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Good afternoon, everyone. Thank

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you so much for joining us here

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today. On JULY 16th, 2020.

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Excuse me. JULY 16th, 2026. The

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King County Board of Health

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meeting will come to order. I

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m

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Teresa Mosqueda, chair of the

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board. It

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s wonderful to see

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everyone here. And I understand

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that we do have a quorum. Uh,

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clerk. Hey, do you mind calling

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the roll?

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Sure. Thank you. Board member.

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Dunn. Board member. Lewis.

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Board member. Von Reichbauer.

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Board member. Foster. Board

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member. Juarez. Board member.

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Rinke. Board member. Saca.

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Board member. Falcon. Board

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member. Garcia.

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Board PRESIDENT.

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Thank you. Board member. Shroff.

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Board member. Blas. Board

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member. Core here. Board

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member. Packet. Board member.

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De Castro present. Board

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member. Chiu. Present. Board

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member. Gojo. Board member.

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Hartfield present. Board

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member. Daniels present.

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Present.

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Board member Mohammad.

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PRESIDENT Present.

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Board member. Green. Board

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member. Archer. Poli.

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Present.

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Board member. Lu.

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Chia.

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Board member Milan Garneau.

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Board member. Elkins. Board

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member Thomas present. Board

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member.

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Williams present.

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Board member. De Los Angeles

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board member Bowen board

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member. Lucero. Board member.

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Gilli. Chair. Mosqueda.

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Present.

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You have a quorum.

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Thank you so much. Did anyone

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want to announce themselves

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that MAY have come in after

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their name was called in the

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roll call. Okay, wonderful. And

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as always, we welcome

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alternates who are here in the

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place of our regular board

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members. Are there any

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alternates serving in the place

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of our regular board members

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here with us today that would

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like to announce themselves?

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Okay, excellent. And as we see

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new board members join us, if

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the clerks could help me with,

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um, announcing them, that would

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be great. We again, thank you

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all for joining us here today.

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Um, and I want to say, um, it

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s

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been very nice to be able to

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have an opportunity to connect

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with you all via zoom. We

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continue to meet via zoom, uh,

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because there

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s frankly not

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enough seats here at the King

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County Council. Um, given our

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larger size of the board

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meeting. That said, I will be

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here in person to be present

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with our staff and team who are

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here with us in chambers. And

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while we don

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t have enough

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chairs, if there are people who

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ever do feel like they want to

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come in person, of course you

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are welcome. And to our

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presenters, we do think that

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it

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s probably easier for folks

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to join via zoom, because then

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the presentations can be easily

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seen by all members on the

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zoom. But we are also wanting

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to make sure that anybody who

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prefers to come in person for a

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presentation or serving on the

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diocese, welcome to do so. We

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continue to see, um, that

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communicable diseases are

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amongst our community members,

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including Covid, which is still

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present in addition to other

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communicable diseases. So in an

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effort to, uh, live our public

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health values, we do offer this

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hybrid format and encourage

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folks to do what is ever most

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comfortable to them and to stay

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home. If you are sick. Uh, with

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that, we do have a full agenda

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today. I want to note that we

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will have the, chairs. Um,

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excuse me. The director

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s

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report from director Sandra

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Valenciano, who will provide an

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regular update. You can also

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find her written report. Uh, in

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the meeting materials,

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beginning on page ten. We will

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also have Joy Carpine-Cazzanti,

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our board administrator, give

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us a quick update about board

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membership and this summer

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s

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recruitment efforts for the

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upcoming year 2027. We

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ll have

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a briefing on the pet

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businesses and public health,

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zoonotic disease code and

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rates. These proposed changes

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will come before the board at

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our SEPTEMBER meeting for an

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actual vote. So today is just a

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briefing. We will have an

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update on the Seattle and King

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County Continuum of Care

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efforts. Thank you very much to

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Board Member Liu for who, uh,

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requested this item. And it is

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very timely given that the

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Continuum of Care application

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was just due on JULY 3rd. And

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the ongoing conversations that

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we

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re having across the region

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and nation about the importance

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of the continuum of care

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dollars, we will have a

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discussion and panel that will

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include the King County

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Regional Homelessness

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Authority, the Downtown

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Emergency Services Center, and

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labor partners who provide

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direct services to our most

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vulnerable from the Office of

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Opioid, Office of Professional

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Employees, and International

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Union protect 17 and Service

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Employees International Union

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Health Care 1199 northwest.

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Finally, we will have a

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briefing about the impacts of

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the current political

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environment on gender affirming

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care. Thank you very much to

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Board member Tripoli for

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requesting this item on our

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work plan as well. At the end

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of the meeting, if there

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s any

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updates that board members

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would like to share, you will

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have an opportunity to do so

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under go to the order and

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please note that our AUGUST

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20th meeting is canceled and

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the next meeting will be at our

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regularly scheduled third

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Thursday time. That would be

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SEPTEMBER 17th, beginning at 1

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P.M.. So we do take a little

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bit of an AUGUST recess for

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Board of Health as well. Uh,

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with that, we are now on to

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approval of the minutes. I

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d

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like to ask our vice chair,

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vice chair, foster or vice

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chair Daniels, would you like

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to move approval of the minutes

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from JUNE 18th, 2026?

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This is this is board member

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Daniels. I so moved.

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Thank you. Vice, uh, vice chair

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Daniel. I vice chair Daniels

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for moving approval of the JUNE

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18th, 2026 meeting minutes. The

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meeting minutes are in front of

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us. Are there any corrections,

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additions, or comments? Hearing

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none. All in favor of approving

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the JUNE 18th, 2026 meeting

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minutes. Please say aye.

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Aye. Hi.

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Any opposed? Any abstentions?

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Okay.

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The abstain.

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Uh, thank you. Board member.

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Williams. So noted. Board

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member Williams is abstaining.

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All the other votes were in

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favor. Thank you very much. Uh,

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that brings us to public

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comment. I believe we do have

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people in person and perhaps

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online who would like to

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provide public comment. As a

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reminder, if you are online,

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please push star six. If you

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re

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on the phone or use the raise

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hand feature and zoom to

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indicate that you

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d like to

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provide public comment. Uh,

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board member Dunn, I see you

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joining us on screen. Thank you

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very much for joining at the

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Board of Health here today. And

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before I move on with any other

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public comment, are there any

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other board members that are

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joining us that would like to

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announce their presence? Okay.

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Well, thank you. Board member

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Dunn. And again, um, if the

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team if the clerks can help,

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uh, signal if there

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s any other

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board members joining us, I

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m

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happy to welcome them. Uh, you

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made it just in time for public

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comment. Um, board member Don,

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I know you were looking forward

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to that. So why don

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t we go

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ahead and get started with

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public comment right away?

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Again, if you

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re on zoom use to

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raise hand feature or push star

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six, and do we have anybody

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online that would like to

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provide public comment?

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So far?

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Not yet. We will continue to

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watch for that. Okay. With

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that, for folks in person, you

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do have two minutes. You

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ll see

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a yellow light when it

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s

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indicating your time needs to

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wrap up. Please keep your eye

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on comments germane to the

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agenda and refrain from

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impugning any members of the

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public, the staff. Excuse me,

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any members of the staff, the

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electeds and board members? Uh.

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With that, please go ahead and

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call public comment.

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Thank you. Chair Mosqueda.

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First person in chambers is

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Alex Zimmerman.

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Nice. That

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s my friend Alex.

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You have been called. Please

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leave your sign at your seat.

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In accordance with our King

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00:08:05,220 --> 00:08:08,930
County rules. And your time has

291
00:08:08,930 --> 00:08:08,527
started, please start us time.

292
00:08:08,527 --> 00:08:09,527
All right? Don

293
00:08:09,527 --> 00:08:11,527
t come to

294
00:08:11,563 --> 00:08:14,563
microphone. Why will you watch.

295
00:08:15,268 --> 00:08:18,868
For Alex? Your time has started.

296
00:08:23,808 --> 00:08:24,380
What are you doing?

297
00:08:24,380 --> 00:08:25,430
We

298
00:08:25,430 --> 00:08:26,111
re not going to put the

299
00:08:26,111 --> 00:08:27,545
camera on you until you put

300
00:08:27,545 --> 00:08:28,946
your sign down. Thank you so

301
00:08:28,946 --> 00:08:30,649
much.

302
00:08:30,649 --> 00:08:31,950
Hi. My name, Alex Zimmerman. I

303
00:08:31,950 --> 00:08:34,218
wanna speak about something

304
00:08:34,218 --> 00:08:35,587
that is absolutely absurd. You

305
00:08:35,587 --> 00:08:38,423
are real, Bendita. You are a

306
00:08:38,423 --> 00:08:40,580
real killer. So we have today

307
00:08:40,580 --> 00:08:41,693
agenda number ten about

308
00:08:41,693 --> 00:08:43,762
something. What a scare you

309
00:08:43,762 --> 00:08:47,332
have here. I explain to you my

310
00:08:47,332 --> 00:08:49,732
experience. Okay? King County

311
00:08:50,568 --> 00:08:52,270
housing Authority spent $100

312
00:08:52,270 --> 00:08:53,738
million for dozens, thousands

313
00:08:53,738 --> 00:08:56,138
of legal immigrants. People

314
00:08:58,100 --> 00:09:00,410
with documents. We have 20,000

315
00:09:00,445 --> 00:09:02,445
homeless, 20,000 homeless cost

316
00:09:03,282 --> 00:09:05,682
us every year. Approximately $1

317
00:09:06,484 --> 00:09:08,686
billion in 500 dying every year.

318
00:09:08,686 --> 00:09:11,686
Situation. What is here with

319
00:09:12,323 --> 00:09:14,250
this Nazi Gestapo killer? What

320
00:09:14,250 --> 00:09:15,560
is I see here in this screen?

321
00:09:15,560 --> 00:09:16,861
You know what is meant. How is

322
00:09:16,861 --> 00:09:19,861
this possible? You know what

323
00:09:20,980 --> 00:09:21,533
this means. So, King country

324
00:09:21,533 --> 00:09:23,533
Housing Authority, I

325
00:09:23,701 --> 00:09:25,670
investigate this all. We come

326
00:09:25,670 --> 00:09:27,472
to conclusions. So they are

327
00:09:27,472 --> 00:09:29,872
pure criminal because they

328
00:09:31,243 --> 00:09:32,877
violate executive order from

329
00:09:32,877 --> 00:09:34,879
Donald Trump at his one year

330
00:09:34,879 --> 00:09:36,515
old right now. So all

331
00:09:36,515 --> 00:09:38,650
government department posts a

332
00:09:38,650 --> 00:09:40,319
big only to citizens. I cannot

333
00:09:40,319 --> 00:09:43,322
find a low income. A thousand

334
00:09:43,322 --> 00:09:45,356
people cannot find this 20,000

335
00:09:45,356 --> 00:09:47,756
homeless, almost all American

336
00:09:48,527 --> 00:09:50,161
citizens we can provide to them

337
00:09:50,161 --> 00:09:51,229
a room, you know what I mean.

338
00:09:51,229 --> 00:09:51,863
They said, that

339
00:09:51,863 --> 00:09:52,630
s exactly

340
00:09:52,630 --> 00:09:52,964
what

341
00:09:52,964 --> 00:09:53,298
s happened. You don

342
00:09:53,298 --> 00:09:55,298
t do

343
00:09:55,300 --> 00:09:56,100
this because you, burn Jeter

344
00:09:56,100 --> 00:09:56,901
and Killer. That

345
00:09:56,901 --> 00:09:57,469
s exactly who

346
00:09:57,469 --> 00:09:58,436
you are. You

347
00:09:58,436 --> 00:10:00,436
re more dangerous

348
00:10:00,972 --> 00:10:02,774
than Nazi. Viva Trump. Even

349
00:10:02,774 --> 00:10:04,976
your American Revolution stand

350
00:10:04,976 --> 00:10:08,346
up slave and happy cow. Stop

351
00:10:08,346 --> 00:10:09,448
stealing money from me.

352
00:10:09,448 --> 00:10:12,384
Anybody else signed up for

353
00:10:12,384 --> 00:10:13,351
public comment? Anybody else in

354
00:10:13,351 --> 00:10:14,852
chambers that would like to

355
00:10:14,852 --> 00:10:15,519
provide public comment? I

356
00:10:15,519 --> 00:10:17,289
m not

357
00:10:17,289 --> 00:10:19,290
seeing anybody in chambers and

358
00:10:19,290 --> 00:10:21,693
nobody else online going once,

359
00:10:21,693 --> 00:10:21,993
going twice. Okay. Thank you so

360
00:10:21,993 --> 00:10:22,827
much. Let

361
00:10:22,827 --> 00:10:24,195
s go ahead and move

362
00:10:24,195 --> 00:10:26,497
on with the agenda that does

363
00:10:26,497 --> 00:10:27,766
bring us to Director Valenciano

364
00:10:27,766 --> 00:10:28,967
for an update. Thank you very

365
00:10:28,967 --> 00:10:29,968
much, Director Valenciano, for

366
00:10:29,968 --> 00:10:31,136
your written report and for

367
00:10:31,136 --> 00:10:32,237
being here with us again in

368
00:10:32,237 --> 00:10:34,605
person. Great to see you.

369
00:10:34,605 --> 00:10:36,605
Please go ahead.

370
00:10:37,876 --> 00:10:40,645
Thank you. Chair Mesquita. Um,

371
00:10:40,645 --> 00:10:42,213
hello. Board of health members.

372
00:10:42,213 --> 00:10:44,182
Uh, I only have a few minutes

373
00:10:44,182 --> 00:10:45,717
today for updates, so I wanted

374
00:10:45,717 --> 00:10:47,252
to first start off with

375
00:10:47,252 --> 00:10:49,488
thanking all of our public

376
00:10:49,488 --> 00:10:52,357
health staff for their work on

377
00:10:52,357 --> 00:10:55,293
our fifa response. So luckily,

378
00:10:55,293 --> 00:10:58,290
we survived our fifa World Cup

379
00:10:58,290 --> 00:11:00,429
and everything went pretty

380
00:11:00,565 --> 00:11:02,167
smoothly in King County. So

381
00:11:02,167 --> 00:11:04,350
yes, snaps to all of our public

382
00:11:04,350 --> 00:11:06,400
health staff. We spent a whole

383
00:11:06,400 --> 00:11:08,500
lot of time preparing for fifa

384
00:11:08,500 --> 00:11:09,641
World Cup, and really, I think

385
00:11:09,641 --> 00:11:11,750
we got lucky that there were no

386
00:11:11,750 --> 00:11:12,443
major public health issues or

387
00:11:12,443 --> 00:11:14,443
outbreaks or foodborne

388
00:11:14,579 --> 00:11:14,740
outbreaks during this time, but

389
00:11:14,740 --> 00:11:15,847
I

390
00:11:15,847 --> 00:11:17,215
m just super thankful to all

391
00:11:17,215 --> 00:11:19,684
of the staff that were involved

392
00:11:19,684 --> 00:11:22,684
in the response in planning.

393
00:11:23,870 --> 00:11:25,623
Um, on our mcc team and now in

394
00:11:25,623 --> 00:11:27,825
the post, um, debrief period.

395
00:11:27,825 --> 00:11:29,270
So thank you to everybody. Uh,

396
00:11:29,270 --> 00:11:29,227
although I will say I

397
00:11:29,227 --> 00:11:31,227
m

398
00:11:31,329 --> 00:11:32,730
mourning that Colombia, uh, got

399
00:11:32,730 --> 00:11:35,467
eliminated from the World Cup.

400
00:11:35,467 --> 00:11:36,935
Not gonna lie. Um, I very

401
00:11:36,935 --> 00:11:37,702
quickly did want to share an

402
00:11:37,702 --> 00:11:38,503
update, as I

403
00:11:38,503 --> 00:11:40,571
m sure you all

404
00:11:40,571 --> 00:11:42,574
have seen on the news. Uh,

405
00:11:42,574 --> 00:11:45,760
there is an active and ongoing

406
00:11:45,760 --> 00:11:46,844
outbreak of Cyclospora, so I

407
00:11:46,844 --> 00:11:47,145
wanted to go over that. Um,

408
00:11:47,145 --> 00:11:48,450
because I

409
00:11:48,450 --> 00:11:49,647
m sure there MAY be

410
00:11:49,647 --> 00:11:51,749
concerns about what this might

411
00:11:51,749 --> 00:11:53,818
mean here in King County. Uh,

412
00:11:53,818 --> 00:11:55,987
so just so everyone is aware of

413
00:11:55,987 --> 00:11:57,755
Cyclospora, this is a

414
00:11:57,755 --> 00:11:59,755
gastrointestinal illness that

415
00:11:59,925 --> 00:12:01,926
is caused by a parasite.

416
00:12:01,926 --> 00:12:03,928
Cyclospora. Um, people can

417
00:12:03,928 --> 00:12:06,164
become infected when they

418
00:12:06,164 --> 00:12:08,333
consume food or water that is

419
00:12:08,333 --> 00:12:10,602
contaminated with the parasite.

420
00:12:10,602 --> 00:12:12,336
The illness typically does not

421
00:12:12,336 --> 00:12:15,140
spread from person to person.

422
00:12:15,140 --> 00:12:17,608
So this is good. Um, and case

423
00:12:17,608 --> 00:12:20,445
counts typically do rise around

424
00:12:20,445 --> 00:12:22,681
spring and summertime. Um, cdc

425
00:12:22,681 --> 00:12:25,810
typically considers MAY 1st

426
00:12:25,250 --> 00:12:28,180
through AUGUST 31st the annual

427
00:12:28,180 --> 00:12:29,488
Cyclospora season. Previous

428
00:12:29,488 --> 00:12:31,623
outbreaks have been linked to

429
00:12:31,623 --> 00:12:33,623
consuming contaminated fresh

430
00:12:33,791 --> 00:12:35,794
produce. Uh, in terms of

431
00:12:35,794 --> 00:12:38,194
symptoms, they usually begin

432
00:12:38,229 --> 00:12:39,831
about a week after exposure,

433
00:12:39,831 --> 00:12:41,699
but the onset can be anywhere

434
00:12:41,699 --> 00:12:43,367
from two days to 14 days after

435
00:12:43,367 --> 00:12:45,670
being exposed, with the most

436
00:12:45,670 --> 00:12:48,700
common symptoms being watery,

437
00:12:48,730 --> 00:12:50,875
diarrhea, uh, loss of appetite,

438
00:12:50,875 --> 00:12:53,275
weight loss, bloating, nausea

439
00:12:53,411 --> 00:12:55,746
and fatigue. Less commonly, low

440
00:12:55,746 --> 00:12:57,182
grade fever and vomiting. Uh,

441
00:12:57,182 --> 00:12:59,182
without treatment.

442
00:12:59,450 --> 00:13:01,850
Unfortunately, symptoms can be

443
00:13:01,886 --> 00:13:03,220
remitting and relapsing. Um, so

444
00:13:03,220 --> 00:13:05,456
really important to have it

445
00:13:05,456 --> 00:13:07,525
diagnosed and be treated. Um,

446
00:13:07,525 --> 00:13:09,127
but the illness, although it

447
00:13:09,127 --> 00:13:11,229
can be severe in terms of

448
00:13:11,229 --> 00:13:12,898
symptoms, is not usually life

449
00:13:12,898 --> 00:13:13,970
threatening. Um, in terms of

450
00:13:13,970 --> 00:13:14,866
what

451
00:13:14,866 --> 00:13:16,866
s currently happening

452
00:13:17,869 --> 00:13:19,971
since MAY 1st of this year, cdc

453
00:13:19,971 --> 00:13:21,971
has received over 1600

454
00:13:22,507 --> 00:13:24,609
confirmed cases. Domestic cases

455
00:13:24,609 --> 00:13:26,711
of Cyclospora cases, and they

456
00:13:26,711 --> 00:13:29,111
are currently reviewing over

457
00:13:29,280 --> 00:13:30,581
5000 additional cases that MAY

458
00:13:30,581 --> 00:13:32,684
have also been acquired in the

459
00:13:32,684 --> 00:13:34,251
United States. The cdc, the

460
00:13:34,251 --> 00:13:36,421
fda, state and local health

461
00:13:36,421 --> 00:13:38,122
departments are currently

462
00:13:38,122 --> 00:13:40,580
investigating uh, several

463
00:13:40,580 --> 00:13:41,559
multistate outbreaks of

464
00:13:41,559 --> 00:13:42,927
Cyclospora infections to

465
00:13:42,927 --> 00:13:45,327
identify the source of

466
00:13:45,563 --> 00:13:47,599
infection. Um, in Washington

467
00:13:47,599 --> 00:13:50,468
state. Cyclospora. This is a

468
00:13:50,468 --> 00:13:52,468
reportable condition. Cases

469
00:13:53,938 --> 00:13:55,773
identified since MAY 2026 have

470
00:13:55,773 --> 00:13:58,276
primarily been linked here to

471
00:13:58,276 --> 00:13:59,877
international travel, and we do

472
00:13:59,877 --> 00:14:02,460
not have any outbreak related

473
00:14:02,460 --> 00:14:03,881
cases detected in King County.

474
00:14:03,881 --> 00:14:05,283
We do investigate every single

475
00:14:05,283 --> 00:14:05,483
case of Cyclospora, since

476
00:14:05,483 --> 00:14:07,152
that

477
00:14:07,152 --> 00:14:09,200
s reported to us by a lab

478
00:14:09,200 --> 00:14:10,922
or a doctor to determine where

479
00:14:10,922 --> 00:14:12,490
people MAY have been exposed,

480
00:14:12,490 --> 00:14:12,691
given the rise of what

481
00:14:12,691 --> 00:14:14,292
s

482
00:14:14,292 --> 00:14:16,728
happening in other states, we

483
00:14:16,728 --> 00:14:18,363
are very closely monitoring for

484
00:14:18,363 --> 00:14:19,798
any signs that people MAY have

485
00:14:19,798 --> 00:14:22,798
been exposed to the parasite

486
00:14:22,868 --> 00:14:23,101
locally. So far in 2026, we

487
00:14:23,101 --> 00:14:25,101
ve

488
00:14:25,437 --> 00:14:27,438
had a total of 19 cases among

489
00:14:27,438 --> 00:14:28,807
King County residents, only one

490
00:14:28,807 --> 00:14:30,875
of which was exposed to the

491
00:14:30,875 --> 00:14:32,310
parasite locally. And again,

492
00:14:32,310 --> 00:14:32,510
none have been associated with

493
00:14:32,510 --> 00:14:33,478
what

494
00:14:33,478 --> 00:14:35,878
s happening in other

495
00:14:36,547 --> 00:14:37,382
states. The timing distribution

496
00:14:37,382 --> 00:14:38,820
of the cases that we

497
00:14:38,820 --> 00:14:39,984
ve had so

498
00:14:39,984 --> 00:14:42,153
far does match what we have

499
00:14:42,153 --> 00:14:44,923
seen in years past. In general,

500
00:14:44,923 --> 00:14:46,591
about 90% of the cases in King

501
00:14:46,591 --> 00:14:48,326
County residents are diagnosed

502
00:14:48,326 --> 00:14:50,280
between JUNE through AUGUST,

503
00:14:50,280 --> 00:14:52,397
and about 80% of them are

504
00:14:52,397 --> 00:14:54,633
linked to international travel.

505
00:14:54,633 --> 00:14:55,600
Um, currently, there

506
00:14:55,600 --> 00:14:57,235
s no

507
00:14:57,235 --> 00:14:57,435
evidence that the outbreak

508
00:14:57,435 --> 00:14:58,936
that

509
00:14:58,936 --> 00:15:00,104
s ongoing is impacting us

510
00:15:00,104 --> 00:15:00,404
here in King County. So we

511
00:15:00,404 --> 00:15:01,205
re

512
00:15:01,205 --> 00:15:01,606
monitoring, but we

513
00:15:01,606 --> 00:15:02,841
re not

514
00:15:02,841 --> 00:15:05,576
seeing, you know, an unusual

515
00:15:05,576 --> 00:15:07,345
rise in cases. We did send out

516
00:15:07,345 --> 00:15:08,579
a health alert to all of our

517
00:15:08,579 --> 00:15:10,181
health care partners in King

518
00:15:10,181 --> 00:15:12,183
County, advising our health

519
00:15:12,183 --> 00:15:13,785
care partners to consider the

520
00:15:13,785 --> 00:15:13,985
diagnosis and the event that

521
00:15:13,985 --> 00:15:15,520
they

522
00:15:15,520 --> 00:15:17,255
re seeing any patients

523
00:15:17,255 --> 00:15:18,122
with symptoms of Cyclospora.

524
00:15:18,122 --> 00:15:18,657
And to make sure that they

525
00:15:18,657 --> 00:15:20,657
re

526
00:15:20,825 --> 00:15:23,225
specifically testing for the

527
00:15:23,628 --> 00:15:24,529
parasite. Um, and then making

528
00:15:24,529 --> 00:15:26,230
sure that, you know,

529
00:15:26,230 --> 00:15:28,230
individuals are treated

530
00:15:28,700 --> 00:15:31,100
appropriately, should they have

531
00:15:32,203 --> 00:15:32,404
the illness. Um, at this time,

532
00:15:32,404 --> 00:15:34,404
there

533
00:15:34,639 --> 00:15:36,875
s no confirmed source of

534
00:15:36,875 --> 00:15:37,410
infection. And this is why what

535
00:15:37,410 --> 00:15:37,642
we

536
00:15:37,642 --> 00:15:37,793
re seeing is that we

537
00:15:37,793 --> 00:15:38,576
re

538
00:15:38,576 --> 00:15:40,144
seeing, you know, ongoing

539
00:15:40,144 --> 00:15:41,346
numbers of cases rising because

540
00:15:41,346 --> 00:15:42,914
they have not been able to

541
00:15:42,914 --> 00:15:44,115
determine what the source of

542
00:15:44,115 --> 00:15:46,651
infection is. You know, what

543
00:15:46,651 --> 00:15:48,553
has been the contaminant, um,

544
00:15:48,553 --> 00:15:50,521
food source in previous

545
00:15:50,521 --> 00:15:52,757
outbreaks, it has been, uh,

546
00:15:52,757 --> 00:15:53,758
related to fresh produce, but

547
00:15:53,758 --> 00:15:54,793
it could be a variety of

548
00:15:54,793 --> 00:15:57,195
different things. So in the

549
00:15:57,195 --> 00:15:59,463
past, it has been linked to

550
00:15:59,463 --> 00:16:01,399
raspberries, cabbage, basil,

551
00:16:01,399 --> 00:16:03,399
cilantro, parsley, broccoli,

552
00:16:03,501 --> 00:16:05,102
snow peas. Um, so a variety of

553
00:16:05,102 --> 00:16:08,600
different things that could be,

554
00:16:08,600 --> 00:16:09,974
you know, um, uh, impacted by

555
00:16:09,974 --> 00:16:10,208
this parasite. So while we

556
00:16:10,208 --> 00:16:12,770
re

557
00:16:12,770 --> 00:16:13,878
not recommending at this time

558
00:16:13,878 --> 00:16:16,248
that anyone in our community,

559
00:16:16,248 --> 00:16:18,282
uh, avoids any particular

560
00:16:18,282 --> 00:16:20,218
items, just want to note that

561
00:16:20,218 --> 00:16:21,853
for individuals who MAY be

562
00:16:21,853 --> 00:16:23,853
immunocompromised, they could

563
00:16:23,854 --> 00:16:26,591
consider, um, not, you know,

564
00:16:26,591 --> 00:16:27,591
limiting these until unofficial

565
00:16:27,591 --> 00:16:29,126
source of infection is

566
00:16:29,126 --> 00:16:29,294
identified. But again, we don

567
00:16:29,294 --> 00:16:30,294
t

568
00:16:30,294 --> 00:16:31,963
have that. And they are

569
00:16:31,963 --> 00:16:33,364
actively working as quickly as

570
00:16:33,364 --> 00:16:35,200
possible to identify a source

571
00:16:35,200 --> 00:16:37,435
of infection. We will continue

572
00:16:37,435 --> 00:16:39,704
to provide updates as that

573
00:16:39,704 --> 00:16:40,939
source is identified. Another

574
00:16:40,939 --> 00:16:42,540
important thing is, is that

575
00:16:42,540 --> 00:16:44,876
cooking at high temperatures

576
00:16:44,876 --> 00:16:47,278
does kill the parasite. So

577
00:16:47,278 --> 00:16:49,278
heating food to 158

578
00:16:50,810 --> 00:16:51,716
f or higher

579
00:16:51,716 --> 00:16:53,952
is effective at eliminating the

580
00:16:53,952 --> 00:16:54,819
risk of the parasite. Um, so if

581
00:16:54,819 --> 00:16:56,588
any, you know, foods are going

582
00:16:56,588 --> 00:16:58,156
to be ingested of those that

583
00:16:58,156 --> 00:16:59,390
MAY be have linked in the past,

584
00:16:59,390 --> 00:17:00,759
you know, be helpful to cook

585
00:17:00,759 --> 00:17:02,627
those to high temperatures,

586
00:17:02,627 --> 00:17:04,695
washing your hands and any

587
00:17:04,695 --> 00:17:06,640
fresh produce under running

588
00:17:06,640 --> 00:17:08,166
water before eating, cooking,

589
00:17:08,166 --> 00:17:09,667
cutting is also a good best

590
00:17:09,667 --> 00:17:10,735
practice, but unfortunately

591
00:17:10,735 --> 00:17:12,337
washing alone does not

592
00:17:12,337 --> 00:17:13,204
eliminate the risk. It really

593
00:17:13,204 --> 00:17:15,139
is heating to high

594
00:17:15,139 --> 00:17:17,442
temperatures. Um, and then just

595
00:17:17,442 --> 00:17:18,676
lastly, I want to note that,

596
00:17:18,676 --> 00:17:21,145
um, you know, when food

597
00:17:21,145 --> 00:17:23,140
outbreaks happen and especially

598
00:17:23,140 --> 00:17:25,383
when they happen like this with

599
00:17:25,383 --> 00:17:27,783
multiple multiple states being

600
00:17:28,252 --> 00:17:30,154
impacted, a very strong federal

601
00:17:30,154 --> 00:17:33,154
response is needed to manage

602
00:17:33,191 --> 00:17:35,659
this type of complex foodborne

603
00:17:35,659 --> 00:17:37,495
outbreak and multi-state

604
00:17:37,495 --> 00:17:38,429
investigations. And

605
00:17:38,429 --> 00:17:38,596
unfortunately, what we

606
00:17:38,596 --> 00:17:40,596
re

607
00:17:40,598 --> 00:17:42,133
seeing right now is in part due

608
00:17:42,133 --> 00:17:44,202
to a lack of federal public

609
00:17:44,202 --> 00:17:46,304
health leadership, changes to

610
00:17:46,304 --> 00:17:47,772
food surveillance, and the loss

611
00:17:47,772 --> 00:17:49,874
of public health staff at the

612
00:17:49,874 --> 00:17:51,876
centers for Disease Control.

613
00:17:51,876 --> 00:17:52,430
Um, so, you know, really, when

614
00:17:52,430 --> 00:17:53,111
we

615
00:17:53,111 --> 00:17:54,545
re having these kinds of

616
00:17:54,545 --> 00:17:56,347
foodborne outbreaks that can

617
00:17:56,347 --> 00:17:58,817
impact a large number of

618
00:17:58,817 --> 00:18:00,551
people, these investigations

619
00:18:00,551 --> 00:18:01,319
are typically inherently

620
00:18:01,319 --> 00:18:02,286
complex, and it

621
00:18:02,286 --> 00:18:03,454
s always hard

622
00:18:03,454 --> 00:18:05,123
to make sure that, you know,

623
00:18:05,123 --> 00:18:05,323
individuals can recall what

624
00:18:05,323 --> 00:18:07,158
they

625
00:18:07,158 --> 00:18:08,592
ve eaten for the previous

626
00:18:08,592 --> 00:18:10,928
two weeks, right, to try to

627
00:18:10,928 --> 00:18:13,164
identify a source. Um, but it

628
00:18:13,164 --> 00:18:14,866
really requires collaboration

629
00:18:14,866 --> 00:18:15,900
and coordination between local

630
00:18:15,900 --> 00:18:17,836
health departments, state

631
00:18:17,836 --> 00:18:20,236
health departments and federal

632
00:18:20,472 --> 00:18:20,638
public health leaders. Um, so

633
00:18:20,638 --> 00:18:22,638
we

634
00:18:23,374 --> 00:18:23,574
re hopeful that, um, will

635
00:18:23,574 --> 00:18:24,876
they

636
00:18:24,876 --> 00:18:26,344
ll be able to identify a

637
00:18:26,344 --> 00:18:28,450
source of the infection soon.

638
00:18:28,450 --> 00:18:28,713
But again, here, we

639
00:18:28,713 --> 00:18:30,140
re working

640
00:18:30,140 --> 00:18:31,282
closely with our health care

641
00:18:31,282 --> 00:18:33,500
partners and the state

642
00:18:33,500 --> 00:18:35,653
Department of Health to monitor

643
00:18:35,653 --> 00:18:37,121
things very closely and make

644
00:18:37,121 --> 00:18:39,490
sure that we provide updates to

645
00:18:39,490 --> 00:18:41,890
the public. Thank you.

646
00:18:42,794 --> 00:18:44,895
Thank you very much, doctor. We

647
00:18:44,895 --> 00:18:45,863
have, um, another board member

648
00:18:45,863 --> 00:18:47,980
that joined us. I just wanted

649
00:18:47,980 --> 00:18:48,332
to welcome board member Pete

650
00:18:48,332 --> 00:18:49,634
von Reichbauer. Thank you for

651
00:18:49,634 --> 00:18:50,601
being with us as well.

652
00:18:50,601 --> 00:18:52,503
Colleagues, are there any

653
00:18:52,503 --> 00:18:54,939
questions that you have for

654
00:18:54,939 --> 00:18:57,939
Doctor Valenciano on her report

655
00:18:59,744 --> 00:19:00,711
out? Well, you heard it here.

656
00:19:00,711 --> 00:19:01,346
Cook your food. Don

657
00:19:01,346 --> 00:19:03,346
t eat that

658
00:19:03,647 --> 00:19:05,115
raw lettuce for right now. Um,

659
00:19:05,115 --> 00:19:07,151
congratulations to the entire

660
00:19:07,151 --> 00:19:08,152
team. Uh, for all that you did,

661
00:19:08,152 --> 00:19:10,552
especially during the World

662
00:19:11,155 --> 00:19:12,656
Cup. And, uh, very, very

663
00:19:12,656 --> 00:19:14,659
pleased that there was no major

664
00:19:14,659 --> 00:19:16,661
outbreaks, um, either in our

665
00:19:16,661 --> 00:19:18,620
region or across the three

666
00:19:18,620 --> 00:19:20,398
countries during that time

667
00:19:20,398 --> 00:19:21,599
period. Uh, really, thank you

668
00:19:21,599 --> 00:19:23,768
for all that you do. This is in

669
00:19:23,768 --> 00:19:25,637
addition to the daily work that

670
00:19:25,637 --> 00:19:27,505
you provide. Any additional

671
00:19:27,505 --> 00:19:28,206
questions seeing none. Thank

672
00:19:28,206 --> 00:19:29,440
you very much, Doctor

673
00:19:29,440 --> 00:19:30,542
Valenciano. Again, a written

674
00:19:30,542 --> 00:19:31,643
report on page ten in your

675
00:19:31,643 --> 00:19:32,710
materials. Thank you, as

676
00:19:32,710 --> 00:19:33,744
always, for being here with us.

677
00:19:33,744 --> 00:19:34,512
And if we don

678
00:19:34,512 --> 00:19:35,313
t see you before,

679
00:19:35,313 --> 00:19:37,515
we will see you at the

680
00:19:37,515 --> 00:19:39,350
SEPTEMBER meeting. Thanks.

681
00:19:39,350 --> 00:19:42,186
Okay. This moves us on to item

682
00:19:42,186 --> 00:19:44,689
number eight on our agenda. We

683
00:19:44,689 --> 00:19:45,823
have, um, an update on the

684
00:19:45,823 --> 00:19:47,425
board membership and

685
00:19:47,425 --> 00:19:49,825
recruitment efforts for next

686
00:19:50,695 --> 00:19:51,662
year, 2027. Thanks again to Joy

687
00:19:51,662 --> 00:19:52,597
Carpine-Cazzanti, who is here

688
00:19:52,597 --> 00:19:53,665
with us as a board

689
00:19:53,665 --> 00:19:54,632
administrator, to give us an

690
00:19:54,632 --> 00:19:57,101
update. Thanks for your work

691
00:19:57,101 --> 00:19:58,169
annually to get us prepared for

692
00:19:58,169 --> 00:19:59,770
having a full board

693
00:19:59,770 --> 00:20:00,738
representation and all the

694
00:20:00,738 --> 00:20:02,206
preparation that goes into

695
00:20:02,206 --> 00:20:04,420
recruitment. Over to you.

696
00:20:04,420 --> 00:20:05,810
Thank you. Uh, yes, I

697
00:20:05,810 --> 00:20:06,845
m Joy

698
00:20:06,845 --> 00:20:08,479
Carpine-Cazzanti, your board

699
00:20:08,479 --> 00:20:09,814
administrator from Public

700
00:20:09,814 --> 00:20:10,448
Health, and today i

701
00:20:10,448 --> 00:20:12,448
ll provide

702
00:20:13,250 --> 00:20:14,418
a brief update on our 2027

703
00:20:14,418 --> 00:20:16,187
board membership and the

704
00:20:16,187 --> 00:20:18,423
recruitment process that we are

705
00:20:18,423 --> 00:20:20,258
undertaking to fill a vacancy.

706
00:20:20,258 --> 00:20:22,626
As I reported last month, the

707
00:20:22,626 --> 00:20:23,895
board has four positions that

708
00:20:23,895 --> 00:20:26,464
will expire at the end of this

709
00:20:26,464 --> 00:20:28,166
year. Board member Butch de

710
00:20:28,166 --> 00:20:28,366
Castro position. Lisa Chu

711
00:20:28,366 --> 00:20:30,366
s

712
00:20:30,402 --> 00:20:32,402
position, Christopher

713
00:20:32,770 --> 00:20:34,770
Archiopoli position, and

714
00:20:35,139 --> 00:20:37,139
alternate Francoise Milinganyo

715
00:20:38,900 --> 00:20:40,512
position. Board members two are

716
00:20:40,512 --> 00:20:42,313
Chipotle and alternate Melanie

717
00:20:42,313 --> 00:20:44,313
Garneau will seek

718
00:20:44,448 --> 00:20:46,250
reappointment. Board member

719
00:20:46,250 --> 00:20:48,452
Butch de Castro has served on

720
00:20:48,452 --> 00:20:49,987
the board for many years. And

721
00:20:49,987 --> 00:20:52,387
we definitely appreciate that

722
00:20:52,957 --> 00:20:54,825
and all his expertise. But he

723
00:20:54,825 --> 00:20:58,620
will not return to us next

724
00:20:58,620 --> 00:21:01,620
year. Uh, he represents public

725
00:21:01,366 --> 00:21:03,766
health facilities and providers

726
00:21:05,360 --> 00:21:06,403
and, um, if approved by the

727
00:21:06,403 --> 00:21:08,339
board and the King County

728
00:21:08,339 --> 00:21:09,674
Council, his alternate, Karen

729
00:21:09,674 --> 00:21:12,243
Hartfield, will move into his

730
00:21:12,243 --> 00:21:12,677
position next year. This leaves

731
00:21:12,677 --> 00:21:13,611
Karen Hatfield

732
00:21:13,611 --> 00:21:15,246
s alternate

733
00:21:15,246 --> 00:21:17,646
position vacant, and public

734
00:21:17,681 --> 00:21:19,917
Health has advertised the

735
00:21:19,917 --> 00:21:21,418
opportunity to apply. And this

736
00:21:21,418 --> 00:21:23,818
application period will close

737
00:21:26,230 --> 00:21:27,892
next week. On JULY 22nd. At the

738
00:21:27,892 --> 00:21:29,660
end of the day, as required, we

739
00:21:29,660 --> 00:21:31,162
posted vacancy advertisements

740
00:21:31,162 --> 00:21:33,431
in the Seattle Times and local

741
00:21:33,431 --> 00:21:34,498
papers across King County.

742
00:21:34,498 --> 00:21:35,933
Public health has shared

743
00:21:35,933 --> 00:21:38,333
information on our blog,

744
00:21:38,436 --> 00:21:39,904
website and social media and

745
00:21:39,904 --> 00:21:41,538
sent the opportunity to the

746
00:21:41,538 --> 00:21:43,874
Board of Health email listserv

747
00:21:43,874 --> 00:21:45,109
and other community partners. I

748
00:21:45,109 --> 00:21:46,544
encourage board members to

749
00:21:46,544 --> 00:21:49,247
share the opportunity with your

750
00:21:49,247 --> 00:21:51,820
networks as well. I sent an

751
00:21:51,820 --> 00:21:53,482
email yesterday with more

752
00:21:53,517 --> 00:21:55,186
details that you can share. As

753
00:21:55,186 --> 00:21:58,186
of this morning, we have

754
00:21:58,222 --> 00:21:58,389
received six applications. Uh,

755
00:21:58,389 --> 00:21:59,623
we

756
00:21:59,623 --> 00:22:00,858
re hoping to get a few more

757
00:22:00,858 --> 00:22:02,593
if you are able to help us

758
00:22:02,593 --> 00:22:04,495
spread the word. Just a

759
00:22:04,495 --> 00:22:05,930
reminder about the process

760
00:22:05,930 --> 00:22:07,265
state requirements place

761
00:22:07,265 --> 00:22:09,265
responsibility for the

762
00:22:09,434 --> 00:22:11,434
recruitment, selection and

763
00:22:11,436 --> 00:22:13,404
recommendation of membership

764
00:22:13,404 --> 00:22:14,872
with the Board of Health and

765
00:22:14,872 --> 00:22:16,407
the King County Council makes

766
00:22:16,407 --> 00:22:18,209
the official appointments.

