1 00:00:00,000 --> 00:00:27,800 Accessed valuation for this year, for property tax collections next year is up 13.3%. And that's because this was a re-valuation year. Every two years, the assessor re-values property to, in this case, June of 2014 is what these market values represent. 2 00:00:27,800 --> 00:00:38,120 value of property at that time and so that's up 13.3% over the two-year period from June 3 00:00:38,120 --> 00:00:50,720 of 2012 and that's the first increase since the recession. In your memo, we dropped 24.5% 4 00:00:50,720 --> 00:01:02,160 in the valuations through 2010 and then another 6.1% in valuations through 2012. 5 00:01:03,280 --> 00:01:14,560 So now we're coming back up 13.3%. The total taxes to be property taxes to be collected next year 6 00:01:14,560 --> 00:01:25,020 are $114 million approximately, which is a 9.3% increase. 7 00:01:26,480 --> 00:01:35,220 The reason that approximates the 13.3% is that we have several districts with fixed 8 00:01:35,220 --> 00:01:46,260 no levies. So as valuation goes out by 13.3%, their property tax collections go up by 13.3%. 9 00:01:46,260 --> 00:01:56,400 For example, the hospital, CMC, and the county's open space program all have fixed 10 00:01:56,400 --> 00:02:02,580 no levies that would be increasing taxes. There are also some fire protection districts that have 11 00:02:02,580 --> 00:02:12,020 portion of their note levy is fixed as well. So, and we had several elections for increases 12 00:02:12,020 --> 00:02:24,020 to both the school districts, the hospital re-upping their note levy. And so some of 13 00:02:28,000 --> 00:02:33,060 is the very small print page with colors on it. 14 00:02:33,580 --> 00:02:41,740 The county as a whole, including the open space fund, is increasing 1.7 million. 15 00:02:42,860 --> 00:02:46,820 CMC has seen a 1.3 million dollar increase. 16 00:02:46,820 --> 00:02:56,120 the two school districts, Aspen and our portion of the Roaring Fork school district are up in total 17 00:02:56,120 --> 00:03:04,560 $4 million to the school districts, two and a half of that is Aspen, one and a half Roaring Fork, 18 00:03:05,000 --> 00:03:12,670 and then Aspen Valley Hospital by re-uping their Mill Levy and leaving it constant has a one 19 00:03:12,670 --> 00:03:20,330 million dollar increase as well. So those are the biggies and with that you don't have 20 00:03:20,330 --> 00:03:26,470 any questions. We need is a motion to approve the certification in the lunch. 21 00:03:29,160 --> 00:03:30,280 My question 22 00:03:30,280 --> 00:03:38,780 was, and I sort of know part of the answer, but what are the title 32 districts? 23 00:03:44,380 --> 00:03:44,380 Those are 24 00:03:44,380 --> 00:03:48,400 You have municipalities, Aspen, Basalt, Stomass. 25 00:03:48,940 --> 00:03:54,280 You have the school districts, and then we have everybody else. 26 00:03:54,620 --> 00:03:57,280 It was called the Title 32 district. 27 00:03:57,460 --> 00:04:03,720 That includes the fire protection districts, water and sanitation districts, 28 00:04:05,180 --> 00:04:08,480 metropolitan districts, metro districts. 29 00:04:09,080 --> 00:04:12,820 Those are all the special districts that are Title 32. 30 00:04:12,820 --> 00:04:19,680 And the title 32 refers to the Colorado Statues that enables them, right? 31 00:04:20,440 --> 00:04:23,640 That's their formation or statute, right? 32 00:04:27,260 --> 00:04:31,860 Great, so we're just looking up the mill evidence right now. 33 00:04:33,160 --> 00:04:33,980 No questions? 34 00:04:34,040 --> 00:04:35,200 Do you have any questions on it? 35 00:04:35,480 --> 00:04:37,240 We have been through this before. 36 00:04:37,760 --> 00:04:38,580 Thank you. 37 00:04:38,680 --> 00:04:39,420 And my apologies. 38 00:04:39,680 --> 00:04:40,660 I don't know what happened. 39 00:04:40,660 --> 00:04:41,900 and the alarm just didn't even go off. 40 00:04:42,760 --> 00:04:43,320 Oh my god. 41 00:04:43,920 --> 00:04:45,240 Late because I'm looking at bangles. 42 00:04:48,230 --> 00:04:49,190 But I brought cookies. 43 00:04:50,470 --> 00:04:51,630 Then that makes it OK. 44 00:04:53,030 --> 00:04:55,330 That might be a surprise for me so to share your phone while. 45 00:04:57,930 --> 00:04:59,790 So just for the public. 46 00:05:00,000 --> 00:05:19,000 This benefit, this is a statutory requirement before to approve these mill levies. This is like our last official act of this calendar year. Remember, we take our holiday break. So I would entertain a motion to. 47 00:05:21,400 --> 00:05:31,580 I have another question first. So what we're approving, there's no rezo or anything before us. It's just we're approving. You're approving. 48 00:05:31,580 --> 00:05:40,440 This document is entitled the Budget Year of 2016 Certification of Ladies and Revenue. 49 00:05:42,620 --> 00:05:49,280 I'll make a motion to approve certification of levies and revenues for the Budget Year of 2016. 50 00:05:51,200 --> 00:05:55,640 Okay, it's moved and seconded to approve the certification any further discussion. 51 00:05:57,240 --> 00:05:58,280 All in favor say aye. 52 00:05:58,280 --> 00:06:01,340 All right. All right. Thank you. All right. Thank you. 53 00:06:01,340 --> 00:06:02,360 I found the law that money. 54 00:06:03,580 --> 00:06:05,440 Well, right in the checks to other people. 55 00:06:05,800 --> 00:06:06,200 Thank you. 56 00:06:07,900 --> 00:06:08,560 Thank you. 57 00:06:12,020 --> 00:06:13,440 Okay. Next, do we? 58 00:06:13,540 --> 00:06:17,940 Oh, I did entertain a motion to adjourn the special meeting. 59 00:06:18,320 --> 00:06:18,760 So moved. 60 00:06:20,020 --> 00:06:21,200 Is there a second? 61 00:06:21,520 --> 00:06:21,780 Second. 62 00:06:22,720 --> 00:06:25,220 All in favor of adjourning the special meeting. Say aye. 63 00:06:25,520 --> 00:06:25,900 Aye. 64 00:06:29,050 --> 00:06:30,890 Okay. Next we have. 65 00:06:30,890 --> 00:06:33,330 Janet, you can go on vacation now. 66 00:06:35,810 --> 00:06:38,870 She's not there yet, right, Janet? 67 00:06:41,550 --> 00:06:46,170 Next, we have appointments to various boards and permissions. 68 00:06:47,730 --> 00:06:48,710 Okay, thanks, Steve. 69 00:06:50,090 --> 00:06:58,070 Every year at your first regular meeting, the board adopts a resolution appointing commissioners 70 00:06:58,070 --> 00:07:06,170 to different boards and commissions that board members are asked to serve on as well as 71 00:07:06,170 --> 00:07:10,690 appointing the chair and vice chair for the board. 