-flores. Commissioner. Clay-flores. I'd
Like to adjourn in memory of phillip garcia.

2711
05:46:39,820 --> 05:46:39,820
commissioner rodriguez. Thank you. Judge, I'd like to adjourn in the name of the following
Precinct two residents rosemary,

2712
05:46:45,980 --> 05:46:45,980
pina, edith tadeusz, simon salas, adolph albert e martinez,
And former bexar county chief dennis casillas.

2713
05:46:56,940 --> 05:46:56,940
commissioner moody, I'd like to adjourn in the memory of betsy chappie,
B bueller, resident of precinct three and beloved sapd chaplain.

2714
05:47:07,900 --> 05:47:07,900
judge, I'd like to adjourn in honor of a live oak city councilman aaron dahl.

2715
05:47:13,220 --> 05:47:17,220
eddie johnson, julian lee. Kid. Rodney. Kids. Mother. Walter. Martin. Kid. Rodney. Kids. Father.

2716
05:47:22,380 --> 05:47:22,380
jesse. Elmer. Miller. The second. Charles arthur sheed,
Nettie lee brown, richard carrillo,

2717
05:47:29,850 --> 05:47:29,850
senior, richard carrillo jr, john joseph bradley jr,
Byron head, connie rhoades

2718
05:47:40,130 --> 05:47:40,130
and karen dawn claiborne. Mueller also notes that

2719
05:47:49,770 --> 05:47:49,770
chaplain. Ministry. S volunteer chaplaincy program for nearly two decades and was founded
As a member of the communications ministry at

2720
05:47:59,730 --> 05:47:59,730
community bible church. Adjourn on behalf of mary jean mary overland pace,
A classical pianist who was also a proprietor of

2721
05:48:09,530 --> 05:48:09,530
art. And she had an iconic store, angelita, in la valletta for 52 years.

2722
05:48:15,810 --> 05:48:18,250
all those in favor of the motion to adjourn by saying aye. Aye. Any opposed? Any abstentions? Motion carries.

2723
05:48:21,210 --> 05:48:21,210
meeting is adjourned and we made it five.