767
00:22:18,209 --> 00:22:19,877
Public health staff are doing

768
00:22:19,877 --> 00:22:22,790
an initial review of applicants

769
00:22:22,790 --> 00:22:23,180
now for eligibility, and those

770
00:22:23,180 --> 00:22:24,615
who are eligible will be

771
00:22:24,615 --> 00:22:27,180
reviewed by board members. Our

772
00:22:27,180 --> 00:22:28,953
Polly Mohamed and Alternate

773
00:22:28,953 --> 00:22:30,988
Hartfield, as well as chair

774
00:22:30,988 --> 00:22:32,791
chair, mosquitoes, Team. These

775
00:22:32,791 --> 00:22:34,258
board members will review

776
00:22:34,258 --> 00:22:36,127
applications, conduct

777
00:22:36,127 --> 00:22:38,229
interviews in AUGUST or early

778
00:22:38,229 --> 00:22:39,330
SEPTEMBER, and then at the

779
00:22:39,330 --> 00:22:39,491
SEPTEMBER board meeting, we

780
00:22:39,491 --> 00:22:40,765
ll

781
00:22:40,765 --> 00:22:42,867
make a recommendation to the

782
00:22:42,867 --> 00:22:44,168
full board on who to bring to

783
00:22:44,168 --> 00:22:46,204
the OCTOBER meeting for an

784
00:22:46,204 --> 00:22:48,706
interview. Thanks to all of you

785
00:22:48,706 --> 00:22:51,509
in advance for your work with

786
00:22:51,509 --> 00:22:52,710
me over the next month. In

787
00:22:52,710 --> 00:22:54,612
OCTOBER, the board will

788
00:22:54,612 --> 00:22:56,147
consider four resolutions

789
00:22:56,147 --> 00:22:57,482
recommending reappointment of

790
00:22:57,482 --> 00:22:58,716
the returning members and

791
00:22:58,716 --> 00:23:00,918
appointment of the new

792
00:23:00,918 --> 00:23:02,253
alternate. If approved, these

793
00:23:02,253 --> 00:23:03,755
will be transmitted to the King

794
00:23:03,755 --> 00:23:05,856
County Council for their

795
00:23:05,856 --> 00:23:07,658
consideration, and acting in

796
00:23:07,658 --> 00:23:09,193
OCTOBER will allow us time for

797
00:23:09,193 --> 00:23:10,828
final action by the Council

798
00:23:10,828 --> 00:23:10,986
before the end of the year. So

799
00:23:10,986 --> 00:23:12,397
I

800
00:23:12,397 --> 00:23:14,198
ll continue to provide

801
00:23:14,198 --> 00:23:15,666
updates as we work towards

802
00:23:15,666 --> 00:23:18,660
recommendations for the full

803
00:23:18,235 --> 00:23:18,407
board approval in OCTOBER, and

804
00:23:18,407 --> 00:23:19,603
I

805
00:23:19,603 --> 00:23:20,404
m happy to answer any

806
00:23:20,404 --> 00:23:22,140
questions.

807
00:23:22,140 --> 00:23:23,774
Well, let me say thanks again

808
00:23:23,774 --> 00:23:25,343
for all the work that you and

809
00:23:25,343 --> 00:23:26,410
the team put into the

810
00:23:26,410 --> 00:23:27,779
recruitment, and the board

811
00:23:27,779 --> 00:23:28,779
members who volunteered to be

812
00:23:28,779 --> 00:23:30,180
part of the subcommittee, and

813
00:23:30,180 --> 00:23:30,514
all of our staff. Um, I

814
00:23:30,514 --> 00:23:31,816
m

815
00:23:31,816 --> 00:23:33,251
really pleased that so many

816
00:23:33,251 --> 00:23:34,510
board members are seeking

817
00:23:34,510 --> 00:23:35,520
reappointment. That

818
00:23:35,520 --> 00:23:36,621
s wonderful

819
00:23:36,621 --> 00:23:38,322
and look forward to continuing

820
00:23:38,322 --> 00:23:40,458
to partner with you. I want to

821
00:23:40,458 --> 00:23:43,128
say thank you to board member

822
00:23:43,128 --> 00:23:45,496
de Castro. I think your service

823
00:23:45,496 --> 00:23:46,997
on the Board of Health, MAY

824
00:23:46,997 --> 00:23:47,155
predate me, and I feel like

825
00:23:47,155 --> 00:23:48,333
I

826
00:23:48,333 --> 00:23:50,535
ve been here for eight years

827
00:23:50,535 --> 00:23:51,869
or seven years or so. So, um, I

828
00:23:51,869 --> 00:23:53,700
just wanted to offer you a

829
00:23:53,700 --> 00:23:55,239
second. If you wanted to chime

830
00:23:55,239 --> 00:23:55,406
in and offer any words, I know

831
00:23:55,406 --> 00:23:56,140
we

832
00:23:56,140 --> 00:23:57,475
ll have a chance to chat

833
00:23:57,475 --> 00:23:58,510
with you again, but just want

834
00:23:58,510 --> 00:24:00,100
to say thanks for your ongoing

835
00:24:00,100 --> 00:24:01,479
service, and I you served as

836
00:24:01,479 --> 00:24:03,147
vice chair in addition to

837
00:24:03,147 --> 00:24:03,780
various leadership roles. So

838
00:24:03,780 --> 00:24:04,215
anything else you

839
00:24:04,215 --> 00:24:06,117
d like to

840
00:24:06,117 --> 00:24:07,718
share? Board member de Castro.

841
00:24:07,718 --> 00:24:08,753
Thank you. Very, very nice of

842
00:24:08,753 --> 00:24:08,918
you to give some space. I

843
00:24:08,918 --> 00:24:09,987
ll

844
00:24:09,987 --> 00:24:11,989
just say briefly in the

845
00:24:11,989 --> 00:24:14,910
immediate, just thank you to

846
00:24:14,910 --> 00:24:15,326
all my colleagues here, uh, you

847
00:24:15,326 --> 00:24:17,280
know, including those in the

848
00:24:17,280 --> 00:24:19,196
past to to do this service for

849
00:24:19,196 --> 00:24:20,597
the community of Seattle and

850
00:24:20,597 --> 00:24:20,932
King County at large. It

851
00:24:20,932 --> 00:24:22,367
s been

852
00:24:22,367 --> 00:24:24,101
a privilege, but I can

853
00:24:24,101 --> 00:24:26,171
definitely say more. Um, as we

854
00:24:26,171 --> 00:24:27,404
close the year. But thank you.

855
00:24:27,404 --> 00:24:28,373
Excellent. Thank you. And thank

856
00:24:28,373 --> 00:24:30,740
you again for your leadership,

857
00:24:30,740 --> 00:24:31,842
especially during the Covid

858
00:24:31,842 --> 00:24:33,811
days. I remember you stepping

859
00:24:33,811 --> 00:24:35,446
onto screen and, uh, really

860
00:24:35,446 --> 00:24:36,814
stepping up. So thank you. Uh,

861
00:24:36,814 --> 00:24:37,982
board member Hartfield, thank

862
00:24:37,982 --> 00:24:39,284
you for your interest in

863
00:24:39,284 --> 00:24:40,418
serving as a permanent member

864
00:24:40,418 --> 00:24:41,652
as well. Thanks for serving as

865
00:24:41,652 --> 00:24:42,186
an alternate. And we are

866
00:24:42,186 --> 00:24:42,654
thrilled that you

867
00:24:42,654 --> 00:24:44,654
re interested

868
00:24:45,756 --> 00:24:46,957
in seeking this position in an

869
00:24:46,957 --> 00:24:47,291
ongoing manner. Is there

870
00:24:47,291 --> 00:24:48,826
anything you

871
00:24:48,826 --> 00:24:49,694
d like to add?

872
00:24:49,694 --> 00:24:51,694
Um, no. I

873
00:24:51,762 --> 00:24:54,762
m excited to have the

874
00:24:54,866 --> 00:24:55,230
opportunity to represent, and

875
00:24:55,230 --> 00:24:56,233
I

876
00:24:56,233 --> 00:24:58,680
ve been enjoying my service

877
00:24:58,680 --> 00:25:00,400
so far, so it sounds like a win

878
00:25:00,400 --> 00:25:01,500
win for all of us.

879
00:25:01,500 --> 00:25:01,405
Absolutely. And we

880
00:25:01,405 --> 00:25:02,707
ll have a

881
00:25:02,707 --> 00:25:04,410
chance to hear more from you in

882
00:25:04,410 --> 00:25:05,542
the upcoming meetings as well.

883
00:25:05,542 --> 00:25:06,777
But I really appreciate your

884
00:25:06,777 --> 00:25:08,120
interest in continuing to serve

885
00:25:08,120 --> 00:25:09,847
here and for your work. Um,

886
00:25:09,847 --> 00:25:11,181
already with this board and

887
00:25:11,181 --> 00:25:13,284
colleagues, you heard from our

888
00:25:13,284 --> 00:25:14,885
board administrator that, uh,

889
00:25:14,885 --> 00:25:16,287
we are continuing to push out

890
00:25:16,287 --> 00:25:16,820
the announcement about the

891
00:25:16,820 --> 00:25:17,655
position that

892
00:25:17,655 --> 00:25:20,550
s open as an

893
00:25:20,910 --> 00:25:21,625
alternate. So if you have not

894
00:25:21,625 --> 00:25:23,428
already shared that with your

895
00:25:23,428 --> 00:25:24,762
listservs, community members,

896
00:25:24,762 --> 00:25:26,163
neighbors, put it on your

897
00:25:26,163 --> 00:25:27,431
social media, please do. And

898
00:25:27,431 --> 00:25:28,833
maybe we can send a little

899
00:25:28,833 --> 00:25:29,333
blurb out just as a reminder

900
00:25:29,333 --> 00:25:30,668
for folks so it

901
00:25:30,668 --> 00:25:33,680
s easy to grab.

902
00:25:33,137 --> 00:25:34,605
Um, and again, the deadline,

903
00:25:34,605 --> 00:25:34,805
JULY 22nd, is when we

904
00:25:34,805 --> 00:25:36,541
re

905
00:25:36,541 --> 00:25:37,741
looking to fill that alternate

906
00:25:37,741 --> 00:25:38,876
position. So if people can get

907
00:25:38,876 --> 00:25:40,278
their applications in before

908
00:25:40,278 --> 00:25:41,779
that, that would be great.

909
00:25:41,779 --> 00:25:42,880
Okay. Thanks so much, Joy.

910
00:25:42,880 --> 00:25:44,682
Anything else that you need

911
00:25:44,682 --> 00:25:46,717
from us at this juncture? No.

912
00:25:46,717 --> 00:25:48,486
Okay. Well that moves us on,

913
00:25:48,486 --> 00:25:49,854
folks. Thank you so much. Um,

914
00:25:49,854 --> 00:25:51,322
more to come on that topic and

915
00:25:51,322 --> 00:25:52,723
more to be heard from board

916
00:25:52,723 --> 00:25:54,826
member de Castro and board

917
00:25:54,826 --> 00:25:57,226
member Hartfield. Uh, item

918
00:25:57,227 --> 00:25:58,796
number ten on the agenda is a

919
00:25:58,796 --> 00:25:59,163
briefing about the Seattle and

920
00:25:59,163 --> 00:26:00,264
King County

921
00:26:00,264 --> 00:26:02,000
s efforts around

922
00:26:02,000 --> 00:26:03,434
the continuum of care. Again, I

923
00:26:03,434 --> 00:26:06,170
want to thank board member Liu,

924
00:26:06,170 --> 00:26:07,705
who had suggested this item be

925
00:26:07,705 --> 00:26:10,105
included in our board

926
00:26:10,141 --> 00:26:12,343
discussion here today. And much

927
00:26:12,343 --> 00:26:14,111
of the board has been briefed

928
00:26:14,111 --> 00:26:15,613
in part on the continuum of

929
00:26:15,613 --> 00:26:17,470
care dollars that we are so

930
00:26:17,470 --> 00:26:18,882
desperately in need of from the

931
00:26:18,882 --> 00:26:21,282
Federal Housing and Urban

932
00:26:21,419 --> 00:26:23,754
Development, um, grants that we

933
00:26:23,754 --> 00:26:26,557
regularly rely on to the tune

934
00:26:26,557 --> 00:26:28,592
of over $60 million here in

935
00:26:28,592 --> 00:26:32,192
King County alone, is how much

936
00:26:32,496 --> 00:26:33,297
we continue to invest in these

937
00:26:33,297 --> 00:26:34,933
items. Um, I

938
00:26:34,933 --> 00:26:36,434
m going to hold

939
00:26:36,434 --> 00:26:36,634
for just a second because I

940
00:26:36,634 --> 00:26:38,135
m

941
00:26:38,135 --> 00:26:39,737
so excited to talk about

942
00:26:39,737 --> 00:26:41,172
Continuum of Care. I actually

943
00:26:41,172 --> 00:26:43,340
forgot to go to agenda number

944
00:26:43,340 --> 00:26:45,777
nine. Is that correct? Team?

945
00:26:45,777 --> 00:26:48,120
Um, so sorry for the preemptive

946
00:26:48,120 --> 00:26:50,140
jump in on a continuum of care

947
00:26:50,140 --> 00:26:51,349
items. Um, so if folks could

948
00:26:51,349 --> 00:26:52,717
just, uh, hold tight for that

949
00:26:52,717 --> 00:26:54,151
item. Uh, board member Liu,

950
00:26:54,151 --> 00:26:54,986
apologies for that. I know, uh,

951
00:26:54,986 --> 00:26:56,220
that was something that you

952
00:26:56,220 --> 00:26:56,387
were teed up to speak to. So

953
00:26:56,387 --> 00:26:57,221
we

954
00:26:57,221 --> 00:26:59,857
re going to go back to

955
00:26:59,857 --> 00:27:00,240
agenda number nine. Um, if you

956
00:27:00,240 --> 00:27:01,959
don

957
00:27:01,959 --> 00:27:04,610
t mind. Agenda number nine

958
00:27:04,610 --> 00:27:05,630
is equally important. This is a

959
00:27:05,630 --> 00:27:07,832
preview of an item that will

960
00:27:07,832 --> 00:27:09,533
come before our, um, fall

961
00:27:09,533 --> 00:27:10,868
discussion in the SEPTEMBER

962
00:27:10,868 --> 00:27:12,136
meeting. The board will

963
00:27:12,136 --> 00:27:14,105
continue to have a conversation

964
00:27:14,105 --> 00:27:15,306
and potentially vote on pet

965
00:27:15,306 --> 00:27:16,907
business and public health,

966
00:27:16,907 --> 00:27:19,243
zoonotic diseases, code and

967
00:27:19,243 --> 00:27:21,110
rate updates. Board members who

968
00:27:21,110 --> 00:27:21,378
MAY vote on such a change in

969
00:27:21,378 --> 00:27:22,713
this fall

970
00:27:22,713 --> 00:27:23,848
s a meeting will

971
00:27:23,848 --> 00:27:24,882
include board members who are

972
00:27:24,882 --> 00:27:25,450
elected officials, and that

973
00:27:25,450 --> 00:27:27,450
s

974
00:27:27,251 --> 00:27:29,587
only because of the impact on

975
00:27:29,587 --> 00:27:31,422
fees and rates. The slides for

976
00:27:31,422 --> 00:27:33,224
the briefing, uh, for this

977
00:27:33,224 --> 00:27:35,193
item, item number nine, again,

978
00:27:35,193 --> 00:27:36,627
that those item, those slides

979
00:27:36,627 --> 00:27:39,290
begin on page 15 of your

980
00:27:39,290 --> 00:27:40,231
packet. And you might recall

981
00:27:40,231 --> 00:27:41,799
this topic for board members

982
00:27:41,799 --> 00:27:43,968
who were here with us last

983
00:27:43,968 --> 00:27:45,769
year, we had a presentation

984
00:27:45,769 --> 00:27:47,204
last SEPTEMBER as well. And

985
00:27:47,204 --> 00:27:49,240
those slides have also been

986
00:27:49,240 --> 00:27:51,775
included in your packet on um,

987
00:27:51,775 --> 00:27:52,943
beginning on page 35. This

988
00:27:52,943 --> 00:27:53,912
year, Public Health has been

989
00:27:53,912 --> 00:27:55,579
providing additional

990
00:27:55,579 --> 00:27:57,582
information at the board prep

991
00:27:57,582 --> 00:27:59,683
meetings and through email

992
00:27:59,683 --> 00:28:01,619
communications to board members

993
00:28:01,619 --> 00:28:03,187
about the zoonotic disease

994
00:28:03,187 --> 00:28:05,289
codes and rates. And we would

995
00:28:05,289 --> 00:28:06,624
very much appreciate if you

996
00:28:06,624 --> 00:28:09,227
have any questions today to

997
00:28:09,227 --> 00:28:10,494
jump in and ask those. I have

998
00:28:10,494 --> 00:28:11,895
told our public health team,

999
00:28:11,895 --> 00:28:14,650
sometimes this item gets

1000
00:28:14,650 --> 00:28:16,465
confused with other animal

1001
00:28:16,968 --> 00:28:18,402
related public policies. And so

1002
00:28:18,402 --> 00:28:20,170
we will be clarifying here

1003
00:28:20,170 --> 00:28:22,570
today what zoonotic disease

1004
00:28:22,707 --> 00:28:25,643
code and rates refers to. Um,

1005
00:28:25,643 --> 00:28:27,144
as there are many health issues

1006
00:28:27,144 --> 00:28:28,680
that relate to animals in King

1007
00:28:28,680 --> 00:28:29,546
County. We want to have a clear

1008
00:28:29,546 --> 00:28:30,381
understanding of what this

1009
00:28:30,381 --> 00:28:30,748
relates to and what it doesn

1010
00:28:30,748 --> 00:28:30,898
t.

1011
00:28:30,898 --> 00:28:32,115
I

1012
00:28:32,115 --> 00:28:33,217
m very thankful that we have,

1013
00:28:33,217 --> 00:28:34,485
again with us from Public

1014
00:28:34,485 --> 00:28:35,190
Health, Ryan Kellogg, who

1015
00:28:35,190 --> 00:28:36,287
s the

1016
00:28:36,287 --> 00:28:37,454
assistant director of public

1017
00:28:37,454 --> 00:28:39,454
health, environmental and

1018
00:28:40,230 --> 00:28:40,692
Health division doctor. Jocelyn

1019
00:28:40,692 --> 00:28:41,793
Mullins, who

1020
00:28:41,793 --> 00:28:43,995
s a public health

1021
00:28:43,995 --> 00:28:45,496
veterinarian. Leah Helms, who

1022
00:28:45,496 --> 00:28:46,830
is the manager of Solid waste

1023
00:28:46,830 --> 00:28:49,230
rodent and zoonotic disease

1024
00:28:49,700 --> 00:28:50,268
programs. And, um, Michael

1025
00:28:50,268 --> 00:28:50,968
Perez, who

1026
00:28:50,968 --> 00:28:52,603
s the finance and

1027
00:28:52,603 --> 00:28:54,138
administrative service manager,

1028
00:28:54,138 --> 00:28:56,140
uh, to provide us an overview

1029
00:28:56,140 --> 00:28:57,274
of zoonotic disease codes and

1030
00:28:57,274 --> 00:28:58,709
rates. And again, this is a

1031
00:28:58,709 --> 00:28:59,877
briefing with subsequent

1032
00:28:59,877 --> 00:29:01,345
conversation to come in

1033
00:29:01,345 --> 00:29:02,747
SEPTEMBER. I also want to thank

1034
00:29:02,747 --> 00:29:03,714
board member Lewis who is here

1035
00:29:03,714 --> 00:29:05,516
with us. Thank you, Board

1036
00:29:05,516 --> 00:29:06,950
Member Lewis, for dialing in.

1037
00:29:06,950 --> 00:29:07,118
And any other board members

1038
00:29:07,118 --> 00:29:07,885
who

1039
00:29:07,885 --> 00:29:08,986
d like to announce

1040
00:29:08,986 --> 00:29:11,656
themselves before we move on

1041
00:29:11,656 --> 00:29:13,624
with agenda number nine. Okay.

1042
00:29:13,624 --> 00:29:15,259
Take it away, MR. Kellogg, and

1043
00:29:15,259 --> 00:29:16,326
sorry for the false start.

1044
00:29:16,326 --> 00:29:17,494
There.

1045
00:29:17,494 --> 00:29:17,962
Great. Thank you. Chair.

1046
00:29:17,962 --> 00:29:19,290
Mosquito. I

1047
00:29:19,290 --> 00:29:20,298
m also very excited

1048
00:29:20,298 --> 00:29:21,799
about the continuum of care

1049
00:29:21,799 --> 00:29:23,000
presentation, and I appreciate

1050
00:29:23,000 --> 00:29:24,568
being here with you and other

1051
00:29:24,568 --> 00:29:24,723
Board of Health members. Again,

1052
00:29:24,723 --> 00:29:26,470
I

1053
00:29:26,470 --> 00:29:27,805
m Ryan Kellogg, assistant

1054
00:29:27,805 --> 00:29:28,606
mental health director here at

1055
00:29:28,606 --> 00:29:29,540
Public Health. We

1056
00:29:29,540 --> 00:29:31,241
re pleased to

1057
00:29:31,241 --> 00:29:32,576
be back to share an update with

1058
00:29:32,576 --> 00:29:33,911
the board following our

1059
00:29:33,911 --> 00:29:34,278
briefing last SEPTEMBER on

1060
00:29:34,278 --> 00:29:35,790
public health

1061
00:29:35,790 --> 00:29:37,790
s role in

1062
00:29:37,381 --> 00:29:37,681
zoonotic disease prevention and

1063
00:29:37,681 --> 00:29:38,683
the board

1064
00:29:38,683 --> 00:29:40,683
s pet business

1065
00:29:40,684 --> 00:29:40,885
regulations. In addition to

1066
00:29:40,885 --> 00:29:42,850
today

1067
00:29:42,850 --> 00:29:44,255
s presentation on our

1068
00:29:44,255 --> 00:29:45,522
code update process, your

1069
00:29:45,522 --> 00:29:45,690
packets include last year

1070
00:29:45,690 --> 00:29:47,910
s

1071
00:29:47,910 --> 00:29:48,192
presentation that provides more

1072
00:29:48,192 --> 00:29:48,726
context on public health

1073
00:29:48,726 --> 00:29:50,327
s role

1074
00:29:50,327 --> 00:29:51,862
in zoonotic disease prevention

1075
00:29:51,862 --> 00:29:53,697
and the importance of standards

1076
00:29:53,697 --> 00:29:54,766
for pet business operations.

1077
00:29:54,766 --> 00:29:54,922
Um, as the chair mentioned, I

1078
00:29:54,922 --> 00:29:56,100
m

1079
00:29:56,100 --> 00:29:57,234
joined today by our public

1080
00:29:57,234 --> 00:29:58,636
health veterinarian doctor

1081
00:29:58,636 --> 00:29:59,837
Jocelyn Mullins, and Leah

1082
00:29:59,837 --> 00:30:01,772
Helms, who manages our pet

1083
00:30:01,772 --> 00:30:03,440
business program. Mike Perez,

1084
00:30:03,440 --> 00:30:04,842
our finance and administrative

1085
00:30:04,842 --> 00:30:06,210
services manager. Environmental

1086
00:30:06,210 --> 00:30:07,378
health is on deck to assist

1087
00:30:07,378 --> 00:30:09,747
with any questions from the

1088
00:30:09,747 --> 00:30:12,516
board on the proposed changes.

1089
00:30:12,516 --> 00:30:14,218
Um, next slide please. Sean,

1090
00:30:14,218 --> 00:30:14,685
for our time today, we

1091
00:30:14,685 --> 00:30:16,253
re

1092
00:30:16,253 --> 00:30:16,721
planning to share details on

1093
00:30:16,721 --> 00:30:18,223
why we

1094
00:30:18,223 --> 00:30:18,422
re updating the codes.

1095
00:30:18,422 --> 00:30:20,570
What

1096
00:30:20,570 --> 00:30:21,458
s being proposed as

1097
00:30:21,458 --> 00:30:22,259
changes, how we

1098
00:30:22,259 --> 00:30:24,259
re engaging

1099
00:30:24,261 --> 00:30:26,630
businesses in the public, and

1100
00:30:26,630 --> 00:30:28,332
next steps. Next slide. Please

1101
00:30:28,332 --> 00:30:28,932
join for a little bit of

1102
00:30:28,932 --> 00:30:29,700
background. We

1103
00:30:29,700 --> 00:30:30,801
re overdue for

1104
00:30:30,801 --> 00:30:31,935
an update to the Pet Business

1105
00:30:31,935 --> 00:30:33,204
Standards and title eight,

1106
00:30:33,204 --> 00:30:34,504
which have not been updated

1107
00:30:34,504 --> 00:30:37,207
since their are adopted by the

1108
00:30:37,207 --> 00:30:38,308
board initially in 2010, when

1109
00:30:38,308 --> 00:30:39,910
Public Health initially

1110
00:30:39,910 --> 00:30:40,878
launched the program. The

1111
00:30:40,878 --> 00:30:41,779
updates, which will be

1112
00:30:41,779 --> 00:30:43,180
presented to the board in

1113
00:30:43,180 --> 00:30:44,182
SEPTEMBER, will align with our

1114
00:30:44,182 --> 00:30:45,716
current understanding of

1115
00:30:45,716 --> 00:30:46,917
zoonotic diseases, risks and

1116
00:30:46,917 --> 00:30:48,180
prevention interests and will

1117
00:30:48,180 --> 00:30:49,387
also reflect substantial

1118
00:30:49,387 --> 00:30:51,388
changes in the industry. Since

1119
00:30:51,388 --> 00:30:52,890
the code was initially adopted.

1120
00:30:52,890 --> 00:30:54,358
In addition to the code update,

1121
00:30:54,358 --> 00:30:55,426
the program fees are also in

1122
00:30:55,426 --> 00:30:56,794
need of updating when

1123
00:30:56,794 --> 00:30:58,229
Environmental Health Services

1124
00:30:58,229 --> 00:30:59,397
presented our most recent rate

1125
00:30:59,397 --> 00:31:02,397
study to the board last

1126
00:31:02,867 --> 00:31:04,301
OCTOBER. In OCTOBER 2024, we

1127
00:31:04,301 --> 00:31:06,360
noted at the time that the pet

1128
00:31:06,360 --> 00:31:07,305
program fees have not kept pace

1129
00:31:07,305 --> 00:31:09,139
with the changes in the level

1130
00:31:09,139 --> 00:31:10,700
of effort and are not aligned

1131
00:31:10,700 --> 00:31:10,274
with Environmental Health

1132
00:31:10,274 --> 00:31:11,642
s

1133
00:31:11,642 --> 00:31:12,776
full cost recovery model for

1134
00:31:12,776 --> 00:31:12,943
rate based programs. So we

1135
00:31:12,943 --> 00:31:14,112
ll

1136
00:31:14,112 --> 00:31:16,347
be providing more information

1137
00:31:16,347 --> 00:31:19,160
on that next slide, please.

1138
00:31:19,160 --> 00:31:19,283
Troy. Um, so overall, we

1139
00:31:19,283 --> 00:31:20,684
re

1140
00:31:20,684 --> 00:31:23,840
focusing the proposed code

1141
00:31:23,220 --> 00:31:24,688
changes in five areas. The

1142
00:31:24,688 --> 00:31:25,990
policy changes or the pet

1143
00:31:25,990 --> 00:31:28,990
business standards are in Board

1144
00:31:29,394 --> 00:31:30,728
of Health Code section 8.03

1145
00:31:30,728 --> 00:31:32,430
related to pet businesses,

1146
00:31:32,430 --> 00:31:33,497
including improvements in

1147
00:31:33,497 --> 00:31:35,990
animal health and worker

1148
00:31:35,990 --> 00:31:37,340
safety, strengthening infection

1149
00:31:37,340 --> 00:31:38,836
control and disease prevention,

1150
00:31:38,836 --> 00:31:40,737
reducing risks of animals in

1151
00:31:40,737 --> 00:31:42,540
public settings, and updating

1152
00:31:42,540 --> 00:31:44,540
and streamlining requirements.

1153
00:31:45,420 --> 00:31:46,443
And title two, along with other

1154
00:31:46,443 --> 00:31:47,645
environmental health fees. This

1155
00:31:47,645 --> 00:31:47,978
is the. This is where we

1156
00:31:47,978 --> 00:31:49,247
ll be

1157
00:31:49,247 --> 00:31:51,482
proposing some changes to

1158
00:31:51,482 --> 00:31:51,782
stabilize the program and meet

1159
00:31:51,782 --> 00:31:52,917
the board

1160
00:31:52,917 --> 00:31:54,385
s policy and

1161
00:31:54,385 --> 00:31:56,721
expectations for full cost

1162
00:31:56,721 --> 00:31:59,323
recovery. Um, and just to

1163
00:31:59,323 --> 00:31:59,924
provide some clarification to

1164
00:31:59,924 --> 00:32:00,190
follow up on the chair

1165
00:32:00,190 --> 00:32:00,958
s

1166
00:32:00,958 --> 00:32:01,258
earlier comments, we

1167
00:32:01,258 --> 00:32:02,626
ll note

1168
00:32:02,626 --> 00:32:05,950
that title eight has three

1169
00:32:05,950 --> 00:32:07,164
sections in it. It has the, um,

1170
00:32:07,164 --> 00:32:08,766
pet business regulations,

1171
00:32:08,766 --> 00:32:10,935
rodent control and rabies

1172
00:32:10,935 --> 00:32:11,135
control, which includes the

1173
00:32:11,135 --> 00:32:12,736
board

1174
00:32:12,736 --> 00:32:14,538
s requirement that all

1175
00:32:14,538 --> 00:32:17,274
animals over four months are

1176
00:32:17,274 --> 00:32:18,542
vaccinated. We and our proposal

1177
00:32:18,542 --> 00:32:22,142
are focused on the pet business

1178
00:32:22,546 --> 00:32:24,147
regulations and section 8.03.

1179
00:32:24,147 --> 00:32:25,682
We are aware of a potential

1180
00:32:25,682 --> 00:32:26,684
proposal from Regional Animal

1181
00:32:26,684 --> 00:32:27,785
Services and King County

1182
00:32:27,785 --> 00:32:29,720
Department of Executive

1183
00:32:29,720 --> 00:32:31,489
Services to add a rabies

1184
00:32:31,489 --> 00:32:33,489
vaccine reporting requirements

1185
00:32:34,240 --> 00:32:35,159
in section 8.04, but that is

1186
00:32:35,159 --> 00:32:36,327
separate and distinct from what

1187
00:32:36,327 --> 00:32:37,661
public Health is proposing to

1188
00:32:37,661 --> 00:32:37,962
the board. In SEPTEMBER. I

1189
00:32:37,962 --> 00:32:39,596
ll

1190
00:32:39,596 --> 00:32:41,131
close my intro comments by

1191
00:32:41,131 --> 00:32:42,933
noting that we have more pets

1192
00:32:42,933 --> 00:32:44,235
than kids in King County. In

1193
00:32:44,235 --> 00:32:45,269
the businesses that serve them

1194
00:32:45,269 --> 00:32:47,370
are a critical and growing

1195
00:32:47,370 --> 00:32:48,439
industry. In King County. The

1196
00:32:48,439 --> 00:32:50,541
health standards that the board

1197
00:32:50,541 --> 00:32:52,710
sets in title eight help ensure

1198
00:32:52,710 --> 00:32:54,770
standards are consistent across

1199
00:32:54,770 --> 00:32:55,679
businesses and, more

1200
00:32:55,679 --> 00:32:56,847
importantly, that our pets stay

1201
00:32:56,847 --> 00:32:57,948
safe and healthy when in the

1202
00:32:57,948 --> 00:32:59,750
care of others outside our

1203
00:32:59,750 --> 00:33:02,520
home. So, to get us started on

1204
00:33:02,520 --> 00:33:02,953
the policy changes in section

1205
00:33:02,953 --> 00:33:03,721
8.03, I

1206
00:33:03,721 --> 00:33:04,955
ll turn it over to

1207
00:33:04,955 --> 00:33:06,390
Doctor Jocelyn Mullins to

1208
00:33:06,390 --> 00:33:08,859
provide an overview of those

1209
00:33:08,859 --> 00:33:10,859
changes.

1210
00:33:11,280 --> 00:33:12,764
Great. Thank you so much, Ryan,

1211
00:33:12,764 --> 00:33:14,765
and thank you for having us

1212
00:33:14,765 --> 00:33:16,834
here today. So the proposed

1213
00:33:16,834 --> 00:33:18,468
policy changes include updated

1214
00:33:18,468 --> 00:33:20,868
standards to improve animal

1215
00:33:21,710 --> 00:33:22,440
health and worker safety. And

1216
00:33:22,440 --> 00:33:23,774
this includes establishing

1217
00:33:23,774 --> 00:33:25,175
clear enclosure size

1218
00:33:25,175 --> 00:33:27,440
requirements for animals,

1219
00:33:27,440 --> 00:33:29,180
setting expectations for group

1220
00:33:29,180 --> 00:33:30,380
housing practices, including

1221
00:33:30,380 --> 00:33:32,380
considerations for the

1222
00:33:32,683 --> 00:33:34,352
co-housing of groups of dogs or

1223
00:33:34,352 --> 00:33:36,352
cats and strengthening

1224
00:33:36,620 --> 00:33:38,620
supervision requirements. This

1225
00:33:38,756 --> 00:33:39,890
kind of space and compatibility

1226
00:33:39,890 --> 00:33:41,625
requirements for animals are

1227
00:33:41,625 --> 00:33:43,594
grounded in evidence based

1228
00:33:43,594 --> 00:33:45,262
animal care practices that

1229
00:33:45,262 --> 00:33:46,464
encourage adequate movement,

1230
00:33:46,464 --> 00:33:48,432
ensure proper social

1231
00:33:48,432 --> 00:33:50,832
interactions among animals, and

1232
00:33:51,340 --> 00:33:52,869
reduce stress among animals so

1233
00:33:52,869 --> 00:33:54,605
that a better ability for

1234
00:33:54,605 --> 00:33:56,206
animals to have normal

1235
00:33:56,206 --> 00:33:57,908
interactions and have lower

1236
00:33:57,908 --> 00:33:59,710
stress means that they are less

1237
00:33:59,710 --> 00:34:01,478
likely to develop illness or

1238
00:34:01,478 --> 00:34:03,130
bite, and the goal of these

1239
00:34:03,130 --> 00:34:05,490
requirements are therefore to

1240
00:34:05,490 --> 00:34:07,251
reduce the risk of zoonotic

1241
00:34:07,251 --> 00:34:09,251
disease spread within

1242
00:34:09,287 --> 00:34:10,954
businesses and improve the

1243
00:34:10,954 --> 00:34:12,560
safety of staff who are working

1244
00:34:12,560 --> 00:34:12,223
with those animals. And we

1245
00:34:12,223 --> 00:34:14,223
ve

1246
00:34:14,224 --> 00:34:15,459
included a more detailed list

1247
00:34:15,459 --> 00:34:16,627
and frequently asked questions

1248
00:34:16,627 --> 00:34:17,928
in your packet that walks

1249
00:34:17,928 --> 00:34:20,530
through each of those changes

1250
00:34:20,530 --> 00:34:23,530
in more depth. Next slide

1251
00:34:24,668 --> 00:34:26,504
please. There are changes that

1252
00:34:26,504 --> 00:34:28,105
will also strengthen infection

1253
00:34:28,105 --> 00:34:29,172
control and disease prevention

1254
00:34:29,172 --> 00:34:30,741
requirements for pet

1255
00:34:30,741 --> 00:34:32,443
businesses, again, with a goal

1256
00:34:32,443 --> 00:34:34,578
of improving animal and human

1257
00:34:34,578 --> 00:34:36,547
safety. And these include clear

1258
00:34:36,547 --> 00:34:38,547
expectations for infection

1259
00:34:38,649 --> 00:34:40,284
control plans and a plan for

1260
00:34:40,284 --> 00:34:41,652
staff training on zoonotic

1261
00:34:41,652 --> 00:34:43,387
diseases and working with

1262
00:34:43,387 --> 00:34:45,220
animals. And it clarifies

1263
00:34:45,220 --> 00:34:46,823
procedures for reporting animal

1264
00:34:46,823 --> 00:34:47,825
bites that occur within pet

1265
00:34:47,825 --> 00:34:48,926
businesses. We

1266
00:34:48,926 --> 00:34:50,428
re also adding a

1267
00:34:50,428 --> 00:34:52,296
new requirement for an

1268
00:34:52,296 --> 00:34:54,310
isolation plan, and this will

1269
00:34:54,310 --> 00:34:55,866
include procedures for timely

1270
00:34:55,866 --> 00:34:58,202
management of sick or injured

1271
00:34:58,202 --> 00:34:59,670
animals within pet businesses.

1272
00:34:59,670 --> 00:35:00,805
And these updates are again,

1273
00:35:00,805 --> 00:35:02,673
really grounded in our best

1274
00:35:02,673 --> 00:35:04,308
public health practices to

1275
00:35:04,308 --> 00:35:06,308
reduce disease transmission

1276
00:35:06,710 --> 00:35:08,120
risk in pet care settings and

1277
00:35:08,120 --> 00:35:09,646
ensure that cleaning and

1278
00:35:09,646 --> 00:35:11,315
sanitation requirements are

1279
00:35:11,315 --> 00:35:12,817
clear, and that sick and

1280
00:35:12,817 --> 00:35:14,952
injured animals are promptly

1281
00:35:14,952 --> 00:35:16,952
recognized, isolated and

1282
00:35:17,420 --> 00:35:19,420
treated appropriately. Next

1283
00:35:20,691 --> 00:35:21,759
slide join. We

1284
00:35:21,759 --> 00:35:23,294
re also adding

1285
00:35:23,294 --> 00:35:24,762
standards for business models

1286
00:35:24,762 --> 00:35:27,264
that have emerged since the

1287
00:35:27,264 --> 00:35:28,766
first code was drafted. There

1288
00:35:28,766 --> 00:35:30,801
are new business models in our

1289
00:35:30,801 --> 00:35:32,303
county, such as cat cafes, that

1290
00:35:32,303 --> 00:35:33,971
really change how the public

1291
00:35:33,971 --> 00:35:35,772
interacts with animals and pet

1292
00:35:35,772 --> 00:35:37,241
businesses. So unlike

1293
00:35:37,241 --> 00:35:39,900
supervised one on one

1294
00:35:39,900 --> 00:35:40,611
interactions between animals

1295
00:35:40,611 --> 00:35:42,413
and potential adopters or

1296
00:35:42,413 --> 00:35:44,470
purchasers in shelters or in

1297
00:35:44,470 --> 00:35:45,449
pet stores, these new models

1298
00:35:45,449 --> 00:35:46,884
allow the public to interact

1299
00:35:46,884 --> 00:35:48,885
with groups of animals in

1300
00:35:48,885 --> 00:35:50,870
shared spaces, so these new

1301
00:35:50,870 --> 00:35:51,622
standards will ensure that

1302
00:35:51,622 --> 00:35:53,291
those interactions can occur

1303
00:35:53,291 --> 00:35:55,691
safely and prevent disease

1304
00:35:55,960 --> 00:35:58,360
transmission to the public.

1305
00:36:00,631 --> 00:36:01,650
Next slide. Joy, thanks. And

1306
00:36:01,650 --> 00:36:01,698
lastly, we

1307
00:36:01,698 --> 00:36:02,566
re making some

1308
00:36:02,566 --> 00:36:03,401
changes that don

1309
00:36:03,401 --> 00:36:05,401
t change the

1310
00:36:05,636 --> 00:36:08,360
core policy direction of

1311
00:36:08,138 --> 00:36:10,138
section 8.03, but instead

1312
00:36:10,240 --> 00:36:12,276
include improved clarity and

1313
00:36:12,276 --> 00:36:14,278
simplify how the code is used,

1314
00:36:14,278 --> 00:36:16,147
and align it with best current

1315
00:36:16,147 --> 00:36:17,448
practice in state law. So these

1316
00:36:17,448 --> 00:36:19,490
changes make it easier for

1317
00:36:19,490 --> 00:36:20,651
business owners and the public

1318
00:36:20,651 --> 00:36:22,520
to understand and apply the

1319
00:36:22,520 --> 00:36:24,121
code. Additional details are

1320
00:36:24,121 --> 00:36:25,489
again provided in the packet

1321
00:36:25,489 --> 00:36:27,992
provided to board members for

1322
00:36:27,992 --> 00:36:30,160
their review. But first, a few

1323
00:36:30,160 --> 00:36:31,862
specific things. We focused on

1324
00:36:31,862 --> 00:36:33,263
simplifying the code to make it

1325
00:36:33,263 --> 00:36:34,965
easier to understand and apply

1326
00:36:34,965 --> 00:36:36,567
in practice, which includes

1327
00:36:36,567 --> 00:36:38,567
streamlining requirements to

1328
00:36:38,936 --> 00:36:41,380
reduce the complexity, removing

1329
00:36:41,380 --> 00:36:42,839
outdated or redundant language,

1330
00:36:42,839 --> 00:36:43,740
and updating some definitions

1331
00:36:43,740 --> 00:36:44,700
so it

1332
00:36:44,700 --> 00:36:45,876
s clearer which

1333
00:36:45,876 --> 00:36:46,430
businesses are being regulated.

1334
00:36:46,430 --> 00:36:47,411
We

1335
00:36:47,411 --> 00:36:48,812
re also aligning language

1336
00:36:48,812 --> 00:36:50,314
with current state law,

1337
00:36:50,314 --> 00:36:52,714
including updates related to

1338
00:36:53,184 --> 00:36:53,551
animal sales. And second, we

1339
00:36:53,551 --> 00:36:54,618
re

1340
00:36:54,618 --> 00:36:56,618
updating permitting

1341
00:36:56,687 --> 00:36:57,621
requirements to better reflect

1342
00:36:57,621 --> 00:36:59,323
the current risk and

1343
00:36:59,323 --> 00:37:01,392
operational realities in pet

1344
00:37:01,392 --> 00:37:03,194
businesses. So this includes

1345
00:37:03,194 --> 00:37:05,262
removing low risk categories

1346
00:37:05,262 --> 00:37:05,563
such as fish only, pet shops.