72 00:07:11,190 --> 00:07:18,730 What we have in front of you today is a request just to seek guidance for preparation of that 73 00:07:18,730 --> 00:07:21,130 resolution for the first regular meeting. 74 00:07:21,130 --> 00:07:31,030 in your packet is really two things, one for the various commissions and such that the board members serve on. 75 00:07:31,510 --> 00:07:45,210 We have the 2015 appointments, and so if there's any discussion to be had about change on those appointments, we'd be seeking that guidance today. 76 00:07:45,210 --> 00:07:55,390 Additionally, for the chair and vice chair, what the board has been doing really for almost 77 00:07:55,390 --> 00:08:05,290 about the last, since 2009, we've been rotating the chair and vice chairmanship by Commissioner 78 00:08:05,290 --> 00:08:05,830 District. 79 00:08:06,550 --> 00:08:13,330 This isn't a perfect system because there's five of you and there's four year terms and 80 00:08:13,330 --> 00:08:22,070 And so we, from time to time, run into cycles like we will run into in 2017 where we would 81 00:08:22,070 --> 00:08:25,410 have a first-year commissioner in the loop to be chair. 82 00:08:26,610 --> 00:08:28,770 And typically we do some changing there. 83 00:08:29,830 --> 00:08:35,590 The way the rotation works for 2016, we do not have that issue. 84 00:08:35,590 --> 00:08:42,390 the the rotation would have Rachel who is currently the vice chair as the the 85 00:08:42,390 --> 00:08:47,070 district two commissioner stepping into the chair position and Michael 86 00:08:47,670 --> 00:08:52,870 housing from district three stepping into the vice chair position you'll see in 87 00:08:52,870 --> 00:09:02,730 2017 both chairs at both both districts and the rotation are up for for 88 00:09:02,730 --> 00:09:09,370 election. Well, we will have a new district three commissioner who would be set to rotate 89 00:09:09,370 --> 00:09:16,490 into the chair position. And we have our district five commissioner, George and George, 90 00:09:16,490 --> 00:09:20,350 I'm not going to put you on the spot and ask if you're going to run again and that sort 91 00:09:20,350 --> 00:09:28,910 of thing. But a lot of to be determined. A lot of to be determined. But I think we need 92 00:09:28,910 --> 00:09:33,630 to see the outcome of that process and have the discussion again next year. Obviously, 93 00:09:33,690 --> 00:09:38,530 if George came in, we would probably want to flip that and rotate George into the chair 94 00:09:38,530 --> 00:09:44,870 position, let the new commissioner have a year of experience gain before they did that. 95 00:09:45,430 --> 00:09:48,230 But I think that's a discussion better to have next year. 96 00:09:49,330 --> 00:09:57,410 And so what we're looking for today is guidance one that we want to stick with this chair and 97 00:09:57,410 --> 00:09:59,810 device chair rotation so we can prepare a resolution. 98 00:10:00,740 --> 00:10:09,900 And then any discussion about changes that, if any, that we want to make to the 2015 appointment's gone forward. 99 00:10:11,220 --> 00:10:15,780 Well, I appreciate this because I think it looks like you've reelected me in 2019. 100 00:10:17,720 --> 00:10:23,320 Oh, I guess I should. Yeah, maybe should have had it. I'm sorry, okay, we should have had a TBD there. 101 00:10:24,780 --> 00:10:27,420 I mean, it looks pretty good to me right here. 102 00:10:29,500 --> 00:10:33,080 We tried to capture those, but we got it over a year off. 103 00:10:33,100 --> 00:10:35,980 I'm going to get a cap and 1, 2, 3, 4, wait, wait, wait, wait, wait, wait. 104 00:10:40,590 --> 00:10:45,610 So with that, I turn it back over to the board, perhaps it would be easiest to start with the 105 00:10:45,610 --> 00:10:50,570 chair and vice chair discussion and work our way backward since that's been a pretty standard 106 00:10:50,570 --> 00:10:51,110 rotation. 107 00:10:52,770 --> 00:10:53,170 Rachel? 108 00:10:53,610 --> 00:10:53,870 Yeah. 109 00:10:53,870 --> 00:11:01,690 I truly look forward to my last opportunity to be chair before I'm term limited out. 110 00:11:01,870 --> 00:11:08,730 So my name's not under those TBDs at all, and I will, as I did when I was chair before, 111 00:11:08,970 --> 00:11:14,550 be very diligent about getting that alarm earlier than ever, meeting with John and 112 00:11:14,550 --> 00:11:15,810 being here on time to start the meeting. 113 00:11:15,990 --> 00:11:19,770 So I do apologize for this morning, especially I really don't know what happened. 114 00:11:19,770 --> 00:11:26,710 the sugar coma. We got sugar out to about 20 departments yesterday. I got a lot more to do today 115 00:11:26,710 --> 00:11:32,890 after we're done. But the one thing I would like to you know put out there to you know 116 00:11:32,890 --> 00:11:38,810 and I'm sure Michael would be interested and be a good chair vice chair in my absence is that because 117 00:11:38,810 --> 00:11:47,250 we have a rotating chairmanship and you know you become chair whether you're good at chair or you're 118 00:11:47,250 --> 00:11:54,950 Not a competition in the classic sense where other boards try to keep somebody or decide who does it the best for their board. 119 00:11:55,650 --> 00:11:56,830 And so it's not that situation. 120 00:11:57,330 --> 00:12:05,350 I do have other obligations that at times I'm going to miss these meetings here for the public lands, particularly or CCI. 121 00:12:05,930 --> 00:12:15,290 I do never, I've never missed these meetings in order to go to club 20 or those, but that one would kind of supersede. 122 00:12:15,290 --> 00:12:20,430 So there may be times that I will have to miss a Wednesday meeting and Michael have to chair 123 00:12:21,050 --> 00:12:24,430 So if that you know, and I know Michael you travel a little bit 124 00:12:24,430 --> 00:12:27,010 So we'd have to talk to the board in advance and see if anybody 125 00:12:27,610 --> 00:12:33,230 Would need to step in if by chance the two of us being away fell on the same same Wednesday 126 00:12:35,030 --> 00:12:36,510 But that's all am I only comment? 127 00:12:39,550 --> 00:12:40,610 Is that okay with you Michael? 128 00:12:41,830 --> 00:12:45,810 Yeah, okay, so what we do it right? Yeah, that's what we do. I just again want to let you know 129 00:12:45,810 --> 00:12:47,830 other maybe some times when there's direct conflicts, 130 00:12:48,170 --> 00:12:50,550 but those positions do take time 131 00:12:50,550 --> 00:12:52,230 and senority to work your way into. 132 00:12:52,610 --> 00:12:54,630 I just wanna let them go for one year. 133 00:12:54,970 --> 00:12:55,490 Okay, thank you. 134 00:12:55,830 --> 00:12:59,150 Rachel, I appreciate your comments about, you know, 135 00:12:59,310 --> 00:13:01,710 we take turns being chair. 