1347
00:37:05,563 --> 00:37:07,231
And we

1348
00:37:07,231 --> 00:37:09,320
re also adding clearer

1349
00:37:09,320 --> 00:37:11,320
expectations around permit

1350
00:37:11,234 --> 00:37:13,103
display. So permits are visible

1351
00:37:13,103 --> 00:37:14,839
to customers and strengthening

1352
00:37:14,839 --> 00:37:16,407
our ability to deny permits in

1353
00:37:16,407 --> 00:37:19,407
cases of outstanding fees or

1354
00:37:19,476 --> 00:37:19,843
unresolved noncompliance. So

1355
00:37:19,843 --> 00:37:20,545
with that, I

1356
00:37:20,545 --> 00:37:22,450
ll turn it back to

1357
00:37:22,450 --> 00:37:23,848
Ryan to go over the background

1358
00:37:23,848 --> 00:37:25,949
and proposal on pet business

1359
00:37:25,949 --> 00:37:28,785
fees in Board of Health title

1360
00:37:28,785 --> 00:37:30,785
two.

1361
00:37:31,889 --> 00:37:33,900
Thanks, Doctor Mullins. Um, so

1362
00:37:33,900 --> 00:37:35,759
starting with the overview of

1363
00:37:35,759 --> 00:37:38,261
our proposed fee changes, um,

1364
00:37:38,261 --> 00:37:40,231
our objectives, uh, first and

1365
00:37:40,231 --> 00:37:41,565
foremost are to stabilize the

1366
00:37:41,565 --> 00:37:42,632
program revenue, the fee

1367
00:37:42,632 --> 00:37:44,301
structure, as I mentioned

1368
00:37:44,301 --> 00:37:46,270
before, has remained largely

1369
00:37:46,270 --> 00:37:48,739
unchanged since the program was

1370
00:37:48,739 --> 00:37:50,739
established in 2010. Certain

1371
00:37:50,874 --> 00:37:52,243
rates for larger pet businesses

1372
00:37:52,243 --> 00:37:54,178
were updated by the board in

1373
00:37:54,178 --> 00:37:55,378
2024, when Environmental Health

1374
00:37:55,378 --> 00:37:55,646
Services presented the

1375
00:37:55,646 --> 00:37:57,470
division

1376
00:37:57,470 --> 00:37:58,816
s rate study. But we

1377
00:37:58,816 --> 00:38:01,319
noted at the time there was an

1378
00:38:01,319 --> 00:38:02,552
adequate level of effort data

1379
00:38:02,552 --> 00:38:03,888
associated with the different

1380
00:38:03,888 --> 00:38:04,922
business categories, and we

1381
00:38:04,922 --> 00:38:06,790
committed to the board to

1382
00:38:06,790 --> 00:38:08,359
return with a more specific

1383
00:38:08,359 --> 00:38:10,394
proposal, which is what we will

1384
00:38:10,394 --> 00:38:11,995
be presenting in SEPTEMBER with

1385
00:38:11,995 --> 00:38:12,296
an overview today. Um, I

1386
00:38:12,296 --> 00:38:13,463
d like

1387
00:38:13,463 --> 00:38:15,533
to also note that the pet

1388
00:38:15,533 --> 00:38:18,135
business program is very small,

1389
00:38:18,135 --> 00:38:18,301
um, funded at full level. Um,

1390
00:38:18,301 --> 00:38:20,301
it

1391
00:38:21,972 --> 00:38:23,974
s 1.5 FTEs, um, covering

1392
00:38:23,974 --> 00:38:25,910
just over 500 permitted

1393
00:38:25,910 --> 00:38:26,143
businesses. Um, the proposal

1394
00:38:26,143 --> 00:38:26,877
that we

1395
00:38:26,877 --> 00:38:28,512
re sharing will

1396
00:38:28,512 --> 00:38:29,913
increase the program fees to

1397
00:38:29,913 --> 00:38:31,810
reflect the actual service

1398
00:38:31,810 --> 00:38:32,415
costs, consistent with the

1399
00:38:32,415 --> 00:38:34,185
Board of Health Policy for full

1400
00:38:34,185 --> 00:38:36,585
cost recovery, while not

1401
00:38:36,820 --> 00:38:38,455
reducing services. And then

1402
00:38:38,455 --> 00:38:38,989
looking ahead to maintain

1403
00:38:38,989 --> 00:38:39,723
stability, we

1404
00:38:39,723 --> 00:38:41,491
ll continue to

1405
00:38:41,491 --> 00:38:41,659
review levels of effort. And

1406
00:38:41,659 --> 00:38:42,626
we

1407
00:38:42,626 --> 00:38:43,961
ll also adjust rates

1408
00:38:43,961 --> 00:38:45,396
annually, similar to other

1409
00:38:45,396 --> 00:38:47,796
environmental health permits to

1410
00:38:47,931 --> 00:38:48,850
account for inflation. Um, I

1411
00:38:48,850 --> 00:38:50,850
ll

1412
00:38:50,133 --> 00:38:50,301
note that since 2010, we

1413
00:38:50,301 --> 00:38:51,769
ve

1414
00:38:51,769 --> 00:38:53,437
also seen significant changes

1415
00:38:53,437 --> 00:38:55,500
in the industry. As Jocelyn

1416
00:38:55,500 --> 00:38:56,273
mentioned, uh, business

1417
00:38:56,273 --> 00:38:57,675
business models have become

1418
00:38:57,675 --> 00:38:58,842
more complex, including some

1419
00:38:58,842 --> 00:39:00,510
dog daycares growing

1420
00:39:00,510 --> 00:39:00,711
significantly in scale. And

1421
00:39:00,711 --> 00:39:01,879
there

1422
00:39:01,879 --> 00:39:04,140
s been increased demand

1423
00:39:04,140 --> 00:39:05,916
from the public for oversight

1424
00:39:05,916 --> 00:39:07,170
and from businesses for for

1425
00:39:07,170 --> 00:39:08,718
technical assistance and

1426
00:39:08,718 --> 00:39:09,687
ongoing guidance. So the goal

1427
00:39:09,687 --> 00:39:11,155
here is to move towards a

1428
00:39:11,155 --> 00:39:12,856
sustainable fee structure that

1429
00:39:12,856 --> 00:39:14,658
supports baseline program

1430
00:39:14,658 --> 00:39:16,127
capacity and allows us to

1431
00:39:16,127 --> 00:39:18,940
continue providing consistent,

1432
00:39:18,940 --> 00:39:20,494
reliable service. Next slide.

1433
00:39:20,531 --> 00:39:22,399
Please drive. This is a list of

1434
00:39:22,399 --> 00:39:23,901
the types of businesses that

1435
00:39:23,901 --> 00:39:25,769
have regulatory standards and

1436
00:39:25,769 --> 00:39:28,705
title aid and related fees. And

1437
00:39:28,705 --> 00:39:30,807
title two fees paid by these

1438
00:39:30,807 --> 00:39:32,676
businesses include. Plan review

1439
00:39:32,676 --> 00:39:34,812
for new, remodeled and expanded

1440
00:39:34,812 --> 00:39:36,547
facilities, annual permits and

1441
00:39:36,547 --> 00:39:38,182
inspections, and a limited

1442
00:39:38,182 --> 00:39:39,350
amount of general education and

1443
00:39:39,350 --> 00:39:41,151
technical assistance that

1444
00:39:41,151 --> 00:39:42,353
include, like regular program

1445
00:39:42,353 --> 00:39:43,487
newsletters, maintaining

1446
00:39:43,487 --> 00:39:44,755
program information and

1447
00:39:44,755 --> 00:39:45,800
resources on Environmental

1448
00:39:45,800 --> 00:39:46,757
Health

1449
00:39:46,757 --> 00:39:48,158
s website, and response

1450
00:39:48,158 --> 00:39:50,558
to customer inquiries and

1451
00:39:52,960 --> 00:39:52,996
support requests. Next slide. I

1452
00:39:52,996 --> 00:39:54,865
just wanted to give a little

1453
00:39:54,865 --> 00:39:56,299
bit of a review of how we

1454
00:39:56,299 --> 00:39:57,635
arrive at an environmental

1455
00:39:57,635 --> 00:39:57,868
health permit fee. It

1456
00:39:57,868 --> 00:39:59,470
s

1457
00:39:59,470 --> 00:40:01,104
calculated by multiplying the

1458
00:40:01,104 --> 00:40:04,800
hourly rate, or the cost per

1459
00:40:04,800 --> 00:40:05,776
hour for providing services. By

1460
00:40:05,776 --> 00:40:08,278
the time required for that

1461
00:40:08,278 --> 00:40:10,113
service. Next slide. And the

1462
00:40:10,113 --> 00:40:11,916
the focus of the proposed

1463
00:40:11,916 --> 00:40:14,118
changes are on the amount of

1464
00:40:14,118 --> 00:40:15,853
time required to administer

1465
00:40:15,853 --> 00:40:17,354
individual business permit

1466
00:40:17,354 --> 00:40:18,789
permits, including, as I

1467
00:40:18,789 --> 00:40:20,900
mentioned before, plan review,

1468
00:40:20,900 --> 00:40:21,458
permit issuance, annual

1469
00:40:21,458 --> 00:40:22,693
inspections, and some level of

1470
00:40:22,693 --> 00:40:24,561
education and technical

1471
00:40:24,561 --> 00:40:26,663
assistance. This is based on

1472
00:40:26,663 --> 00:40:27,497
review of our current levels of

1473
00:40:27,497 --> 00:40:28,865
effort. I

1474
00:40:28,865 --> 00:40:29,330
ll also note that as

1475
00:40:29,330 --> 00:40:30,268
we

1476
00:40:30,268 --> 00:40:31,535
re bringing the title a

1477
00:40:31,535 --> 00:40:31,691
proposal forward, we don

1478
00:40:31,691 --> 00:40:33,700
t

1479
00:40:33,700 --> 00:40:34,538
expect the proposed policy

1480
00:40:34,538 --> 00:40:35,506
changes into title eight that

1481
00:40:35,506 --> 00:40:37,107
the board will be considering

1482
00:40:37,107 --> 00:40:38,541
in SEPTEMBER to significantly

1483
00:40:38,541 --> 00:40:39,977
influence or increase the level

1484
00:40:39,977 --> 00:40:42,146
of protection and moving

1485
00:40:42,146 --> 00:40:43,681
forward. A note about the

1486
00:40:43,681 --> 00:40:44,681
timing. Also, that note on the

1487
00:40:44,681 --> 00:40:47,418
bottom of this slide, the

1488
00:40:47,418 --> 00:40:49,818
proposed fee changes. It

1489
00:40:50,821 --> 00:40:52,389
reflects our 2026 fee schedule,

1490
00:40:52,389 --> 00:40:54,291
not what businesses will be

1491
00:40:54,291 --> 00:40:55,926
paying in 2027 when the new

1492
00:40:55,926 --> 00:40:56,226
fees go into effect. That

1493
00:40:56,226 --> 00:40:58,226
s

1494
00:40:58,362 --> 00:40:59,797
because ea adjusts our rates

1495
00:40:59,797 --> 00:41:01,598
annually to account for

1496
00:41:01,598 --> 00:41:03,300
inflation. Pursuant to Board of

1497
00:41:03,300 --> 00:41:03,801
Health Policy and Title two,

1498
00:41:03,801 --> 00:41:04,768
and we don

1499
00:41:04,768 --> 00:41:06,737
t know yet the

1500
00:41:06,737 --> 00:41:08,672
specific increases for

1501
00:41:08,672 --> 00:41:09,740
inflation in 2027 until later

1502
00:41:09,740 --> 00:41:11,107
in the year, when we have the

1503
00:41:11,107 --> 00:41:11,342
cpi forecast from the King

1504
00:41:11,342 --> 00:41:12,943
County

1505
00:41:12,943 --> 00:41:15,943
s Office of Economic and

1506
00:41:17,800 --> 00:41:18,516
Financial Analysis. Next slide.

1507
00:41:18,516 --> 00:41:20,217
So now under the proposed

1508
00:41:20,217 --> 00:41:21,651
changes, there are five areas

1509
00:41:21,651 --> 00:41:21,852
in the fee structure that we

1510
00:41:21,852 --> 00:41:22,987
re

1511
00:41:22,987 --> 00:41:24,254
proposing to change to better

1512
00:41:24,254 --> 00:41:25,256
align with how the program

1513
00:41:25,256 --> 00:41:25,889
operates today. I

1514
00:41:25,889 --> 00:41:27,124
ll review

1515
00:41:27,124 --> 00:41:28,993
each of these in more detail in

1516
00:41:28,993 --> 00:41:30,927
the following slides. We want

1517
00:41:30,927 --> 00:41:32,829
to make our plan review fees

1518
00:41:32,829 --> 00:41:35,131
clearer and more predictable up

1519
00:41:35,131 --> 00:41:35,299
and reduce processing delays.

1520
00:41:35,299 --> 00:41:36,534
We

1521
00:41:36,534 --> 00:41:37,601
re adjusting the time, as I

1522
00:41:37,601 --> 00:41:38,869
mentioned before, with

1523
00:41:38,869 --> 00:41:40,470
inspection and permitting, to

1524
00:41:40,470 --> 00:41:43,700
reflect the actual level of

1525
00:41:43,700 --> 00:41:44,740
effort establishing tiered fees

1526
00:41:44,740 --> 00:41:45,242
for daycare and boarding

1527
00:41:45,242 --> 00:41:46,644
facilities that have had

1528
00:41:46,644 --> 00:41:48,120
significant differences of

1529
00:41:48,120 --> 00:41:49,980
growth and scale and

1530
00:41:49,980 --> 00:41:52,380
complexity. Establish a one

1531
00:41:52,583 --> 00:41:54,517
time double permit fee for

1532
00:41:54,517 --> 00:41:55,586
currently operating unpermitted

1533
00:41:55,586 --> 00:41:57,586
businesses who are

1534
00:41:57,855 --> 00:41:59,690
non-responsive to our outreach,

1535
00:41:59,690 --> 00:42:00,724
and then update miscellaneous

1536
00:42:00,724 --> 00:42:02,250
service fees that are not

1537
00:42:02,250 --> 00:42:03,960
accounted for elsewhere, like

1538
00:42:03,960 --> 00:42:05,960
variance request inspections

1539
00:42:07,831 --> 00:42:09,633
and return visits. Next slide.

1540
00:42:09,633 --> 00:42:11,435
So starting with the first

1541
00:42:11,435 --> 00:42:14,435
three, um, the upfront plan

1542
00:42:14,605 --> 00:42:16,239
review, will be proposing to do

1543
00:42:16,239 --> 00:42:18,750
our fees upfront consistent

1544
00:42:18,750 --> 00:42:20,100
with other environmental health

1545
00:42:20,100 --> 00:42:21,378
programs. The current pet

1546
00:42:21,378 --> 00:42:23,130
Business Plan review fee

1547
00:42:23,130 --> 00:42:24,848
assesses a one hour fee,

1548
00:42:24,848 --> 00:42:27,248
followed by additional hourly

1549
00:42:27,284 --> 00:42:29,219
fees for any additional time.

1550
00:42:29,219 --> 00:42:31,221
Um, for for a small group of

1551
00:42:31,221 --> 00:42:32,856
less complicated plan reviews

1552
00:42:32,856 --> 00:42:34,458
like poultry retail or mobile

1553
00:42:34,458 --> 00:42:36,794
groomer, satellite adoption and

1554
00:42:36,794 --> 00:42:38,629
pet food retailer will maintain

1555
00:42:38,629 --> 00:42:40,664
that at a one hour rate, plus

1556
00:42:40,664 --> 00:42:42,980
any additional hours if needed.

1557
00:42:42,980 --> 00:42:43,333
Our experience is that for

1558
00:42:43,333 --> 00:42:43,834
other plans, they

1559
00:42:43,834 --> 00:42:45,636
re more

1560
00:42:45,636 --> 00:42:47,538
complex. They take a minimum of

1561
00:42:47,538 --> 00:42:48,939
three hours to complete, so the

1562
00:42:48,939 --> 00:42:50,574
current practice of charging an

1563
00:42:50,574 --> 00:42:51,842
hour upfront, then doing follow

1564
00:42:51,842 --> 00:42:52,342
up billing billings doesn

1565
00:42:52,342 --> 00:42:53,760
t do

1566
00:42:53,760 --> 00:42:54,278
a good job. It

1567
00:42:54,278 --> 00:42:54,978
s not efficient,

1568
00:42:54,978 --> 00:42:55,578
and it also doesn

1569
00:42:55,578 --> 00:42:57,130
t do a good

1570
00:42:57,130 --> 00:42:59,149
job of communicating the actual

1571
00:42:59,149 --> 00:43:00,351
cost up front. It can also slow

1572
00:43:00,351 --> 00:43:01,918
the permitting process, this

1573
00:43:01,918 --> 00:43:03,253
final approval is contingent on

1574
00:43:03,253 --> 00:43:03,420
all of our fees being paid, so

1575
00:43:03,420 --> 00:43:04,721
it

1576
00:43:04,721 --> 00:43:06,456
ll be more efficient for us

1577
00:43:06,456 --> 00:43:09,893
and applicants to have the full

1578
00:43:09,893 --> 00:43:11,728
fee paid upfront. The next is

1579
00:43:11,728 --> 00:43:13,797
this new tiered structure for

1580
00:43:13,797 --> 00:43:13,997
daycare and boarding permits.

1581
00:43:13,997 --> 00:43:15,132
There

1582
00:43:15,132 --> 00:43:16,433
s considerable

1583
00:43:16,433 --> 00:43:17,734
variability, as I mentioned, in

1584
00:43:17,734 --> 00:43:17,901
the scale of complexity that

1585
00:43:17,901 --> 00:43:19,269
we

1586
00:43:19,269 --> 00:43:21,238
ve seen developed over time

1587
00:43:21,238 --> 00:43:22,606
with this industry group. And

1588
00:43:22,606 --> 00:43:23,707
to assess that variability and

1589
00:43:23,707 --> 00:43:23,874
the level of effort needed,

1590
00:43:23,874 --> 00:43:25,900
we

1591
00:43:25,900 --> 00:43:26,276
re proposing a tiered fee

1592
00:43:26,276 --> 00:43:27,211
structure based on the number

1593
00:43:27,211 --> 00:43:27,685
of animals in a business

1594
00:43:27,685 --> 00:43:29,685
s

1595
00:43:29,746 --> 00:43:31,810
care. Um, smaller operations

1596
00:43:31,810 --> 00:43:32,783
would have lower fees, while

1597
00:43:32,783 --> 00:43:33,851
larger, more complex operations

1598
00:43:33,851 --> 00:43:34,510
would have higher fees. It

1599
00:43:34,510 --> 00:43:36,510
s

1600
00:43:36,860 --> 00:43:39,860
not inconsistent with how our

1601
00:43:39,256 --> 00:43:40,991
food permits, food permits are

1602
00:43:40,991 --> 00:43:42,259
structured. So at the time of

1603
00:43:42,259 --> 00:43:43,193
the fees were established that

1604
00:43:43,193 --> 00:43:44,495
daycare and boarding in

1605
00:43:44,495 --> 00:43:46,129
particular were not at the size

1606
00:43:46,129 --> 00:43:47,197
and scale that we see today. So

1607
00:43:47,197 --> 00:43:48,265
establishing this tiered

1608
00:43:48,265 --> 00:43:50,670
structure creates a more

1609
00:43:50,670 --> 00:43:51,568
equitable, um, fee system that

1610
00:43:51,568 --> 00:43:54,370
reflects the level of impact

1611
00:43:54,370 --> 00:43:55,710
and oversight needed. And then

1612
00:43:55,710 --> 00:43:55,239
last on this slide, we

1613
00:43:55,239 --> 00:43:56,707
re

1614
00:43:56,707 --> 00:43:58,800
proposing to update permit fees

1615
00:43:58,800 --> 00:43:59,242
to reflect, as I mentioned

1616
00:43:59,242 --> 00:44:00,477
before, the actual time and

1617
00:44:00,477 --> 00:44:02,679
effort to conduct the

1618
00:44:02,679 --> 00:44:04,481
inspections based on data that

1619
00:44:04,481 --> 00:44:06,283
we have available to us. Now,

1620
00:44:06,283 --> 00:44:07,751
the initial fees were

1621
00:44:07,751 --> 00:44:09,530
established based on level of

1622
00:44:09,530 --> 00:44:10,220
effort estimates at the time of

1623
00:44:10,220 --> 00:44:11,722
the program was first

1624
00:44:11,722 --> 00:44:12,622
established, and since that

1625
00:44:12,622 --> 00:44:13,590
time, we have a much better

1626
00:44:13,590 --> 00:44:13,790
understanding of what

1627
00:44:13,790 --> 00:44:15,392
s

1628
00:44:15,392 --> 00:44:18,392
actually needed to oversee the

1629
00:44:18,529 --> 00:44:20,529
permits permitted businesses.

1630
00:44:24,634 --> 00:44:26,804
Next slide. So we we estimate

1631
00:44:26,804 --> 00:44:29,105
that we have approximately 100,

1632
00:44:29,105 --> 00:44:30,674
100 unpermitted businesses

1633
00:44:30,674 --> 00:44:32,509
currently operating in county.

1634
00:44:32,509 --> 00:44:33,643
That and have a shared interest

1635
00:44:33,643 --> 00:44:34,978
with a permitted

1636
00:44:34,978 --> 00:44:37,380
establishments, a set a level

1637
00:44:37,380 --> 00:44:38,448
playing field. We become aware

1638
00:44:38,448 --> 00:44:39,616
of these facilities through

1639
00:44:39,616 --> 00:44:41,585
public complaints and more

1640
00:44:41,585 --> 00:44:43,985
recently through research and

1641
00:44:44,154 --> 00:44:44,921
available business databases.

1642
00:44:44,921 --> 00:44:46,220
One tool we

1643
00:44:46,220 --> 00:44:47,358
re proposing is to

1644
00:44:47,358 --> 00:44:49,159
incentivize compliance by

1645
00:44:49,159 --> 00:44:50,961
establishing a one time double

1646
00:44:50,961 --> 00:44:52,362
permit fee. We would only apply

1647
00:44:52,362 --> 00:44:54,331
this when a business is

1648
00:44:54,331 --> 00:44:55,698
non-responsive to our outreach.

1649
00:44:55,698 --> 00:44:57,634
Our objective is compliance,

1650
00:44:57,634 --> 00:44:59,202
not letting the additional fee,

1651
00:44:59,202 --> 00:45:00,270
you know, so we we we

1652
00:45:00,270 --> 00:45:01,671
acknowledge that there are

1653
00:45:01,671 --> 00:45:02,339
likely some businesses out

1654
00:45:02,339 --> 00:45:03,400
there that just aren

1655
00:45:03,400 --> 00:45:04,608
t aware

1656
00:45:04,608 --> 00:45:04,942
that they need this permit. And

1657
00:45:04,942 --> 00:45:06,110
so we

1658
00:45:06,110 --> 00:45:07,478
re confident that this

1659
00:45:07,478 --> 00:45:08,545
tool will be helpful to gain

1660
00:45:08,545 --> 00:45:09,512
compliance with those

1661
00:45:09,512 --> 00:45:10,800
businesses. There

1662
00:45:10,800 --> 00:45:11,682
s another

1663
00:45:11,682 --> 00:45:13,283
group of businesses that are

1664
00:45:13,283 --> 00:45:13,683
more complex, and they

1665
00:45:13,683 --> 00:45:15,683
re in

1666
00:45:15,719 --> 00:45:16,986
their compliance needs. They

1667
00:45:16,986 --> 00:45:18,622
MAY have underlying zoning

1668
00:45:18,622 --> 00:45:20,423
issues, maybe actively

1669
00:45:20,423 --> 00:45:22,927
resisting, excuse me, getting a

1670
00:45:22,927 --> 00:45:23,160
permit. Um, the proposed fees

1671
00:45:23,160 --> 00:45:23,860
that we

1672
00:45:23,860 --> 00:45:24,280
re putting forward

1673
00:45:24,280 --> 00:45:25,496
don

1674
00:45:25,496 --> 00:45:27,640
t include assumptions for

1675
00:45:27,640 --> 00:45:27,631
managing those more complex

1676
00:45:27,631 --> 00:45:28,331
cases. That

1677
00:45:28,331 --> 00:45:29,866
s part because of

1678
00:45:29,866 --> 00:45:31,340
the kind of the scale of this

1679
00:45:31,340 --> 00:45:31,401
program. And we also don

1680
00:45:31,401 --> 00:45:32,869
t want

1681
00:45:32,869 --> 00:45:34,471
to burden those costs under the

1682
00:45:34,471 --> 00:45:35,939
existing permitted

1683
00:45:35,939 --> 00:45:37,240
establishments. So to

1684
00:45:37,240 --> 00:45:37,808
meaningfully kind of address

1685
00:45:37,808 --> 00:45:38,141
that issue, that

1686
00:45:38,141 --> 00:45:39,576
s an

1687
00:45:39,576 --> 00:45:40,811
outstanding thing that

1688
00:45:40,811 --> 00:45:42,646
environmental health would need

1689
00:45:42,646 --> 00:45:44,948
to ultimately have additional

1690
00:45:44,948 --> 00:45:47,817
revenue and staff resources to

1691
00:45:47,817 --> 00:45:49,190
meaningfully address. So last

1692
00:45:49,190 --> 00:45:51,540
is this group of updated

1693
00:45:51,540 --> 00:45:52,523
service fees, um, that are

1694
00:45:52,523 --> 00:45:53,624
activities not captured by the

1695
00:45:53,624 --> 00:45:55,191
base permit fee, including

1696
00:45:55,191 --> 00:45:57,930
variances, free inspections and

1697
00:45:57,930 --> 00:45:57,894
return field visits. And this

1698
00:45:57,894 --> 00:46:00,294
helps ensure that the

1699
00:46:00,297 --> 00:46:01,298
businesses that are requiring

1700
00:46:01,298 --> 00:46:02,499
those additional level of

1701
00:46:02,499 --> 00:46:03,734
service are paying for that

1702
00:46:03,734 --> 00:46:04,869
service directly, rather than

1703
00:46:04,869 --> 00:46:06,536
distributing those costs

1704
00:46:06,536 --> 00:46:08,936
broadly across all permits,

1705
00:46:10,374 --> 00:46:10,607
fees. Next slide. So I

1706
00:46:10,607 --> 00:46:11,942
d like

1707
00:46:11,942 --> 00:46:13,510
to give just a couple of

1708
00:46:13,510 --> 00:46:14,811
examples of what the changes

1709
00:46:14,811 --> 00:46:16,847
will look like for a couple of

1710
00:46:16,847 --> 00:46:18,915
business types. An example one

1711
00:46:18,915 --> 00:46:20,117
the fees for a pet groomer, the

1712
00:46:20,117 --> 00:46:21,719
actual level of effort

1713
00:46:21,719 --> 00:46:24,719
reflected in the proposed rates

1714
00:46:24,788 --> 00:46:26,623
increases by 45 minutes to 2

1715
00:46:26,623 --> 00:46:29,623
hours total, resulting in an

1716
00:46:31,494 --> 00:46:33,494
increase from $281 to $450.

1717
00:46:34,698 --> 00:46:36,399
Again in $2,026. Um. An example

1718
00:46:36,399 --> 00:46:37,768
two where this is an

1719
00:46:37,768 --> 00:46:39,136
illustration of the new tiered

1720
00:46:39,136 --> 00:46:41,237
system for daycare and boarding

1721
00:46:41,237 --> 00:46:42,973
facilities. Um, recognizing the

1722
00:46:42,973 --> 00:46:44,475
difference in operational scale

1723
00:46:44,475 --> 00:46:45,442
for the smallest group of of

1724
00:46:45,442 --> 00:46:46,876
what we call tier one

1725
00:46:46,876 --> 00:46:48,678
businesses that accommodate ten

1726
00:46:48,678 --> 00:46:50,614
or fewer animals, the actual

1727
00:46:50,614 --> 00:46:52,249
effort increases 15 minutes,

1728
00:46:52,249 --> 00:46:55,510
increasing the permit cost by

1729
00:46:55,510 --> 00:46:56,386
$57. And for larger tier for

1730
00:46:56,386 --> 00:46:57,687
businesses that accommodate

1731
00:46:57,687 --> 00:47:00,870
more than 60 animals, the

1732
00:47:01,224 --> 00:47:03,624
actual effort changes from 2.25

1733
00:47:04,494 --> 00:47:06,396
to 4 hours. The kind of the the

1734
00:47:06,396 --> 00:47:07,764
larger shift between tier one

1735
00:47:07,764 --> 00:47:09,320
and tier four just is to

1736
00:47:09,320 --> 00:47:09,632
recognize that we didn

1737
00:47:09,632 --> 00:47:11,534
t have a

1738
00:47:11,534 --> 00:47:14,400
tiered structure before. So all

1739
00:47:14,400 --> 00:47:15,839
of these tiers started at 506.

1740
00:47:15,839 --> 00:47:17,274
Um, hence the tier four being a

1741
00:47:17,274 --> 00:47:17,507
larger increase because it

1742
00:47:17,507 --> 00:47:19,507
s

1743
00:47:19,809 --> 00:47:21,778
reflecting a larger level of

1744
00:47:21,778 --> 00:47:23,480
effort. So just to put this in

1745
00:47:23,480 --> 00:47:25,249
perspective with what customers

1746
00:47:25,249 --> 00:47:27,500
are paying for services,

1747
00:47:27,500 --> 00:47:29,450
grooming and bathing services,

1748
00:47:30,754 --> 00:47:32,322
um, customers are charged 40 to

1749
00:47:32,322 --> 00:47:34,291
$200 depending on the breed

1750
00:47:34,291 --> 00:47:37,291
level of treatment and boarding

1751
00:47:38,228 --> 00:47:39,897
rates range from 50 to $175 per

1752
00:47:39,897 --> 00:47:40,931
day at establishments. You

1753
00:47:40,931 --> 00:47:42,466
know, that said, I want to

1754
00:47:42,466 --> 00:47:43,867
appreciate that fees are only

1755
00:47:43,867 --> 00:47:45,268
one part of the cost of running

1756
00:47:45,268 --> 00:47:47,304
a business, and that any cost

1757
00:47:47,304 --> 00:47:48,638
increase has an impact. And we

1758
00:47:48,638 --> 00:47:50,173
feel the proposed level of

1759
00:47:50,173 --> 00:47:51,508
effort accurately reflects the

1760
00:47:51,508 --> 00:47:52,709
time we need to ensure that

1761
00:47:52,709 --> 00:47:54,111
facilities meet Board of Health

1762
00:47:54,111 --> 00:47:54,285
standards, and also what

1763
00:47:54,285 --> 00:47:55,279
s

1764
00:47:55,279 --> 00:47:56,613
needed to demonstrate to the

1765
00:47:56,613 --> 00:47:56,780
public and pet owners that

1766
00:47:56,780 --> 00:47:57,347
we

1767
00:47:57,347 --> 00:47:58,682
re meeting their

1768
00:47:58,682 --> 00:48:00,840
expectations to ensure the

1769
00:48:00,840 --> 00:48:01,552
safety of their animal family

1770
00:48:01,552 --> 00:48:01,919
members. So next, I

1771
00:48:01,919 --> 00:48:03,286
ll turn it

1772
00:48:03,286 --> 00:48:04,521
over to Leah Helms to provide a

1773
00:48:04,521 --> 00:48:05,788
summary of our engagement with

1774
00:48:05,788 --> 00:48:08,188
businesses on the proposed

1775
00:48:10,393 --> 00:48:13,393
changes. Um, next slide, Sean.

1776
00:48:13,630 --> 00:48:14,764
Thanks, Ryan. So engagement has

1777
00:48:14,764 --> 00:48:16,466
been a core part of this

1778
00:48:16,466 --> 00:48:16,633
process from the beginning.

1779
00:48:16,633 --> 00:48:18,680
We

1780
00:48:18,680 --> 00:48:19,369
ve used a variety of methods

1781
00:48:19,369 --> 00:48:20,637
to reach businesses,

1782
00:48:20,637 --> 00:48:21,905
stakeholders in the public,

1783
00:48:21,905 --> 00:48:23,440
providing multiple

1784
00:48:23,440 --> 00:48:25,675
opportunities to learn about

1785
00:48:25,675 --> 00:48:27,678
the proposal, ask questions and

1786
00:48:27,678 --> 00:48:28,879
provide feedback. A few

1787
00:48:28,879 --> 00:48:29,680
examples include. We

1788
00:48:29,680 --> 00:48:31,614
ve hosted

1789
00:48:31,614 --> 00:48:32,616
two public industry engagement

1790
00:48:32,616 --> 00:48:33,516
sessions. We

1791
00:48:33,516 --> 00:48:35,516
ve hosted two

1792
00:48:36,219 --> 00:48:37,387
public webinars and two public

1793
00:48:37,387 --> 00:48:38,210
open houses. We

1794
00:48:38,210 --> 00:48:40,210
ve also

1795
00:48:40,230 --> 00:48:41,357
conducted surveys directly with

1796
00:48:41,357 --> 00:48:43,127
several regional animal

1797
00:48:43,127 --> 00:48:44,940
shelters and individual

1798
00:48:44,940 --> 00:48:44,694
businesses. We

1799
00:48:44,694 --> 00:48:46,960
ve shared

1800
00:48:46,960 --> 00:48:47,965
updates through newsletters,

1801
00:48:47,965 --> 00:48:48,999
our websites, and we have also

1802
00:48:48,999 --> 00:48:51,670
made the draft rules and

1803
00:48:51,670 --> 00:48:52,870
regulations that are in our

1804
00:48:52,870 --> 00:48:55,105
available online for public

1805
00:48:55,105 --> 00:48:56,439
review. Over the next few

1806
00:48:56,439 --> 00:48:58,608
weeks, we will continue this

1807
00:48:58,608 --> 00:49:00,344
work with additional targeted

1808
00:49:00,344 --> 00:49:01,577
outreach, including a focus

1809
00:49:01,577 --> 00:49:04,577
group with the cat cafe

1810
00:49:05,315 --> 00:49:08,170
industry. Next week. So how are

1811
00:49:08,170 --> 00:49:09,853
we using feedback? Feedback is

1812
00:49:09,853 --> 00:49:11,200
directly informing the proposed

1813
00:49:11,200 --> 00:49:11,588
code changes. We

1814
00:49:11,588 --> 00:49:13,256
ve used

1815
00:49:13,256 --> 00:49:15,192
feedback to refine the proposed

1816
00:49:15,192 --> 00:49:17,192
code language, identify

1817
00:49:17,828 --> 00:49:19,828
implementation considerations,

1818
00:49:19,896 --> 00:49:20,964
and improve guidance materials

1819
00:49:20,964 --> 00:49:21,932
and how the fees will be

1820
00:49:21,932 --> 00:49:23,266
structured. We

1821
00:49:23,266 --> 00:49:25,266
ve also taken

1822
00:49:25,268 --> 00:49:26,537
equity as an important

1823
00:49:26,537 --> 00:49:27,337
consideration through this

1824
00:49:27,337 --> 00:49:28,380
process. We

1825
00:49:28,380 --> 00:49:29,639
ve been very

1826
00:49:29,639 --> 00:49:31,750
intentional about reducing

1827
00:49:31,750 --> 00:49:32,742
unnecessary burden where

1828
00:49:32,742 --> 00:49:32,910
possible, and making sure that

1829
00:49:32,910 --> 00:49:34,277
we

1830
00:49:34,277 --> 00:49:36,790
re hearing from small

1831
00:49:36,790 --> 00:49:38,214
businesses, which are often the

1832
00:49:38,214 --> 00:49:40,250
most affected by regulatory and

1833
00:49:40,250 --> 00:49:42,919
changes. Our goal here is to

1834
00:49:42,919 --> 00:49:44,688
help is to develop a code and

1835
00:49:44,688 --> 00:49:46,489
fee structure that is fair,

1836
00:49:46,489 --> 00:49:48,792
clear and practical to

1837
00:49:48,792 --> 00:49:50,827
implement and also protective

1838
00:49:50,827 --> 00:49:53,827
of public health. Next slide

1839
00:49:54,431 --> 00:49:56,566
please. So how will we support

1840
00:49:56,566 --> 00:49:58,350
businesses. We recognize that

1841
00:49:58,350 --> 00:49:59,602
these updates will require some

1842
00:49:59,602 --> 00:50:01,380
adjustments. So a key part of

1843
00:50:01,380 --> 00:50:02,272
this work is making sure that

1844
00:50:02,272 --> 00:50:04,800
businesses have the support

1845
00:50:04,800 --> 00:50:06,109
that they need to understand

1846
00:50:06,109 --> 00:50:08,112
and comply with the changes

1847
00:50:08,112 --> 00:50:10,380
following adoption of the code,

1848
00:50:10,380 --> 00:50:12,480
we will provide a comprehensive

1849
00:50:12,480 --> 00:50:14,217
online resource that includes

1850
00:50:14,217 --> 00:50:16,320
FAQs and overview of the

1851
00:50:16,320 --> 00:50:17,855
changes and information about

1852
00:50:17,855 --> 00:50:19,756
what requirements apply to

1853
00:50:19,756 --> 00:50:22,156
different business types to

1854
00:50:22,259 --> 00:50:23,827
support implementation, we will

1855
00:50:23,827 --> 00:50:25,595
develop templates and guidance

1856
00:50:25,595 --> 00:50:27,397
documents along with other

1857
00:50:27,397 --> 00:50:29,132
tools to help businesses

1858
00:50:29,132 --> 00:50:31,768
translate the code into their

1859
00:50:31,768 --> 00:50:32,690
day to day operations. We

1860
00:50:32,690 --> 00:50:33,804
re

1861
00:50:33,804 --> 00:50:35,372
also proposing a grace period

1862
00:50:35,372 --> 00:50:36,874
for existing businesses to come

1863
00:50:36,874 --> 00:50:38,975
into compliance with a new

1864
00:50:38,975 --> 00:50:40,810
updated code. Requirements.

1865
00:50:40,810 --> 00:50:43,210
Requirements that are unchanged

1866
00:50:43,413 --> 00:50:45,182
would continue to be expected.

1867
00:50:45,182 --> 00:50:47,851
Variances will continue to be

1868
00:50:47,851 --> 00:50:49,687
available when appropriate to

1869
00:50:49,687 --> 00:50:52,870
address the unique situations

1870
00:50:52,388 --> 00:50:53,791
on a case by case basis. For

1871
00:50:53,791 --> 00:50:55,392
businesses that are needing

1872
00:50:55,392 --> 00:50:57,270
additional assistance, we will

1873
00:50:57,270 --> 00:50:58,862
offer technical assistance to

1874
00:50:58,862 --> 00:51:00,296
answer questions and help them

1875
00:51:00,296 --> 00:51:01,598
understand how the

1876
00:51:01,598 --> 00:51:03,233
requirements, how the

1877
00:51:03,233 --> 00:51:05,633
requirements apply into their

1878
00:51:06,136 --> 00:51:06,536
specific settings. I

1879
00:51:06,536 --> 00:51:07,871
d also

1880
00:51:07,871 --> 00:51:09,239
like to take a moment and

1881
00:51:09,239 --> 00:51:10,740
mention the support that will

1882
00:51:10,740 --> 00:51:11,808
be providing the pet business

1883
00:51:11,808 --> 00:51:13,910
customers. These are the

1884
00:51:13,910 --> 00:51:16,790
clients and customers of our

1885
00:51:16,790 --> 00:51:17,914
regulated businesses to help

1886
00:51:17,914 --> 00:51:20,116
customers make informed choices

1887
00:51:20,116 --> 00:51:22,553
about the care for their family

1888
00:51:22,553 --> 00:51:23,887
members. We currently post

1889
00:51:23,887 --> 00:51:24,554
permit suspensions on our

1890
00:51:24,554 --> 00:51:25,522
website. There

1891
00:51:25,522 --> 00:51:27,522
s currently only

1892
00:51:28,910 --> 00:51:29,293
one and also provide a link for

1893
00:51:29,293 --> 00:51:31,428
customers to check if a

1894
00:51:31,428 --> 00:51:33,630
facility has a permit, and to

1895
00:51:33,630 --> 00:51:34,932
see a list of recent

1896
00:51:34,932 --> 00:51:36,932
inspections. Ryan also

1897
00:51:37,467 --> 00:51:39,302
mentioned earlier that part of

1898
00:51:39,302 --> 00:51:41,338
the code update will also

1899
00:51:41,338 --> 00:51:42,773
include that we will ask for

1900
00:51:42,773 --> 00:51:44,975
businesses to post their permit

1901
00:51:44,975 --> 00:51:45,742
in a public place. We

1902
00:51:45,742 --> 00:51:47,477
re also

1903
00:51:47,477 --> 00:51:49,877
working to make additional

1904
00:51:49,880 --> 00:51:50,881
improvements on our website,

1905
00:51:50,881 --> 00:51:52,482
uh, to make sure that the

1906
00:51:52,482 --> 00:51:54,882
information is more accessible

1907
00:51:54,985 --> 00:51:56,820
and members can always email or

1908
00:51:56,820 --> 00:51:59,220
contact us directly with

1909
00:52:00,424 --> 00:52:02,292
questions. Our goal is to make

1910
00:52:02,292 --> 00:52:04,361
implementation of this code

1911
00:52:04,361 --> 00:52:06,296
revision clear and practical as

1912
00:52:06,296 --> 00:52:08,980
possible, so businesses have

1913
00:52:08,980 --> 00:52:09,832
the resources that they need to

1914
00:52:09,832 --> 00:52:12,232
successfully comply with the

1915
00:52:13,703 --> 00:52:16,703
updated code. Next slide please.

1916
00:52:17,641 --> 00:52:18,575
So what comes next? We began

1917
00:52:18,575 --> 00:52:20,975
this process with an

1918
00:52:21,311 --> 00:52:23,547
introduction to the board in

1919
00:52:23,547 --> 00:52:25,181
SEPTEMBER 2025, followed by

1920
00:52:25,181 --> 00:52:27,830
drafting code changes through

1921
00:52:27,830 --> 00:52:30,683
the fall and winter of this

1922
00:52:31,254 --> 00:52:32,655
past year. In SEPTEMBER 2026,

1923
00:52:32,655 --> 00:52:34,123
we will return to the board

1924
00:52:34,123 --> 00:52:35,759
with the full proposed code and

1925
00:52:35,759 --> 00:52:37,728
changes for consideration and

1926
00:52:37,728 --> 00:52:39,729
potential action. And then

1927
00:52:39,729 --> 00:52:41,729
looking ahead. Implementation

1928
00:52:42,765 --> 00:52:44,434
is anticipated for early 2027,

1929
00:52:44,434 --> 00:52:46,502
which will include a transition

1930
00:52:46,502 --> 00:52:48,902
period to support businesses.

1931
00:52:49,740 --> 00:52:51,541
Next slide please. So this

1932
00:52:51,541 --> 00:52:53,143
concludes our presentation

1933
00:52:53,143 --> 00:52:54,777
today. We appreciate the

1934
00:52:54,777 --> 00:52:56,480
opportunity to share with the

1935
00:52:56,480 --> 00:52:58,810
board, and we look forward to

1936
00:52:58,810 --> 00:53:01,810
coming back in SEPTEMBER for

1937
00:53:01,251 --> 00:53:04,454
the code adoption. Back to you,

1938
00:53:04,454 --> 00:53:06,220
Ryan.

1939
00:53:06,220 --> 00:53:08,580
Gets back to the chair.

1940
00:53:08,580 --> 00:53:09,259
Back to the chair.

1941
00:53:09,259 --> 00:53:10,493
Excellent. Thanks so much. So

1942
00:53:10,493 --> 00:53:11,561
that was a lot of information.

1943
00:53:11,561 --> 00:53:13,129
We wanted to provide you with

1944
00:53:13,129 --> 00:53:15,665
this briefing in advance of the

1945
00:53:15,665 --> 00:53:17,233
SEPTEMBER potential vote. Are

1946
00:53:17,233 --> 00:53:18,668
there any questions folks have?

1947
00:53:18,668 --> 00:53:20,303
And feel free to jump in even

1948
00:53:20,303 --> 00:53:21,671
if you are not going to be a

1949
00:53:21,671 --> 00:53:22,706
voting member at the SEPTEMBER

1950
00:53:22,706 --> 00:53:24,740
time frame. We welcome your

1951
00:53:24,740 --> 00:53:26,209
questions and dialogue here

1952
00:53:26,209 --> 00:53:27,310
amongst the entire board. Uh,

1953
00:53:27,310 --> 00:53:28,211
board member Lewis, please go

1954
00:53:28,211 --> 00:53:30,211
ahead.

1955
00:53:31,648 --> 00:53:33,750
Thank you. Um, thank you, Ryan

1956
00:53:33,750 --> 00:53:35,151
and Doctor Mullins and.

1957
00:53:35,151 --> 00:53:36,419
MISS Helms for this

1958
00:53:36,419 --> 00:53:38,819
presentation and for sharing

1959
00:53:39,255 --> 00:53:41,240
this information with us. Um, I

1960
00:53:41,240 --> 00:53:42,292
just have a couple of questions

1961
00:53:42,292 --> 00:53:43,827
about, uh, some of

1962
00:53:43,827 --> 00:53:46,827
The small businesses that will

1963
00:53:47,664 --> 00:53:49,399
be, um, seeing these, um, fee

1964
00:53:49,399 --> 00:53:50,900
increases. And I was wondering

1965
00:53:50,900 --> 00:53:54,500
two things. When were the fees

1966
00:53:54,637 --> 00:53:57,400
last increased and if the

1967
00:53:57,400 --> 00:53:58,508
department considered phasing

1968
00:53:58,508 --> 00:54:00,243
the increase. I know that you

1969
00:54:00,243 --> 00:54:01,778
have the one year grace period,

1970
00:54:01,778 --> 00:54:03,480
but wondered if you looked at

1971
00:54:03,480 --> 00:54:05,480
at all.

1972
00:54:05,480 --> 00:54:06,884
Yeah, I appreciate the

1973
00:54:06,884 --> 00:54:08,884
question. Councilmember Lewis.

1974
00:54:09,453 --> 00:54:11,655
Thanks. Um, so as I mentioned,

1975
00:54:11,655 --> 00:54:13,590
we we adjusted the fees for in

1976
00:54:13,590 --> 00:54:16,259
addition to the annual cpi

1977
00:54:16,259 --> 00:54:17,594
increases. Um, we did adjust

1978
00:54:17,594 --> 00:54:18,928
the fees for some of the larger

1979
00:54:18,928 --> 00:54:19,630
operations as part of

1980
00:54:19,630 --> 00:54:20,263
Environmental Health

1981
00:54:20,263 --> 00:54:22,263
s great

1982
00:54:23,399 --> 00:54:23,600
study presentation in 2024, but

1983
00:54:23,600 --> 00:54:25,168
there

1984
00:54:25,168 --> 00:54:27,270
s been no kind of full

1985
00:54:27,270 --> 00:54:28,838
review of the fee structure for

1986
00:54:28,838 --> 00:54:31,508
the program since the program

1987
00:54:31,508 --> 00:54:32,509
was started in 2010. And so,

1988
00:54:32,509 --> 00:54:34,444
you know, the interest with

1989
00:54:34,444 --> 00:54:35,979
this is kind of rebased lining.

1990
00:54:35,979 --> 00:54:37,800
Um, the, the revenue structure

1991
00:54:37,800 --> 00:54:37,347
for the program so that it

1992
00:54:37,347 --> 00:54:39,282
s

1993
00:54:39,282 --> 00:54:41,500
stable. And I really I

1994
00:54:41,500 --> 00:54:42,719
appreciate the question also on

1995
00:54:42,719 --> 00:54:44,955
kind of being sensitive to the

1996
00:54:44,955 --> 00:54:47,355
impacts, um, particularly to

1997
00:54:47,657 --> 00:54:49,325
our small businesses and the

1998
00:54:49,325 --> 00:54:50,961
phased implementation of the

1999
00:54:50,961 --> 00:54:52,695
fees, especially for the larger

2000
00:54:52,695 --> 00:54:54,695
increases, is definitely

2001
00:54:54,798 --> 00:54:56,466
something that we considered.

2002
00:54:56,466 --> 00:54:58,680
But, you know, as I mentioned,

2003
00:54:58,680 --> 00:55:00,570
one of our kind of objectives

2004
00:55:00,570 --> 00:55:02,572
around stabilization and the

2005
00:55:02,572 --> 00:55:05,508
fact that this program is at

2006
00:55:05,508 --> 00:55:05,842
1.5 FTEs, we just environmental

2007
00:55:05,842 --> 00:55:06,743
health doesn

2008
00:55:06,743 --> 00:55:08,278
t have alternate

2009
00:55:08,278 --> 00:55:10,678
funding to support basic

2010
00:55:10,680 --> 00:55:13,800
program operations, which we

2011
00:55:14,840 --> 00:55:16,919
feel is at that 1.5. Um, so,

2012
00:55:16,919 --> 00:55:18,888
um, phasing, implementation or

2013
00:55:18,888 --> 00:55:20,891
reducing that service level,

2014
00:55:20,891 --> 00:55:21,550
um, would be a result or I

2015
00:55:21,550 --> 00:55:22,392
m

2016
00:55:22,392 --> 00:55:24,260
sorry, reduce, reduce service

2017
00:55:24,260 --> 00:55:25,228
levels would be a result of

2018
00:55:25,228 --> 00:55:26,696
going through a phased

2019
00:55:26,696 --> 00:55:27,300
implementation. And when we

2020
00:55:27,300 --> 00:55:28,231
re

2021
00:55:28,231 --> 00:55:28,631
considering reduced service

2022
00:55:28,631 --> 00:55:29,566
levels, we

2023
00:55:29,566 --> 00:55:31,200
d likely need to

2024
00:55:31,200 --> 00:55:33,403
prioritize the higher risk of

2025
00:55:33,403 --> 00:55:35,380
the larger businesses while

2026
00:55:35,380 --> 00:55:36,172
reducing or eliminating routine

2027
00:55:36,172 --> 00:55:37,340
inspections for smaller

2028
00:55:37,340 --> 00:55:38,341
businesses, even though those

2029
00:55:38,341 --> 00:55:39,342
businesses would still be

2030
00:55:39,342 --> 00:55:41,444
required to pay for those

2031
00:55:41,444 --> 00:55:42,112
services through their fee. So

2032
00:55:42,112 --> 00:55:43,380
this would have a

2033
00:55:43,380 --> 00:55:45,480
disproportionate impact on

2034
00:55:45,480 --> 00:55:47,217
smaller businesses. In addition

2035
00:55:47,217 --> 00:55:48,751
to likely longer service hours,

2036
00:55:48,751 --> 00:55:50,530
reduced capacity for customer

2037
00:55:50,530 --> 00:55:52,221
service, and availability for

2038
00:55:52,221 --> 00:55:53,423
technical assistance, and the

2039
00:55:53,423 --> 00:55:55,158
potential to create longer

2040
00:55:55,158 --> 00:55:55,925
response and turnaround times.

2041
00:55:55,925 --> 00:55:56,259
But, you know, there

2042
00:55:56,259 --> 00:55:56,459
s a

2043
00:55:56,459 --> 00:55:56,993
there

2044
00:55:56,993 --> 00:55:57,760
s a there

2045
00:55:57,760 --> 00:55:59,960
s a, you know,

2046
00:55:59,960 --> 00:56:00,864
significant difference with

2047
00:56:00,864 --> 00:56:02,650
this program compared to other

2048
00:56:02,650 --> 00:56:04,650
environmental health programs

2049
00:56:04,100 --> 00:56:06,270
that have a larger scale with a

2050
00:56:06,270 --> 00:56:08,805
1.5 fte or even a small

2051
00:56:08,805 --> 00:56:10,240
reduction in that 1.5 fte will

2052
00:56:10,240 --> 00:56:11,842
have a very large

2053
00:56:11,842 --> 00:56:13,243
disproportional impact on the

2054
00:56:13,243 --> 00:56:15,145
ability of us to provide

2055
00:56:15,145 --> 00:56:16,379
provide services. I hope that

2056
00:56:16,379 --> 00:56:18,114
answered your question.

2057
00:56:18,114 --> 00:56:20,117
It did. Thank you.

2058
00:56:20,117 --> 00:56:21,718
Thank you. Board member Garcia.

2059
00:56:21,718 --> 00:56:23,353
Please go ahead.

2060
00:56:23,353 --> 00:56:25,121
Thank you. Chair. Uh, thanks

2061
00:56:25,121 --> 00:56:27,190
for the presentation. Really

2062
00:56:27,190 --> 00:56:29,126
appreciate it. I. Big takeaway.

2063
00:56:29,126 --> 00:56:31,794
We have more pets than kids. I

2064
00:56:31,794 --> 00:56:33,430
have three pets. So this is

2065
00:56:33,430 --> 00:56:35,650
really informative. I just

2066
00:56:35,650 --> 00:56:37,934
wanted to, uh, I guess,

2067
00:56:37,934 --> 00:56:40,934
clarify. Uh, the larger tier

2068
00:56:41,104 --> 00:56:43,340
four is for 16 and over or six

2069
00:56:43,340 --> 00:56:44,775
zero 60 and over.

2070
00:56:44,775 --> 00:56:46,775
Six zero and.

2071
00:56:46,809 --> 00:56:47,100
Over, six zero. Okay. And then

2072
00:56:47,100 --> 00:56:47,677
what

2073
00:56:47,677 --> 00:56:48,211
s there? I didn

2074
00:56:48,211 --> 00:56:50,211
t see any

2075
00:56:50,947 --> 00:56:51,714
tier two or tier three. Is

2076
00:56:51,714 --> 00:56:52,480
there any reason.

2077
00:56:52,480 --> 00:56:53,283
There weren

2078
00:56:53,283 --> 00:56:54,284
t in the examples?

2079
00:56:54,284 --> 00:56:55,118
We were trying not to run

2080
00:56:55,118 --> 00:56:56,219
through the entire fee

2081
00:56:56,219 --> 00:56:58,540
schedule, but just give you a

2082
00:56:58,540 --> 00:56:59,122
sense of how the changes were

2083
00:56:59,122 --> 00:57:01,291
landing from the smallest

2084
00:57:01,291 --> 00:57:02,525
change to the larger change. So

2085
00:57:02,525 --> 00:57:03,460
there are there are two, there

2086
00:57:03,460 --> 00:57:05,620
are tier two and three.

2087
00:57:05,620 --> 00:57:05,628
Okay. I just wanted to confirm

2088
00:57:05,628 --> 00:57:07,628
and.

2089
00:57:08,732 --> 00:57:10,333
Businesses that have between 10

2090
00:57:10,333 --> 00:57:12,333
and 60 animals.

2091
00:57:12,335 --> 00:57:13,770
Gotcha. Makes sense. And just

2092
00:57:13,770 --> 00:57:14,571
wanted to confirm is what

2093
00:57:14,571 --> 00:57:16,571
s the

2094
00:57:17,574 --> 00:57:19,342
point during this process that

2095
00:57:19,342 --> 00:57:20,476
the uh like I

2096
00:57:20,476 --> 00:57:23,246
m in Buren and we

2097
00:57:23,246 --> 00:57:25,782
have a non-profit agency that

2098
00:57:25,782 --> 00:57:27,550
kind of oversees, uh, our pets.

2099
00:57:27,550 --> 00:57:28,952
And I just wonder, was

2100
00:57:28,952 --> 00:57:30,520
wondering at what point is

2101
00:57:30,520 --> 00:57:33,457
there or maybe there already

2102
00:57:33,457 --> 00:57:36,930
has been relaying to them that

2103
00:57:36,930 --> 00:57:36,259
this is, uh, in the works and

2104
00:57:36,259 --> 00:57:36,993
it

2105
00:57:36,993 --> 00:57:39,362
s potentially going to be

2106
00:57:39,362 --> 00:57:41,431
voted on just so that, um,

2107
00:57:41,431 --> 00:57:42,565
yeah, they are aware locally in

2108
00:57:42,565 --> 00:57:43,833
smaller cities of these

2109
00:57:43,833 --> 00:57:46,233
potential changes since they

2110
00:57:46,369 --> 00:57:47,804
might not directly see it.

2111
00:57:47,804 --> 00:57:49,639
Yeah, yeah. Great question. And

2112
00:57:49,639 --> 00:57:51,441
we, you know, want to move

2113
00:57:51,441 --> 00:57:53,343
forward and not have any

2114
00:57:53,343 --> 00:57:53,543
surprises. Um, and what the

2115
00:57:53,543 --> 00:57:54,377
board

2116
00:57:54,377 --> 00:57:55,611
s going to be voting for

2117
00:57:55,611 --> 00:57:58,611
in SEPTEMBER and been doing

2118
00:57:58,915 --> 00:58:01,551
active engagement with um, with

2119
00:58:01,551 --> 00:58:03,519
both our regulated committees

2120
00:58:03,519 --> 00:58:05,221
but also others in the

2121
00:58:05,221 --> 00:58:06,356
community that have an interest

2122
00:58:06,356 --> 00:58:07,957
in the in the pet business

2123
00:58:07,957 --> 00:58:10,260
requirements. So we have a

2124
00:58:10,260 --> 00:58:10,193
listserv that we maintain that

2125
00:58:10,193 --> 00:58:11,394
we

2126
00:58:11,394 --> 00:58:12,862
ve been providing regular

2127
00:58:12,862 --> 00:58:15,970
updates throughout the process.

2128
00:58:15,970 --> 00:58:15,465
And 2026, I think we

2129
00:58:15,465 --> 00:58:17,465
ve been

2130
00:58:17,800 --> 00:58:19,335
sending out two notices to the

2131
00:58:19,335 --> 00:58:20,403
listserv per month. We

2132
00:58:20,403 --> 00:58:20,637
ve also,

2133
00:58:20,637 --> 00:58:22,500
as Leo

2134
00:58:22,500 --> 00:58:24,405
s noting, hosted a

2135
00:58:24,474 --> 00:58:25,941
series of open house webinars

2136
00:58:25,941 --> 00:58:27,543
as opportunities to provide

2137
00:58:27,543 --> 00:58:27,877
feedback. You know, early on

2138
00:58:27,877 --> 00:58:28,478
when we didn

2139
00:58:28,478 --> 00:58:30,478
t have the

2140
00:58:30,781 --> 00:58:32,983
specific code proposals, those

2141
00:58:32,983 --> 00:58:34,484
were more kind of concepts and

2142
00:58:34,484 --> 00:58:35,785
getting feedback on what we

2143
00:58:35,785 --> 00:58:35,952
could be doing better, what

2144
00:58:35,952 --> 00:58:37,821
we

2145
00:58:37,821 --> 00:58:39,455
re not doing right. Um,

2146
00:58:39,455 --> 00:58:41,910
leading up to more recently,

2147
00:58:41,910 --> 00:58:43,491
actually sharing a strikeout

2148
00:58:43,593 --> 00:58:45,629
version of the of the code

2149
00:58:45,629 --> 00:58:46,896
changes and hosting some

2150
00:58:46,896 --> 00:58:48,665
conversations for folks to

2151
00:58:48,665 --> 00:58:48,831
provide us feedback on that.

2152
00:58:48,831 --> 00:58:50,100
We

2153
00:58:50,100 --> 00:58:53,100
ve also done some specific

2154
00:58:54,360 --> 00:58:56,436
outreach with individual, uh,

2155
00:58:56,606 --> 00:58:58,708
individual, um, industry types.

2156
00:58:58,708 --> 00:59:01,445
Um, typically has a session set

2157
00:59:01,445 --> 00:59:03,413
up for cat cafes next week. Um,

2158
00:59:03,413 --> 00:59:05,582
we also did some specific

2159
00:59:05,582 --> 00:59:07,840
outreach to the larger shelter

2160
00:59:07,840 --> 00:59:08,118
operators in Seattle and King

2161
00:59:08,118 --> 00:59:09,719
County, and got some really

2162
00:59:09,719 --> 00:59:11,154
good feedback from them. Um, on

2163
00:59:11,154 --> 00:59:11,387
some standards that didn

2164
00:59:11,387 --> 00:59:12,489
t

2165
00:59:12,489 --> 00:59:13,590
really align with their

2166
00:59:13,590 --> 00:59:14,925
practices, that were making

2167
00:59:14,925 --> 00:59:16,726
some adjustments in the code to

2168
00:59:16,726 --> 00:59:18,261
reflect that important

2169
00:59:18,261 --> 00:59:18,528
feedback. Um, so we

2170
00:59:18,528 --> 00:59:19,729
ve been

2171
00:59:19,729 --> 00:59:19,894
doing in summary, I guess we

2172
00:59:19,894 --> 00:59:21,397
ve

2173
00:59:21,397 --> 00:59:22,999
been doing fairly extensive

2174
00:59:22,999 --> 00:59:23,156
outreach and feedback, and I

2175
00:59:23,156 --> 00:59:24,134
ve

2176
00:59:24,134 --> 00:59:25,100
been getting some good comments

2177
00:59:25,100 --> 00:59:27,137
back and have been making

2178
00:59:27,137 --> 00:59:27,837
adjustments based on those.

2179
00:59:27,837 --> 00:59:29,837
Thank you.

2180
00:59:31,474 --> 00:59:33,644
Thank you. Vice Chair Daniels.

2181
00:59:33,644 --> 00:59:34,844
MADAM Chair, I just had a quick

2182
00:59:34,844 --> 00:59:36,412
question. During these

2183
00:59:36,412 --> 00:59:37,413
listening sessions when you

2184
00:59:37,413 --> 00:59:38,648
spoke to the smaller

2185
00:59:38,648 --> 00:59:41,480
businesses, because they will

2186
00:59:41,617 --> 00:59:44,620
be the most impacted by this

2187
00:59:44,620 --> 00:59:46,589
increase in fee. Um, what have

2188
00:59:46,589 --> 00:59:48,257
they, what have they expressed

2189
00:59:48,257 --> 00:59:51,257
regarding the fees? Have they,

2190
00:59:52,280 --> 00:59:54,531
um, how that will affect them

2191
00:59:54,531 --> 00:59:57,531
when, um, uh, keeping their

2192
00:59:58,101 --> 01:00:01,701
business open? Um, and how, uh,

2193
01:00:02,720 --> 01:00:03,540
taxing that would be. Um, to

2194
01:00:03,540 --> 01:00:05,341
their, um, uh, to the

2195
01:00:05,341 --> 01:00:06,976
livelihood of their business.

2196
01:00:06,976 --> 01:00:07,277
What what what has been what

2197
01:00:07,277 --> 01:00:07,477
s

2198
01:00:07,477 --> 01:00:08,144
what

2199
01:00:08,144 --> 01:00:10,120
s been the general

2200
01:00:10,120 --> 01:00:11,781
feedback from the smaller pet

2201
01:00:11,781 --> 01:00:13,781
businesses?

2202
01:00:14,183 --> 01:00:15,752
I might invite you to step in,

2203
01:00:15,752 --> 01:00:15,952
but my understanding is that we

2204
01:00:15,952 --> 01:00:17,587
haven

2205
01:00:17,587 --> 01:00:19,789
t received any kind of

2206
01:00:19,789 --> 01:00:20,724
direct feedback specifying

2207
01:00:20,724 --> 01:00:20,884
like, this is going to be. And

2208
01:00:20,884 --> 01:00:21,892
I

2209
01:00:21,892 --> 01:00:23,727
m going to have to close my

2210
01:00:23,727 --> 01:00:24,727
businesses business, or this is

2211
01:00:24,727 --> 01:00:26,229
going to be significantly

2212
01:00:26,229 --> 01:00:27,764
challenging. You know, we you

2213
01:00:27,764 --> 01:00:29,980
know, whenever I think any

2214
01:00:29,980 --> 01:00:31,367
agency is going through a

2215
01:00:31,367 --> 01:00:32,535
process of increasing fees, you

2216
01:00:32,535 --> 01:00:34,303
know, nobody wants their fees

2217
01:00:34,303 --> 01:00:35,171
increased, right? And so I

2218
01:00:35,171 --> 01:00:37,140
think, you know, some

2219
01:00:37,140 --> 01:00:38,608
respondents were indicating

2220
01:00:38,608 --> 01:00:39,709
that, you know, any increase

2221
01:00:39,709 --> 01:00:40,743
was not something that they

2222
01:00:40,743 --> 01:00:42,450
were that they were looking

2223
01:00:42,450 --> 01:00:43,790
for. But I think that

2224
01:00:43,790 --> 01:00:43,246
throughout this process, we

2225
01:00:43,246 --> 01:00:44,914
ve

2226
01:00:44,914 --> 01:00:46,749
done a really good job

2227
01:00:46,749 --> 01:00:48,749
communicating what customers

2228
01:00:48,852 --> 01:00:50,520
are getting for that fee. But

2229
01:00:50,520 --> 01:00:51,388
Leah, let me let me see if you

2230
01:00:51,388 --> 01:00:51,554
have anything to add from what

2231
01:00:51,554 --> 01:00:52,355
you

2232
01:00:52,355 --> 01:00:54,755
ve been hearing directly

2233
01:00:56,580 --> 01:00:57,828
and engagement sessions.

2234
01:00:57,828 --> 01:00:58,260
Um, yes. During the engagement

2235
01:00:58,260 --> 01:00:59,329
sessions, we

2236
01:00:59,329 --> 01:01:01,329
ve been talking

2237
01:01:01,330 --> 01:01:02,532
about generally that the fees

2238
01:01:02,532 --> 01:01:03,966
will be going up and that we

2239
01:01:03,966 --> 01:01:04,233
are looking at restructuring

2240
01:01:04,233 --> 01:01:06,135
them. We

2241
01:01:06,135 --> 01:01:07,437
ve provided some

2242
01:01:07,437 --> 01:01:09,572
information on our website

2243
01:01:09,572 --> 01:01:11,975
about the how and why that will

2244
01:01:11,975 --> 01:01:13,309
happen. Um, the final fee

2245
01:01:13,309 --> 01:01:15,511
schedule has not yet been

2246
01:01:15,511 --> 01:01:18,481
posted. Um, most of the fees

2247
01:01:18,481 --> 01:01:20,550
are going up, uh, around $10 a

2248
01:01:20,550 --> 01:01:22,285
month for some of the permit

2249
01:01:22,285 --> 01:01:22,462
categories. Um, I think it

2250
01:01:22,462 --> 01:01:24,354
s

2251
01:01:24,354 --> 01:01:24,988
the pet daycare and boarding

2252
01:01:24,988 --> 01:01:26,550
category that

2253
01:01:26,550 --> 01:01:27,791
s splitting into

2254
01:01:27,791 --> 01:01:30,920
tears. That is probably the

2255
01:01:30,920 --> 01:01:31,361
biggest impact. Um, folks are

2256
01:01:31,361 --> 01:01:32,529
definitely concerned about

2257
01:01:32,529 --> 01:01:32,795
fees. Um, but we haven

2258
01:01:32,795 --> 01:01:34,795
t

2259
01:01:35,165 --> 01:01:36,966
received anything specifically

2260
01:01:36,966 --> 01:01:38,568
stating that, um, this will

2261
01:01:38,568 --> 01:01:41,700
cause them to not be able to

2262
01:01:41,700 --> 01:01:41,471
run their business..

2263
01:01:41,471 --> 01:01:42,805
Yeah.

2264
01:01:42,805 --> 01:01:44,373
Because I know, Ryan, you said

2265
01:01:44,373 --> 01:01:46,760
that they that you reached out

2266
01:01:46,760 --> 01:01:48,244
to the larger businesses and

2267
01:01:48,244 --> 01:01:48,544
they gave you feedback. Um, I

2268
01:01:48,544 --> 01:01:50,544
m

2269
01:01:50,780 --> 01:01:52,816
just wondering, the smaller

2270
01:01:52,816 --> 01:01:53,883
businesses, the their, their

2271
01:01:53,883 --> 01:01:55,452
reach out to them and what

2272
01:01:55,452 --> 01:01:55,685
feedback that you got from

2273
01:01:55,685 --> 01:01:55,885
them.

2274
01:01:55,885 --> 01:01:57,885
Yeah.

2275
01:01:58,388 --> 01:02:00,560
Good. Good clarification. Board

2276
01:02:00,560 --> 01:02:01,991
member Daniels. Thanks. Um, so

2277
01:02:01,991 --> 01:02:03,759
these um, so we kind of we we

2278
01:02:03,759 --> 01:02:05,995
did multiple different, uh,

2279
01:02:05,995 --> 01:02:07,697
outreach methods on more the

2280
01:02:07,697 --> 01:02:09,310
kind of one direction through

2281
01:02:09,310 --> 01:02:11,431
the newsletters, keeping people

2282
01:02:11,535 --> 01:02:13,469
updated with the process. Um,

2283
01:02:13,469 --> 01:02:15,272
uh, advertising opportunities

2284
01:02:15,272 --> 01:02:17,807
to provide a comment through a

2285
01:02:17,807 --> 01:02:19,609
survey. The group of open

2286
01:02:19,609 --> 01:02:21,744
houses that we offered were

2287
01:02:21,744 --> 01:02:23,513
open houses that were open to

2288
01:02:23,513 --> 01:02:25,315
anybody that received our

2289
01:02:25,315 --> 01:02:27,150
listserv notice. So that

2290
01:02:27,150 --> 01:02:29,686
included a mixture of small and

2291
01:02:29,686 --> 01:02:31,854
larger businesses. The focus

2292
01:02:31,854 --> 01:02:33,890
sessions that we had were, at

2293
01:02:33,890 --> 01:02:35,258
the request of a couple of

2294
01:02:35,258 --> 01:02:37,260
different industries that we

2295
01:02:37,260 --> 01:02:39,362
knew had greater interest in

2296
01:02:39,362 --> 01:02:40,597
the in the proposed, mainly in

2297
01:02:40,597 --> 01:02:42,132
the title eight changes, the

2298
01:02:42,132 --> 01:02:44,434
policy changes, not the fee

2299
01:02:44,434 --> 01:02:46,502
changes. And those were our

2300
01:02:46,502 --> 01:02:48,538
larger animal shelter operators

2301
01:02:48,538 --> 01:02:49,839
and the and the cat cafes. I

2302
01:02:49,839 --> 01:02:50,539
hope that answers your

2303
01:02:50,539 --> 01:02:51,340
question.

2304
01:02:51,340 --> 01:02:53,309
Thank you.

2305
01:02:53,309 --> 01:02:54,276
Thank you, thank you all for

2306
01:02:54,276 --> 01:02:55,312
the engaging in this

2307
01:02:55,312 --> 01:02:56,646
discussion. Again, we will

2308
01:02:56,646 --> 01:02:58,181
bring this back to the

2309
01:02:58,181 --> 01:03:00,316
SEPTEMBER meeting. And I do

2310
01:03:00,316 --> 01:03:01,851
want to clarify, um, wanted to

2311
01:03:01,851 --> 01:03:02,985
let folks know that all board

2312
01:03:02,985 --> 01:03:05,385
members actually have the

2313
01:03:05,856 --> 01:03:07,290
chance to vote on proposed code

2314
01:03:07,290 --> 01:03:08,825
changes. There will be two

2315
01:03:08,825 --> 01:03:10,760
separate ordinances, so one

2316
01:03:10,760 --> 01:03:12,829
will be proposed code changes

2317
01:03:12,829 --> 01:03:14,831
and one piece of legislation in

2318
01:03:14,831 --> 01:03:17,133
front of us will be on fees. So

2319
01:03:17,133 --> 01:03:18,634
all board members, regardless

2320
01:03:18,634 --> 01:03:20,700
if you are an elected official

2321
01:03:20,700 --> 01:03:22,405
or not, get to vote on the

2322
01:03:22,405 --> 01:03:24,974
proposed code changes. And then

2323
01:03:24,974 --> 01:03:26,943
because of the state law, only

2324
01:03:26,943 --> 01:03:28,711
those who are elected in their

2325
01:03:28,711 --> 01:03:29,813
individual jurisdictions have a

2326
01:03:29,813 --> 01:03:30,980
chance to vote on fee

2327
01:03:30,980 --> 01:03:33,249
legislation. But there will be

2328
01:03:33,249 --> 01:03:34,617
two pieces of legislation, and

2329
01:03:34,617 --> 01:03:36,952
everybody gets a chance to vote

2330
01:03:36,952 --> 01:03:38,588
on the code changes again, that

2331
01:03:38,588 --> 01:03:39,655
will come back to us as rules

2332
01:03:39,655 --> 01:03:40,857
and regulations for us to

2333
01:03:40,857 --> 01:03:41,791
consider in SEPTEMBER. If you

2334
01:03:41,791 --> 01:03:43,693
have any questions in the

2335
01:03:43,693 --> 01:03:45,294
meantime, um, please do reach

2336
01:03:45,294 --> 01:03:47,430
out. Ryan and the team is

2337
01:03:47,430 --> 01:03:49,298
available for any additional

2338
01:03:49,298 --> 01:03:50,566
information. And thanks for

2339
01:03:50,566 --> 01:03:51,534
preparing this presentation

2340
01:03:51,534 --> 01:03:52,569
here for us today. Great

2341
01:03:52,569 --> 01:03:54,700
questions on engagement with

2342
01:03:54,700 --> 01:03:55,271
small businesses. Uh, we will

2343
01:03:55,271 --> 01:03:56,405
be reaching out to some that

2344
01:03:56,405 --> 01:03:58,341
are in our district as well,

2345
01:03:58,341 --> 01:04:00,110
who have been interested in a

2346
01:04:00,110 --> 01:04:00,977
dog cafe and how to engage in

2347
01:04:00,977 --> 01:04:01,138
that process. And if there

2348
01:04:01,138 --> 01:04:02,879
s

2349
01:04:02,879 --> 01:04:04,246
any lessons learned there. Um,

2350
01:04:04,246 --> 01:04:05,348
you mentioned cat cafes. That

2351
01:04:05,348 --> 01:04:08,117
makes me want to sneeze, even

2352
01:04:08,117 --> 01:04:09,919
though I own a cat. And we do

2353
01:04:09,919 --> 01:04:10,820
love our furry friends and also

2354
01:04:10,820 --> 01:04:11,530
want to make sure that people,

2355
01:04:11,530 --> 01:04:11,688
as they

2356
01:04:11,688 --> 01:04:13,523
re getting out of the

2357
01:04:13,523 --> 01:04:15,157
house and creating social

2358
01:04:15,157 --> 01:04:16,893
cohesion opportunities, that

2359
01:04:16,893 --> 01:04:18,762
they they have those chances to

2360
01:04:18,762 --> 01:04:19,595
meet people and pets in places.

2361
01:04:19,595 --> 01:04:20,496
And that

2362
01:04:20,496 --> 01:04:21,731
s really good for our

2363
01:04:21,731 --> 01:04:23,766
mental health as well, to get

2364
01:04:23,766 --> 01:04:24,934
people out of the house and

2365
01:04:24,934 --> 01:04:25,735
engaging in small business

2366
01:04:25,735 --> 01:04:26,936
opportunities. We want to

2367
01:04:26,936 --> 01:04:27,771
support our small businesses as

2368
01:04:27,771 --> 01:04:28,438
well. So let

2369
01:04:28,438 --> 01:04:29,372
s make sure that

2370
01:04:29,372 --> 01:04:29,527
everybody understands what

2371
01:04:29,527 --> 01:04:30,539
s

2372
01:04:30,539 --> 01:04:31,708
being proposed and how to

2373
01:04:31,708 --> 01:04:33,576
navigate these new proposed

2374
01:04:33,576 --> 01:04:33,810
rules. All right. With that I

2375
01:04:33,810 --> 01:04:34,811
m

2376
01:04:34,811 --> 01:04:36,120
going to oh please go ahead.

2377
01:04:36,120 --> 01:04:38,120
And Boardmember Louis.

2378
01:04:38,147 --> 01:04:40,182
Just a quick question. Um,

2379
01:04:40,182 --> 01:04:41,717
Ryan, will you let us know when

2380
01:04:41,717 --> 01:04:43,219
we can start putting

2381
01:04:43,219 --> 01:04:45,619
information in our newsletters

2382
01:04:45,755 --> 01:04:46,890
and our communication with our

2383
01:04:46,890 --> 01:04:48,591
constituents?

2384
01:04:48,591 --> 01:04:49,859
Oh, we would love that. Board

2385
01:04:49,859 --> 01:04:50,393
member Lewis. Um, I

2386
01:04:50,393 --> 01:04:51,527
ll follow

2387
01:04:51,527 --> 01:04:53,662
up with Joy and get some

2388
01:04:53,662 --> 01:04:54,931
information to you that, um, to

2389
01:04:54,931 --> 01:04:55,898
the board that you can you can

2390
01:04:55,898 --> 01:04:57,898
share right away.

2391
01:04:57,967 --> 01:05:00,436
Okay. And board member Garcia.

2392
01:05:00,436 --> 01:05:02,305
Uh, I just wanted to echo if

2393
01:05:02,305 --> 01:05:04,875
you could maybe share that also

2394
01:05:04,875 --> 01:05:07,430
to our sca, uh, representative

2395
01:05:07,430 --> 01:05:07,844
for the Small Cities. Uh,

2396
01:05:07,844 --> 01:05:08,440
outside of Seattle. It

2397
01:05:08,440 --> 01:05:08,311
d be

2398
01:05:08,311 --> 01:05:09,512
great. We

2399
01:05:09,512 --> 01:05:11,181
d love to do the same

2400
01:05:11,181 --> 01:05:13,182
outreach on. And then. Just

2401
01:05:13,182 --> 01:05:14,317
wanted to clarify. Did that

2402
01:05:14,317 --> 01:05:16,953
hear that? You you say that you

2403
01:05:16,953 --> 01:05:19,221
have only five staff members

2404
01:05:19,221 --> 01:05:21,230
that deal with the program on

2405
01:05:21,230 --> 01:05:24,623
going out to the businesses and

2406
01:05:26,830 --> 01:05:27,297
doing this work. 1.50 okay.

2407
01:05:27,297 --> 01:05:28,665
Gotcha.

2408
01:05:28,665 --> 01:05:29,999
Getting a lot of getting a lot

2409
01:05:29,999 --> 01:05:31,200
of value out of this, out of

2410
01:05:31,200 --> 01:05:31,801
this program.

2411
01:05:31,801 --> 01:05:32,536
Wow.

2412
01:05:32,536 --> 01:05:33,603
Wow okay.

2413
01:05:33,603 --> 01:05:34,671
Thank you.

2414
01:05:34,671 --> 01:05:36,338
Thank you.

2415
01:05:36,338 --> 01:05:37,940
Thank you. Boardmember Garcia.

2416
01:05:37,940 --> 01:05:40,209
And, um, you mentioned the

2417
01:05:40,209 --> 01:05:42,579
Sound Cities Association. I do

2418
01:05:42,579 --> 01:05:44,147
want to note, uh, our newest

2419
01:05:44,147 --> 01:05:45,148
board member to the Sound City

2420
01:05:45,148 --> 01:05:47,284
from the Sound Cities

2421
01:05:47,284 --> 01:05:49,284
Association. Alternate, um,

2422
01:05:50,987 --> 01:05:52,355
council member Perry Bloss, who

2423
01:05:52,355 --> 01:05:52,555
is with the city of Des Moines.

2424
01:05:52,555 --> 01:05:53,220
So we

2425
01:05:53,220 --> 01:05:53,184
re glad that they

2426
01:05:53,184 --> 01:05:54,624
re

2427
01:05:54,624 --> 01:05:55,892
participating as well. And, uh,

2428
01:05:55,892 --> 01:05:57,527
echo the comments about sharing

2429
01:05:57,527 --> 01:05:58,995
that with sca. Thanks for the

2430
01:05:58,995 --> 01:06:00,296
request to get a blurb that

2431
01:06:00,296 --> 01:06:02,598
people can put on social media.

2432
01:06:02,598 --> 01:06:04,500
And, uh, in their newsletters,

2433
01:06:04,500 --> 01:06:05,835
Boardmember Louis. And with

2434
01:06:05,835 --> 01:06:07,604
that, colleagues, we are going

2435
01:06:07,604 --> 01:06:09,405
to move to the continuum of

2436
01:06:09,405 --> 01:06:10,372
care topic. Uh, we do have

2437
01:06:10,372 --> 01:06:11,808
quite a few people who are

2438
01:06:11,808 --> 01:06:13,576
joining us here today for this

2439
01:06:13,576 --> 01:06:15,440
topic. Again, I want to thank

2440
01:06:15,440 --> 01:06:16,946
board member Lou, who had

2441
01:06:16,946 --> 01:06:18,140
requested this item be added in

2442
01:06:18,140 --> 01:06:18,949
partnership with other board

2443
01:06:18,949 --> 01:06:19,448
members. After we

2444
01:06:19,448 --> 01:06:20,784
ve had some

2445
01:06:20,784 --> 01:06:22,585
initial conversation about the

2446
01:06:22,585 --> 01:06:24,985
continuum of care, federal

2447
01:06:26,560 --> 01:06:27,690
dollars, uh, about over 60

2448
01:06:27,690 --> 01:06:29,191
million in federal dollars is

2449
01:06:29,191 --> 01:06:30,593
how much King County relies on

2450
01:06:30,593 --> 01:06:31,827
annually from Federal housing

2451
01:06:31,827 --> 01:06:34,130
and Urban Development grant,

2452
01:06:34,130 --> 01:06:35,970
um, a grant that we receive

2453
01:06:35,970 --> 01:06:36,666
with some of the proposed

2454
01:06:36,666 --> 01:06:38,666
changes and conditionalities

2455
01:06:38,834 --> 01:06:40,360
tied to the request for

2456
01:06:40,360 --> 01:06:41,404
proposals that we saw from the

2457
01:06:41,404 --> 01:06:43,506
federal administration, we are

2458
01:06:43,506 --> 01:06:44,574
all very nervous about walk

2459
01:06:44,574 --> 01:06:46,242
backs that the federal

2460
01:06:46,242 --> 01:06:48,478
administration is proposing on

2461
01:06:48,478 --> 01:06:50,146
trusted and proven harm

2462
01:06:50,146 --> 01:06:51,947
reduction strategies that allow

2463
01:06:51,947 --> 01:06:54,884
for people to get placed into

2464
01:06:54,884 --> 01:06:56,452
housing. And our team here in

2465
01:06:56,452 --> 01:06:57,253
King County, including at the

2466
01:06:57,253 --> 01:06:58,687
King County Regional

2467
01:06:58,687 --> 01:07:00,256
Homelessness Authority, in

2468
01:07:00,256 --> 01:07:02,656
partnership with providers like

2469
01:07:03,260 --> 01:07:05,426
the Downtown Emergency um

2470
01:07:07,230 --> 01:07:09,298
Services Center, uh desk and

2471
01:07:09,298 --> 01:07:10,500
providers, direct workers on

2472
01:07:10,500 --> 01:07:11,901
the front line working with our

2473
01:07:11,901 --> 01:07:13,901
most vulnerable community

2474
01:07:14,700 --> 01:07:16,470
members, folks from seiu

2475
01:07:16,472 --> 01:07:18,472
healthcare, 1199 Northwest Pro

2476
01:07:19,709 --> 01:07:22,345
Tech, 17 op. You are all union

2477
01:07:22,345 --> 01:07:24,781
workers who work directly with

2478
01:07:24,781 --> 01:07:26,182
folks who are needing access to

2479
01:07:26,182 --> 01:07:27,450
not just shelter, but the

2480
01:07:27,450 --> 01:07:28,585
throughput to permanent

2481
01:07:28,585 --> 01:07:30,219
supportive housing to keep

2482
01:07:30,219 --> 01:07:32,989
people off the streets. So we

2483
01:07:32,989 --> 01:07:33,823
are here at the request of

2484
01:07:33,823 --> 01:07:36,223
board member Lou, for

2485
01:07:36,393 --> 01:07:38,228
additional information on page

2486
01:07:38,228 --> 01:07:39,996
52, in your meeting packets,

2487
01:07:39,996 --> 01:07:42,298
you will be able to find more

2488
01:07:42,298 --> 01:07:43,867
information about what is going

2489
01:07:43,867 --> 01:07:45,201
to be presented here. And I

2490
01:07:45,201 --> 01:07:45,901
want to start by asking board

2491
01:07:45,901 --> 01:07:46,469
member Lou, if you

2492
01:07:46,469 --> 01:07:47,870
d like to

2493
01:07:47,870 --> 01:07:49,272
have any comments before we

2494
01:07:49,272 --> 01:07:50,840
turn it over to our panelists

2495
01:07:50,840 --> 01:07:52,909
and appreciate your engagement

2496
01:07:52,909 --> 01:07:54,411
on setting this agenda.