136 00:13:02,630 --> 00:13:06,250 And I think my experience this year being chair, 137 00:13:06,910 --> 00:13:09,430 I think it makes you a better board member 138 00:13:09,430 --> 00:13:12,070 to be the chair in the rotation 139 00:13:12,070 --> 00:13:13,810 because you understand more 140 00:13:13,810 --> 00:13:21,450 the way the whole process works and I agree with that Steve and it's been a 141 00:13:21,450 --> 00:13:26,790 good experience for me I've enjoyed it and it's sometimes it's stressful but 142 00:13:26,790 --> 00:13:33,310 definitely gives me a different view of how the Board of Commissioners works. 143 00:13:33,890 --> 00:13:40,930 Yeah okay so we'll prepare we'll take those guidance to prepare the resolution 144 00:13:40,930 --> 00:13:43,650 for Chair and Vice Chair per this rotation. 145 00:13:43,910 --> 00:13:45,910 So the official changing a guard 146 00:13:45,910 --> 00:13:48,810 will happen at the first regular meeting in January. 147 00:13:50,190 --> 00:13:55,930 The other items we were seeking guidance on 148 00:13:55,930 --> 00:14:00,210 is the appointments to the various boards, committees, 149 00:14:00,790 --> 00:14:05,590 and other areas where the counties represented. 150 00:14:06,070 --> 00:14:09,810 If there are any changes or discussion there, 151 00:14:09,810 --> 00:14:13,750 where if we should leave those appointments as they stand. 152 00:14:15,550 --> 00:14:16,050 Steve? 153 00:14:16,430 --> 00:14:22,770 I just want to say that I'm still really confused about the workforce boards and I think most 154 00:14:22,770 --> 00:14:26,330 of people who attend those meetings are still really confused because we really don't 155 00:14:26,330 --> 00:14:28,850 have a word resort region as we had in the past. 156 00:14:29,270 --> 00:14:34,710 So I mean I go to the meeting, they actually, Karn Stegmar from Summit County asked me to 157 00:14:34,710 --> 00:14:42,230 be the CLEO, which is the chief elected official for this for next year, but I'm not going 158 00:14:42,230 --> 00:14:47,170 to do that because it's most of the meetings are phone meetings, but they all really meet 159 00:14:47,170 --> 00:14:54,130 on the I-70 corridor, and then she travels around the front range sometimes, and I don't 160 00:14:54,130 --> 00:14:59,810 really know enough about what the workforce does other than it's required by state statute. 161 00:15:00,270 --> 00:15:30,250 So, that being said, I am going to be participating again in the Colorado Bark Beetle Cooperative. So, those meetings are once, they have four meetings a year and they are held over in Breckenridge at CMC. I'm getting back involved in that because of some of the issues we have going on with our forest here, the prescribed burn. We're going to do it 100 Creek. There's some funding opportunities through CBBC that I'm working on. 162 00:15:30,250 --> 00:15:34,070 working with Gary Tannibum about to see what we might be able to bring out of that. 163 00:15:35,310 --> 00:15:39,830 And the other one is with Northwest Colorado Council of Governments, actually they have 164 00:15:39,830 --> 00:15:43,610 the economic development district which is kind of a sub-entity of that. 165 00:15:44,150 --> 00:15:49,390 And I'm Vice Chairman of that, I think Rob was chairing that, and we have arranged for 166 00:15:49,390 --> 00:15:50,430 the meetings this last year. 167 00:15:50,530 --> 00:15:53,090 The meetings were all on our regular Wednesday, so I couldn't go. 168 00:15:53,450 --> 00:15:56,250 So they have switched that so that I'll be able to participate. 169 00:15:56,250 --> 00:16:01,090 some of the meetings actually follow Northwest Cog and other meetings, there's a work board 170 00:16:01,090 --> 00:16:06,730 part of it that's going to be on Wednesdays, so I'm going to be attending those as part 171 00:16:06,730 --> 00:16:12,350 of Northwest Cog, so it's really the economic development district, and that will keep me 172 00:16:12,350 --> 00:16:12,590 busy. 173 00:16:13,550 --> 00:16:18,390 And Patty, I think we didn't have the economic development district on this list because 174 00:16:18,390 --> 00:16:24,490 it was a separate point that that's an appointment made by Northwest Cog independent of the 175 00:16:24,490 --> 00:16:31,840 board. Is that, is that how you understand that? Well, I don't know. They have 176 00:16:31,840 --> 00:16:36,100 represented, and the representatives are different than people that you 177 00:16:36,100 --> 00:16:40,100 normally see at the cog meeting. So I just wanted to make sure that that was 178 00:16:40,100 --> 00:16:43,920 because we can check that out before the actual January meeting. And the meetings 179 00:16:43,920 --> 00:16:47,020 will be separate. The meetings are held on separate days in Northwest 180 00:16:47,020 --> 00:16:53,580 Cogs. And then the Colorado bark beetle cooperative? Is that an independent? 181 00:16:53,580 --> 00:17:00,220 is that so is that something that we want to add it's 13 counties and and 182 00:17:00,940 --> 00:17:04,720 there are I think it's 13 counties that are involved so it's Rocky Mountain 183 00:17:04,720 --> 00:17:08,380 region then you got Park County Lake County going up that way up the 184 00:17:08,380 --> 00:17:15,760 San Luis Valley somewhat and they they just have an elected official from each 185 00:17:15,760 --> 00:17:20,700 jurisdiction it might be an appropriate one yeah yeah there 186 00:17:23,330 --> 00:17:24,710 are two other 187 00:17:24,710 --> 00:17:31,670 or Northwest Cog Committees that I've been attending one regularly, and they're 188 00:17:31,670 --> 00:17:34,710 like subcommittees of the whole big picture. 189 00:17:34,710 --> 00:17:35,370 Seeing your council. 190 00:17:35,870 --> 00:17:46,310 Well, one is the RAC, which is the Regional Advisory Council on the Alpine Agency on 191 00:17:46,310 --> 00:17:57,370 age and and pay the gabbick is the main representative and she was I guess 192 00:17:57,370 --> 00:18:05,730 appointed by by Marty Ames but then your my name and your name were also on 193 00:18:05,730 --> 00:18:10,510 there kind of like that's alternates we could go to those and I've only attended 194 00:18:10,510 --> 00:18:13,190 of that like following what once or twice before. 