2497
01:07:54,411 --> 01:07:55,711
Yeah. Thank you so much. Chair.

2498
01:07:55,711 --> 01:07:56,946
Mosquito. Again, my name is

2499
01:07:56,946 --> 01:07:58,715
board member Victor Liu for

2500
01:07:58,715 --> 01:08:00,516
this work context I you see his

2501
01:08:00,516 --> 01:08:02,685
pronouns on this board. I

2502
01:08:02,685 --> 01:08:04,387
represent community

2503
01:08:04,387 --> 01:08:05,889
stakeholders. And then beyond

2504
01:08:05,889 --> 01:08:07,857
that, I am also on the Health

2505
01:08:07,857 --> 01:08:09,240
and Homelessness workgroup,

2506
01:08:09,240 --> 01:08:10,259
also on the King County

2507
01:08:10,259 --> 01:08:11,928
Regional Homeless Authority

2508
01:08:11,928 --> 01:08:13,896
Continuum of Care Board as

2509
01:08:13,896 --> 01:08:14,163
well. And also work with the

2510
01:08:14,163 --> 01:08:15,397
Governor

2511
01:08:15,397 --> 01:08:17,100
s Office of Equity,

2512
01:08:17,100 --> 01:08:19,335
Community Advisory Board. In

2513
01:08:19,335 --> 01:08:21,170
addition also in commerce,

2514
01:08:21,170 --> 01:08:22,405
Homelessness Assistance Unit,

2515
01:08:22,405 --> 01:08:23,806
Living Assistance Committee,

2516
01:08:23,806 --> 01:08:25,341
and most recently, I was also

2517
01:08:25,341 --> 01:08:27,430
selected as one of nine

2518
01:08:27,430 --> 01:08:28,544
national leaders on the

2519
01:08:28,544 --> 01:08:30,546
Community Strategic Team on the

2520
01:08:30,546 --> 01:08:32,515
National Alliance to End

2521
01:08:32,515 --> 01:08:32,748
Homelessness. So you can tell

2522
01:08:32,748 --> 01:08:33,983
that I

2523
01:08:33,983 --> 01:08:36,319
m deeply engaged in this

2524
01:08:36,319 --> 01:08:37,720
homelessness work. For years

2525
01:08:37,720 --> 01:08:38,688
and since the pandemic, I have

2526
01:08:38,688 --> 01:08:40,423
focused my work on

2527
01:08:40,423 --> 01:08:41,691
homelessness. Beyond working as

2528
01:08:41,691 --> 01:08:43,691
a principal consultant,

2529
01:08:43,993 --> 01:08:46,296
specializing in specializing in

2530
01:08:46,296 --> 01:08:47,764
integrated managed care. And I

2531
01:08:47,764 --> 01:08:49,265
understand from today that we

2532
01:08:49,265 --> 01:08:50,366
have six presenters, and I

2533
01:08:50,366 --> 01:08:52,935
think that this is a very

2534
01:08:52,935 --> 01:08:54,504
timely time. As chair Mosqueda

2535
01:08:54,504 --> 01:08:56,639
has noted that the local

2536
01:08:56,639 --> 01:08:59,608
application for the notice of

2537
01:08:59,608 --> 01:09:01,510
funding opportunity ended on

2538
01:09:01,510 --> 01:09:05,110
JULY 3rd, and we are actually

2539
01:09:05,214 --> 01:09:06,682
looking at $67 million in

2540
01:09:06,682 --> 01:09:07,950
Seattle and King County as a

2541
01:09:07,950 --> 01:09:10,152
significant amount that will

2542
01:09:10,152 --> 01:09:11,921
impact Seattle and King County.

2543
01:09:11,921 --> 01:09:14,230
The six presenters that we have

2544
01:09:14,230 --> 01:09:15,257
today are just chief program

2545
01:09:15,257 --> 01:09:17,393
officer from King County

2546
01:09:17,393 --> 01:09:18,361
Regional Homeless Authority.

2547
01:09:18,361 --> 01:09:18,761
Daniel Daniel, I haven

2548
01:09:18,761 --> 01:09:20,330
t seen

2549
01:09:20,330 --> 01:09:23,990
you for a long time. Executive

2550
01:09:23,990 --> 01:09:25,734
director from dhsc and also

2551
01:09:25,734 --> 01:09:27,734
union representation, Corinne

2552
01:09:28,338 --> 01:09:30,540
Constantino, Regan McBride, Jim

2553
01:09:30,540 --> 01:09:32,208
Hopkins and Lindsey Grant. And

2554
01:09:32,208 --> 01:09:34,443
with that, I will pass the

2555
01:09:34,443 --> 01:09:36,443
baton to Jeff.

2556
01:09:39,883 --> 01:09:40,984
Thank you. Board. Marylou.

2557
01:09:40,984 --> 01:09:43,984
Uh, thank you, board member

2558
01:09:44,120 --> 01:09:45,288
Lou. And also for your support

2559
01:09:45,288 --> 01:09:47,724
on our as a member of our

2560
01:09:47,724 --> 01:09:49,225
board, uh, separately, uh,

2561
01:09:49,225 --> 01:09:49,826
chair Mosqueda or one member of

2562
01:09:49,826 --> 01:09:51,560
the board, could you just

2563
01:09:51,560 --> 01:09:53,363
confirm for me that you can see

2564
01:09:53,363 --> 01:09:55,364
my title side? Great. It should

2565
01:09:55,364 --> 01:09:58,964
be advancing. Now to my first

2566
01:09:58,968 --> 01:10:00,403
slide. There we go. Thank you.

2567
01:10:00,403 --> 01:10:01,404
Um, as a board member, Lou

2568
01:10:01,404 --> 01:10:01,556
already covered a little bit.

2569
01:10:01,556 --> 01:10:02,205
I

2570
01:10:02,205 --> 01:10:04,373
m here to give you a

2571
01:10:04,373 --> 01:10:05,309
background on the Continuum of

2572
01:10:05,309 --> 01:10:06,575
Care program, which is the

2573
01:10:06,575 --> 01:10:07,777
largest stream of federal

2574
01:10:07,777 --> 01:10:09,178
funding for homelessness

2575
01:10:09,178 --> 01:10:10,847
services that, uh, that goes

2576
01:10:10,847 --> 01:10:12,381
out nationwide and

2577
01:10:12,381 --> 01:10:13,749
specifically, um, in King

2578
01:10:13,749 --> 01:10:15,150
County, as you can see on the

2579
01:10:15,150 --> 01:10:17,186
chart in front of you, we

2580
01:10:17,186 --> 01:10:18,621
receive, uh, for program

2581
01:10:18,621 --> 01:10:21,210
dollars 66 million, a little

2582
01:10:21,624 --> 01:10:23,250
bit more than $66 million. And,

2583
01:10:23,250 --> 01:10:24,460
uh, what is broken down on this

2584
01:10:24,460 --> 01:10:26,363
slide are the various areas

2585
01:10:26,363 --> 01:10:27,496
that those, uh, or program

2586
01:10:27,496 --> 01:10:28,898
types, as we call them, that

2587
01:10:28,898 --> 01:10:30,333
are supported with those funds,

2588
01:10:30,333 --> 01:10:31,434
the largest being permanent

2589
01:10:31,434 --> 01:10:31,834
supportive housing. That

2590
01:10:31,834 --> 01:10:33,669
s

2591
01:10:33,669 --> 01:10:35,137
especially relevant for this

2592
01:10:35,137 --> 01:10:36,505
board, uh, because of the

2593
01:10:36,505 --> 01:10:37,774
health intersections for the

2594
01:10:37,774 --> 01:10:39,342
individuals that utilize those

2595
01:10:39,342 --> 01:10:40,309
services. Everyone in a

2596
01:10:40,309 --> 01:10:42,309
permanent supportive housing

2597
01:10:42,712 --> 01:10:43,913
unit has a disabling condition

2598
01:10:43,913 --> 01:10:45,948
and has experienced chronic

2599
01:10:45,948 --> 01:10:46,849
homelessness. And so, uh, the

2600
01:10:46,849 --> 01:10:48,418
individuals that would be

2601
01:10:48,418 --> 01:10:49,719
impacted in any of those kinds

2602
01:10:49,719 --> 01:10:51,520
of project types are going to

2603
01:10:51,520 --> 01:10:52,621
have, uh, direct implications

2604
01:10:52,621 --> 01:10:53,789
for the work that you all

2605
01:10:53,789 --> 01:10:55,291
oversee. There

2606
01:10:55,291 --> 01:10:57,291
s also some

2607
01:10:58,128 --> 01:10:59,795
other, uh, uh, bolded program

2608
01:10:59,795 --> 01:11:00,997
types that I wanted to lump

2609
01:11:00,997 --> 01:11:02,431
together and note for you.

2610
01:11:02,431 --> 01:11:04,000
Those are things that results

2611
01:11:04,000 --> 01:11:05,468
in an individual moving into

2612
01:11:05,468 --> 01:11:06,669
permanent housing or having

2613
01:11:06,669 --> 01:11:08,204
permanent housing in some way,

2614
01:11:08,204 --> 01:11:08,471
shape or form. And as you can

2615
01:11:08,471 --> 01:11:10,471
see, that

2616
01:11:11,174 --> 01:11:12,108
s 92% of our total.

2617
01:11:12,108 --> 01:11:13,810
Uh, so things that are

2618
01:11:13,810 --> 01:11:14,760
resulting in housing outcomes,

2619
01:11:14,760 --> 01:11:14,844
uh, that

2620
01:11:14,844 --> 01:11:16,345
s going to be really

2621
01:11:16,345 --> 01:11:17,646
important as I get to my next

2622
01:11:17,646 --> 01:11:20,649
slide here and talk about the

2623
01:11:20,649 --> 01:11:22,180
amounts that we are potentially

2624
01:11:22,180 --> 01:11:23,652
seeing at risk in this coming

2625
01:11:23,652 --> 01:11:24,854
funding cycle and the policy

2626
01:11:24,854 --> 01:11:26,355
changes that the Department of

2627
01:11:26,355 --> 01:11:26,514
Housing Urban Development is.

2628
01:11:26,514 --> 01:11:27,456
I

2629
01:11:27,456 --> 01:11:29,580
m going to just say hud going

2630
01:11:29,580 --> 01:11:32,580
forward, uh, are seeking to

2631
01:11:32,929 --> 01:11:35,198
impose. So those significant

2632
01:11:35,198 --> 01:11:35,351
changes, the most substantial

2633
01:11:35,351 --> 01:11:36,398
I

2634
01:11:36,398 --> 01:11:38,233
m going to use the term from

2635
01:11:38,233 --> 01:11:39,569
here on out, tier one, I want

2636
01:11:39,569 --> 01:11:41,204
you all to think of tier one as

2637
01:11:41,204 --> 01:11:43,172
being the funds that are

2638
01:11:43,172 --> 01:11:43,373
basically our renewals. It

2639
01:11:43,373 --> 01:11:44,974
s

2640
01:11:44,974 --> 01:11:46,776
not perfectly guaranteed, but

2641
01:11:46,776 --> 01:11:47,544
it is highly likely to receive

2642
01:11:47,544 --> 01:11:48,770
those funds. And it

2643
01:11:48,770 --> 01:11:49,512
s easy to

2644
01:11:49,512 --> 01:11:50,780
think about it that way. And

2645
01:11:50,780 --> 01:11:52,215
everything else would fall into

2646
01:11:52,215 --> 01:11:52,382
some other kind of a tier. So

2647
01:11:52,382 --> 01:11:53,116
we

2648
01:11:53,116 --> 01:11:54,784
ll call that tier two.

2649
01:11:54,784 --> 01:11:56,519
Maybe, um, tier two. Tier one

2650
01:11:56,519 --> 01:11:58,210
is actually a technical term,

2651
01:11:58,210 --> 01:11:59,555
um, stemming from the funding

2652
01:11:59,555 --> 01:12:01,157
announcement, though

2653
01:12:01,157 --> 01:12:02,992
historically, and as you saw in

2654
01:12:02,992 --> 01:12:03,960
that prior slide, if you think

2655
01:12:03,960 --> 01:12:04,560
about our permanent housing

2656
01:12:04,560 --> 01:12:06,129
interventions, that

2657
01:12:06,129 --> 01:12:07,830
s 92% of

2658
01:12:07,830 --> 01:12:08,898
the money we receive. And a

2659
01:12:08,898 --> 01:12:10,330
disproportionate amount of that

2660
01:12:10,330 --> 01:12:11,300
is permanent housing itself,

2661
01:12:11,300 --> 01:12:12,869
permanent supportive housing.

2662
01:12:12,869 --> 01:12:14,471
Um, this year, historically

2663
01:12:14,471 --> 01:12:16,272
that that amount that is tier

2664
01:12:16,272 --> 01:12:19,872
one. What we get renewed is

2665
01:12:22,345 --> 01:12:24,130
usually in the 90 to 97% range.

2666
01:12:24,130 --> 01:12:26,116
So almost anything that has

2667
01:12:26,116 --> 01:12:28,516
been awarded previously is

2668
01:12:28,651 --> 01:12:30,587
eligible for a renewal if each

2669
01:12:30,587 --> 01:12:31,688
local community, which is also

2670
01:12:31,688 --> 01:12:33,556
required to do a competitive

2671
01:12:33,556 --> 01:12:35,725
process, has evaluated that

2672
01:12:35,725 --> 01:12:37,226
project to be aligned with its

2673
01:12:37,226 --> 01:12:38,995
local goals and performing

2674
01:12:38,995 --> 01:12:40,930
effectively and really meeting

2675
01:12:40,930 --> 01:12:42,765
the overall work towards ending

2676
01:12:42,765 --> 01:12:43,732
homelessness. This year, the

2677
01:12:43,732 --> 01:12:44,767
Department of Housing and Urban

2678
01:12:44,767 --> 01:12:47,167
Development reduced that to

2679
01:12:48,438 --> 01:12:49,606
60%, so nearly half of the, uh,

2680
01:12:49,606 --> 01:12:51,407
a little bit less than half of

2681
01:12:51,407 --> 01:12:53,242
the existing projects

2682
01:12:53,242 --> 01:12:53,810
nationwide are not going to be

2683
01:12:53,810 --> 01:12:54,243
renewed. And I

2684
01:12:54,243 --> 01:12:55,770
m going to talk

2685
01:12:55,770 --> 01:12:56,713
a little bit more about some of

2686
01:12:56,713 --> 01:12:56,912
those impacts for us locally.

2687
01:12:56,912 --> 01:12:58,548
That

2688
01:12:58,548 --> 01:12:59,148
s the most significant

2689
01:12:59,148 --> 01:13:00,116
action that we

2690
01:13:00,116 --> 01:13:00,316
ve seen. But

2691
01:13:00,316 --> 01:13:01,584
there

2692
01:13:01,584 --> 01:13:03,453
s several other various

2693
01:13:03,453 --> 01:13:04,887
serious changes that hud has

2694
01:13:04,887 --> 01:13:05,655
also imposed in this recent

2695
01:13:05,655 --> 01:13:06,156
funding cycle that we

2696
01:13:06,156 --> 01:13:07,790
re going

2697
01:13:07,790 --> 01:13:09,125
through. Um, you can see that

2698
01:13:09,125 --> 01:13:11,193
some of those are changing the

2699
01:13:11,193 --> 01:13:13,950
types of projects that you can

2700
01:13:13,950 --> 01:13:14,130
propose for them to receive. So

2701
01:13:14,130 --> 01:13:15,231
instead of it being something

2702
01:13:15,231 --> 01:13:16,699
or the results of permanent

2703
01:13:16,699 --> 01:13:16,933
housing placements, ending

2704
01:13:16,933 --> 01:13:18,234
someone

2705
01:13:18,234 --> 01:13:19,502
s homelessness, it has

2706
01:13:19,502 --> 01:13:21,671
to focus on things that are

2707
01:13:21,671 --> 01:13:23,806
shorter term, uh, or supportive

2708
01:13:23,806 --> 01:13:25,775
services instead of helping

2709
01:13:25,775 --> 01:13:27,677
necessarily, and having as a

2710
01:13:27,677 --> 01:13:27,877
result in permanent housing.

2711
01:13:27,877 --> 01:13:29,877
There

2712
01:13:30,146 --> 01:13:30,680
s also several policy

2713
01:13:30,680 --> 01:13:31,214
changes. I won

2714
01:13:31,214 --> 01:13:32,248
t read through

2715
01:13:32,248 --> 01:13:33,616
all of them on this list. You

2716
01:13:33,616 --> 01:13:33,783
can see them on the slide. This

2717
01:13:33,783 --> 01:13:35,417
isn

2718
01:13:35,417 --> 01:13:35,885
t everything. Um, I

2719
01:13:35,885 --> 01:13:37,885
ll note

2720
01:13:38,187 --> 01:13:40,989
that there is a protective

2721
01:13:40,989 --> 01:13:43,920
order in place preventing King

2722
01:13:43,920 --> 01:13:44,227
County and Seattle from having

2723
01:13:44,227 --> 01:13:45,728
to comply with some of these

2724
01:13:45,728 --> 01:13:47,563
changes. That court case, King

2725
01:13:47,563 --> 01:13:49,365
County versus Turner in

2726
01:13:49,365 --> 01:13:51,670
particular, uh, the

2727
01:13:51,670 --> 01:13:52,334
requirements to I believe the

2728
01:13:52,334 --> 01:13:54,870
language is acknowledge the sex

2729
01:13:54,870 --> 01:13:56,380
binary of humans requiring

2730
01:13:56,380 --> 01:13:57,840
collaboration with federal

2731
01:13:57,840 --> 01:13:59,575
immigration enforcement and

2732
01:13:59,575 --> 01:14:00,876
executive order compliance.

2733
01:14:00,876 --> 01:14:02,612
Those three items in

2734
01:14:02,612 --> 01:14:04,147
particular, we are protected

2735
01:14:04,147 --> 01:14:05,615
from at this time, from having

2736
01:14:05,615 --> 01:14:06,115
to comply with. But you can see

2737
01:14:06,115 --> 01:14:06,515
on this list that

2738
01:14:06,515 --> 01:14:07,249
s not

2739
01:14:07,249 --> 01:14:07,750
everything that we

2740
01:14:07,750 --> 01:14:08,500
re looking

2741
01:14:08,500 --> 01:14:09,180
at. There

2742
01:14:09,180 --> 01:14:10,953
s new items that have

2743
01:14:10,953 --> 01:14:13,723
been imposed. There are there

2744
01:14:13,723 --> 01:14:15,257
is a a lawsuit has been filed.

2745
01:14:15,257 --> 01:14:17,827
And King County is a plaintiff

2746
01:14:17,827 --> 01:14:19,194
in that lawsuit seeking to

2747
01:14:19,194 --> 01:14:20,362
enjoin some of these other

2748
01:14:20,362 --> 01:14:20,763
conditions. That hasn

2749
01:14:20,763 --> 01:14:22,498
t

2750
01:14:22,498 --> 01:14:24,466
happened yet. But there is that

2751
01:14:24,466 --> 01:14:27,169
lawsuit is in process, and it

2752
01:14:27,169 --> 01:14:28,971
was requested that by the

2753
01:14:28,971 --> 01:14:31,407
AUGUST 10th, the court make a

2754
01:14:31,407 --> 01:14:33,909
determination on the on that,

2755
01:14:33,909 --> 01:14:34,660
uh, that complaint. So I

2756
01:14:34,660 --> 01:14:35,277
m

2757
01:14:35,277 --> 01:14:36,946
going to go to our next piece,

2758
01:14:36,946 --> 01:14:38,181
which is that local impact

2759
01:14:38,181 --> 01:14:38,514
again, talking about we

2760
01:14:38,514 --> 01:14:40,483
ve got

2761
01:14:40,483 --> 01:14:42,885
a lot of projects that are

2762
01:14:42,885 --> 01:14:43,753
facing not getting renewed. Um,

2763
01:14:43,753 --> 01:14:44,420
so if you just look at our

2764
01:14:44,420 --> 01:14:46,420
total number, that

2765
01:14:46,422 --> 01:14:47,289
s 66 to 83

2766
01:14:47,289 --> 01:14:49,258
is the same that I had on my

2767
01:14:49,258 --> 01:14:50,292
first slide. You can see that

2768
01:14:50,292 --> 01:14:51,928
some numbers, some of those

2769
01:14:51,928 --> 01:14:54,290
projects adding up to just

2770
01:14:54,290 --> 01:14:55,497
under $40 million, would fit

2771
01:14:55,497 --> 01:14:57,300
into that realm of funding,

2772
01:14:57,300 --> 01:14:58,834
that tier one that we feel

2773
01:14:58,834 --> 01:14:59,536
confident that we can see it

2774
01:14:59,536 --> 01:15:00,336
renewed. That

2775
01:15:00,336 --> 01:15:01,470
s not perfectly

2776
01:15:01,470 --> 01:15:03,506
guaranteed, but we feel pretty

2777
01:15:03,506 --> 01:15:05,875
confident about that. We also,

2778
01:15:05,875 --> 01:15:07,476
given all the many changes that

2779
01:15:07,476 --> 01:15:09,279
hud is imposing nationally,

2780
01:15:09,279 --> 01:15:10,747
have worked with programs to

2781
01:15:10,747 --> 01:15:12,414
identify places that they have

2782
01:15:12,414 --> 01:15:13,582
greater efficiencies or could

2783
01:15:13,582 --> 01:15:15,618
make a voluntary change to how

2784
01:15:15,618 --> 01:15:16,652
their project operates in order

2785
01:15:16,652 --> 01:15:16,819
to better align with hud

2786
01:15:16,819 --> 01:15:18,819
s

2787
01:15:19,155 --> 01:15:20,823
priorities. And so we would not

2788
01:15:20,823 --> 01:15:22,558
have to have that project in

2789
01:15:22,558 --> 01:15:23,826
tier one, but would be likely

2790
01:15:23,826 --> 01:15:26,562
to still see that project

2791
01:15:26,562 --> 01:15:27,630
continue, or it just creates a

2792
01:15:27,630 --> 01:15:29,650
funding gap for us to be able

2793
01:15:29,650 --> 01:15:31,234
to fit more things in our tier

2794
01:15:31,234 --> 01:15:31,567
one, uh, opportunities. That

2795
01:15:31,567 --> 01:15:33,567
s

2796
01:15:34,904 --> 01:15:36,839
still leaves a gap of $22

2797
01:15:36,839 --> 01:15:37,206
million in projects that exist

2798
01:15:37,206 --> 01:15:37,773
today. They

2799
01:15:37,773 --> 01:15:39,750
ve already been

2800
01:15:39,750 --> 01:15:41,110
operating many times for many

2801
01:15:41,110 --> 01:15:43,980
years that we would not be able

2802
01:15:43,980 --> 01:15:45,981
to operate, although locally,

2803
01:15:45,981 --> 01:15:47,350
and we have prioritized our

2804
01:15:47,350 --> 01:15:48,617
projects that you could

2805
01:15:48,617 --> 01:15:49,686
shorthand it as being permanent

2806
01:15:49,686 --> 01:15:50,820
supportive housing project,

2807
01:15:50,820 --> 01:15:52,121
permanent supportive housing,

2808
01:15:52,121 --> 01:15:54,560
but projects that have

2809
01:15:54,560 --> 01:15:55,724
leveraged tens of millions of

2810
01:15:55,724 --> 01:15:57,727
dollars for either their

2811
01:15:57,727 --> 01:15:59,862
capital investment to create

2812
01:15:59,862 --> 01:16:01,464
them or the braiding of

2813
01:16:01,464 --> 01:16:03,464
numerous funding streams,

2814
01:16:04,533 --> 01:16:06,169
including, um, fcs supports or

2815
01:16:06,169 --> 01:16:08,237
Medicaid dollars. In some

2816
01:16:08,237 --> 01:16:09,271
cases, um, to into their

2817
01:16:09,271 --> 01:16:11,730
funding model, along with

2818
01:16:11,730 --> 01:16:13,473
Public Housing Authority funds

2819
01:16:13,709 --> 01:16:15,411
and even things like the um,

2820
01:16:15,411 --> 01:16:17,130
Veterans Administration funds.

2821
01:16:17,130 --> 01:16:19,549
So although those kinds of

2822
01:16:19,549 --> 01:16:19,715
projects are prioritized, we

2823
01:16:19,715 --> 01:16:21,150
don

2824
01:16:21,150 --> 01:16:22,151
t yet have my group, my

2825
01:16:22,151 --> 01:16:23,653
readers are actually looking at

2826
01:16:23,653 --> 01:16:25,154
the applications right now for

2827
01:16:25,154 --> 01:16:25,320
renewals and new projects. We

2828
01:16:25,320 --> 01:16:26,723
don

2829
01:16:26,723 --> 01:16:28,891
t know exactly yet which of

2830
01:16:28,891 --> 01:16:29,892
those projects, um, are which

2831
01:16:29,892 --> 01:16:32,600
projects are going to be in

2832
01:16:32,600 --> 01:16:34,631
that bucket of 22 million that

2833
01:16:34,631 --> 01:16:35,564
are facing, not getting

2834
01:16:35,564 --> 01:16:36,320
renewed. But that

2835
01:16:36,320 --> 01:16:37,660
s the most

2836
01:16:37,660 --> 01:16:37,233
important impact that we

2837
01:16:37,233 --> 01:16:38,767
re

2838
01:16:38,767 --> 01:16:40,403
looking at. And that would have

2839
01:16:40,403 --> 01:16:41,637
downstream impacts on numerous

2840
01:16:41,637 --> 01:16:43,105
health systems, which is why I

2841
01:16:43,105 --> 01:16:44,139
believe board member Lou really

2842
01:16:44,139 --> 01:16:46,642
wanted this to be highlighted

2843
01:16:46,642 --> 01:16:48,110
for you all today. As I said

2844
01:16:48,110 --> 01:16:50,513
though, earlier on some of

2845
01:16:50,513 --> 01:16:52,247
this, there are multiple things

2846
01:16:52,247 --> 01:16:54,317
underway to hopefully address

2847
01:16:54,317 --> 01:16:55,451
or respond to that risk. First,

2848
01:16:55,451 --> 01:16:55,602
as I noted already, there

2849
01:16:55,602 --> 01:16:57,286
s

2850
01:16:57,286 --> 01:16:58,654
litigation not only existing

2851
01:16:58,654 --> 01:17:00,155
with an injunctive order put in

2852
01:17:00,155 --> 01:17:02,240
place, but also pending

2853
01:17:02,240 --> 01:17:03,458
litigation that is seeking to

2854
01:17:03,458 --> 01:17:05,695
prevent some of these actions

2855
01:17:05,695 --> 01:17:07,530
from being implemented so that

2856
01:17:07,530 --> 01:17:09,164
these effects would just be,

2857
01:17:09,164 --> 01:17:09,332
uh, stopped by the courts.

2858
01:17:09,332 --> 01:17:10,966
We

2859
01:17:10,966 --> 01:17:12,100
ve also had excellent

2860
01:17:12,100 --> 01:17:13,536
engagement with county

2861
01:17:13,536 --> 01:17:14,837
partners. Councilmember

2862
01:17:14,837 --> 01:17:16,439
Mosqueda you participated in

2863
01:17:16,439 --> 01:17:17,573
that, for example, and some of

2864
01:17:17,573 --> 01:17:19,241
our other board members here, I

2865
01:17:19,241 --> 01:17:20,676
believe, as well. Um, a

2866
01:17:20,676 --> 01:17:22,545
stakeholder group that

2867
01:17:22,545 --> 01:17:24,945
encompasses city and county

2868
01:17:25,481 --> 01:17:27,490
stakeholders in looking at the,

2869
01:17:27,490 --> 01:17:29,510
the the potential impacts of

2870
01:17:29,510 --> 01:17:31,451
this and identifying plans,

2871
01:17:31,687 --> 01:17:33,222
ideally, identifying steps that

2872
01:17:33,222 --> 01:17:34,657
would be taken if some of these

2873
01:17:34,657 --> 01:17:36,458
impacts were to occur. You

2874
01:17:36,458 --> 01:17:37,760
know, things, things like ways

2875
01:17:37,760 --> 01:17:38,895
to shore up those projects

2876
01:17:38,895 --> 01:17:39,662
locally. So we don

2877
01:17:39,662 --> 01:17:40,929
t disrupt

2878
01:17:40,929 --> 01:17:42,999
that braiding of funds, things

2879
01:17:42,999 --> 01:17:45,501
like that. Um, and then also

2880
01:17:45,501 --> 01:17:47,360
Csra is not only relying on

2881
01:17:47,360 --> 01:17:47,971
that legal pathway that has

2882
01:17:47,971 --> 01:17:48,237
been taken, but also we

2883
01:17:48,237 --> 01:17:49,905
ve been

2884
01:17:49,905 --> 01:17:51,507
doing work to make sure that if

2885
01:17:51,507 --> 01:17:54,243
we do need to comply with all

2886
01:17:54,243 --> 01:17:55,577
of these, uh, new requirements

2887
01:17:55,577 --> 01:17:55,978
and priorities, that we

2888
01:17:55,978 --> 01:17:57,978
ve set

2889
01:17:58,480 --> 01:18:00,490
up a, an application that will

2890
01:18:00,490 --> 01:18:02,385
best compete to retain our

2891
01:18:02,385 --> 01:18:03,519
federal dollars and also still

2892
01:18:03,519 --> 01:18:05,788
aligns with our local

2893
01:18:05,788 --> 01:18:07,623
priorities. So leaning into we

2894
01:18:07,623 --> 01:18:09,859
actually did a review of the

2895
01:18:09,859 --> 01:18:11,794
many degrees of consultant

2896
01:18:11,794 --> 01:18:13,396
reports, public engagements and

2897
01:18:13,396 --> 01:18:14,196
development of action plans

2898
01:18:14,196 --> 01:18:15,798
that have occurred over the

2899
01:18:15,798 --> 01:18:17,333
last 5 to 10 years and

2900
01:18:17,333 --> 01:18:19,702
aggregated the themes across

2901
01:18:19,702 --> 01:18:21,504
that because there was probably

2902
01:18:21,504 --> 01:18:22,972
thousands of engagement

2903
01:18:22,972 --> 01:18:23,972
sessions with people with a

2904
01:18:23,972 --> 01:18:25,375
range of stakeholders that

2905
01:18:25,375 --> 01:18:27,376
really inform that, and there

2906
01:18:27,376 --> 01:18:29,145
is a lot of consistency in all

2907
01:18:29,145 --> 01:18:30,647
of them about what our system

2908
01:18:30,647 --> 01:18:31,880
priorities were. And so and

2909
01:18:31,880 --> 01:18:33,315
there was overlap between that

2910
01:18:33,315 --> 01:18:34,684
and what hud was requiring. So

2911
01:18:34,684 --> 01:18:36,318
we were able to focus our local

2912
01:18:36,318 --> 01:18:36,819
competition on those. So those

2913
01:18:36,819 --> 01:18:37,219
are the steps we

2914
01:18:37,219 --> 01:18:38,520
re taking

2915
01:18:38,520 --> 01:18:40,789
right now to offset some of

2916
01:18:40,789 --> 01:18:42,391
this impact. And then I

2917
01:18:42,391 --> 01:18:42,792
ll flag

2918
01:18:42,792 --> 01:18:43,859
and then I

2919
01:18:43,859 --> 01:18:44,127
ll just run through

2920
01:18:44,127 --> 01:18:44,760
where we

2921
01:18:44,760 --> 01:18:45,661
re at in timeline,

2922
01:18:45,661 --> 01:18:46,929
because I know you have several

2923
01:18:46,929 --> 01:18:47,830
other panelists that are also

2924
01:18:47,830 --> 01:18:50,699
going to be touching on some of

2925
01:18:50,699 --> 01:18:52,969
these topics as well. Um, most

2926
01:18:52,969 --> 01:18:54,670
significantly, uh, board Chair

2927
01:18:54,670 --> 01:18:57,173
Mosqueda noted earlier than on

2928
01:18:57,173 --> 01:18:59,208
JULY 3rd was the date that our

2929
01:18:59,208 --> 01:19:01,760
local applications either to be

2930
01:19:01,760 --> 01:19:01,244
a new or to renew your project,

2931
01:19:01,244 --> 01:19:02,511
we

2932
01:19:02,511 --> 01:19:03,779
re all due. Those are all

2933
01:19:03,779 --> 01:19:04,580
with objective rating panels

2934
01:19:04,580 --> 01:19:04,780
right now, and that

2935
01:19:04,780 --> 01:19:04,949
s what

2936
01:19:04,949 --> 01:19:06,549
s

2937
01:19:06,549 --> 01:19:08,170
going on over the next couple

2938
01:19:08,170 --> 01:19:09,185
of weeks, is for that to occur

2939
01:19:09,185 --> 01:19:10,687
and for what we call our rating

2940
01:19:10,687 --> 01:19:11,120
and ranking process, where we

2941
01:19:11,120 --> 01:19:11,987
take everyone

2942
01:19:11,987 --> 01:19:13,189
s scores that

2943
01:19:13,189 --> 01:19:14,791
they were given by those rating

2944
01:19:14,791 --> 01:19:17,791
panels and aggregated into a

2945
01:19:19,262 --> 01:19:20,930
list on AUGUST 10th, which is

2946
01:19:20,930 --> 01:19:21,864
the next, uh, board meeting.

2947
01:19:21,864 --> 01:19:22,298
Well, not actually, there

2948
01:19:22,298 --> 01:19:22,498
s

2949
01:19:22,498 --> 01:19:23,632
there

2950
01:19:23,632 --> 01:19:24,566
s multiple, um, funding

2951
01:19:24,566 --> 01:19:25,734
announcements that our board

2952
01:19:25,734 --> 01:19:27,736
has to deal with, but for this

2953
01:19:27,736 --> 01:19:29,710
big, large funding opportunity

2954
01:19:29,710 --> 01:19:31,474
that we call the hud, no foe.

2955
01:19:31,474 --> 01:19:32,742
Um, the, our csc board or

2956
01:19:32,742 --> 01:19:34,644
Continuum of Care board will be

2957
01:19:34,644 --> 01:19:36,445
meeting on AUGUST 10th, and

2958
01:19:36,445 --> 01:19:38,948
that is when that ranked list

2959
01:19:38,948 --> 01:19:41,284
of applications is first

2960
01:19:41,284 --> 01:19:42,551
presented. And authorized by

2961
01:19:42,551 --> 01:19:43,886
the board to move forward.

2962
01:19:43,886 --> 01:19:45,220
Essentially, that is when it

2963
01:19:45,220 --> 01:19:45,388
becomes our final list of what

2964
01:19:45,388 --> 01:19:46,622
we

2965
01:19:46,622 --> 01:19:48,124
re moving forward. Hud

2966
01:19:48,124 --> 01:19:50,250
requires that within actually

2967
01:19:50,250 --> 01:19:51,360
within one day of that, um, we

2968
01:19:51,360 --> 01:19:52,528
have to have distributed

2969
01:19:52,528 --> 01:19:53,629
letters announcing to all of

2970
01:19:53,629 --> 01:19:55,664
those applicants that they

2971
01:19:55,664 --> 01:19:57,966
received an award. Um, our

2972
01:19:57,966 --> 01:19:58,300
final application to hud is due

2973
01:19:58,300 --> 01:19:59,802
on it

2974
01:19:59,802 --> 01:20:02,202
s technically due on

2975
01:20:02,805 --> 01:20:04,106
AUGUST 26th. Um, that, uh, no

2976
01:20:04,106 --> 01:20:04,907
one in the country. Well,

2977
01:20:04,907 --> 01:20:05,207
actually, I guess no one that

2978
01:20:05,207 --> 01:20:06,575
s

2979
01:20:06,575 --> 01:20:08,777
wise in the country submits it

2980
01:20:08,777 --> 01:20:09,878
on AUGUST 26th. Will be

2981
01:20:09,878 --> 01:20:11,800
planning to submit ours on

2982
01:20:11,800 --> 01:20:12,214
AUGUST 24th. It

2983
01:20:12,214 --> 01:20:13,516
s not uncommon

2984
01:20:13,516 --> 01:20:14,550
that with that, many

2985
01:20:14,550 --> 01:20:15,884
jurisdictions across the

2986
01:20:15,884 --> 01:20:16,852
country submitting the system

2987
01:20:16,852 --> 01:20:18,520
can get overwhelmed or

2988
01:20:18,520 --> 01:20:19,922
encounter issues. And there is

2989
01:20:19,922 --> 01:20:22,291
not an allowance if you

2990
01:20:22,291 --> 01:20:23,659
encounter that for any kind of,

2991
01:20:23,659 --> 01:20:24,259
um, you know, extension or

2992
01:20:24,259 --> 01:20:24,493
anything like that, you

2993
01:20:24,493 --> 01:20:26,610
re

2994
01:20:26,610 --> 01:20:27,529
outright just not awarded

2995
01:20:27,529 --> 01:20:28,798
funds. And so we make sure we

2996
01:20:28,798 --> 01:20:30,266
send in our application a

2997
01:20:30,266 --> 01:20:31,633
couple days in advance to make

2998
01:20:31,633 --> 01:20:34,633
sure that no technical issues

2999
01:20:34,904 --> 01:20:36,105
would result in the loss of $67

3000
01:20:36,105 --> 01:20:36,438
million. Um, that

3001
01:20:36,438 --> 01:20:37,339
s all my

3002
01:20:37,339 --> 01:20:38,507
slides for now. I know you have

3003
01:20:38,507 --> 01:20:40,907
several other presenters that

3004
01:20:40,943 --> 01:20:41,156
are going to be going, and so

3005
01:20:41,156 --> 01:20:41,744
I

3006
01:20:41,744 --> 01:20:41,915
ll pause and see if there

3007
01:20:41,915 --> 01:20:43,779
s

3008
01:20:43,779 --> 01:20:45,114
any questions or actually, um,

3009
01:20:45,114 --> 01:20:45,348
sorry. Uh, manager, I

3010
01:20:45,348 --> 01:20:46,480
m not

3011
01:20:46,480 --> 01:20:46,849
sure if you want to meet a

3012
01:20:46,849 --> 01:20:47,683
pause for questions or wait

3013
01:20:47,683 --> 01:20:48,284
till we get through all of the

3014
01:20:48,284 --> 01:20:49,885
presenters.

3015
01:20:49,885 --> 01:20:51,287
Um, I think we can go ahead and

3016
01:20:51,287 --> 01:20:52,655
roll right over to Daniel

3017
01:20:52,655 --> 01:20:54,690
Malone and then over to our

3018
01:20:54,690 --> 01:20:56,525
labor partners. I will say the

3019
01:20:56,525 --> 01:20:57,927
timeline that you presented and

3020
01:20:57,927 --> 01:20:58,940
the update on the application,

3021
01:20:58,940 --> 01:20:59,280
it

3022
01:20:59,280 --> 01:21:00,762
s just I think another

3023
01:21:00,762 --> 01:21:03,162
important reminder, as board

3024
01:21:03,165 --> 01:21:05,667
member Liu noted, that we have

3025
01:21:05,667 --> 01:21:09,267
so much at stake with this

3026
01:21:09,639 --> 01:21:12,340
application and even the, um,

3027
01:21:12,340 --> 01:21:14,740
contingency plan of 10 million

3028
01:21:14,877 --> 01:21:17,120
at the county and 21 million at

3029
01:21:17,120 --> 01:21:19,515
the city of Seattle is not

3030
01:21:19,515 --> 01:21:21,383
anywhere near enough to close a

3031
01:21:21,383 --> 01:21:22,951
federal funding gap. So we are

3032
01:21:22,951 --> 01:21:24,686
very thankful for the joint

3033
01:21:24,686 --> 01:21:26,422
partnership with the city of

3034
01:21:26,422 --> 01:21:27,990
Seattle, the King County

3035
01:21:27,990 --> 01:21:28,991
Executive Office, the Board of

3036
01:21:28,991 --> 01:21:29,925
Health here, who has shown

3037
01:21:29,925 --> 01:21:30,993
tremendous interest in

3038
01:21:30,993 --> 01:21:32,695
maintaining the health of

3039
01:21:32,695 --> 01:21:34,300
people in this region by

3040
01:21:34,300 --> 01:21:35,297
keeping people housed, there

3041
01:21:35,297 --> 01:21:37,466
will be so many more people

3042
01:21:37,466 --> 01:21:39,100
falling into homelessness, not

3043
01:21:39,100 --> 01:21:40,200
just not serving those who are

3044
01:21:40,200 --> 01:21:41,300
currently homeless, but more

3045
01:21:41,300 --> 01:21:42,137
people falling into

3046
01:21:42,137 --> 01:21:43,138
homelessness. If we lose these

3047
01:21:43,138 --> 01:21:45,208
dollars. So that will

3048
01:21:45,208 --> 01:21:46,875
absolutely affect the health of

3049
01:21:46,875 --> 01:21:49,945
the population as a whole. And

3050
01:21:49,945 --> 01:21:52,345
so the timeline, the

3051
01:21:52,348 --> 01:21:53,882
litigation, the application,

3052
01:21:53,882 --> 01:21:55,751
all of these things all go

3053
01:21:55,751 --> 01:21:57,653
together. We have a litigation

3054
01:21:57,653 --> 01:21:59,521
strategy and application

3055
01:21:59,521 --> 01:22:01,290
strategy, all in an effort to

3056
01:22:01,290 --> 01:22:02,691
have a mitigation strategy on

3057
01:22:02,691 --> 01:22:04,226
how much this would impact our

3058
01:22:04,226 --> 01:22:05,361
community. So with that, to

3059
01:22:05,361 --> 01:22:05,761
talk about what the impact

3060
01:22:05,761 --> 01:22:06,362
would be, I

3061
01:22:06,362 --> 01:22:07,529
ll turn it over to

3062
01:22:07,529 --> 01:22:09,929
Daniel Malone from Downtown

3063
01:22:10,980 --> 01:22:12,980
Emergency Services Center.