195 00:18:14,890 --> 00:18:22,310 And then the other committee is the regional transportation coordinating committee, which 196 00:18:22,310 --> 00:18:26,690 has to do with the transportation for Medicaid, 197 00:18:28,760 --> 00:18:29,840 Medicaid, 198 00:18:31,960 --> 00:18:35,580 non-emergent, Medicaid cases, and 199 00:18:36,340 --> 00:18:39,180 transportation of veterans is involved in it. 200 00:18:39,900 --> 00:18:45,440 So that's like a little subgroup of Northwest Cog that they meet separately. 201 00:18:46,020 --> 00:18:51,460 So I've attended that a few times, and they always meet in gypsum at the E.C.O. 202 00:18:51,600 --> 00:18:53,020 Transit or by phone. 203 00:18:54,620 --> 00:19:01,240 So Stephen, on either of those are they asking you to represent the county's position or 204 00:19:01,240 --> 00:19:04,900 in the boardy position relative to me. 205 00:19:04,960 --> 00:19:07,060 Well, the one, the rack one, is like, 206 00:19:07,460 --> 00:19:10,660 it was Marty who has, 207 00:19:10,840 --> 00:19:13,360 Pegma Gavic has been doing it for quite a few years. 208 00:19:13,760 --> 00:19:15,820 And so she's like the regular representative 209 00:19:15,820 --> 00:19:17,000 for Pitkin County. 210 00:19:17,400 --> 00:19:22,780 But I would say that would be an official representation 211 00:19:24,020 --> 00:19:25,300 at that committee. 212 00:19:25,840 --> 00:19:30,220 And I would see Patty and me as being alternates on that, 213 00:19:30,220 --> 00:19:34,460 not as the main, because peg is definitely the main person on that. 214 00:19:35,060 --> 00:19:39,860 Didn't we approve makes appointment to that? Seems like it came back through a seat. 215 00:19:39,860 --> 00:19:43,560 At a separate, yeah. Yeah. Because that's a citizen. Yeah, yeah. 216 00:19:44,960 --> 00:19:50,780 And the RTCC, I've just been going to it because I know a lot about transportation. 217 00:19:50,820 --> 00:19:58,680 And it was just my interest. And some of the enemies do have an official like 218 00:19:58,680 --> 00:20:00,000 John, half of them are always going to- 219 00:20:03,440 --> 00:20:14,600 So, I don't know. We maybe want to check into the exact, the official part of that and see if it needs to be in an actual appointment. 220 00:20:20,300 --> 00:20:32,420 The other thing I notice that on the CCI, there is a new legislative committee called justice and public safety that we need to add to that list. 221 00:20:33,940 --> 00:20:39,480 It was kind of a sub-heading of general government, wasn't it Rachel? 222 00:20:39,620 --> 00:20:41,380 Yeah, and then they created it as its own. 223 00:20:41,440 --> 00:20:43,800 And it had so many items on it, they made it separate. 224 00:20:44,600 --> 00:20:47,540 And it's called justice and justice and public safety. 225 00:20:48,700 --> 00:20:54,740 It's dealing a lot, currently, with issues such as mental illness and the jails 226 00:20:55,420 --> 00:20:58,460 and how to try to get treatment instead of jail. 227 00:20:59,240 --> 00:21:02,900 and other issues such as whenever anyone is incarcerated, 228 00:21:03,540 --> 00:21:09,880 they lose whatever Medicaid insurance or things like that they may have had. 229 00:21:10,480 --> 00:21:13,840 And so for those who are mentally ill, it means losing your medications. 230 00:21:14,800 --> 00:21:17,740 And then when you get back out, it takes six months to get back on the system. 231 00:21:18,040 --> 00:21:21,220 And you end up back in jail before your illness is taken care of again. 232 00:21:21,780 --> 00:21:23,780 So those are some of the types. 233 00:21:23,960 --> 00:21:26,860 There's also certainly a program that I think 234 00:21:26,860 --> 00:21:35,800 it should be proud of Dan Bird's involvement in the prevention of prison rape as a national 235 00:21:35,800 --> 00:21:40,700 program that's been evolving and he's really taking a lead on that and so issues along 236 00:21:40,700 --> 00:21:47,240 those lines. So would you see there's an extension of CCI appointments? 237 00:21:47,480 --> 00:21:53,240 Well, I think it's mostly about the voting things that will send us later who is the first 238 00:21:53,240 --> 00:21:59,860 So we just need to decide if it's Rachel or me you can be the first vote and I'll be the alternative to not the meeting 239 00:21:59,860 --> 00:22:06,840 Yeah, no way we've always worked and one of us is not there the other one is the alternate is the alternate and is there to vote? 240 00:22:07,240 --> 00:22:08,820 Yeah, so we try to add it to that list 241 00:22:08,820 --> 00:22:09,720 Also 242 00:22:10,300 --> 00:22:11,140 John's also 243 00:22:11,680 --> 00:22:15,080 Proxy for all of the committees if neither one of us could be their 244 00:22:15,740 --> 00:22:20,140 Um, but always vote with exception of the health and human services 245 00:22:20,140 --> 00:22:24,520 is now put you now as the proxy which is going to be my last question for you. 246 00:22:25,660 --> 00:22:30,460 Anyone who can understand this five pages of background needs to be around top of that. 247 00:22:32,560 --> 00:22:33,140 All right. 248 00:22:33,420 --> 00:22:41,460 So, I think what I'm hearing right now is not any changing in positions on the list. 249 00:22:42,360 --> 00:22:49,800 I'm hearing that we are looking to add the Colorado Barcladle Cooperative with Patty as the 250 00:22:49,800 --> 00:22:57,400 a pointy that we'll add a CCI legislative committee for justice and public safety. 251 00:22:58,430 --> 00:23:04,760 Again with Steve and Rachel listed probably with myself as a proxy. 252 00:23:05,650 --> 00:23:09,900 Then we have Steve and 253 00:23:12,040 --> 00:23:21,920 Patty as alternates for the regional advisory committee for the 254 00:23:21,920 --> 00:23:29,220 And then we have Steve as an appointment to the regional transportation coordinating 255 00:23:29,220 --> 00:23:36,380 committee as an addition, otherwise no other changes, as that seemed to capture it. 256 00:23:39,920 --> 00:23:43,220 We will get that prepared for January that. 257 00:23:46,110 --> 00:23:48,410 This is all going quicker than we just made it. 258 00:23:52,950 --> 00:23:58,590 And then the last thing, which I think we already addressed, we'll just call it out 259 00:23:58,590 --> 00:24:06,690 that CCI does request for 2016 the designation of CCI Steering Committee proxies. 260 00:24:07,470 --> 00:24:12,350 I've been the proxy for all committees except for the Health and Human Service committees, 261 00:24:12,350 --> 00:24:16,830 in which we've appointed NAN to, is the board comfortable continuing with that. 262 00:24:16,830 --> 00:24:21,590 Yeah, that's all I've got on the appointments then. 263 00:24:23,500 --> 00:24:23,780 Okay, 264 00:24:27,600 --> 00:24:31,920 moving on, review of future agenda calendar. 265 00:24:32,820 --> 00:24:38,560 Yeah, and really, we are coming to our last meeting of the year. 266 00:24:38,820 --> 00:24:44,700 Congratulations, this is actually the last meeting we had there and almost at the end of it. 267 00:24:45,620 --> 00:24:51,200 What I did want to talk about for next year, George, we are working on a 268 00:24:51,200 --> 00:24:57,340 January meeting with basalt's not on yet, but we'll get that headed hopefully over the next week or so. 269 00:24:57,340 --> 00:24:59,800 Um, the other thing. 270 00:25:00,000 --> 00:25:23,400 That we need to talk about is setting aside, I'd like to set aside two days for our retreat. We usually use about a day and a half, but I think at this point if we can block out two days and if we have to go to less, it's a bonus for you guys. But typically we're pretty solid and at least using a day and a half for our discussions. 271 00:25:26,500 --> 00:25:29,660 What I'd like to propose our 272 00:25:29,660 --> 00:25:35,060 dates and February to give staff some some time. We've had a pretty busy end of the year here 273 00:25:35,060 --> 00:25:41,540 and so frankly we need some time still to plan for the retreat and organize. 274 00:25:44,180 --> 00:25:46,900 In terms of weeks where 275 00:25:47,740 --> 00:25:54,960 we've been flexible in the past. Sometimes we've taken more accession dates and used those 276 00:25:54,960 --> 00:26:03,320 In addition to another date, we typically try and do our retreat on a week that does not have a regular meeting. 277 00:26:06,990 --> 00:26:17,210 The first week in February, any of those dates would work whether it be 1st, 2nd, 3rd, 4th, 4th, and 5th to block out. 278 00:26:17,290 --> 00:26:20,950 I think that would give us adequate time to plan. 279 00:26:23,050 --> 00:26:27,810 Yeah, I was just going to say the very first week of February is pretty much the only week 280 00:26:27,810 --> 00:26:31,610 for me unless we did it on Monday, Tuesday, and took that work session down. 281 00:26:31,610 --> 00:26:32,650 I didn't even look at your book. 282 00:26:32,790 --> 00:26:33,150 I know. 283 00:26:33,930 --> 00:26:35,230 It's the same thing for me. 284 00:26:35,470 --> 00:26:39,950 I mean, yeah, the very first week that Thursday and Friday would be ideal. 285 00:26:40,070 --> 00:26:42,690 But the following weekend is CCI Thursday Friday. 286 00:26:43,010 --> 00:26:44,330 We have a regular on the 10th. 287 00:26:44,610 --> 00:26:48,790 And the following week would be NATO if I'm fortunate enough to be reelected on public lands. 288 00:26:48,790 --> 00:26:54,810 and then the last two days are the Club 20 Ag Water and Public Lands meetings. 289 00:26:55,170 --> 00:26:59,370 So the first week works great, or Monday and Tuesday in that same zone. 290 00:27:00,210 --> 00:27:00,390 George? 291 00:27:01,030 --> 00:27:06,650 Yeah, for me, right now, the Friday, the fifth probably won't work, there's supposed to be a regional 292 00:27:06,650 --> 00:27:13,650 transportation forum that day, but, you know, the Tuesday and Wednesday, the 2nd and 3rd. 293 00:27:14,310 --> 00:27:14,930 Groundhogs day. 294 00:27:15,610 --> 00:27:16,130 Perfect. 295 00:27:17,150 --> 00:27:18,210 2nd and 3rd work for me. 296 00:27:18,210 --> 00:27:23,550 Yeah, okay, we've got three of you for the second and third calendar is upstairs 297 00:27:23,550 --> 00:27:31,890 But I know the second week in February it doesn't work. Yeah, as well the first week. I as I recall there's no 298 00:27:31,890 --> 00:27:33,110 conflicts and 299 00:27:33,650 --> 00:27:35,830 I'll just have to double check this is amazing 300 00:27:35,830 --> 00:27:37,790 Because we're doing it early 301 00:27:37,790 --> 00:27:46,550 Michael is a second and third work fee on February. Why don't we go ahead and block out? Yeah, the second and third 302 00:27:47,130 --> 00:28:02,590 We can, you know, if the board wants to engage in some discussion now about the nature of the retreat or we can schedule that for, you know, in our first work sessions and in the new year to talk about what you guys would like out of your retreat this year. 303 00:28:04,610 --> 00:28:05,470 That was easy. 304 00:28:06,050 --> 00:28:08,090 I know this is all going way too easy. 305 00:28:08,750 --> 00:28:09,750 We're waiting for it. 306 00:28:09,870 --> 00:28:10,070 We're waiting for it. 307 00:28:10,070 --> 00:28:11,350 We're not giving Rick anything to Rick. 308 00:28:20,430 --> 00:28:27,270 I'm really outside of schedule trying to work to schedule joint meeting with basalt 309 00:28:27,270 --> 00:28:30,570 in January and nailing down those retreat dates at this point. 310 00:28:30,690 --> 00:28:33,670 I really don't have anything else for future agendas for you. 311 00:28:33,910 --> 00:28:35,790 I have one heads up. 312 00:28:41,170 --> 00:28:45,230 We can put a we can certainly reach out and set up a joint meeting. 313 00:28:47,890 --> 00:28:50,630 Did we ever been meeting with Gunnison? 314 00:28:50,950 --> 00:28:51,990 We used to meet with Gunny. 315 00:28:52,490 --> 00:28:54,030 Gunnison really 316 00:28:56,410 --> 00:29:00,810 prefers to meet when there's a specific burning issue for both boards. 317 00:29:01,090 --> 00:29:04,910 We like counties been very active with us. 318 00:29:05,270 --> 00:29:07,270 I think Garfield County would be open. 319 00:29:07,270 --> 00:29:11,150 But I think it's a good time to me with Garfield County now that I've had a turnover. 320 00:29:12,050 --> 00:29:16,030 And I think they're starting to settle down on some of their administrative changes and 321 00:29:16,030 --> 00:29:22,110 such at the manager level and was on their senior staff with the attorney and manager. 322 00:29:22,350 --> 00:29:27,870 So they've certainly had a lot going on and it's probably a good time to get together 323 00:29:27,870 --> 00:29:28,370 with them. 324 00:29:29,590 --> 00:29:31,570 Let me tell you what, I've started meeting with Carbondale. 325 00:29:32,390 --> 00:29:34,090 It's been quite a while meeting with Carbondale. 326 00:29:34,090 --> 00:29:37,270 Yeah, we'll have to work on the scheduling of that this year. 327 00:29:37,370 --> 00:29:37,790 Yeah, yeah. 328 00:29:37,890 --> 00:29:41,090 Currently, Carm Dau and Garfield, that's coming up. 329 00:29:42,030 --> 00:29:42,130 Okay. 330 00:29:46,480 --> 00:29:46,660 Ready? 331 00:29:46,820 --> 00:29:50,280 The one thing that I have, I will not be here. 332 00:29:51,340 --> 00:29:55,740 This is planning way ahead on March 1st for the regular or for the work session. 