3064
01:22:12,267 --> 01:22:13,969
Thank you so much. I really

3065
01:22:13,969 --> 01:22:14,169
appreciate the attention you

3066
01:22:14,169 --> 01:22:15,871
re

3067
01:22:15,871 --> 01:22:16,371
paying to this. Uh, I

3068
01:22:16,371 --> 01:22:18,371
ll try to

3069
01:22:20,542 --> 01:22:22,100
build on some of, uh, what Jeff

3070
01:22:22,100 --> 01:22:24,410
covered in his excellent

3071
01:22:24,881 --> 01:22:27,281
presentation there about how

3072
01:22:29,918 --> 01:22:31,954
this is likely to affect

3073
01:22:31,954 --> 01:22:34,954
services. Uh, on the ground

3074
01:22:36,392 --> 01:22:38,927
here in Seattle. Uh, so, a dsc

3075
01:22:38,927 --> 01:22:41,297
is, I believe, the single

3076
01:22:41,297 --> 01:22:43,665
largest user of continuum of

3077
01:22:43,665 --> 01:22:45,340
care funds of, uh, service

3078
01:22:45,340 --> 01:22:47,202
provider organizations in the

3079
01:22:47,202 --> 01:22:47,402
state of Washington. Um, and

3080
01:22:47,402 --> 01:22:49,710
that

3081
01:22:49,710 --> 01:22:50,172
s because we do a lot of

3082
01:22:50,172 --> 01:22:52,172
permanent supportive housing

3083
01:22:55,144 --> 01:22:56,478
work. And, uh, most of the coc

3084
01:22:56,478 --> 01:22:57,713
funds are used for permanent

3085
01:22:57,713 --> 01:22:58,347
supportive housing, as Jeff

3086
01:22:58,347 --> 01:23:00,347
s,

3087
01:23:01,217 --> 01:23:04,217
uh, slides had indicated there.

3088
01:23:04,854 --> 01:23:07,490
And also as Jeff, uh, clearly

3089
01:23:07,490 --> 01:23:09,890
articulated, hud is through

3090
01:23:09,958 --> 01:23:11,393
this know fo aiming to move

3091
01:23:11,393 --> 01:23:13,462
funds away from permanent

3092
01:23:13,462 --> 01:23:14,930
supportive housing. And the

3093
01:23:14,930 --> 01:23:18,990
thing I want to emphasize about

3094
01:23:18,990 --> 01:23:20,269
that is what that means then is

3095
01:23:20,269 --> 01:23:23,306
that is an attack on people

3096
01:23:23,306 --> 01:23:25,340
with disabilities because, uh,

3097
01:23:25,340 --> 01:23:27,309
permanent supportive housing is

3098
01:23:27,309 --> 01:23:28,944
an intervention specifically

3099
01:23:28,944 --> 01:23:31,944
aimed to support people living

3100
01:23:32,147 --> 01:23:34,147
with disabilities. And

3101
01:23:34,750 --> 01:23:36,510
especially people with long

3102
01:23:36,510 --> 01:23:37,820
term psychiatric and other

3103
01:23:37,820 --> 01:23:39,820
behavioral health disabilities.

3104
01:23:41,356 --> 01:23:41,723
Uh, one indication of the

3105
01:23:41,723 --> 01:23:43,723
administration

3106
01:23:44,426 --> 01:23:46,426
s hostility to

3107
01:23:47,295 --> 01:23:49,980
people with behavioral health

3108
01:23:49,980 --> 01:23:50,766
disabilities is that they have

3109
01:23:50,766 --> 01:23:53,166
said explicitly in public

3110
01:23:53,402 --> 01:23:55,771
forums that hud funding for

3111
01:23:55,771 --> 01:23:57,906
permanent housing should only

3112
01:23:57,906 --> 01:24:00,643
be for people who are elderly

3113
01:24:00,643 --> 01:24:03,430
or living with physical

3114
01:24:03,246 --> 01:24:05,246
disabilities. Um, another

3115
01:24:05,848 --> 01:24:09,218
element of the of the current

3116
01:24:09,218 --> 01:24:09,418
no fo that is new, um, didn

3117
01:24:09,418 --> 01:24:11,418
t

3118
01:24:11,720 --> 01:24:14,720
exist in previous hud practice

3119
01:24:15,230 --> 01:24:17,590
is that they have expanded this

3120
01:24:17,590 --> 01:24:19,762
category, uh, that they call

3121
01:24:19,762 --> 01:24:22,197
risk review. Uh, where even if

3122
01:24:22,197 --> 01:24:24,766
a renewal project is included

3123
01:24:24,766 --> 01:24:27,270
in the tier one that Jeff

3124
01:24:27,270 --> 01:24:29,380
described and, um, and

3125
01:24:29,380 --> 01:24:31,240
therefore should be expected to

3126
01:24:31,240 --> 01:24:34,840
be highly likely to be renewed,

3127
01:24:34,843 --> 01:24:37,843
hud has endowed itself with,

3128
01:24:38,179 --> 01:24:40,160
uh, new powers to reach into

3129
01:24:40,160 --> 01:24:40,783
any application, any single

3130
01:24:40,783 --> 01:24:42,618
project that

3131
01:24:42,618 --> 01:24:45,287
s in the tier one

3132
01:24:45,287 --> 01:24:47,220
part of the application through

3133
01:24:47,220 --> 01:24:49,910
their risk review process, and

3134
01:24:49,910 --> 01:24:51,393
reject it for some new kinds of

3135
01:24:51,393 --> 01:24:54,393
reasons. And one of those

3136
01:24:55,264 --> 01:24:58,234
reasons is related to a vaguely

3137
01:24:58,234 --> 01:24:59,968
defined concept of promoting

3138
01:24:59,968 --> 01:25:01,870
self-sufficiency for people.

3139
01:25:01,870 --> 01:25:04,473
And it appears that what they

3140
01:25:04,473 --> 01:25:06,509
mean by that is moving people

3141
01:25:06,509 --> 01:25:08,909
off of public benefits,

3142
01:25:09,745 --> 01:25:12,515
including off of, uh, housing

3143
01:25:12,515 --> 01:25:14,160
support. So when you apply that

3144
01:25:14,160 --> 01:25:16,252
type of thinking to people

3145
01:25:16,252 --> 01:25:18,200
living with chronic, uh,

3146
01:25:18,200 --> 01:25:19,755
disabling conditions,

3147
01:25:19,755 --> 01:25:21,755
especially, uh, serious

3148
01:25:22,524 --> 01:25:24,924
psychiatric conditions, you can

3149
01:25:25,294 --> 01:25:27,229
see that, um, this no folk

3150
01:25:27,229 --> 01:25:30,699
presents a very real risk to

3151
01:25:30,699 --> 01:25:33,469
the ongoing housing support and

3152
01:25:33,469 --> 01:25:35,271
stability for people with, uh,

3153
01:25:35,271 --> 01:25:37,271
serious behavioral health

3154
01:25:37,473 --> 01:25:39,473
conditions, permanent

3155
01:25:39,608 --> 01:25:42,800
supportive housing, uh, has

3156
01:25:42,478 --> 01:25:44,878
really become the residential

3157
01:25:45,470 --> 01:25:46,916
backbone in our community for

3158
01:25:46,916 --> 01:25:49,218
people with complicated and

3159
01:25:49,218 --> 01:25:49,485
chronic psychiatric conditions.

3160
01:25:49,485 --> 01:25:50,850
And that

3161
01:25:50,850 --> 01:25:52,485
s for two main

3162
01:25:53,589 --> 01:25:55,157
reasons. Affordability and the

3163
01:25:55,157 --> 01:25:56,525
unique services that are

3164
01:25:56,525 --> 01:25:58,600
provided. So, you know, this

3165
01:25:58,600 --> 01:26:00,460
population of people living

3166
01:26:00,863 --> 01:26:03,263
with disabilities, uh, most

3167
01:26:03,966 --> 01:26:06,836
often is surviving on extremely

3168
01:26:06,836 --> 01:26:08,237
low incomes. And when they have

3169
01:26:08,237 --> 01:26:09,405
a disability benefit from the

3170
01:26:09,405 --> 01:26:09,614
federal government, usually

3171
01:26:09,614 --> 01:26:11,614
it

3172
01:26:11,674 --> 01:26:14,610
s ssi that pays less than

3173
01:26:14,610 --> 01:26:16,645
$1,000 a month to live on. And

3174
01:26:16,645 --> 01:26:17,479
of course, at $1,000 a month

3175
01:26:17,479 --> 01:26:18,614
total, it

3176
01:26:18,614 --> 01:26:20,316
s mathematically

3177
01:26:20,316 --> 01:26:21,717
impossible for somebody to pay

3178
01:26:21,717 --> 01:26:22,117
for housing in the community

3179
01:26:22,117 --> 01:26:23,718
that isn

3180
01:26:23,718 --> 01:26:24,987
t subsidized. So

3181
01:26:24,987 --> 01:26:26,589
permanent supportive housing

3182
01:26:26,589 --> 01:26:28,590
covers that. By making sure

3183
01:26:28,590 --> 01:26:31,193
that the housing cost to the

3184
01:26:31,193 --> 01:26:33,996
individual tenant, uh, is based

3185
01:26:33,996 --> 01:26:36,898
on their personal income, and

3186
01:26:36,898 --> 01:26:39,335
then, uh, people with the most

3187
01:26:39,335 --> 01:26:39,835
challenging conditions, uh,

3188
01:26:39,835 --> 01:26:40,769
even when they

3189
01:26:40,769 --> 01:26:42,271
re participating

3190
01:26:42,271 --> 01:26:44,671
in treatment and taking

3191
01:26:45,173 --> 01:26:47,173
psychiatric medications, often

3192
01:26:47,576 --> 01:26:47,776
need the kind of robust support

3193
01:26:47,776 --> 01:26:49,278
that

3194
01:26:49,278 --> 01:26:50,980
s provided by permanent

3195
01:26:50,980 --> 01:26:53,480
supportive housing to retain

3196
01:26:53,480 --> 01:26:54,917
stability in their housing

3197
01:26:54,917 --> 01:26:57,520
continuum of care program has

3198
01:26:57,520 --> 01:26:58,721
long been a major source of

3199
01:26:58,721 --> 01:27:01,690
funding for the operations of

3200
01:27:01,690 --> 01:27:04,690
that very kind of specialized

3201
01:27:05,194 --> 01:27:08,164
housing at dc alone, about two

3202
01:27:08,164 --> 01:27:09,164
thirds of our around 2200

3203
01:27:09,164 --> 01:27:11,660
permanent supportive housing

3204
01:27:11,660 --> 01:27:13,466
units are supported by

3205
01:27:13,469 --> 01:27:15,671
Continuum of Care funds. Um,

3206
01:27:15,671 --> 01:27:18,671
the specific numbers are that

3207
01:27:21,410 --> 01:27:23,145
um, 1132 units in dc, site

3208
01:27:23,145 --> 01:27:25,145
based permanent supportive

3209
01:27:26,215 --> 01:27:27,783
housing, and another 257

3210
01:27:27,783 --> 01:27:29,185
scattered site units on the

3211
01:27:29,185 --> 01:27:31,585
private rental market, where

3212
01:27:31,687 --> 01:27:33,455
coc funding, uh is used for

3213
01:27:33,455 --> 01:27:36,455
rental assistance. Um, for a

3214
01:27:37,590 --> 01:27:40,590
total of almost 1400 of our

3215
01:27:40,963 --> 01:27:42,998
about 2200 units are covered by

3216
01:27:42,998 --> 01:27:43,194
Continuum of Care funding. So

3217
01:27:43,194 --> 01:27:45,194
it

3218
01:27:45,367 --> 01:27:47,736
ll be devastating to have

3219
01:27:47,736 --> 01:27:47,936
that funding loss. Uh, at dsc,

3220
01:27:47,936 --> 01:27:49,936
that

3221
01:27:50,672 --> 01:27:52,941
s about $16 million a year

3222
01:27:52,941 --> 01:27:54,610
for, uh, that comes to us

3223
01:27:54,610 --> 01:27:56,445
through that source. And then

3224
01:27:56,445 --> 01:27:57,846
on top of that, another $4

3225
01:27:57,846 --> 01:27:58,981
million is covering that rental

3226
01:27:58,981 --> 01:28:01,450
assistance that I mentioned in

3227
01:28:01,450 --> 01:28:04,450
the private rental market. Um,

3228
01:28:04,786 --> 01:28:08,570
so this, this no foe Jeff

3229
01:28:08,570 --> 01:28:10,659
mentioned is, uh, is the

3230
01:28:10,659 --> 01:28:13,950
subject of brand new litigation

3231
01:28:13,950 --> 01:28:15,297
that has been filed, uh, in two

3232
01:28:15,297 --> 01:28:16,932
separate actions. One of those,

3233
01:28:16,932 --> 01:28:18,767
Jeff mentioned, King County, is

3234
01:28:18,767 --> 01:28:22,300
one of the co plaintiffs in

3235
01:28:22,300 --> 01:28:24,173
that, uh, uh, the other uh,

3236
01:28:24,173 --> 01:28:26,742
litigation, a very similar case

3237
01:28:26,742 --> 01:28:28,477
was filed by a consortium of

3238
01:28:28,477 --> 01:28:29,878
states. And the state of

3239
01:28:29,878 --> 01:28:32,278
Washington is the lead

3240
01:28:32,781 --> 01:28:32,981
plaintiff in that case. Uh, uh,

3241
01:28:32,981 --> 01:28:34,981
what

3242
01:28:36,180 --> 01:28:39,180
s notable here is that

3243
01:28:39,210 --> 01:28:40,822
the, uh, the previous attempt

3244
01:28:40,822 --> 01:28:43,458
last year by hud to do this

3245
01:28:43,458 --> 01:28:45,270
same action of shifting funds

3246
01:28:45,270 --> 01:28:47,427
away from permanent supportive

3247
01:28:48,464 --> 01:28:50,532
housing into other uses was

3248
01:28:50,532 --> 01:28:52,868
also the subject of litigation.

3249
01:28:52,868 --> 01:28:54,369
And these same plaintiffs, uh,

3250
01:28:54,369 --> 01:28:56,769
were involved in those

3251
01:28:57,639 --> 01:28:59,508
lawsuits. And the judge, uh,

3252
01:28:59,508 --> 01:29:01,143
issued preliminary rulings

3253
01:29:01,143 --> 01:29:03,746
last, uh, earlier this year.

3254
01:29:03,746 --> 01:29:06,281
And then, um, very recently at

3255
01:29:06,281 --> 01:29:09,118
the end of JUNE, uh, made her

3256
01:29:09,118 --> 01:29:12,540
final ruling in that case from

3257
01:29:12,540 --> 01:29:14,422
from last year. And, uh, she

3258
01:29:14,422 --> 01:29:14,690
really drilled into what hud

3259
01:29:14,690 --> 01:29:16,458
s

3260
01:29:16,458 --> 01:29:18,593
aims were here. And I want to

3261
01:29:18,593 --> 01:29:18,794
read you a quote from the

3262
01:29:18,794 --> 01:29:20,794
judge

3263
01:29:21,330 --> 01:29:21,596
s ruling, because I it

3264
01:29:21,596 --> 01:29:23,596
s

3265
01:29:23,932 --> 01:29:25,667
so, uh, important, I think, as

3266
01:29:25,667 --> 01:29:29,267
to what she observed in all

3267
01:29:29,705 --> 01:29:31,507
this. She wrote, uh, overall,

3268
01:29:31,507 --> 01:29:32,908
the actions undertaken by hud

3269
01:29:32,908 --> 01:29:34,710
in attempting to hastily

3270
01:29:34,710 --> 01:29:37,110
eliminate its housing first

3271
01:29:37,212 --> 01:29:39,948
approach serve as the hallmark

3272
01:29:39,948 --> 01:29:40,516
of unseasoned decision making.

3273
01:29:40,516 --> 01:29:41,283
And hud

3274
01:29:41,283 --> 01:29:43,850
s attempt to

3275
01:29:43,850 --> 01:29:44,920
retroactively backfill its

3276
01:29:44,920 --> 01:29:46,988
impulsive decision making lacks

3277
01:29:46,988 --> 01:29:48,857
a rational connection between

3278
01:29:48,857 --> 01:29:49,925
any facts it could have found

3279
01:29:49,925 --> 01:29:51,560
and the choices that it

3280
01:29:51,560 --> 01:29:53,896
ultimately made. In issuing

3281
01:29:53,896 --> 01:29:54,620
these no PFOs. Uh, that

3282
01:29:54,620 --> 01:29:55,997
s

3283
01:29:55,997 --> 01:29:57,699
pretty choice. Uh, comment by

3284
01:29:57,699 --> 01:29:58,901
the judge. Now, again, that

3285
01:29:58,901 --> 01:29:59,668
applies to last year

3286
01:29:59,668 --> 01:30:01,668
s, uh,

3287
01:30:02,700 --> 01:30:04,606
attempted change. Uh, with this

3288
01:30:04,606 --> 01:30:04,773
funding. But the new novo that

3289
01:30:04,773 --> 01:30:05,941
we

3290
01:30:05,941 --> 01:30:07,142
re talking about now and

3291
01:30:07,142 --> 01:30:10,142
that Jeff was describing the

3292
01:30:11,790 --> 01:30:13,449
process for is very similar.

3293
01:30:13,449 --> 01:30:16,118
Um, it it has many of the same

3294
01:30:16,118 --> 01:30:16,318
kinds of conditions. And, um,

3295
01:30:16,318 --> 01:30:17,786
that

3296
01:30:17,786 --> 01:30:18,854
s what the plaintiffs,

3297
01:30:18,854 --> 01:30:20,856
including King County in the

3298
01:30:20,856 --> 01:30:21,890
state of Washington, are suing

3299
01:30:21,890 --> 01:30:22,791
over. And so I

3300
01:30:22,791 --> 01:30:25,191
ll just end by

3301
01:30:25,294 --> 01:30:27,229
expressing my gratitude, uh,

3302
01:30:27,229 --> 01:30:28,863
that, um, King County and the

3303
01:30:28,863 --> 01:30:30,632
state of Washington are

3304
01:30:30,632 --> 01:30:32,340
defending our communities and

3305
01:30:32,340 --> 01:30:33,602
people with disabilities by

3306
01:30:33,602 --> 01:30:35,602
pursuing this litigation.

3307
01:30:35,871 --> 01:30:37,939
Thanks a lot for having me.

3308
01:30:37,939 --> 01:30:38,159
Thank you so much. I think

3309
01:30:38,159 --> 01:30:39,975
that

3310
01:30:39,975 --> 01:30:41,944
s a great transition to

3311
01:30:41,944 --> 01:30:44,344
our union community partners.

3312
01:30:46,148 --> 01:30:48,830
Uh, 11.99 opioid and pro tag.

3313
01:30:48,830 --> 01:30:49,885
Uh, please go ahead and jump on

3314
01:30:49,885 --> 01:30:52,210
in. Hello? Reagan McBride

3315
01:30:52,210 --> 01:30:53,455
Lindsey grad and, um, anybody

3316
01:30:53,455 --> 01:30:57,550
from opi, you please feel free

3317
01:30:58,594 --> 01:31:00,629
to jump in. Go ahead. Reagan.

3318
01:31:00,629 --> 01:31:01,930
Thanks, chair. Mosqueda. My

3319
01:31:01,930 --> 01:31:02,964
name is Reagan McBride. I use

3320
01:31:02,964 --> 01:31:04,132
her pronouns. I

3321
01:31:04,132 --> 01:31:06,132
m representing

3322
01:31:07,236 --> 01:31:10,236
protec 17 here today and protec

3323
01:31:10,472 --> 01:31:13,800
17 represents, uh. Most of the

3324
01:31:13,800 --> 01:31:13,161
staff at Kcra. So as we

3325
01:31:13,161 --> 01:31:14,976
re

3326
01:31:14,976 --> 01:31:16,111
talking about continuity of

3327
01:31:16,111 --> 01:31:16,312
services, one of the things

3328
01:31:16,312 --> 01:31:17,312
that

3329
01:31:17,312 --> 01:31:19,114
s really important with

3330
01:31:19,114 --> 01:31:20,215
that is continuity of the

3331
01:31:20,215 --> 01:31:20,615
expertise that

3332
01:31:20,615 --> 01:31:22,318
s been

3333
01:31:22,318 --> 01:31:22,584
delivering this funding. Um,

3334
01:31:22,584 --> 01:31:24,584
and that

3335
01:31:24,786 --> 01:31:25,287
s coming from the Kcra

3336
01:31:25,287 --> 01:31:26,789
staff. That

3337
01:31:26,789 --> 01:31:28,490
s, uh, developing

3338
01:31:28,490 --> 01:31:30,292
and providing the data for

3339
01:31:30,292 --> 01:31:32,527
these continuum of care

3340
01:31:32,527 --> 01:31:34,463
applications. Um, they are

3341
01:31:34,463 --> 01:31:36,331
working with the nonprofit

3342
01:31:36,331 --> 01:31:38,731
partners that are largely

3343
01:31:38,734 --> 01:31:40,100
represented by seiu and Payu to

3344
01:31:40,100 --> 01:31:41,570
deliver these critical

3345
01:31:41,570 --> 01:31:43,706
services. Um, and that

3346
01:31:43,706 --> 01:31:43,972
continuity of the staff that

3347
01:31:43,972 --> 01:31:45,474
s

3348
01:31:45,474 --> 01:31:47,874
administering these is also

3349
01:31:49,311 --> 01:31:52,311
really important to, uh, the

3350
01:31:52,414 --> 01:31:54,249
care of our unhoused neighbors.

3351
01:31:54,249 --> 01:31:55,484
Um, we want to keep in mind,

3352
01:31:55,484 --> 01:31:57,520
you know, the staff that

3353
01:31:57,520 --> 01:31:59,452
administers this funding and

3354
01:32:00,156 --> 01:32:01,924
these programs are our local

3355
01:32:01,924 --> 01:32:03,692
homeless service and homeless

3356
01:32:03,692 --> 01:32:05,594
systems experts. Um, they are

3357
01:32:05,594 --> 01:32:06,261
not just budget line items,

3358
01:32:06,261 --> 01:32:06,962
although I know that

3359
01:32:06,962 --> 01:32:07,196
s most of

3360
01:32:07,196 --> 01:32:08,300
what we

3361
01:32:08,300 --> 01:32:08,463
re talking about here

3362
01:32:08,463 --> 01:32:08,997
today when we

3363
01:32:08,997 --> 01:32:10,799
re talking about

3364
01:32:10,799 --> 01:32:12,340
funding is budget line items.

3365
01:32:12,340 --> 01:32:13,402
Um, but to humanize not just

3366
01:32:13,402 --> 01:32:14,770
the clients that are being

3367
01:32:14,770 --> 01:32:16,705
served by this funding, but the

3368
01:32:16,705 --> 01:32:18,273
staff, uh, that are providing

3369
01:32:18,273 --> 01:32:21,243
those critical services and the

3370
01:32:21,243 --> 01:32:23,212
critical data systems, um, and

3371
01:32:23,212 --> 01:32:26,812
back end systems that allow for

3372
01:32:27,116 --> 01:32:27,783
that. And I can kick it either

3373
01:32:27,783 --> 01:32:28,717
back to Jeremy

3374
01:32:28,717 --> 01:32:29,685
s data or over

3375
01:32:29,685 --> 01:32:30,252
to Lindsay, whatever you

3376
01:32:30,252 --> 01:32:31,854
prefer.

3377
01:32:31,854 --> 01:32:32,621
Over to Lindsay. Sounds great.

3378
01:32:32,621 --> 01:32:34,356
Thanks.

3379
01:32:34,356 --> 01:32:35,390
So hey, good afternoon

3380
01:32:35,390 --> 01:32:35,557
everyone. For those who don

3381
01:32:35,557 --> 01:32:35,857
t

3382
01:32:35,857 --> 01:32:36,625
know me, I

3383
01:32:36,625 --> 01:32:38,590
m Lindsay, grad

3384
01:32:38,590 --> 01:32:40,395
legislative director at seiu

3385
01:32:40,395 --> 01:32:42,395
healthcare 1199 northwest. We

3386
01:32:42,398 --> 01:32:43,465
represent 38,000 healthcare

3387
01:32:43,465 --> 01:32:46,465
workers across the state of

3388
01:32:46,968 --> 01:32:48,704
Washington, including the front

3389
01:32:48,704 --> 01:32:50,906
care folks at Downtown

3390
01:32:50,906 --> 01:32:53,750
Emergency Services Center. Uh,

3391
01:32:53,750 --> 01:32:54,676
Jeff and Daniel and Reagan

3392
01:32:54,676 --> 01:32:56,144
already really spoke to the

3393
01:32:56,144 --> 01:32:56,312
issue. But I just want to say

3394
01:32:56,312 --> 01:32:58,312
it

3395
01:32:58,447 --> 01:33:00,649
s my job to reiterate, this

3396
01:33:00,649 --> 01:33:02,551
is a very timely moment for you

3397
01:33:02,551 --> 01:33:03,952
all to be taking on this focus.

3398
01:33:03,952 --> 01:33:06,210
Um, the hard work that went

3399
01:33:06,210 --> 01:33:07,989
into our next, um, Coc

3400
01:33:07,989 --> 01:33:10,389
application by dozens and

3401
01:33:10,992 --> 01:33:11,793
dozens of people, um, is is

3402
01:33:11,793 --> 01:33:13,610
something that everyone should

3403
01:33:13,610 --> 01:33:14,662
be proud of and is really

3404
01:33:14,662 --> 01:33:15,864
important to be successful on.

3405
01:33:15,864 --> 01:33:17,633
And the fact that you all are

3406
01:33:17,633 --> 01:33:18,634
putting an eye on that, uh, is

3407
01:33:18,634 --> 01:33:20,236
an important part of the

3408
01:33:20,236 --> 01:33:20,386
process. We do not know what

3409
01:33:20,386 --> 01:33:21,403
s

3410
01:33:21,403 --> 01:33:22,637
going to come next. We hope

3411
01:33:22,637 --> 01:33:25,507
that we are going to be met.

3412
01:33:25,507 --> 01:33:26,508
Um, uh, with like response.

3413
01:33:26,508 --> 01:33:27,842
Somebody who is also taking

3414
01:33:27,842 --> 01:33:28,910
this work seriously and knows

3415
01:33:28,910 --> 01:33:30,479
how important these resources

3416
01:33:30,479 --> 01:33:31,380
are. Um, but one way or the

3417
01:33:31,380 --> 01:33:31,847
other, it is going to be our

3418
01:33:31,847 --> 01:33:32,548
community that

3419
01:33:32,548 --> 01:33:34,116
s impacted. And

3420
01:33:34,116 --> 01:33:35,784
so your leadership here is

3421
01:33:35,784 --> 01:33:38,784
essential. Um, you know, we

3422
01:33:39,521 --> 01:33:41,423
also all are aware of the, the

3423
01:33:41,423 --> 01:33:43,158
direction that was announced,

3424
01:33:43,158 --> 01:33:44,693
the intention from our

3425
01:33:44,693 --> 01:33:47,228
executive and our mayor, uh,

3426
01:33:47,228 --> 01:33:48,230
with regards to how our ra is

3427
01:33:48,230 --> 01:33:49,965
going to look moving forward

3428
01:33:49,965 --> 01:33:51,500
and how they are going to be

3429
01:33:51,500 --> 01:33:53,735
supported in making sure that

3430
01:33:53,735 --> 01:33:55,170
Coc funds are really provided

3431
01:33:55,170 --> 01:33:57,439
the oversight that they need to

3432
01:33:57,439 --> 01:33:58,307
be successful. And that is a

3433
01:33:58,307 --> 01:33:59,708
team effort. It involves

3434
01:33:59,708 --> 01:34:01,243
everyone on this call as well.

3435
01:34:01,243 --> 01:34:02,878
Um, so this is the moment to be

3436
01:34:02,878 --> 01:34:03,245
talking about this and making

3437
01:34:03,245 --> 01:34:04,130
sure that we

3438
01:34:04,130 --> 01:34:05,514
re on the right

3439
01:34:05,514 --> 01:34:06,414
course. Uh, like I said, we

3440
01:34:06,414 --> 01:34:08,717
represent the front line

3441
01:34:08,717 --> 01:34:09,751
workers at desk. Um, and so the

3442
01:34:09,751 --> 01:34:12,454
thing that we, you know,

3443
01:34:12,454 --> 01:34:14,589
consider our North Star is that

3444
01:34:14,589 --> 01:34:15,857
people can get better. They do

3445
01:34:15,857 --> 01:34:17,559
need these supports, and they

3446
01:34:17,559 --> 01:34:18,760
need the housing to get better.

3447
01:34:18,760 --> 01:34:20,329
Uh, and then it is the

3448
01:34:20,329 --> 01:34:21,663
frontline workers and the long

3449
01:34:21,663 --> 01:34:23,698
term relationship that those

3450
01:34:23,698 --> 01:34:25,500
workers can provide, um, who

3451
01:34:25,500 --> 01:34:25,901
are working in all different

3452
01:34:25,901 --> 01:34:26,435
roles. They

3453
01:34:26,435 --> 01:34:26,901
re working in

3454
01:34:26,901 --> 01:34:28,337
outreach. They

3455
01:34:28,337 --> 01:34:29,271
re working, um,

3456
01:34:29,271 --> 01:34:29,604
on the treatment side of

3457
01:34:29,604 --> 01:34:30,380
things. They

3458
01:34:30,380 --> 01:34:32,380
re working as

3459
01:34:32,340 --> 01:34:34,310
residential counselors, uh, to

3460
01:34:34,310 --> 01:34:35,510
help people get back to where

3461
01:34:35,510 --> 01:34:36,778
they need to be. They deserve

3462
01:34:36,778 --> 01:34:38,546
to be. And this community,

3463
01:34:38,546 --> 01:34:40,716
frankly, needs them to be. We

3464
01:34:40,716 --> 01:34:43,518
need to be able to get to, uh,

3465
01:34:43,518 --> 01:34:45,530
our, our goal of zero. And we

3466
01:34:45,530 --> 01:34:46,454
can only do that with

3467
01:34:46,454 --> 01:34:47,922
incredibly professional,

3468
01:34:47,922 --> 01:34:49,758
dedicated and supported

3469
01:34:49,758 --> 01:34:50,225
workforce. Um, and so we

3470
01:34:50,225 --> 01:34:51,226
re all

3471
01:34:51,226 --> 01:34:52,628
looking at the same future

3472
01:34:52,628 --> 01:34:54,763
together. It is our job to

3473
01:34:54,763 --> 01:34:56,831
secure every dollar we can. Um,

3474
01:34:56,831 --> 01:34:58,366
from hud on, on the coc front

3475
01:34:58,366 --> 01:35:00,350
and then to have smart plans in

3476
01:35:00,350 --> 01:35:01,770
place. Um, if we find we need

3477
01:35:01,770 --> 01:35:03,405
to pivot. So thank you for your

3478
01:35:03,405 --> 01:35:05,240
attention and please consider

3479
01:35:05,240 --> 01:35:06,308
us a resource and a partner in

3480
01:35:06,308 --> 01:35:07,843
this effort. We want to make

3481
01:35:07,843 --> 01:35:09,411
sure that we are moving forward

3482
01:35:09,411 --> 01:35:10,612
with our best possible foot,

3483
01:35:10,612 --> 01:35:11,280
and so want to be here for your

3484
01:35:11,280 --> 01:35:11,780
work as well. I

3485
01:35:11,780 --> 01:35:13,649
m happy to

3486
01:35:13,649 --> 01:35:15,649
answer any questions.

3487
01:35:15,650 --> 01:35:18,219
Thank you so much. I will also

3488
01:35:18,219 --> 01:35:20,922
note our friends at iu who are

3489
01:35:20,922 --> 01:35:22,524
as well, uh, representing

3490
01:35:22,524 --> 01:35:24,426
frontline human service

3491
01:35:24,426 --> 01:35:24,827
providers. Um, just sent a note

3492
01:35:24,827 --> 01:35:25,260
saying that they

3493
01:35:25,260 --> 01:35:26,628
re not able to

3494
01:35:26,628 --> 01:35:28,630
join us today, but echo the

3495
01:35:28,630 --> 01:35:29,998
points that are raised by pro

3496
01:35:29,998 --> 01:35:32,334
tech 17 and seiu healthcare.

3497
01:35:32,334 --> 01:35:34,236
1199 northwest. Uh, wanted to

3498
01:35:34,236 --> 01:35:35,403
let folks, uh, start to raise

3499
01:35:35,403 --> 01:35:36,638
their hands for questions and

3500
01:35:36,638 --> 01:35:38,139
also see if board member Lu, if

3501
01:35:38,139 --> 01:35:38,406
you had any additional comments

3502
01:35:38,406 --> 01:35:40,375
that you

3503
01:35:40,375 --> 01:35:42,770
d like to make or lift

3504
01:35:42,770 --> 01:35:44,446
up as we conclude, this panel

3505
01:35:44,446 --> 01:35:46,247
here.

3506
01:35:46,247 --> 01:35:47,549
Yeah. Thank you, Chair

3507
01:35:47,549 --> 01:35:48,950
Mosqueda, for allowing me to

3508
01:35:48,950 --> 01:35:50,850
bring up this, uh, discussion

3509
01:35:50,850 --> 01:35:50,619
item as we know that it

3510
01:35:50,619 --> 01:35:52,619
s very

3511
01:35:53,880 --> 01:35:54,856
timely. I do not have any

3512
01:35:54,856 --> 01:35:56,625
additional comments because I

3513
01:35:56,625 --> 01:35:58,460
believe my fellow board members

3514
01:35:58,460 --> 01:36:00,620
MAY have questions.

3515
01:36:00,620 --> 01:36:01,130
Excellent. Thank you so much.

3516
01:36:01,130 --> 01:36:02,564
Uh, colleagues, again, thanks

3517
01:36:02,564 --> 01:36:03,732
for the conversation that we

3518
01:36:03,732 --> 01:36:04,599
had in our previous meeting

3519
01:36:04,599 --> 01:36:06,999
where we discussed the

3520
01:36:07,369 --> 01:36:08,671
continuum of care, uh, dollars,

3521
01:36:08,671 --> 01:36:10,372
the Federal Housing and Urban

3522
01:36:10,372 --> 01:36:12,307
development investments that we

3523
01:36:12,307 --> 01:36:12,574
rely on, as you saw from Jeff

3524
01:36:12,574 --> 01:36:14,276
s

3525
01:36:14,276 --> 01:36:14,442
chart and from board member

3526
01:36:14,442 --> 01:36:16,442
Lou

3527
01:36:17,646 --> 01:36:19,347
s comments. Uh, near $67

3528
01:36:19,347 --> 01:36:21,449
million, just in King County

3529
01:36:21,449 --> 01:36:22,751
alone, helping to keep people

3530
01:36:22,751 --> 01:36:23,919
not only housed, but with the

3531
01:36:23,919 --> 01:36:25,220
direct health services that

3532
01:36:25,220 --> 01:36:26,688
they need to stay stably

3533
01:36:26,688 --> 01:36:28,357
housed. And you heard that

3534
01:36:28,357 --> 01:36:30,359
story repeated from Reagan,

3535
01:36:30,359 --> 01:36:32,394
from Lindsay, from Daniel, and

3536
01:36:32,394 --> 01:36:34,290
from Jeff. Um, this is really a

3537
01:36:34,290 --> 01:36:34,963
matter of keeping people

3538
01:36:34,963 --> 01:36:35,831
housed. And as we

3539
01:36:35,831 --> 01:36:37,990
ve told our

3540
01:36:37,990 --> 01:36:39,400
community partners across the

3541
01:36:39,400 --> 01:36:40,836
region, if we see these dollars

3542
01:36:40,836 --> 01:36:43,500
go away, we will actually

3543
01:36:43,500 --> 01:36:44,739
visibly see more people living

3544
01:36:44,739 --> 01:36:46,207
in the street and and suffering

3545
01:36:46,207 --> 01:36:48,109
the consequences of that. If

3546
01:36:48,109 --> 01:36:50,846
these dollars are not enhanced.

3547
01:36:50,846 --> 01:36:52,180
So in partnership with the

3548
01:36:52,180 --> 01:36:54,283
federal government, who has

3549
01:36:54,283 --> 01:36:55,751
long invested in proven

3550
01:36:55,751 --> 01:36:57,919
practices of keeping people

3551
01:36:57,919 --> 01:37:00,388
housed and frankly, a Housing

3552
01:37:00,388 --> 01:37:02,691
First model, that was, um,

3553
01:37:02,691 --> 01:37:03,992
required or encouraged of

3554
01:37:03,992 --> 01:37:05,930
contractors in the past now

3555
01:37:05,930 --> 01:37:05,527
being questioned. It

3556
01:37:05,527 --> 01:37:07,495
s really

3557
01:37:07,495 --> 01:37:09,640
important for us to lift up how

3558
01:37:09,640 --> 01:37:11,232
critical these services are,

3559
01:37:11,232 --> 01:37:12,634
how much this is not only

3560
01:37:12,634 --> 01:37:13,868
important for the health of the

3561
01:37:13,868 --> 01:37:15,871
population, but for the health

3562
01:37:15,871 --> 01:37:18,406
of the local economy as well.

3563
01:37:18,406 --> 01:37:19,741
And for us to be really

3564
01:37:19,741 --> 01:37:21,243
transparent that we are doing

3565
01:37:21,243 --> 01:37:22,711
everything we can in

3566
01:37:22,711 --> 01:37:24,711
partnership with other

3567
01:37:24,913 --> 01:37:27,820
jurisdictions to keep people,

3568
01:37:27,820 --> 01:37:28,550
um, in permanent supportive

3569
01:37:28,550 --> 01:37:30,485
housing, transitional housing,

3570
01:37:30,485 --> 01:37:32,754
emergency housing is going to

3571
01:37:32,754 --> 01:37:34,856
be essential. And the workforce

3572
01:37:34,856 --> 01:37:36,258
that provides that is key to

3573
01:37:36,258 --> 01:37:38,226
making this a success story

3574
01:37:38,226 --> 01:37:40,626
going forward. Board members,

3575
01:37:40,762 --> 01:37:42,297
any questions that you have?

3576
01:37:42,297 --> 01:37:43,932
Okay. Board member Hartfield,

3577
01:37:43,932 --> 01:37:45,867
please go ahead.

3578
01:37:45,867 --> 01:37:46,735
Um, yeah. This is a question I

3579
01:37:46,735 --> 01:37:47,202
think for Dan, if he

3580
01:37:47,202 --> 01:37:49,202
s still

3581
01:37:51,406 --> 01:37:54,810
on, um, you mentioned that, um,

3582
01:37:54,810 --> 01:37:56,211
the new aim is to prioritize

3583
01:37:56,211 --> 01:37:57,913
elderly and physically

3584
01:37:57,913 --> 01:38:00,149
disabled. Can you say, like,

3585
01:38:00,149 --> 01:38:02,317
what percentage of your current

3586
01:38:02,317 --> 01:38:05,860
clients are not going to fall

3587
01:38:05,860 --> 01:38:06,755
into that category? And also,

3588
01:38:06,755 --> 01:38:08,791
is substance use considered a

3589
01:38:08,791 --> 01:38:11,191
physical illness or a

3590
01:38:12,394 --> 01:38:13,828
behavioral health illness?

3591
01:38:13,828 --> 01:38:17,650
Thank you so much for the

3592
01:38:17,650 --> 01:38:19,268
question. Um, I let me clarify

3593
01:38:19,268 --> 01:38:19,668
something. Um, I don

3594
01:38:19,668 --> 01:38:20,902
t think

3595
01:38:20,902 --> 01:38:24,502
through this. No faux that hud

3596
01:38:27,142 --> 01:38:30,742
is attempting to, uh, shift, uh.