333 00:29:56,320 --> 00:29:59,980 I'm hoping to, put on and see my... 334 00:30:02,520 --> 00:30:16,120 I'm sorry. March first. March. Those birthdays are getting real. Yes. Those birthdays are getting real important when she's 90 so I'm not going to surprise her this time because she almost killed me when I did that. 335 00:30:19,660 --> 00:30:29,900 This is also further out, but I could go ahead and put this date out there for Michael in the Board. Should I be fortunate enough to be reelected on the public lands? I will be missing the Fed 336 00:30:29,900 --> 00:30:38,220 January 24th regular meeting and would not be available to chair that or the Tuesday work session so there's some my NACO dates. 337 00:30:41,640 --> 00:30:48,160 John, on February 2nd, we have a joint meeting with City Council right now. 338 00:30:48,980 --> 00:30:58,480 Part of that is just housing guidelines just for an hour but we may want to schedule some work session time ahead of that in terms of 339 00:30:58,480 --> 00:31:00,400 if you want to add anything else on to the agenda. 340 00:31:00,520 --> 00:31:02,740 Well, we might want to cancel if we're having our retreat that day. 341 00:31:03,280 --> 00:31:05,140 Yeah, actually I miss the February second. 342 00:31:05,140 --> 00:31:05,400 Oh, exactly. 343 00:31:05,800 --> 00:31:06,100 Yeah. 344 00:31:07,200 --> 00:31:07,820 That's the second. 345 00:31:07,940 --> 00:31:08,360 Okay, so. 346 00:31:08,620 --> 00:31:10,000 We'll have to see if we can reschedule that. 347 00:31:10,320 --> 00:31:10,460 Yeah. 348 00:31:10,620 --> 00:31:11,340 City Councilman. 349 00:31:11,340 --> 00:31:11,600 Okay. 350 00:31:12,360 --> 00:31:13,360 Yeah, and I think. 351 00:31:13,700 --> 00:31:14,300 Good heads up though. 352 00:31:14,900 --> 00:31:14,980 Good. 353 00:31:15,900 --> 00:31:16,260 Yeah. 354 00:31:16,400 --> 00:31:17,460 How did I miss that? 355 00:31:20,900 --> 00:31:22,120 I just saw that it was a work session. 356 00:31:22,600 --> 00:31:23,500 Not a work session. 357 00:31:23,660 --> 00:31:23,960 That's right. 358 00:31:24,340 --> 00:31:24,700 Yeah, right. 359 00:31:25,220 --> 00:31:25,320 Yeah. 360 00:31:27,240 --> 00:31:27,600 Okay. 361 00:31:27,600 --> 00:31:31,500 I don't have a, our next EOTC, is that in March? 362 00:31:32,200 --> 00:31:33,120 It's scheduled right now. 363 00:31:35,180 --> 00:31:37,380 We're not out that far, I'm just curious if that was. 364 00:31:37,440 --> 00:31:40,120 You know, I'm gonna have to look up the email from John. 365 00:31:40,360 --> 00:31:42,460 I don't know off the top, George. 366 00:31:42,880 --> 00:31:42,980 Okay. 367 00:31:43,720 --> 00:31:46,940 I believe it, I think I've went towards the end 368 00:31:46,940 --> 00:31:48,860 of the first quarter, which would have us in March. 369 00:32:08,080 --> 00:32:11,440 Okay, anything else on the future agendas? 370 00:32:15,300 --> 00:32:16,520 Open discussion items. 371 00:32:18,720 --> 00:32:23,280 Actually, I was just going to email John Ealy was going to come down. 372 00:32:23,480 --> 00:32:26,320 He had a letter he wanted to discuss with you. 373 00:32:28,100 --> 00:32:33,200 I wonder if we want to take maybe a five minute break unless the board has any open discussion items. 374 00:32:33,440 --> 00:32:34,720 I have a couple things. 375 00:32:34,720 --> 00:32:36,920 I have a couple things but I wouldn't mind paying him break first. 376 00:32:38,540 --> 00:32:39,100 So Rachel? 377 00:32:39,100 --> 00:32:45,480 So, yeah, I emailed John and Nan this last night. 378 00:32:47,320 --> 00:32:51,680 I got a call yesterday morning from Tom Jim Kowski with Garfield County. 379 00:32:52,220 --> 00:32:58,040 And they, as we all are, are continuing to be concerned about the cost of private and 380 00:32:58,040 --> 00:33:01,520 healthcare insurance in our region and their region. 381 00:33:03,000 --> 00:33:08,120 And they, he wanted to know what would our board like to try to do. 382 00:33:08,120 --> 00:33:17,020 You know, we're similar to other places not seeing the real problem with the group insurance rates as much as, again, the private and that's a very limited pool. 383 00:33:18,260 --> 00:33:31,860 And so they're thinking that perhaps a bill to make all Colorado one region for rating purposes with the IRS would assist with the problems in rural communities like ours. 384 00:33:31,860 --> 00:33:36,920 It's also affecting the front range in places like that, the rural communities there. 385 00:33:37,580 --> 00:33:42,940 Once you get out of the metropolitan area, you know, I don't know, and he was saying, you 386 00:33:42,940 --> 00:33:49,320 know, you don't really think a bill like that might have a ability to pass given that it 387 00:33:49,320 --> 00:33:52,740 would affect other people's rates and potentially bring them up as others come down. 388 00:33:53,160 --> 00:33:59,400 But that it would create the attention and the focus on the problem that the rural areas 389 00:33:59,400 --> 00:34:00,820 are having with this issue. 390 00:34:02,140 --> 00:34:06,820 And so he had said, you know, when we talked to your board about it, see what people think. 391 00:34:07,920 --> 00:34:16,060 And then I think that they're having a conference call with summit and eagle and Garfield tomorrow, 392 00:34:16,320 --> 00:34:19,560 because we're all in that same district now, but we all have the same issue. 393 00:34:20,060 --> 00:34:24,180 Later this afternoon, and so I had forwarded that information to John to potentially sit 394 00:34:24,180 --> 00:34:24,340 in. 395 00:34:24,340 --> 00:34:29,520 And I don't know if it is something that if you don't think it's really going to pass, 396 00:34:30,120 --> 00:34:35,600 it's going to hurt your credibility working on other issues, or asking some of our legislators 397 00:34:35,600 --> 00:34:41,520 like Millie or their Red Legislator Bob Rankin to co-sponsor, whether it takes one of their 398 00:34:41,520 --> 00:34:44,040 five bills that they really could accomplish something with. 399 00:34:45,360 --> 00:34:50,920 But that seems to be at least one course that people are thinking about of how to start to 400 00:34:50,920 --> 00:34:52,160 drive a little change on this. 401 00:34:52,160 --> 00:34:57,000 So I thought I'd bring that up for you guys to think about and I'm sorry 402 00:34:57,000 --> 00:34:59,780 You know, I got the call yesterday right before very last 403 00:35:00,000 --> 00:35:29,580 Well, wasn't that part of the discussion that, that, um, Cardonathan had in basalt. That was her, one of her focuses was this, maybe this proportionate thing with in the Rocky Mountain region versus front range, et cetera, the different. Yeah, so just to even to go back a little bit further, this is actually something that we did advocate for one time was for the division of insurance to combine rating areas. So I think, 404 00:35:29,580 --> 00:35:36,100 I think what we looked at originally this day was divided I believe into 11 different 405 00:35:36,100 --> 00:35:47,820 rating areas and that probably required for accuracy requires a level of discrete data 406 00:35:47,820 --> 00:35:56,320 about actual costs in those areas in order to set rates that I think we didn't have 407 00:35:56,320 --> 00:36:01,780 a lot of confidence actually existed, that the rates are being set on a pretty limited 408 00:36:01,780 --> 00:36:09,040 data set within each of those discrete districts, and so we did make the argument to division 409 00:36:09,040 --> 00:36:15,800 of insurance two years ago now, I think that was when we were over there, that the 11 rating 410 00:36:15,800 --> 00:36:23,360 areas should really be combined down into one, until we have better data collection capabilities 411 00:36:23,360 --> 00:36:26,640 and analytical capabilities maybe to break out. 412 00:36:27,660 --> 00:36:33,120 The result of that discussion to get to the bottom line was they went from 11 rating 413 00:36:33,120 --> 00:36:39,080 areas to 9 rating areas combining the western slope into one rating area. 414 00:36:39,140 --> 00:36:44,320 They took all the resort regions and such and combined them into one with the exception 415 00:36:44,320 --> 00:36:50,640 of Mesa County which sits as a highland as a more urban and as county in the western 416 00:36:50,640 --> 00:36:52,620 because of Rocky Mountain health care. 417 00:36:52,780 --> 00:36:54,180 And because of Rocky Mountain health points. 418 00:36:55,780 --> 00:37:02,280 And so it would be a continuation of that discussion, 419 00:37:02,400 --> 00:37:05,680 I think, questioning the information 420 00:37:05,680 --> 00:37:10,120 in that it's probably a more accurate representation 421 00:37:10,120 --> 00:37:13,880 to go across the whole state rather than to break 422 00:37:13,880 --> 00:37:15,080 into discrete regions. 423 00:37:15,620 --> 00:37:19,280 I think the argument on the flip side of that division 424 00:37:19,280 --> 00:37:26,020 of insurance was looking at or what they came back to us with is to say, well, we also want 425 00:37:26,020 --> 00:37:31,220 to be sure there are incentives because we do believe there are areas of the state that have 426 00:37:31,220 --> 00:37:37,080 higher healthcare costs and areas that have lower healthcare costs and we want to be sure that there's 427 00:37:37,080 --> 00:37:44,500 an appropriate incentive for communities to work, that are high costs to really work on lowering 428 00:37:44,500 --> 00:37:49,540 their cost to kind of feel that pressure in the reality of those costs rather than have them 429 00:37:50,500 --> 00:37:57,100 kind of watered down by being averaged out with these lower cost areas. And so I think that's 430 00:37:57,100 --> 00:38:12,610 why they wanted to keep the different rating areas alive. I think the level of transparency right now 431 00:38:12,610 --> 00:38:22,550 and healthcare funding, finance, and cost still remains fairly low in a lot of areas. 432 00:38:22,810 --> 00:38:25,550 And so it's very, very difficult for us, I think, 433 00:38:25,550 --> 00:38:31,630 to evaluate the accuracy of actual costs within these discrete 11 districts 434 00:38:31,630 --> 00:38:35,550 or rating areas that have been set up. 435 00:38:35,670 --> 00:38:40,250 So, I'm sorry, now nine rating areas have been set up. 436 00:38:40,250 --> 00:38:46,010 So I do think there is an argument to, if not combined across the state, at least combined 437 00:38:46,010 --> 00:38:47,950 into larger regions. 438 00:38:48,690 --> 00:38:54,250 And as soon as you do divide into these rating areas, frankly, rural areas are always 439 00:38:54,250 --> 00:38:55,310 going to be more expensive. 440 00:38:55,810 --> 00:39:02,510 There is no way that rural areas, whether it be the eastern plains or the mountain, rural 441 00:39:02,510 --> 00:39:09,170 resort regions, are going to enjoy the economies of scale that urban areas are going to enjoy. 442 00:39:09,170 --> 00:39:16,450 And so if our goal is really to make health care more accessible, we should be leveraging 443 00:39:16,450 --> 00:39:20,850 that rural urban difference into a combined rating area. 444 00:39:21,090 --> 00:39:26,890 So all that is to say, I think there's a legitimate discussion to have about combining the 445 00:39:26,890 --> 00:39:27,690 rating area. 446 00:39:27,810 --> 00:39:27,910 Sorry. 447 00:39:28,150 --> 00:39:29,230 Kind of wound around that. 448 00:39:29,230 --> 00:39:30,550 I appreciate that. 449 00:39:30,830 --> 00:39:31,570 How should we back again? 450 00:39:33,330 --> 00:39:33,650 Michael? 451 00:39:33,650 --> 00:39:39,450 Is there a response to high cost to have the whole state work on or cost reductions? 452 00:39:43,270 --> 00:39:53,500 Yeah, and some areas of the state and fairness do have probably lower than national averages and some areas like ours, they probably have higher than the national averages. 453 00:39:55,060 --> 00:39:59,240 However, I think the solution needs to be a statewide solution. 454 00:39:59,240 --> 00:39:59,980 and you need to bring it in. 455 00:40:04,200 --> 00:40:29,980 And also, opportunity, you know, can create a more competitive environment if you can get out of your regions to get those services. Yeah, Tamaiko and John's point, I was just reading an article last night out of the New Yorker on healthcare, which I forwarded to John and Nan as well. But it's said that, you know, in areas where there are our towns or whatever, where there are four or more hot areas, 456 00:40:29,980 --> 00:40:40,220 hospital or providers, generally rates for services are about 15% less than areas that have less than four because of the competition. 457 00:40:40,920 --> 00:40:59,220 But the bigger example was the difference between, it was a great article, I'll try to forward it to everyone later if I can find it again, but even between Medicare payments for the same service versus private insurance payments for the same service, wildly different prices from town to town. 458 00:40:59,220 --> 00:41:07,500 for the exact same service because Medicare can negotiate a price for services with the hospitals and they have a set fee 459 00:41:07,500 --> 00:41:15,440 Where's private insurance companies can't do that and then on the flip side, private insurance companies can negotiate for lower drug costs 460 00:41:15,440 --> 00:41:24,520 But Medicare was forbidden from doing that and so it just talked about these wild swings between treatment costs for whether you're on Medicare, Medicaid, or 461 00:41:25,560 --> 00:41:29,580 private policy. The other item that we found two years ago 462 00:41:29,580 --> 00:41:34,640 in chasing this down was that we have so many employers who have group plans that their data 463 00:41:34,640 --> 00:41:38,860 doesn't go into the system the same way. That's part of that transparency that he's talking about. 