3597
01:38:31,120 --> 01:38:32,681
Uh, its permanent housing to

3598
01:38:32,681 --> 01:38:35,810
remain permanent housing for

3599
01:38:35,116 --> 01:38:36,517
people with physical

3600
01:38:36,517 --> 01:38:38,917
disabilities or who are

3601
01:38:38,954 --> 01:38:40,822
elderly. Uh, they have said the

3602
01:38:40,822 --> 01:38:42,156
they want permanent housing

3603
01:38:42,156 --> 01:38:43,658
dollars to only be used for

3604
01:38:43,658 --> 01:38:43,859
that population. But what

3605
01:38:43,859 --> 01:38:45,600
they

3606
01:38:45,600 --> 01:38:46,595
re attempting to do

3607
01:38:46,595 --> 01:38:48,129
through this, no faux, is to

3608
01:38:48,129 --> 01:38:49,765
move the permanent housing

3609
01:38:49,765 --> 01:38:51,599
funding to other purposes,

3610
01:38:51,599 --> 01:38:53,599
including transitional housing

3611
01:38:54,602 --> 01:38:56,805
and, uh, services, only for

3612
01:38:56,805 --> 01:38:59,174
people. And it appears to be

3613
01:38:59,174 --> 01:39:01,343
based on a theory that, uh,

3614
01:39:01,343 --> 01:39:03,450
people with, say, substance use

3615
01:39:03,450 --> 01:39:05,445
disorder or other behavioral

3616
01:39:05,847 --> 01:39:07,883
health conditions will be cured

3617
01:39:07,883 --> 01:39:09,617
of their conditions by going

3618
01:39:09,617 --> 01:39:11,486
through these kinds of, uh,

3619
01:39:11,486 --> 01:39:13,886
services programs or, or

3620
01:39:13,955 --> 01:39:15,955
transitional housing programs.

3621
01:39:18,994 --> 01:39:21,863
Um, uh, our clientele at dsc

3622
01:39:21,863 --> 01:39:24,633
include, uh, many people who

3623
01:39:24,633 --> 01:39:26,468
meet the definition of elderly,

3624
01:39:26,468 --> 01:39:27,335
uh, and many of them also have

3625
01:39:27,335 --> 01:39:29,335
co-occurring physical

3626
01:39:29,704 --> 01:39:31,507
disabilities. But nearly 100%

3627
01:39:31,507 --> 01:39:33,742
of them have, uh, primary

3628
01:39:33,742 --> 01:39:35,742
behavioral health conditions,

3629
01:39:35,777 --> 01:39:37,612
including serious mental

3630
01:39:37,612 --> 01:39:40,120
illness and, uh, chronic

3631
01:39:41,820 --> 01:39:43,118
substance use disorder. Um, I,

3632
01:39:43,118 --> 01:39:45,820
I believe that substance use

3633
01:39:45,820 --> 01:39:48,820
disorder is considered, uh, by

3634
01:39:49,324 --> 01:39:51,293
hud to be a, uh, a behavioral

3635
01:39:51,293 --> 01:39:51,960
health condition. I don

3636
01:39:51,960 --> 01:39:53,528
t know

3637
01:39:53,528 --> 01:39:55,263
if they have a specific stance

3638
01:39:55,263 --> 01:39:57,832
on whether it qualifies as a

3639
01:39:57,832 --> 01:40:00,135
disability or not. Um, I need

3640
01:40:00,135 --> 01:40:02,204
to go look deeper into that to

3641
01:40:02,204 --> 01:40:04,204
answer that.

3642
01:40:06,841 --> 01:40:08,677
Okay. Thanks.

3643
01:40:08,677 --> 01:40:10,677
Excellent. Any additional

3644
01:40:11,547 --> 01:40:14,547
questions? Okay. Well, I will

3645
01:40:14,949 --> 01:40:15,850
just, um. Uh, summarize by

3646
01:40:15,850 --> 01:40:16,918
saying, oh, please go ahead.

3647
01:40:16,918 --> 01:40:18,918
Boardmember Garcia.

3648
01:40:19,487 --> 01:40:21,890
Thanks, chair. Uh, a very

3649
01:40:21,890 --> 01:40:22,223
timely presentation. Really

3650
01:40:22,223 --> 01:40:22,391
appreciate this information.

3651
01:40:22,391 --> 01:40:23,325
It

3652
01:40:23,325 --> 01:40:25,761
s worrisome, to say the

3653
01:40:25,761 --> 01:40:27,762
least. Um, as and I, I will

3654
01:40:27,762 --> 01:40:31,362
just clarify, I am on the

3655
01:40:31,366 --> 01:40:33,100
public health board, per rca

3656
01:40:33,100 --> 01:40:33,368
representation. So I

3657
01:40:33,368 --> 01:40:35,300
m not

3658
01:40:35,300 --> 01:40:36,538
speaking for all of our sca

3659
01:40:36,538 --> 01:40:39,273
cities, but I do want to share

3660
01:40:39,273 --> 01:40:42,844
the beer and des have a desk,

3661
01:40:42,844 --> 01:40:44,713
uh, facility. Uh, so this is a

3662
01:40:44,713 --> 01:40:45,130
very alarming, uh, I

3663
01:40:45,130 --> 01:40:47,130
ve been

3664
01:40:47,548 --> 01:40:49,817
following the news and

3665
01:40:49,817 --> 01:40:50,486
legislation. What can we do? I

3666
01:40:50,486 --> 01:40:51,190
guess, is what we

3667
01:40:51,190 --> 01:40:52,887
ll call

3668
01:40:52,887 --> 01:40:55,887
action. Can, uh, members from

3669
01:40:56,558 --> 01:40:59,461
the board and others do to

3670
01:40:59,461 --> 01:41:01,861
support, uh, the ongoing

3671
01:41:03,932 --> 01:41:06,634
efforts to, um, not result in

3672
01:41:06,634 --> 01:41:10,205
all our cities having more, uh,

3673
01:41:10,205 --> 01:41:12,205
experiencing more homelessness.

3674
01:41:13,875 --> 01:41:16,100
Can I take a stab at that? Um,

3675
01:41:16,100 --> 01:41:17,545
uh, thank you for for that

3676
01:41:17,545 --> 01:41:18,946
question. I think there are

3677
01:41:18,946 --> 01:41:21,383
several things that, uh, the

3678
01:41:21,383 --> 01:41:23,818
board could be doing. Um, that

3679
01:41:23,818 --> 01:41:24,153
includes engaging King County

3680
01:41:24,153 --> 01:41:26,153
s

3681
01:41:26,521 --> 01:41:28,991
legal counsel on their strategy

3682
01:41:28,991 --> 01:41:31,493
for the litigation to try to

3683
01:41:31,493 --> 01:41:34,493
preserve this funding. Uh, I

3684
01:41:35,630 --> 01:41:37,165
think that, uh, strategies to

3685
01:41:37,165 --> 01:41:38,600
look for other resources if

3686
01:41:38,600 --> 01:41:41,169
this money does go away in

3687
01:41:41,169 --> 01:41:43,639
order to, uh, keep people

3688
01:41:43,639 --> 01:41:46,441
retained in their housing. Um,

3689
01:41:46,441 --> 01:41:47,475
is another essential part of it

3690
01:41:47,475 --> 01:41:47,709
all. And then there

3691
01:41:47,709 --> 01:41:49,709
s some

3692
01:41:49,878 --> 01:41:51,279
advocacy that, uh, is being

3693
01:41:51,279 --> 01:41:53,248
organized by some national

3694
01:41:53,248 --> 01:41:55,248
organizations with Congress

3695
01:41:55,951 --> 01:41:58,120
that could help with this whole

3696
01:41:58,120 --> 01:42:00,550
situation. Um, if there would

3697
01:42:00,550 --> 01:42:02,455
be congressional action to

3698
01:42:02,757 --> 01:42:04,459
essentially mandate hud to

3699
01:42:04,459 --> 01:42:06,795
renew permanent housing, uh,

3700
01:42:06,795 --> 01:42:09,564
that would be very helpful.

3701
01:42:09,564 --> 01:42:10,632
And, uh, the lead organization

3702
01:42:10,632 --> 01:42:11,800
on that is the National

3703
01:42:11,800 --> 01:42:14,200
Alliance to End Homelessness.

3704
01:42:15,370 --> 01:42:18,370
And, uh, they have some

3705
01:42:18,506 --> 01:42:20,906
explicit advocacy, uh, guidance

3706
01:42:21,476 --> 01:42:22,744
for local communities to

3707
01:42:22,744 --> 01:42:24,120
exercise with their members of

3708
01:42:24,120 --> 01:42:26,881
Congress that I would point you

3709
01:42:26,881 --> 01:42:28,350
to.

3710
01:42:28,350 --> 01:42:28,850
Any additional follow up on

3711
01:42:28,850 --> 01:42:29,985
that?

3712
01:42:29,985 --> 01:42:31,419
Thank you. Nope. Thank you very

3713
01:42:31,419 --> 01:42:32,954
much, MR. Moore. Hello.

3714
01:42:32,954 --> 01:42:34,589
Excellent. And, um, hello,

3715
01:42:34,589 --> 01:42:35,924
board member. Lucero, thank you

3716
01:42:35,924 --> 01:42:38,930
for joining us. I forgot to

3717
01:42:38,930 --> 01:42:39,394
mention, um, when you joined us

3718
01:42:39,394 --> 01:42:40,928
in. Thanks for being here with

3719
01:42:40,928 --> 01:42:42,463
us. And congratulations to you

3720
01:42:42,463 --> 01:42:43,866
again on the Thunderbird

3721
01:42:43,866 --> 01:42:45,200
Treatment center opening the

3722
01:42:45,200 --> 01:42:47,169
grand opening this weekend on

3723
01:42:47,169 --> 01:42:48,203
Vashon Island. Uh, speaking of

3724
01:42:48,203 --> 01:42:50,603
providing care, please go

3725
01:42:50,638 --> 01:42:52,107
ahead. Board members. Lucero.

3726
01:42:52,107 --> 01:42:53,408
Thank you so much. And I really

3727
01:42:53,408 --> 01:42:54,309
appreciated your attendance at

3728
01:42:54,309 --> 01:42:55,100
the opening. Um, it

3729
01:42:55,100 --> 01:42:56,878
s such a

3730
01:42:56,878 --> 01:42:58,346
magical day. Uh, so my question

3731
01:42:58,346 --> 01:42:58,680
is regarding federal funding.

3732
01:42:58,680 --> 01:43:00,680
So I

3733
01:43:00,748 --> 01:43:03,748
ve noticed a trend with

3734
01:43:04,152 --> 01:43:05,520
federal funding changes. So,

3735
01:43:05,520 --> 01:43:06,540
uh, for example, we

3736
01:43:06,540 --> 01:43:07,556
ve seen

3737
01:43:07,556 --> 01:43:10,491
like some changes in Snap

3738
01:43:10,491 --> 01:43:12,661
benefits. Um, however, we did

3739
01:43:12,661 --> 01:43:14,429
see new initiatives arising

3740
01:43:14,429 --> 01:43:15,964
through the Maha initiatives.

3741
01:43:15,964 --> 01:43:17,365
Right to, to be able it

3742
01:43:17,365 --> 01:43:18,800
redirects resources but

3743
01:43:18,800 --> 01:43:20,800
essentially provides similar

3744
01:43:21,690 --> 01:43:23,710
service. So my question is, is

3745
01:43:23,710 --> 01:43:24,839
with this reduction in hud

3746
01:43:24,839 --> 01:43:26,842
funding, are you seeing other

3747
01:43:26,842 --> 01:43:28,209
funding opportunities pop up

3748
01:43:28,209 --> 01:43:30,646
and say SAMHSa, who just

3749
01:43:30,646 --> 01:43:32,580
released their phase, um, or

3750
01:43:32,580 --> 01:43:33,781
other areas where they MAY be

3751
01:43:33,781 --> 01:43:35,683
addressing housing in a

3752
01:43:35,683 --> 01:43:36,952
different sort of way? Because

3753
01:43:36,952 --> 01:43:37,151
my experience has been that

3754
01:43:37,151 --> 01:43:37,419
that

3755
01:43:37,419 --> 01:43:38,860
s what we

3756
01:43:38,860 --> 01:43:40,486
re seeing is it

3757
01:43:41,389 --> 01:43:41,656
just pops up somewhere else.

3758
01:43:41,656 --> 01:43:42,524
Yeah, I

3759
01:43:42,524 --> 01:43:44,959
m happy to answer that

3760
01:43:44,959 --> 01:43:45,827
for you. So the actual the

3761
01:43:45,827 --> 01:43:46,594
program that we

3762
01:43:46,594 --> 01:43:48,263
ve been talking

3763
01:43:48,263 --> 01:43:49,898
about is the Continuum of Care

3764
01:43:49,898 --> 01:43:51,733
program. That program actually

3765
01:43:51,733 --> 01:43:52,601
is not reduced at the federal

3766
01:43:52,601 --> 01:43:53,368
level in terms of the

3767
01:43:53,368 --> 01:43:53,835
appropriation. It

3768
01:43:53,835 --> 01:43:54,970
s still

3769
01:43:54,970 --> 01:43:56,505
staying whole. In fact, it

3770
01:43:56,505 --> 01:43:58,390
received an increase which is

3771
01:43:58,390 --> 01:43:59,274
necessary to maintain certain

3772
01:43:59,274 --> 01:44:01,750
inflationary changes, things

3773
01:44:01,750 --> 01:44:03,745
like that. The issue is that

3774
01:44:03,745 --> 01:44:05,546
hud is taking that amount and

3775
01:44:05,546 --> 01:44:07,683
allocating about a little bit

3776
01:44:07,683 --> 01:44:09,451
more than a third of it to only

3777
01:44:09,451 --> 01:44:11,319
be new projects and only to

3778
01:44:11,319 --> 01:44:13,121
your point, different kinds of

3779
01:44:13,121 --> 01:44:14,122
projects that are what, in the

3780
01:44:14,122 --> 01:44:15,557
homelessness space we call

3781
01:44:15,557 --> 01:44:15,725
transitional housing. So you

3782
01:44:15,725 --> 01:44:16,658
can

3783
01:44:16,658 --> 01:44:19,127
t stay there for more than

3784
01:44:19,127 --> 01:44:20,695
two years. And, uh, to Daniels,

3785
01:44:20,695 --> 01:44:21,996
uh, kind of a metaphor earlier

3786
01:44:21,996 --> 01:44:22,297
are really intended to take

3787
01:44:22,297 --> 01:44:23,298
where you

3788
01:44:23,298 --> 01:44:24,265
re at currently and

3789
01:44:24,265 --> 01:44:25,667
have you leaving

3790
01:44:25,667 --> 01:44:26,968
self-sufficient without receipt

3791
01:44:26,968 --> 01:44:29,968
of any rental supports, things

3792
01:44:30,105 --> 01:44:31,539
like that. Um, or also focus on

3793
01:44:31,539 --> 01:44:33,508
just providing supportive

3794
01:44:33,508 --> 01:44:34,543
services, especially, um, the

3795
01:44:34,543 --> 01:44:36,377
type of services that the

3796
01:44:36,377 --> 01:44:37,546
administration would see as

3797
01:44:37,546 --> 01:44:38,479
addressing the conditions that

3798
01:44:38,479 --> 01:44:39,470
are causing an individual

3799
01:44:39,470 --> 01:44:40,849
s

3800
01:44:40,849 --> 01:44:42,617
homelessness. And, uh, like

3801
01:44:42,617 --> 01:44:43,986
resolving those and, and moving

3802
01:44:43,986 --> 01:44:47,586
them along. So that is the

3803
01:44:48,189 --> 01:44:48,857
shift in, um, in programming,

3804
01:44:48,857 --> 01:44:49,290
similar to what you

3805
01:44:49,290 --> 01:44:50,659
re talking

3806
01:44:50,659 --> 01:44:50,807
about in other spaces, but it

3807
01:44:50,807 --> 01:44:52,326
s

3808
01:44:52,326 --> 01:44:54,129
not actually moving out of this

3809
01:44:54,129 --> 01:44:54,863
federal program to a different

3810
01:44:54,863 --> 01:44:55,197
federal program. It

3811
01:44:55,197 --> 01:44:57,197
s all

3812
01:44:57,399 --> 01:44:59,399
happening within it.

3813
01:44:59,767 --> 01:45:01,536
Okay, that makes sense. And so

3814
01:45:01,536 --> 01:45:03,171
do we have, um, you know,

3815
01:45:03,171 --> 01:45:05,307
second and third tier

3816
01:45:05,307 --> 01:45:06,775
strategies to maybe align to

3817
01:45:06,775 --> 01:45:08,760
not lose resources because

3818
01:45:08,760 --> 01:45:09,770
certainly transitional housing

3819
01:45:09,770 --> 01:45:10,345
is a is a need. It

3820
01:45:10,345 --> 01:45:12,745
s a gap. Um,

3821
01:45:12,848 --> 01:45:14,415
within King County. Um, so you

3822
01:45:14,415 --> 01:45:15,616
know, to again, just access the

3823
01:45:15,616 --> 01:45:16,184
funds as the administration

3824
01:45:16,184 --> 01:45:17,485
s

3825
01:45:17,485 --> 01:45:19,540
priorities change.

3826
01:45:19,540 --> 01:45:20,540
Um, yeah, absolutely. That was,

3827
01:45:20,540 --> 01:45:20,889
uh, when I talked about that

3828
01:45:20,889 --> 01:45:21,480
two part strategy that we

3829
01:45:21,480 --> 01:45:22,900
re

3830
01:45:22,900 --> 01:45:24,192
trying to take. One is one is

3831
01:45:24,192 --> 01:45:25,161
the litigation space because,

3832
01:45:25,161 --> 01:45:25,760
uh, we there

3833
01:45:25,760 --> 01:45:27,562
s tremendous

3834
01:45:27,562 --> 01:45:28,430
evidence behind, especially

3835
01:45:28,430 --> 01:45:30,332
with permanent supportive

3836
01:45:30,332 --> 01:45:31,265
housing, the benefits. I think

3837
01:45:31,265 --> 01:45:32,567
just a couple of weeks ago,

3838
01:45:32,567 --> 01:45:33,601
there was another recent study

3839
01:45:33,601 --> 01:45:35,570
talking about the tremendous

3840
01:45:35,570 --> 01:45:38,390
savings on the on incarceration

3841
01:45:38,390 --> 01:45:38,739
side. Um, that sage provides.

3842
01:45:38,739 --> 01:45:39,700
So we know that it

3843
01:45:39,700 --> 01:45:41,700
s an

3844
01:45:41,543 --> 01:45:44,279
evidence based approach. But if

3845
01:45:44,279 --> 01:45:46,114
our litigation to preserve our

3846
01:45:46,114 --> 01:45:46,882
existing projects and not have

3847
01:45:46,882 --> 01:45:47,449
to comply with certain

3848
01:45:47,449 --> 01:45:48,316
conditions isn

3849
01:45:48,316 --> 01:45:49,584
t successful.

3850
01:45:49,584 --> 01:45:50,752
Our other strategy that I was

3851
01:45:50,752 --> 01:45:50,925
talking about is exactly what

3852
01:45:50,925 --> 01:45:51,686
you

3853
01:45:51,686 --> 01:45:52,253
re saying. Uh, it

3854
01:45:52,253 --> 01:45:54,253
s to

3855
01:45:54,522 --> 01:45:56,791
align with those. We just, um,

3856
01:45:56,791 --> 01:45:59,528
on JULY 3rd was the end of our

3857
01:45:59,528 --> 01:46:00,962
local procurement process to

3858
01:46:00,962 --> 01:46:02,497
identify transitional housing

3859
01:46:02,497 --> 01:46:03,698
projects or support services

3860
01:46:03,698 --> 01:46:05,333
projects that would be brand

3861
01:46:05,333 --> 01:46:06,400
new would align, like I said,

3862
01:46:06,400 --> 01:46:06,834
with both the administration

3863
01:46:06,834 --> 01:46:08,834
s

3864
01:46:08,971 --> 01:46:11,720
priorities and with our local

3865
01:46:11,720 --> 01:46:12,207
county priorities as the goals

3866
01:46:12,207 --> 01:46:13,941
for what we want to see, these

3867
01:46:13,941 --> 01:46:15,810
types of these funds support.

3868
01:46:15,810 --> 01:46:16,478
And that is absolutely a two

3869
01:46:16,478 --> 01:46:16,711
part approach. We

3870
01:46:16,711 --> 01:46:17,779
re not

3871
01:46:17,779 --> 01:46:20,148
putting all of our eggs in one

3872
01:46:20,148 --> 01:46:21,283
basket.

3873
01:46:21,283 --> 01:46:22,684
Okay. Thanks, Jeff. I

3874
01:46:22,684 --> 01:46:24,520
appreciate that.

3875
01:46:24,520 --> 01:46:26,452
Any additional comments from

3876
01:46:26,688 --> 01:46:29,688
our panelists or board members?

3877
01:46:29,925 --> 01:46:31,726
Okay. Uh, more to come. Uh, we

3878
01:46:31,726 --> 01:46:33,161
will make sure if there is any

3879
01:46:33,161 --> 01:46:35,163
update on a litigation

3880
01:46:35,163 --> 01:46:37,232
strategy, a mitigation strategy

3881
01:46:37,232 --> 01:46:38,400
and application strategy, that

3882
01:46:38,400 --> 01:46:39,868
the board members here get an

3883
01:46:39,868 --> 01:46:41,503
update as well. And for anybody

3884
01:46:41,503 --> 01:46:42,504
who is wanting to tune in to

3885
01:46:42,504 --> 01:46:44,506
the health, Housing and Human

3886
01:46:44,506 --> 01:46:45,673
Services Committee meeting of

3887
01:46:45,673 --> 01:46:47,208
the King County Council next

3888
01:46:47,208 --> 01:46:49,477
Thursday, we will have a very

3889
01:46:49,477 --> 01:46:49,648
similar panel presentation. So

3890
01:46:49,648 --> 01:46:50,479
we

3891
01:46:50,479 --> 01:46:52,460
re going to use every

3892
01:46:52,460 --> 01:46:53,247
platform we can to lift up this

3893
01:46:53,247 --> 01:46:55,950
issue and how important these

3894
01:46:55,950 --> 01:46:57,886
dollars are. Thanks. All. We do

3895
01:46:57,886 --> 01:46:59,187
have another item on our agenda

3896
01:46:59,187 --> 01:47:01,550
to close this out for today.

3897
01:47:01,550 --> 01:47:02,624
Our last item is a briefing on

3898
01:47:02,624 --> 01:47:04,192
the impacts of the political

3899
01:47:04,192 --> 01:47:05,927
environment on gender affirming

3900
01:47:05,927 --> 01:47:07,729
care. And again, I want to

3901
01:47:07,729 --> 01:47:10,729
thank board members Archie Poly

3902
01:47:12,133 --> 01:47:14,269
and Yoon for their engagement.

3903
01:47:14,269 --> 01:47:15,437
Um, with us on this, board

3904
01:47:15,437 --> 01:47:16,705
member Archie Pulley was

3905
01:47:16,705 --> 01:47:18,473
gracious enough to allow for us

3906
01:47:18,473 --> 01:47:19,841
to carry this item over from a

3907
01:47:19,841 --> 01:47:21,900
previous meeting. And so we

3908
01:47:21,900 --> 01:47:23,678
want to make sure to give this

3909
01:47:23,678 --> 01:47:25,813
item its due time here on page

3910
01:47:25,813 --> 01:47:28,483
58 of your meeting packet, you

3911
01:47:28,483 --> 01:47:29,718
will see a full summary of the

3912
01:47:29,718 --> 01:47:32,118
materials that are included

3913
01:47:32,354 --> 01:47:33,621
here. And I want to welcome

3914
01:47:33,621 --> 01:47:36,621
board member Archie Pulley to

3915
01:47:36,691 --> 01:47:38,693
say any comments. And um, also

3916
01:47:38,693 --> 01:47:39,929
thank Ro Yoon, who does the

3917
01:47:39,929 --> 01:47:42,164
community engagement for Fred

3918
01:47:42,164 --> 01:47:43,731
Hutch Vaccine Trials unit for

3919
01:47:43,731 --> 01:47:45,167
being here with us. Remember,

3920
01:47:45,167 --> 01:47:46,601
thanks for your patience and

3921
01:47:46,601 --> 01:47:48,503
allowing for us to include this

3922
01:47:48,503 --> 01:47:50,438
in the work plan. Uh, that was

3923
01:47:50,438 --> 01:47:51,773
your leadership on display

3924
01:47:51,773 --> 01:47:52,874
there and really excited to

3925
01:47:52,874 --> 01:47:54,542
have this agenda item here

3926
01:47:54,542 --> 01:47:55,877
today.

3927
01:47:55,877 --> 01:47:57,450
Thank you, chair Mosqueda. And

3928
01:47:57,450 --> 01:47:58,679
thank you, fellow board

3929
01:47:58,679 --> 01:48:00,480
members. Um, before I start, I

3930
01:48:00,480 --> 01:48:00,482
just want to answer our board

3931
01:48:00,482 --> 01:48:01,449
member Hatfield

3932
01:48:01,449 --> 01:48:03,449
s question.

3933
01:48:04,252 --> 01:48:05,853
Also, um, substance use

3934
01:48:05,853 --> 01:48:07,822
disorder and hiv are not

3935
01:48:07,822 --> 01:48:09,825
currently diagnoses for medical

3936
01:48:09,825 --> 01:48:11,425
frailty. So the Department of

3937
01:48:11,425 --> 01:48:12,861
Health has submitted a

3938
01:48:12,861 --> 01:48:14,428
recommendation to get those

3939
01:48:14,428 --> 01:48:16,965
exemptions though. So more to

3940
01:48:16,965 --> 01:48:17,966
come on that. Um, so thank you

3941
01:48:17,966 --> 01:48:18,633
very much. Again, I

3942
01:48:18,633 --> 01:48:19,935
m

3943
01:48:19,935 --> 01:48:20,850
Christopher Archiopoli and I

3944
01:48:20,850 --> 01:48:21,235
m

3945
01:48:21,235 --> 01:48:23,137
a community stakeholder on the

3946
01:48:23,137 --> 01:48:24,505
Board of Health. I identify as

3947
01:48:24,505 --> 01:48:26,407
a person in long term recovery

3948
01:48:26,407 --> 01:48:28,343
from substance use disorder. A

3949
01:48:28,343 --> 01:48:30,578
person living with hiv since

3950
01:48:30,578 --> 01:48:31,379
2008 and a member of the queer

3951
01:48:31,379 --> 01:48:31,947
community. I

3952
01:48:31,947 --> 01:48:33,514
ll make sure that

3953
01:48:33,514 --> 01:48:34,783
my friend and colleague, Ryan,

3954
01:48:34,783 --> 01:48:35,884
has the majority of our time to

3955
01:48:35,884 --> 01:48:36,985
speak, but I wanted to provide

3956
01:48:36,985 --> 01:48:38,419
some history and background

3957
01:48:38,419 --> 01:48:40,655
beforehand, handing it over to

3958
01:48:40,655 --> 01:48:44,255
Ro. Uh, next slide, please show

3959
01:48:48,162 --> 01:48:50,232
me. The lgbt community to the

3960
01:48:50,232 --> 01:48:51,532
lgbtq plus community is the

3961
01:48:51,532 --> 01:48:53,300
subject of political attacks in

3962
01:48:53,300 --> 01:48:55,360
our society. There is no group

3963
01:48:55,360 --> 01:48:57,739
more targeted and gender non

3964
01:48:57,739 --> 01:49:00,675
than our transgender and gender

3965
01:49:00,675 --> 01:49:02,210
non-binary community. In 2026

3966
01:49:02,210 --> 01:49:03,411
alone, there have been over 800

3967
01:49:03,411 --> 01:49:05,411
anti-transgender bills

3968
01:49:05,513 --> 01:49:07,513
introduced across 43 states.

3969
01:49:07,682 --> 01:49:09,784
While many of these failed,

3970
01:49:09,784 --> 01:49:12,253
many of these have failed, 67

3971
01:49:12,253 --> 01:49:13,254
have passed and 267 are still

3972
01:49:13,254 --> 01:49:14,355
actively working their way

3973
01:49:14,355 --> 01:49:15,756
through legislators, throughout

3974
01:49:15,756 --> 01:49:17,756
the legislatures, throughout

3975
01:49:18,259 --> 01:49:20,659
the country. In Washington

3976
01:49:22,831 --> 01:49:24,132
state, Initiative ill. 26638

3977
01:49:24,132 --> 01:49:25,333
would ban transgender girls

3978
01:49:25,333 --> 01:49:27,468
from participating in k through

3979
01:49:27,468 --> 01:49:29,300
12 school sports. This measure

3980
01:49:29,300 --> 01:49:30,338
failed during the 2026

3981
01:49:30,338 --> 01:49:31,639
legislative session, but

3982
01:49:31,639 --> 01:49:32,841
received enough signatures to

3983
01:49:32,841 --> 01:49:34,709
appear on the NOVEMBER ballot

3984
01:49:34,709 --> 01:49:36,544
this year. Every time we turn

3985
01:49:36,544 --> 01:49:37,912
on the tv or open our phones,

3986
01:49:37,912 --> 01:49:39,281
we are subjected to news items

3987
01:49:39,281 --> 01:49:41,449
like this one. The one on this

3988
01:49:41,449 --> 01:49:44,352
slide forcing schools to out

3989
01:49:44,352 --> 01:49:46,187
our transgender students. 1% of

3990
01:49:46,187 --> 01:49:47,288
our population is receiving a

3991
01:49:47,288 --> 01:49:48,556
disproportionate amount of

3992
01:49:48,556 --> 01:49:48,756
negative attention. It

3993
01:49:48,756 --> 01:49:49,924
s

3994
01:49:49,924 --> 01:49:51,226
impossible for that not to

3995
01:49:51,226 --> 01:49:52,193
negatively impact the mental

3996
01:49:52,193 --> 01:49:54,829
and physical health of our

3997
01:49:54,829 --> 01:49:56,531
community. You MAY have heard

3998
01:49:56,531 --> 01:49:58,333
the phrase the first pride was

3999
01:49:58,333 --> 01:50:00,100
a riot. This is more than just

4000
01:50:00,100 --> 01:50:02,370
a tongue in cheek euphemism.

4001
01:50:02,370 --> 01:50:03,505
Although the lgbtq plus civil

4002
01:50:03,505 --> 01:50:05,640
rights movement got its start

4003
01:50:05,640 --> 01:50:06,941
in the early 1900s, modern

4004
01:50:06,941 --> 01:50:08,443
pride celebrations found their

4005
01:50:08,443 --> 01:50:10,843
inspiration. On JUNE 28th,

4006
01:50:10,845 --> 01:50:12,514
1969, when six New York City

4007
01:50:12,514 --> 01:50:13,948
police Departments Department

4008
01:50:13,948 --> 01:50:15,483
officers raided the Stonewall

4009
01:50:15,483 --> 01:50:18,186
Inn, a bar in Greenwich Village

4010
01:50:18,186 --> 01:50:20,288
in Manhattan, New York City.

4011
01:50:20,288 --> 01:50:21,523
Nearly 200 customers of all

4012
01:50:21,523 --> 01:50:23,725
identities were ejected from

4013
01:50:23,725 --> 01:50:25,126
the bar, many arrested as law

4014
01:50:25,126 --> 01:50:26,940
enforcement began mistreating

4015
01:50:26,940 --> 01:50:27,995
the bar customers. The

4016
01:50:27,995 --> 01:50:29,597
situation escalated. What

4017
01:50:29,597 --> 01:50:30,431
started as a police raid based

4018
01:50:30,431 --> 01:50:31,899
around new nypd

4019
01:50:31,899 --> 01:50:33,899
s public morals

4020
01:50:34,100 --> 01:50:35,536
push, turned into a six day

4021
01:50:35,536 --> 01:50:37,405
resistance that included

4022
01:50:37,405 --> 01:50:39,207
pivotal figures such as

4023
01:50:39,207 --> 01:50:41,607
transgender activists Marsha p

4024
01:50:42,276 --> 01:50:43,578
Johnson and Sylvia Rivera. Many

4025
01:50:43,578 --> 01:50:45,147
identify this as a seminal

4026
01:50:45,147 --> 01:50:48,147
moment in the movement for

4027
01:50:48,616 --> 01:50:49,985
lgbtq plus equality, comparing

4028
01:50:49,985 --> 01:50:51,119
its importance to Rosa Parks

4029
01:50:51,119 --> 01:50:52,554
refusing to sit at the back of

4030
01:50:52,554 --> 01:50:54,954
the bus in Montgomery.

4031
01:50:57,250 --> 01:50:59,930
Montgomery, Alabama in 1955, in

4032
01:50:59,930 --> 01:51:01,930
2016, PRESIDENT Barack Obama

4033
01:51:01,529 --> 01:51:02,997
designated a 7.7 acre site,

4034
01:51:02,997 --> 01:51:04,266
including the Stonewall Inn,

4035
01:51:04,266 --> 01:51:05,867
Christopher Park, and the

4036
01:51:05,867 --> 01:51:07,301
surrounding Air Street at the

4037
01:51:07,301 --> 01:51:08,636
as the Stonewall National

4038
01:51:08,636 --> 01:51:08,836
Monument to commemorate the

4039
01:51:08,836 --> 01:51:10,836
area

4040
01:51:12,173 --> 01:51:13,241
s contributions to history

4041
01:51:13,241 --> 01:51:15,900
and remembrance of the

4042
01:51:15,900 --> 01:51:16,478
Stonewall riots, Christopher

4043
01:51:16,478 --> 01:51:18,878
Street Liberation Day was

4044
01:51:19,814 --> 01:51:21,150
celebrated on JUNE 28th, 1970.

4045
01:51:21,150 --> 01:51:22,184
Since that year, we have seen

4046
01:51:22,184 --> 01:51:23,518
pride celebrated the last

4047
01:51:23,518 --> 01:51:24,753
weekend of JUNE each year.

4048
01:51:24,753 --> 01:51:25,987
Although the battles for

4049
01:51:25,987 --> 01:51:28,890
equality seem to have made

4050
01:51:28,890 --> 01:51:29,123
significant progress, we have

4051
01:51:29,123 --> 01:51:30,858
seen that progress stripped

4052
01:51:30,858 --> 01:51:32,193
away in recent years is

4053
01:51:32,193 --> 01:51:33,428
essential to stand strong in

4054
01:51:33,428 --> 01:51:34,729
the face of adversity, to

4055
01:51:34,729 --> 01:51:36,364
ensure those rights continue to

4056
01:51:36,364 --> 01:51:37,665
be upheld. If it is truly

4057
01:51:37,665 --> 01:51:40,665
important, the risk is worth

4058
01:51:42,300 --> 01:51:43,138
the reward. Next slide.

4059
01:51:43,138 --> 01:51:44,673
Transgender and gender

4060
01:51:44,673 --> 01:51:46,700
non-binary individuals have

4061
01:51:46,700 --> 01:51:47,642
stood as leaders in both the

4062
01:51:47,642 --> 01:51:49,243
lgbtq plus civil rights

4063
01:51:49,243 --> 01:51:50,344
movement, as well as leaders

4064
01:51:50,344 --> 01:51:52,113
making up the fabric of our

4065
01:51:52,113 --> 01:51:54,315
society. Many of the names

4066
01:51:54,315 --> 01:51:56,451
Marsha p Johnson, Sylvia Rivera

4067
01:51:56,451 --> 01:51:57,451
and Sylvia Sarah McBride. But

4068
01:51:57,451 --> 01:51:58,686
they are not the only ones

4069
01:51:58,686 --> 01:52:00,922
making an impact on social

4070
01:52:00,922 --> 01:52:02,230
justice. Many others, including

4071
01:52:02,230 --> 01:52:03,958
the names of the bottom of this

4072
01:52:03,958 --> 01:52:06,930
slide, contribute to business,

4073
01:52:06,930 --> 01:52:09,930
art, politics and the general

4074
01:52:10,980 --> 01:52:13,698
good of our society. Next slide.

4075
01:52:13,701 --> 01:52:14,802
It is my great pleasure to

4076
01:52:14,802 --> 01:52:16,937
introduce one of those leaders.

4077
01:52:16,937 --> 01:52:18,172
Now, Rowan is an activist and

4078
01:52:18,172 --> 01:52:19,441
works in community engagement

4079
01:52:19,441 --> 01:52:21,209
at the Fred Hutch Vaccine

4080
01:52:21,209 --> 01:52:23,377
Trials Unit, focused on finding

4081
01:52:23,377 --> 01:52:27,349
a cure for hiv. Thank you and

4082
01:52:27,349 --> 01:52:29,250
welcome Row. The next slide.

4083
01:52:29,250 --> 01:52:31,919
Thank you friends. My name is

4084
01:52:31,919 --> 01:52:34,155
Rose. She her pronouns. Um, I

4085
01:52:34,155 --> 01:52:34,306
have less than five minutes, so

4086
01:52:34,306 --> 01:52:35,289
I

4087
01:52:35,289 --> 01:52:36,725
m just going to jump right

4088
01:52:36,725 --> 01:52:38,159
into it. And in a nutshell,

4089
01:52:38,159 --> 01:52:39,561
this is all relates to gender

4090
01:52:39,561 --> 01:52:40,829
affirming care. And you can.

4091
01:52:40,829 --> 01:52:41,290
Make as long as you want. We

4092
01:52:41,290 --> 01:52:42,463
re

4093
01:52:42,463 --> 01:52:44,632
happy to go a little over. No

4094
01:52:44,632 --> 01:52:46,632
problem okay, okay.

4095
01:52:47,535 --> 01:52:49,337
The current landscape is

4096
01:52:49,337 --> 01:52:51,337
characterized by increasing

4097
01:52:51,472 --> 01:52:52,774
divergence between states.

4098
01:52:52,774 --> 01:52:54,774
However, Washington state

4099
01:52:55,176 --> 01:52:57,110
continues to maintain statutory

4100
01:52:57,110 --> 01:52:58,212
protections for access to

4101
01:52:58,212 --> 01:52:59,747
medically necessary gender

4102
01:52:59,747 --> 01:53:01,449
affirming care. But on a

4103
01:53:01,449 --> 01:53:02,616
federal policy initiative. In

4104
01:53:02,616 --> 01:53:04,850
recent court, decisions have

4105
01:53:04,850 --> 01:53:06,485
increased some legal and

4106
01:53:06,854 --> 01:53:08,790
operational complexities. So

4107
01:53:08,790 --> 01:53:10,925
for this, esteem, for all the

4108
01:53:10,925 --> 01:53:12,460
esteem members of this board,

4109
01:53:12,460 --> 01:53:13,794
the primary considerations I

4110
01:53:13,794 --> 01:53:15,964
want to speak about is

4111
01:53:15,964 --> 01:53:17,765
equitable access to care,

4112
01:53:17,765 --> 01:53:19,765
behavioral health outcomes,

4113
01:53:20,268 --> 01:53:22,237
provider capacity, and legal

4114
01:53:22,237 --> 01:53:23,304
compliance, and then really

4115
01:53:23,304 --> 01:53:25,206
monitoring the effects of

4116
01:53:25,206 --> 01:53:27,375
rapidly evolving policy change

4117
01:53:27,375 --> 01:53:29,811
that will impact patient and

4118
01:53:29,811 --> 01:53:32,280
health systems. So this first

4119
01:53:32,280 --> 01:53:34,182
slide I have, um, we oftentimes

4120
01:53:34,182 --> 01:53:36,250
see a general estimate of less

4121
01:53:36,250 --> 01:53:37,752
than a 1% to describing the

4122
01:53:37,752 --> 01:53:39,752
population, transgender people.

4123
01:53:39,754 --> 01:53:40,421
But I want to utilize ucla

4124
01:53:40,421 --> 01:53:42,256
s

4125
01:53:42,256 --> 01:53:44,256
Williams Institute, nationally

4126
01:53:45,126 --> 01:53:47,526
recognized estimates of like

4127
01:53:48,563 --> 01:53:50,799
0.8% of adults 18 and over

4128
01:53:50,799 --> 01:53:53,199
identify as transgender, and

4129
01:53:54,402 --> 01:53:56,738
3.3% of youth ages 13 to 17

4130
01:53:56,738 --> 01:53:58,940
identify as transgender. So

4131
01:53:58,940 --> 01:54:00,175
utilizing those estimates from

4132
01:54:00,175 --> 01:54:01,442
the Williams Institute and

4133
01:54:01,442 --> 01:54:01,943
applying that to King County

4134
01:54:01,943 --> 01:54:03,210
s

4135
01:54:03,210 --> 01:54:04,110
population, we

4136
01:54:04,110 --> 01:54:06,110
re roughly

4137
01:54:08,482 --> 01:54:10,482
estimating around 15 to 18,000

4138
01:54:10,885 --> 01:54:13,285
transgender adults and also

4139
01:54:13,354 --> 01:54:15,354
including 4 to 5000 transgender

4140
01:54:15,390 --> 01:54:17,124
youth between the ages of 13 to

4141
01:54:17,124 --> 01:54:18,493
17. So, um, it

4142
01:54:18,493 --> 01:54:19,160
s a big order,

4143
01:54:19,160 --> 01:54:20,695
and I

4144
01:54:20,695 --> 01:54:22,797
m hoping that this

4145
01:54:22,797 --> 01:54:23,130
provides you some context of

4146
01:54:23,130 --> 01:54:25,130
who we

4147
01:54:25,433 --> 01:54:26,670
re speaking of as well.

4148
01:54:26,670 --> 01:54:27,502
Um, there

4149
01:54:27,502 --> 01:54:29,902
s no direct counts

4150
01:54:30,137 --> 01:54:32,307
because gender identity is not

4151
01:54:32,307 --> 01:54:34,307
comprehensively collected, and

4152
01:54:34,409 --> 01:54:35,343
census data, um, but before

4153
01:54:35,343 --> 01:54:37,743
even talk about gender

4154
01:54:38,450 --> 01:54:40,148
affirming care in this current

4155
01:54:40,148 --> 01:54:41,583
climate, um, I just want to

4156
01:54:41,583 --> 01:54:43,651
make reference to injustice at

4157
01:54:43,651 --> 01:54:47,251
every turn, which was one of

4158
01:54:47,322 --> 01:54:49,230
the first reports back in 2021

4159
01:54:49,230 --> 01:54:50,325
looking at discrimination

4160
01:54:50,325 --> 01:54:52,260
related to trans people,

4161
01:54:52,260 --> 01:54:52,960
non-binary people on a national

4162
01:54:52,960 --> 01:54:54,960
level. And

4163
01:54:55,163 --> 01:54:57,320
Already, you see that 50% of us

4164
01:54:57,320 --> 01:54:58,567
are educating our providers of

4165
01:54:58,567 --> 01:54:59,601
what transgender health care

4166
01:54:59,601 --> 01:55:00,368
looks like. We

4167
01:55:00,368 --> 01:55:02,368
re estimating

4168
01:55:02,671 --> 01:55:04,272
that up to 20% are denied based

4169
01:55:04,272 --> 01:55:07,272
on their gender identity alone.

4170
01:55:07,509 --> 01:55:09,744
So already this audience is not

4171
01:55:09,744 --> 01:55:11,446
accessing health resource in

4172
01:55:11,446 --> 01:55:13,748
the same way because of

4173
01:55:13,748 --> 01:55:15,583
discrimination. But on that

4174
01:55:15,583 --> 01:55:17,318
note, I want to kind of move

4175
01:55:17,318 --> 01:55:19,200
forward and talk about this

4176
01:55:19,200 --> 01:55:20,889
national landscape that

4177
01:55:20,889 --> 01:55:23,224
effectively. Um, what kind of

4178
01:55:23,224 --> 01:55:25,624
influence my conversation. Um,

4179
01:55:25,860 --> 01:55:28,496
so the next slide, um, I want

4180
01:55:28,496 --> 01:55:29,831
to I just want to briefly go

4181
01:55:29,831 --> 01:55:31,198
over this when we think of

4182
01:55:31,198 --> 01:55:32,366
gender affirming care, I think

4183
01:55:32,366 --> 01:55:34,766
the general public think

4184
01:55:34,836 --> 01:55:36,671
immediately about, um,

4185
01:55:36,671 --> 01:55:38,671
surgeries or medical

4186
01:55:38,806 --> 01:55:41,206
transition. But this also

4187
01:55:42,760 --> 01:55:42,376
includes, um, legal processes,

4188
01:55:42,376 --> 01:55:43,678
whether it

4189
01:55:43,678 --> 01:55:44,946
s the passport which

4190
01:55:44,946 --> 01:55:47,346
is still under threat

4191
01:55:47,815 --> 01:55:50,718
currently. Um, you know, birth

4192
01:55:50,718 --> 01:55:53,870
certificates, any of the, um,

4193
01:55:53,870 --> 01:55:55,487
the necessity, um, requirement

4194
01:55:55,556 --> 01:55:57,425
for accessing some services

4195
01:55:57,425 --> 01:55:57,659
like medical or surgical. And

4196
01:55:57,659 --> 01:55:58,492
then we

4197
01:55:58,492 --> 01:56:00,428
re also looking at

4198
01:56:00,428 --> 01:56:01,128
social services as well. You

4199
01:56:01,128 --> 01:56:02,564
know, whether it

4200
01:56:02,564 --> 01:56:04,564
s, um,

4201
01:56:04,999 --> 01:56:06,834
acculturation, um, being able

4202
01:56:06,834 --> 01:56:08,803
to withstand some of the

4203
01:56:08,803 --> 01:56:09,204
anxiety that socially you

4204
01:56:09,204 --> 01:56:10,672
ll

4205
01:56:10,672 --> 01:56:11,639
find amongst transgender

4206
01:56:11,639 --> 01:56:12,540
people. Um, there

4207
01:56:12,540 --> 01:56:14,442
s a lot of

4208
01:56:14,442 --> 01:56:17,442
evidence based data out there,

4209
01:56:18,790 --> 01:56:19,714
despite many puppets that claim

4210
01:56:19,714 --> 01:56:21,382
that they know a lot about

4211
01:56:21,382 --> 01:56:21,682
this, um, population. There

4212
01:56:21,682 --> 01:56:23,217
s a

4213
01:56:23,217 --> 01:56:23,485
lot of evidence based, and it

4214
01:56:23,485 --> 01:56:25,253
s

4215
01:56:25,253 --> 01:56:27,540
supported by the world

4216
01:56:27,540 --> 01:56:29,540
professional of transgender

4217
01:56:31,159 --> 01:56:34,759
health. Um, cool. The next one.

4218
01:56:34,795 --> 01:56:36,932
Next slide please. So I want to

4219
01:56:36,932 --> 01:56:38,666
make reference to a website

4220
01:56:38,666 --> 01:56:40,666
resource called Trans

4221
01:56:42,904 --> 01:56:45,272
Legislation. Um, this is an

4222
01:56:45,272 --> 01:56:45,607
anti-trans bill tracker. And

4223
01:56:45,607 --> 01:56:47,607
what you

4224
01:56:47,975 --> 01:56:49,110
ll find in this, um,

4225
01:56:49,110 --> 01:56:50,745
everything that, um,

4226
01:56:50,745 --> 01:56:52,513
Christopher had mentioned that

4227
01:56:52,513 --> 01:56:53,381
in the state of Washington. But

4228
01:56:53,381 --> 01:56:53,547
more importantly, you

4229
01:56:53,547 --> 01:56:55,547
re

4230
01:56:55,850 --> 01:56:56,984
looking at on a national level

4231
01:56:56,984 --> 01:56:58,984
and and it

4232
01:56:59,788 --> 01:57:01,210
s pretty serious.

4233
01:57:01,210 --> 01:57:04,210
Um, over the past several

4234
01:57:04,492 --> 01:57:07,492
years, states have, um, um,

4235
01:57:07,728 --> 01:57:10,128
have taken very strong

4236
01:57:10,198 --> 01:57:11,733
restrictions. Um, some states

4237
01:57:11,733 --> 01:57:12,566
expanding protections like

4238
01:57:12,566 --> 01:57:12,767
Washington, but we

4239
01:57:12,767 --> 01:57:14,767
re

4240
01:57:15,269 --> 01:57:16,537
estimating as of 226, the

4241
01:57:16,537 --> 01:57:18,537
Kaiser Family Foundation

4242
01:57:18,706 --> 01:57:20,800
reports that 27 states have

4243
01:57:20,800 --> 01:57:21,642
enacted laws or policies,

4244
01:57:21,642 --> 01:57:22,676
limited youth access to gender

4245
01:57:22,676 --> 01:57:23,110
affirming care. That

4246
01:57:23,110 --> 01:57:24,245
s

4247
01:57:24,245 --> 01:57:26,245
approximately half a

4248
01:57:26,314 --> 01:57:29,314
transgender youth in states in

4249
01:57:29,350 --> 01:57:31,452
the United States. Um, the

4250
01:57:31,452 --> 01:57:32,587
visibility of anti-trans

4251
01:57:32,587 --> 01:57:34,822
sentiment as it relates to

4252
01:57:34,822 --> 01:57:36,557
young people is, um, beyond

4253
01:57:36,557 --> 01:57:39,557
words. And my heart breaks

4254
01:57:39,894 --> 01:57:42,296
every time. Um, I will mention

4255
01:57:42,296 --> 01:57:44,165
one Supreme Court decision in

4256
01:57:44,165 --> 01:57:46,330
2025, it was United States

4257
01:57:46,330 --> 01:57:46,467
versus Rometty decision. It was

4258
01:57:46,467 --> 01:57:48,690
a it

4259
01:57:48,690 --> 01:57:51,690
s a major inflection point

4260
01:57:52,373 --> 01:57:55,900
for us. Um, that was um, on

4261
01:57:55,900 --> 01:57:55,743
JUNE 2025, the Supreme Court

4262
01:57:55,743 --> 01:57:56,544
upheld the Tennessee

4263
01:57:56,544 --> 01:57:58,413
s law

4264
01:57:58,413 --> 01:58:00,214
restricting gender affirming

4265
01:58:00,214 --> 01:58:02,416
medical treatment for minors.

4266
01:58:02,416 --> 01:58:05,119
Um, although this really did

4267
01:58:05,119 --> 01:58:06,954
not prohibit gender affirming

4268
01:58:06,954 --> 01:58:08,623
care on a national level, it

4269
01:58:08,623 --> 01:58:10,892
did affirm states authority to

4270
01:58:10,892 --> 01:58:12,794
regulate such care for minors,

4271
01:58:12,794 --> 01:58:14,610
and it has impacted Washington

4272
01:58:14,610 --> 01:58:14,361
state, which settled Children

4273
01:58:14,361 --> 01:58:16,361
s

4274
01:58:16,697 --> 01:58:17,765
Hospital in terms of limiting

4275
01:58:17,765 --> 01:58:19,767
the services that they could

4276
01:58:19,767 --> 01:58:22,167
provide for young transgender

4277
01:58:24,500 --> 01:58:26,600
folks. Um, since early 2025,

4278
01:58:26,600 --> 01:58:27,675
federal executive actions have

4279
01:58:27,675 --> 01:58:29,110
sought to limit federal support

4280
01:58:29,110 --> 01:58:30,911
for gender affirming care for

4281
01:58:30,911 --> 01:58:33,911
individuals under the age of

4282
01:58:34,415 --> 01:58:35,950
19. Um, with specific direct um

4283
01:58:35,950 --> 01:58:37,518
directives aiming at federal

4284
01:58:37,518 --> 01:58:39,918
funding, research grants, and

4285
01:58:40,254 --> 01:58:42,490
insurance coverage. Um, in

4286
01:58:42,490 --> 01:58:42,657
terms of public health, um,

4287
01:58:42,657 --> 01:58:44,258
we

4288
01:58:44,258 --> 01:58:45,693
re seeing increased requests

4289
01:58:45,693 --> 01:58:47,128
for guidance and related to

4290
01:58:47,128 --> 01:58:47,462
health equity. Um, we

4291
01:58:47,462 --> 01:58:49,462
re

4292
01:58:49,798 --> 01:58:52,198
looking at requests about

4293
01:58:52,333 --> 01:58:54,333
behavioral health, suicidality,

4294
01:58:54,969 --> 01:58:56,337
suicide. Um, ideology is really

4295
01:58:56,337 --> 01:58:58,337
high amongst transgender

4296
01:58:59,207 --> 01:59:01,207
people. Insurance access

4297
01:59:01,208 --> 01:59:03,208
provider workforce issues.

4298
01:59:03,344 --> 01:59:05,880
These are things that are now

4299
01:59:05,880 --> 01:59:08,280
into conversations with this

4300
01:59:08,349 --> 01:59:11,218
conversation with this, um, the

4301
01:59:11,218 --> 01:59:13,618
implication of legislation. Um,

4302
01:59:16,224 --> 01:59:19,824
next slide please. So this has

4303
01:59:21,663 --> 01:59:23,798
now affected a migration of

4304
01:59:23,798 --> 01:59:26,198
transgender folks and their

4305
01:59:26,868 --> 01:59:28,736
families in order to save their

4306
01:59:28,736 --> 01:59:31,505
family or themselves. They have

4307
01:59:31,505 --> 01:59:34,108
moved across. And, um, we know

4308
01:59:34,108 --> 01:59:36,878
that the lgbt Commission in

4309
01:59:36,878 --> 01:59:39,278
Seattle has petitioned, um,

4310
01:59:39,480 --> 01:59:41,649
Katie Wilson to declare a state

4311
01:59:41,649 --> 01:59:44,352
of emergency to accommodate the

4312
01:59:44,352 --> 01:59:46,587
influx of lgbt folks coming to

4313
01:59:46,587 --> 01:59:48,587
Washington state, especially

4314
01:59:48,622 --> 01:59:51,622
Trans Pacific, a trans folks.

4315
01:59:53,327 --> 01:59:56,231
Um, next slide. Um, it has

4316
01:59:56,231 --> 01:59:58,231
threatened, um, parental

4317
01:59:58,899 --> 02:00:00,668
autonomy and their decisions of

4318
02:00:00,668 --> 02:00:03,405
what they can decide for their

4319
02:00:03,405 --> 02:00:05,940
children. Um, it has limited

4320
02:00:05,940 --> 02:00:08,940
providers that could work with

4321
02:00:09,343 --> 02:00:09,510
them. Um, in terms of adults,

4322
02:00:09,510 --> 02:00:11,510
you

4323
02:00:12,447 --> 02:00:14,848
re seeing no support with

4324
02:00:14,848 --> 02:00:16,284
their insurance. Um, on this on

4325
02:00:16,284 --> 02:00:18,953
a national level. Not here in

4326
02:00:18,953 --> 02:00:19,319
Seattle, Washington. Um, let

4327
02:00:19,319 --> 02:00:21,319
s

4328
02:00:21,389 --> 02:00:21,543
move into Washington state. Um,

4329
02:00:21,543 --> 02:00:23,543
I

4330
02:00:24,258 --> 02:00:25,960
m very proud. Um, Washington.

4331
02:00:25,960 --> 02:00:28,280
Um, Washington state remains

4332
02:00:28,280 --> 02:00:29,397
one of the strongest protective

4333
02:00:29,397 --> 02:00:31,797
states for gender affirming

4334
02:00:33,267 --> 02:00:35,667
care access. Um, specifically,

4335
02:00:36,137 --> 02:00:37,572
um, and back in 2021, um,

4336
02:00:37,572 --> 02:00:39,440
Washington state passed the

4337
02:00:39,440 --> 02:00:41,840
Gender Affirming Treatment Act,

4338
02:00:45,512 --> 02:00:47,912
which basically, um, prohibited

4339
02:00:48,683 --> 02:00:50,683
categorical cosmetic exclusions

4340
02:00:51,252 --> 02:00:54,789
or our blanket ban bans on

4341
02:00:54,789 --> 02:00:57,191
gender affirming care. So, um,

4342
02:00:57,191 --> 02:01:00,191
since that was passed in 2021

4343
02:01:00,829 --> 02:01:03,640
and 2022, we saw this huge

4344
02:01:03,640 --> 02:01:05,233
surge of trans people in

4345
02:01:05,233 --> 02:01:07,233
Washington state accessing

4346
02:01:07,502 --> 02:01:09,370
medical and surgical um,

4347
02:01:09,370 --> 02:01:11,770
services. And it still

4348
02:01:11,906 --> 02:01:14,542
continues to be the case. And I

4349
02:01:14,542 --> 02:01:16,511
think for many other trans

4350
02:01:16,511 --> 02:01:18,911
residents and others, United

4351
02:01:19,130 --> 02:01:20,515
States, um, are paying

4352
02:01:20,515 --> 02:01:23,515
attention and coming here for

4353
02:01:25,720 --> 02:01:28,220
that reason. Um, another thing

4354
02:01:28,220 --> 02:01:30,422
is that Washington state

4355
02:01:31,258 --> 02:01:33,361
enacted, um, um, a shield law.

4356
02:01:33,361 --> 02:01:35,329
Protection. What this means is

4357
02:01:35,329 --> 02:01:37,564
that it protects patients,

4358
02:01:37,564 --> 02:01:39,990
providers and others from civil

4359
02:01:39,990 --> 02:01:40,601
or criminal actions and other

4360
02:01:40,601 --> 02:01:43,100
states that restrict or

4361
02:01:43,400 --> 02:01:44,906
criminalize, um, lawful gender

4362
02:01:44,906 --> 02:01:47,341
affirming care provided here in

4363
02:01:47,341 --> 02:01:48,609
Washington state. So if we have

4364
02:01:48,609 --> 02:01:49,543
our neighbors coming to

4365
02:01:49,543 --> 02:01:50,711
Washington State for these

4366
02:01:50,711 --> 02:01:51,946
services, they will not be

4367
02:01:51,946 --> 02:01:53,946
criminalized when returning

4368
02:01:55,750 --> 02:01:56,717
back to their home state. All

4369
02:01:56,717 --> 02:01:58,986
this to say, it

4370
02:01:58,986 --> 02:02:00,986
s pretty heavy.

4371
02:02:01,255 --> 02:02:03,224
All this to say that, um,

4372
02:02:03,224 --> 02:02:05,760
Washington State has been a

4373
02:02:05,760 --> 02:02:08,463
great leader. Um, and all this

4374
02:02:08,463 --> 02:02:12,663
to say that, um, um, to the

4375
02:02:13,340 --> 02:02:13,200
board members here, um, that

4376
02:02:13,200 --> 02:02:14,735
you

4377
02:02:14,735 --> 02:02:16,304
re just even inviting me

4378
02:02:16,304 --> 02:02:18,405
here to speak about this

4379
02:02:18,405 --> 02:02:20,408
because volumes about the care

4380
02:02:20,408 --> 02:02:22,744
of transgender folks. So thank

4381
02:02:22,744 --> 02:02:23,778
you. And on behalf of my

4382
02:02:23,778 --> 02:02:25,246
community partners, that

4383
02:02:25,246 --> 02:02:27,246
includes Lavender Rights

4384
02:02:27,248 --> 02:02:29,216
Project, a Gender Justice

4385
02:02:29,216 --> 02:02:32,860
League Utopia, and so forth,

4386
02:02:32,860 --> 02:02:34,486
who really provide lifesaving

4387
02:02:34,756 --> 02:02:36,658
services. Um, I look to you all

4388
02:02:36,658 --> 02:02:39,658
to ensure that these services

4389
02:02:42,129 --> 02:02:44,365
remain available. Thank you.

4390
02:02:44,365 --> 02:02:46,400
Thank you very much. Um, board

4391
02:02:46,400 --> 02:02:48,800
member, Archie. Anything else

4392
02:02:49,300 --> 02:02:49,237
to add?

4393
02:02:49,237 --> 02:02:49,803
I don

4394
02:02:49,803 --> 02:02:50,505
t think I

4395
02:02:50,505 --> 02:02:52,600
ll just echo

4396
02:02:52,600 --> 02:02:53,408
what Rose said. Thank you so

4397
02:02:53,408 --> 02:02:55,176
much for making the time. And

4398
02:02:55,176 --> 02:02:56,411
we really appreciate the

4399
02:02:56,411 --> 02:02:58,346
opportunity to share this

4400
02:02:58,346 --> 02:02:59,814
important topic with the board.

4401
02:02:59,814 --> 02:03:01,616
Thank you. And thanks for the

4402
02:03:01,616 --> 02:03:04,384
calls for action and some

4403
02:03:04,384 --> 02:03:05,886
example. Um, legislation or

4404
02:03:05,886 --> 02:03:07,888
actions that are being taken in

4405
02:03:07,888 --> 02:03:09,190
other jurisdictions as well. I

4406
02:03:09,190 --> 02:03:10,291
see board member Lucero has a

4407
02:03:10,291 --> 02:03:10,558
hand up and then we

4408
02:03:10,558 --> 02:03:12,558
ll go to

4409
02:03:12,760 --> 02:03:14,760
board member Hartfield.

4410
02:03:15,290 --> 02:03:16,297
Yes. Thank you. Chair Mosqueda.

4411
02:03:16,297 --> 02:03:16,698
First, I just want to say I

4412
02:03:16,698 --> 02:03:18,698
m

4413
02:03:19,267 --> 02:03:20,568
so grateful for your

4414
02:03:20,568 --> 02:03:22,503
participation in our meeting

4415
02:03:22,503 --> 02:03:24,805
today and for sharing

4416
02:03:24,805 --> 02:03:27,108
information in in the way that

4417
02:03:27,108 --> 02:03:28,142
you have. I want to acknowledge

4418
02:03:28,142 --> 02:03:28,843
that this administration

4419
02:03:28,843 --> 02:03:30,843
s

4420
02:03:32,446 --> 02:03:35,717
attack on our, um, lgbtq two

4421
02:03:35,717 --> 02:03:38,717
spirit community has been one

4422
02:03:39,870 --> 02:03:40,622
of the most blatant acts of

4423
02:03:40,622 --> 02:03:42,622
discrimination. That, coupled

4424
02:03:43,323 --> 02:03:45,793
with the movement with Ice. Um,

4425
02:03:45,793 --> 02:03:47,395
and I do recognize from a

4426
02:03:47,395 --> 02:03:49,631
recent city council meeting,

4427
02:03:49,631 --> 02:03:51,320
uh, that folks are coming to

4428
02:03:51,320 --> 02:03:53,467
King County and coming to the

4429
02:03:53,467 --> 02:03:55,736
city of Seattle as kind of

4430
02:03:55,736 --> 02:03:58,338
refugees. So what I heard from

4431
02:03:58,338 --> 02:04:01,800
that meeting is that we can do

4432
02:04:01,800 --> 02:04:02,444
better. When you have an act of

4433
02:04:02,444 --> 02:04:04,278
discrimination at the federal

4434
02:04:04,278 --> 02:04:06,130
level, that you know, that

4435
02:04:06,130 --> 02:04:06,814
spans across every single tier

4436
02:04:06,814 --> 02:04:07,614
of government, there

4437
02:04:07,614 --> 02:04:08,349
s only one

4438
02:04:08,349 --> 02:04:08,616
response, and that

4439
02:04:08,616 --> 02:04:10,616
s a

4440
02:04:10,751 --> 02:04:11,819
localized response. So I want

4441
02:04:11,819 --> 02:04:13,721
you to know that there are

4442
02:04:13,721 --> 02:04:16,121
organizations in this community

4443
02:04:16,223 --> 02:04:18,158
that are serving, um, our, our

4444
02:04:18,158 --> 02:04:19,727
communities well in this way.

4445
02:04:19,727 --> 02:04:19,927
And what our government systems

4446
02:04:19,927 --> 02:04:21,927
haven

4447
02:04:21,962 --> 02:04:22,363
t been successful at is

4448
02:04:22,363 --> 02:04:23,631
we haven

4449
02:04:23,631 --> 02:04:25,232
t been able to make

4450
02:04:25,232 --> 02:04:28,232
sure that the resources that

4451
02:04:28,369 --> 02:04:29,671
are available are readily

4452
02:04:29,671 --> 02:04:29,841
accessible. Right. We haven

4453
02:04:29,841 --> 02:04:31,272
t

4454
02:04:31,272 --> 02:04:32,206
communicated that. So something

4455
02:04:32,206 --> 02:04:34,142
like a two, one, one, for

4456
02:04:34,142 --> 02:04:36,760
example, for um, for these

4457
02:04:36,760 --> 02:04:38,345
communities who are coming to

4458
02:04:38,345 --> 02:04:39,680
to our environment for help.

4459
02:04:39,680 --> 02:04:41,115
And so I think that we can

4460
02:04:41,115 --> 02:04:42,316
really do better there. There

4461
02:04:42,316 --> 02:04:43,317
are ways that our health care

4462
02:04:43,317 --> 02:04:44,585
environment have been able to

4463
02:04:44,585 --> 02:04:46,620
get around some of these

4464
02:04:46,620 --> 02:04:48,422
discriminatory laws to still

4465
02:04:48,422 --> 02:04:49,923
provide effective services. And

4466
02:04:49,923 --> 02:04:51,910
I can tell you that from, you

4467
02:04:51,910 --> 02:04:52,860
know, local community health

4468
02:04:52,860 --> 02:04:54,929
world, we are rapidly building

4469
02:04:54,929 --> 02:04:57,531
capacity to be able to even

4470
02:04:57,531 --> 02:04:58,932
provide more services. So I

4471
02:04:58,932 --> 02:05:00,935
think that what King County

4472
02:05:00,935 --> 02:05:03,204
could do and even this Board of

4473
02:05:03,204 --> 02:05:05,305
Health could initiate, is

4474
02:05:05,305 --> 02:05:07,705
really establishing a community

4475
02:05:08,375 --> 02:05:09,910
response to being able to model

4476
02:05:09,910 --> 02:05:12,120
what it looks like to really

4477
02:05:12,120 --> 02:05:13,180
care for these communities in

4478
02:05:13,180 --> 02:05:13,881
the ways that we

4479
02:05:13,881 --> 02:05:15,583
re expecting

4480
02:05:15,583 --> 02:05:16,917
the federal government to. And

4481
02:05:16,917 --> 02:05:17,680
so I just want you to know that

4482
02:05:17,680 --> 02:05:18,519
I

4483
02:05:18,519 --> 02:05:18,719
m a partner in this work. I

4484
02:05:18,719 --> 02:05:20,540
m

4485
02:05:20,540 --> 02:05:22,489
a champion in this work with

4486
02:05:22,489 --> 02:05:24,570
you all. And I just want you to

4487
02:05:24,570 --> 02:05:26,727
know that our clinical teams

4488
02:05:26,727 --> 02:05:28,862
are taking action. And, um, you

4489
02:05:28,862 --> 02:05:31,320
know, I fully support more

4490
02:05:31,320 --> 02:05:32,400
directed approach.

4491
02:05:32,400 --> 02:05:33,100
Thank you.

4492
02:05:33,100 --> 02:05:35,100
Thank you.

4493
02:05:35,302 --> 02:05:37,302
Thank you.

4494
02:05:38,205 --> 02:05:40,605
Uh, board member Hartfield.

4495
02:05:40,675 --> 02:05:42,420
Um, yeah. Thank you so much for

4496
02:05:42,420 --> 02:05:42,510
the presentation. It

4497
02:05:42,510 --> 02:05:43,177
s nice to

4498
02:05:43,177 --> 02:05:43,877
see you, row. I

4499
02:05:43,877 --> 02:05:46,277
ve seen you for

4500
02:05:47,581 --> 02:05:50,840
a long time. Um, I really

4501
02:05:50,840 --> 02:05:52,840
appreciate, especially your

4502
02:05:52,953 --> 02:05:55,189
broadening out the impact of,

4503
02:05:55,189 --> 02:05:56,457
uh, gender issues beyond the

4504
02:05:56,457 --> 02:05:59,159
medical, because I think what

4505
02:05:59,159 --> 02:06:00,327
we read about frequently in the

4506
02:06:00,327 --> 02:06:01,729
press is just. It

4507
02:06:01,729 --> 02:06:03,397
s all about

4508
02:06:03,397 --> 02:06:05,400
medical transition. And I

4509
02:06:05,400 --> 02:06:06,834
appreciate your framing the

4510
02:06:06,834 --> 02:06:08,269
argument in a way that people

4511
02:06:08,269 --> 02:06:09,670
can understand and maybe

4512
02:06:09,670 --> 02:06:12,670
empathize with a little bit

4513
02:06:12,773 --> 02:06:15,109
more. Um, question that I had

4514
02:06:15,109 --> 02:06:16,177
for you. Two questions, and you

4515
02:06:16,177 --> 02:06:17,911
MAY or MAY not have the

4516
02:06:17,911 --> 02:06:19,947
answers. One is, how are we

4517
02:06:19,947 --> 02:06:22,317
able to quantify this sort of

4518
02:06:22,317 --> 02:06:22,516
in migration issue, which I

4519
02:06:22,516 --> 02:06:24,516
ve

4520
02:06:25,152 --> 02:06:26,620
also seen in the newspaper and

4521
02:06:26,620 --> 02:06:26,854
heard on podcasts and whatnot,

4522
02:06:26,854 --> 02:06:27,955
and I

4523
02:06:27,955 --> 02:06:29,724
m not really sure how we

4524
02:06:29,724 --> 02:06:31,259
know that. And then the second

4525
02:06:31,259 --> 02:06:33,528
question is, what would the

4526
02:06:33,528 --> 02:06:35,863
state of emergency provide us

4527
02:06:35,863 --> 02:06:37,932
if, um, Mayor Wilson was

4528
02:06:37,932 --> 02:06:38,132
actually able to do that?

4529
02:06:38,132 --> 02:06:40,132
That

4530
02:06:40,868 --> 02:06:43,971
s a great question. Um, I

4531
02:06:43,971 --> 02:06:46,607
think that the lgbt Commission,

4532
02:06:46,607 --> 02:06:49,777
um, was responding as the the

4533
02:06:49,777 --> 02:06:51,645
whole population of lgbt into

4534
02:06:51,645 --> 02:06:53,748
spirit community versus just

4535
02:06:53,748 --> 02:06:56,148
specifically trans people. Um,

4536
02:06:56,216 --> 02:06:58,152
but we definitely know through

4537
02:06:58,152 --> 02:07:00,121
a lot of my trans led

4538
02:07:00,121 --> 02:07:02,389
organization that there are

4539
02:07:02,389 --> 02:07:04,892
people coming from other states

4540
02:07:04,892 --> 02:07:06,894
to specifically access care for

4541
02:07:06,894 --> 02:07:08,229
themselves or their family. Um,

4542
02:07:08,229 --> 02:07:08,495
and we see that with Sale

4543
02:07:08,495 --> 02:07:09,663
Children

4544
02:07:09,663 --> 02:07:11,832
s Hospital and so

4545
02:07:11,832 --> 02:07:12,733
forth. So but in terms of the

4546
02:07:12,733 --> 02:07:13,935
magnitude, I don

4547
02:07:13,935 --> 02:07:15,935
t know, um,

4548
02:07:16,604 --> 02:07:18,205
the commission is collaborating

4549
02:07:18,205 --> 02:07:18,358
with several organizations that

4550
02:07:18,358 --> 02:07:20,358
i

4551
02:07:20,641 --> 02:07:22,877
ve mentioned just now that

4552
02:07:22,877 --> 02:07:24,478
will be collating the

4553
02:07:24,478 --> 02:07:26,747
information that they can that

4554
02:07:26,747 --> 02:07:29,450
are for those who come new to

4555
02:07:29,450 --> 02:07:31,185
Seattle, Washington, having

4556
02:07:31,185 --> 02:07:34,540
them kind of register that

4557
02:07:34,540 --> 02:07:35,256
through, like organizations

4558
02:07:35,256 --> 02:07:36,624
that provide the services. So

4559
02:07:36,624 --> 02:07:38,358
that will maybe quantify a

4560
02:07:38,358 --> 02:07:40,940
little bit, but I think it will

4561
02:07:40,940 --> 02:07:40,294
provide more of a narrative

4562
02:07:40,294 --> 02:07:41,896
that

4563
02:07:41,896 --> 02:07:42,196
s necessary to talk about

4564
02:07:42,196 --> 02:07:44,310
where they

4565
02:07:44,310 --> 02:07:46,431
re coming from. Um,

4566
02:07:47,000 --> 02:07:48,902
as it relates to the services

4567
02:07:48,902 --> 02:07:51,902
or what this emergency can

4568
02:07:55,109 --> 02:07:56,443
provide. Um, I I don

4569
02:07:56,443 --> 02:07:58,443
t know, I

4570
02:07:58,979 --> 02:08:01,480
really, um, I feel that

4571
02:08:01,480 --> 02:08:03,584
Washington State just I mean,

4572
02:08:03,584 --> 02:08:05,886
King County just supported, um,

4573
02:08:05,886 --> 02:08:06,530
the gender ending. Um, I

4574
02:08:06,530 --> 02:08:07,521
m

4575
02:08:07,521 --> 02:08:09,890
sorry, the coalition ending

4576
02:08:09,890 --> 02:08:11,489
gender violence, gender based

4577
02:08:11,658 --> 02:08:14,580
violence, they just released

4578
02:08:15,296 --> 02:08:17,696
the 226 trans Resource and

4579
02:08:18,650 --> 02:08:19,566
referral guide. Um, and that

4580
02:08:19,566 --> 02:08:21,269
has been the last update was

4581
02:08:21,269 --> 02:08:22,703
over ten years ago.

4582
02:08:22,703 --> 02:08:22,869
Yeah. So that

4583
02:08:22,869 --> 02:08:24,505
s an.

4584
02:08:24,505 --> 02:08:26,673
Amazing thing where this money

4585
02:08:26,673 --> 02:08:28,976
could do or resources, it could

4586
02:08:28,976 --> 02:08:31,376
ensure that those resources

4587
02:08:32,246 --> 02:08:34,415
stay available and maybe scale

4588
02:08:34,415 --> 02:08:35,749
up a little bit if we have data

4589
02:08:35,749 --> 02:08:37,851
to show that we have this

4590
02:08:37,851 --> 02:08:39,453
influx of people. But, you

4591
02:08:39,453 --> 02:08:41,622
know, having said that, a lot

4592
02:08:41,622 --> 02:08:43,224
of the current organizations

4593
02:08:43,224 --> 02:08:44,425
are probably not well trained

4594
02:08:44,425 --> 02:08:46,493
to talk about this gender

4595
02:08:46,493 --> 02:08:46,860
diverse community as well. So I

4596
02:08:46,860 --> 02:08:48,262
think that

4597
02:08:48,262 --> 02:08:50,331
s part of training

4598
02:08:50,331 --> 02:08:51,999
for providers in addition to

4599
02:08:51,999 --> 02:08:53,868
resources for providers, is

4600
02:08:53,868 --> 02:08:55,469
another way that we can sustain

4601
02:08:55,469 --> 02:08:56,700
this support.

4602
02:08:56,700 --> 02:08:57,370
Mhm. That

4603
02:08:57,370 --> 02:08:57,337
s great. Yeah I mean

4604
02:08:57,337 --> 02:08:58,805
I I

4605
02:08:58,805 --> 02:09:01,275
m really happy to hear that

4606
02:09:01,275 --> 02:09:03,377
about the guide. And I know how

4607
02:09:03,377 --> 02:09:05,312
difficult because primarily

4608
02:09:05,312 --> 02:09:05,480
this is all a volunteer effort.

4609
02:09:05,480 --> 02:09:07,480
It

4610
02:09:08,820 --> 02:09:09,884
s all grassroots. And um

4611
02:09:09,884 --> 02:09:12,419
perhaps the state of emergency

4612
02:09:12,419 --> 02:09:13,520
might release some funding that

4613
02:09:13,520 --> 02:09:14,789
is needed.

4614
02:09:14,789 --> 02:09:15,823
I agree and it

4615
02:09:15,823 --> 02:09:15,990
s hard to dig.

4616
02:09:15,990 --> 02:09:17,391
It

4617
02:09:17,391 --> 02:09:20,561
s hard to ask this community

4618
02:09:20,561 --> 02:09:20,728
to try to defend itself when

4619
02:09:20,728 --> 02:09:22,728
it

4620
02:09:23,931 --> 02:09:26,200
s small. So having, um,

4621
02:09:26,200 --> 02:09:28,969
sanctions by the city or the

4622
02:09:28,969 --> 02:09:31,105
state really helps. And

4623
02:09:31,105 --> 02:09:32,539
bolstering that visibility.

4624
02:09:32,539 --> 02:09:34,341
Yeah.

4625
02:09:34,341 --> 02:09:36,100
Thanks.

4626
02:09:36,100 --> 02:09:37,912
Thank you so much. And board

4627
02:09:37,912 --> 02:09:40,347
member Tripoli. Um, maybe we

4628
02:09:40,347 --> 02:09:42,150
can work with you as a liaison

4629
02:09:42,150 --> 02:09:43,450
to see if there is a next step

4630
02:09:43,450 --> 02:09:44,184
that the board might want to

4631
02:09:44,184 --> 02:09:45,487
take on this. I

4632
02:09:45,487 --> 02:09:45,887
m also thinking

4633
02:09:45,887 --> 02:09:47,120
maybe there

4634
02:09:47,120 --> 02:09:49,490
s some advocacy as

4635
02:09:49,490 --> 02:09:52,250
we head into the, uh, state

4636
02:09:52,250 --> 02:09:54,425
legislative agenda setting time

4637
02:09:54,628 --> 02:09:55,963
frame as well. Uh, given, uh, I

4638
02:09:55,963 --> 02:09:57,832
think, as you mentioned, Roe,

4639
02:09:57,832 --> 02:09:58,933
the influx of the number of

4640
02:09:58,933 --> 02:10:00,300
community members coming to

4641
02:10:00,300 --> 02:10:01,368
Washington state generally,

4642
02:10:01,368 --> 02:10:02,102
this might be an area of

4643
02:10:02,102 --> 02:10:04,102
interest for other

4644
02:10:04,272 --> 02:10:05,939
jurisdictions, too. Um, so look

4645
02:10:05,939 --> 02:10:07,174
forward to that. And anything

4646
02:10:07,174 --> 02:10:09,410
else that the board can do to

4647
02:10:09,410 --> 02:10:10,644
lift up the, um, health

4648
02:10:10,644 --> 02:10:13,440
complications that are created

4649
02:10:13,247 --> 02:10:14,915
and also the, uh, just

4650
02:10:14,915 --> 02:10:16,150
additional stressors this

4651
02:10:16,150 --> 02:10:17,585
provides in the community. What

4652
02:10:17,585 --> 02:10:19,453
affects the mind affects the

4653
02:10:19,453 --> 02:10:21,756
body, um, and affects our

4654
02:10:21,756 --> 02:10:24,580
entire population health. So,

4655
02:10:24,580 --> 02:10:26,930
uh, thank you again for the

4656
02:10:26,930 --> 02:10:27,950
presentation. And, uh, look

4657
02:10:27,950 --> 02:10:28,729
forward to continuing to

4658
02:10:28,729 --> 02:10:30,897
engage. Board member. Any

4659
02:10:30,897 --> 02:10:32,700
comments in closing and row as

4660
02:10:32,700 --> 02:10:34,202
well?

4661
02:10:34,202 --> 02:10:36,503
No, I think I think you again.

4662
02:10:36,503 --> 02:10:38,372
And, um, just to sort of tack

4663
02:10:38,372 --> 02:10:39,707
on to what ro said. Um, you

4664
02:10:39,707 --> 02:10:41,408
know, just from my volunteer

4665
02:10:41,408 --> 02:10:42,710
work with queer organizations

4666
02:10:42,710 --> 02:10:45,145
like Seattle and the Bailey

4667
02:10:45,145 --> 02:10:47,414
Bush House, I can definitely

4668
02:10:47,414 --> 02:10:48,949
say anecdotally that there are

4669
02:10:48,949 --> 02:10:50,518
there has been an influx of

4670
02:10:50,518 --> 02:10:52,553
people from other states. Um,

4671
02:10:52,553 --> 02:10:54,355
they would rather be a refugee

4672
02:10:54,355 --> 02:10:56,524
living unhoused in their car in

4673
02:10:56,524 --> 02:10:59,326
Seattle than live in a house in

4674
02:10:59,326 --> 02:11:01,128
Kentucky. Um, so it is putting

4675
02:11:01,128 --> 02:11:02,830
stress on the services that are

4676
02:11:02,830 --> 02:11:04,931
available. Our community is

4677
02:11:04,931 --> 02:11:06,600
already underserved, and the

4678
02:11:06,600 --> 02:11:07,468
resources are already limited,

4679
02:11:07,468 --> 02:11:08,202
and now they

4680
02:11:08,202 --> 02:11:10,202
re being stretched

4681
02:11:10,203 --> 02:11:11,539
even further, trying to treat

4682
02:11:11,539 --> 02:11:13,340
the influx of people that are

4683
02:11:13,340 --> 02:11:14,308
coming from other states. So

4684
02:11:14,308 --> 02:11:16,276
yeah, thank you again. And I

4685
02:11:16,276 --> 02:11:17,511
would love to be a liaison as

4686
02:11:17,511 --> 02:11:19,480
we can do more work on this. So

4687
02:11:19,480 --> 02:11:21,649
thank you. Chair Mosqueda.

4688
02:11:21,649 --> 02:11:24,618
Excellent. Thank you so much.

4689
02:11:24,618 --> 02:11:26,860
Okay. Um, so with that, I just

4690
02:11:26,860 --> 02:11:26,487
want to see if there

4691
02:11:26,487 --> 02:11:27,655
s any

4692
02:11:27,655 --> 02:11:29,890
other comments for the good of

4693
02:11:29,890 --> 02:11:31,124
the order. Any announcements

4694
02:11:31,124 --> 02:11:33,260
folks might have for Board of

4695
02:11:33,260 --> 02:11:36,260
Health colleagues? I will note

4696
02:11:36,697 --> 02:11:38,566
again that our board meeting

4697
02:11:38,566 --> 02:11:41,268
for AUGUST is canceled. So we

4698
02:11:41,268 --> 02:11:42,903
will see you at the SEPTEMBER

4699
02:11:42,903 --> 02:11:45,772
board meeting. And that is

4700
02:11:45,772 --> 02:11:48,442
SEPTEMBER 17th at 1 P.M.. Uh,

4701
02:11:48,442 --> 02:11:49,376
next week at County Council, at

4702
02:11:49,376 --> 02:11:50,411
our health, Housing and Human

4703
02:11:50,411 --> 02:11:50,744
Services Committee. As I

4704
02:11:50,744 --> 02:11:51,178
mentioned, we

4705
02:11:51,178 --> 02:11:53,481
re going to have

4706
02:11:53,481 --> 02:11:55,249
a very similar presentation on

4707
02:11:55,249 --> 02:11:57,218
the continuum of care funding.

4708
02:11:57,218 --> 02:11:58,386
Um, and maybe of interest to

4709
02:11:58,386 --> 02:11:59,887
colleagues. We will also have a

4710
02:11:59,887 --> 02:12:01,188
presentation on the 39th

4711
02:12:01,188 --> 02:12:02,423
anniversary of the federal

4712
02:12:02,423 --> 02:12:04,358
Americans with Disabilities

4713
02:12:04,358 --> 02:12:06,758
Act, Disability Pride month,

4714
02:12:07,600 --> 02:12:08,829
and, um, and inviting our folks

4715
02:12:08,829 --> 02:12:10,564
who work here at King County on

4716
02:12:10,564 --> 02:12:11,765
implementing the Ada

4717
02:12:11,765 --> 02:12:14,268
requirements to give us an

4718
02:12:14,268 --> 02:12:16,136
update on how things are going.

4719
02:12:16,136 --> 02:12:18,939
And that update is we need to

4720
02:12:18,939 --> 02:12:20,708
do more. Um, so if you are

4721
02:12:20,708 --> 02:12:22,476
interested in dialing in to

4722
02:12:22,476 --> 02:12:23,143
hear some of that conversation,

4723
02:12:23,143 --> 02:12:23,777
and if you think there

4724
02:12:23,777 --> 02:12:25,212
s a

4725
02:12:25,212 --> 02:12:27,181
cross area of interest to Board

4726
02:12:27,181 --> 02:12:28,916
of Health, please let me know.

4727
02:12:28,916 --> 02:12:30,184
Um, and if there

4728
02:12:30,184 --> 02:12:31,619
s no items to

4729
02:12:31,619 --> 02:12:33,653
come before the board, I thank

4730
02:12:33,653 --> 02:12:36,323
you for your time today and the

4731
02:12:36,323 --> 02:12:37,000
robust discussion. And with