464 00:41:39,360 --> 00:41:45,880 So when you look at a place like this, your major employers all have group policies. 465 00:41:46,180 --> 00:41:53,100 So their costs and benefits aren't in the dynamic. It's just this very small fraction of people with private policies. 466 00:41:53,100 --> 00:41:58,100 employees. And so even employers like City Market, depending on where they process their 467 00:41:58,100 --> 00:42:03,260 payroll, is where they consider all their employees to be employed. So they could get 468 00:42:03,260 --> 00:42:08,320 the lower rate, you know, for policies, for a group policy, because their office is in Denver 469 00:42:08,320 --> 00:42:12,840 or something like this. I mean, it just really was incredibly complex. I'm not sure it all 470 00:42:12,840 --> 00:42:17,920 made a lot of sense to me. The end of the article came down to, it really has a lot to 471 00:42:17,920 --> 00:42:21,880 do with the treatment paths. And that the type of things that we're working with with 472 00:42:21,880 --> 00:42:28,400 the Valley Health Alliance of two different towns compared in Texas, roughly similar poverty 473 00:42:28,400 --> 00:42:36,200 and illness ratios, roughly similar populations, and then one spending two times as much as 474 00:42:36,200 --> 00:42:37,860 the other gave the exact same results. 475 00:42:38,520 --> 00:42:42,520 But it's the overtreatment and it's the lack of follow-up and all sorts of things. 476 00:42:42,840 --> 00:42:48,520 So, you know, I was surprised to hear the Grand Junction actually had the highest single 477 00:42:48,520 --> 00:42:53,420 policy prices in the country, because we hear so much about Rocky Mountain Healthcare 478 00:42:53,420 --> 00:42:58,440 keeping their costs down, they also have the lowest Medicare costs in the country, 479 00:42:58,620 --> 00:43:00,420 because they do a great job following up. 480 00:43:00,600 --> 00:43:02,920 But the whole system is pretty crazy. 481 00:43:03,420 --> 00:43:08,320 So anyhow, it sounds like, to me, that it's a good conversation to have, it may be a good 482 00:43:08,320 --> 00:43:13,420 bill to support and to see what we can move forward from your analysis with that. 483 00:43:13,420 --> 00:43:15,120 At least I have the discussion. 484 00:43:15,300 --> 00:43:20,020 I think there's a, it provides a lot of pathways for us to discuss things that we would like 485 00:43:20,020 --> 00:43:25,820 to see even in our Valley Health Alliance efforts around information transparency and that. 486 00:43:25,920 --> 00:43:29,940 So I think Carrie Donovan, because she's had that meeting in, so that big meeting in 487 00:43:29,940 --> 00:43:31,020 basalt a couple of months ago. 488 00:43:32,380 --> 00:43:32,660 Okay. 489 00:43:33,500 --> 00:43:41,360 So one, one consideration people are traveling to where they can get the best procedure done 490 00:43:41,360 --> 00:43:49,960 for them most cost-effective. So, for instance, my daughter was sent from Alaska to Golden 491 00:43:49,960 --> 00:43:55,940 to have her shoulder operated on. Because it saved the insurance company a huge amount 492 00:43:55,940 --> 00:44:03,040 of money to pay her, airfare to go, had the surgery done in a place that they had, you 493 00:44:03,040 --> 00:44:08,620 know, had probably some sort of an arrangement worked out where it was low, their lowest 494 00:44:08,620 --> 00:44:15,960 costs they could get. And so people here, you don't go to have an organ transplant, that's 495 00:44:15,960 --> 00:44:21,280 from Valley Hospital, or when would you go somewhere else, where they have our experts 496 00:44:21,280 --> 00:44:32,900 at that. So that's just a trend in health care that you don't go to your local medical facilities 497 00:44:32,900 --> 00:44:38,880 for a lot of things, you've traveled somewhere else. So having it be a statewide thing to 498 00:44:38,880 --> 00:44:44,920 me makes a lot more sense than having it just be our region mind. 499 00:44:45,780 --> 00:44:50,260 Well, and one of the things that's been interesting when we did the look at the data two years ago 500 00:44:50,260 --> 00:44:57,960 is that can actually cut both ways that sometimes, you know, in a community that has a fluent 501 00:44:57,960 --> 00:44:59,920 members like like ours does. 502 00:45:00,000 --> 00:45:29,820 Does the travel costs, like if they're going from actually what might have been a lower cost service to a higher cost service area, where it's getting counted against our medical experience locally? That was another, so it's an interesting, it's so complicated once you get into it. Because you're right, there are centers of excellence that can reduce costs, there are centers of excellence that can actually increase costs the way that we understood as being counted. 503 00:45:29,820 --> 00:45:33,020 at least two years ago when we were looking at this. 504 00:45:34,140 --> 00:45:37,460 And the other kind of discussion that becomes important 505 00:45:37,460 --> 00:45:41,800 for the rural areas in particular is how do you provide enough 506 00:45:41,800 --> 00:45:44,500 support so that you can maintain services 507 00:45:44,500 --> 00:45:46,700 that you want to have in your community. 508 00:45:46,900 --> 00:45:50,320 Because if we start sending it all out or cherry picking, 509 00:45:52,380 --> 00:45:56,300 then the question of sustainability of our local services 510 00:45:56,300 --> 00:45:59,300 comes into question, which has been a big discussion. 511 00:45:59,300 --> 00:46:11,640 and it is remarkably complicated and this kind of takes a lot, if you combine the rating 512 00:46:11,640 --> 00:46:16,500 areas, it does take a lot of that off the table, at least initially. 513 00:46:17,240 --> 00:46:21,220 Well Steve, a pretty example was the eye surgery that I had, I had to have it done in Denver 514 00:46:21,220 --> 00:46:25,820 by a retinal specialist, but the procedure that I had to stay in Denver because of altitude 515 00:46:25,820 --> 00:46:28,100 issues, but my insurance wouldn't cover my stay. 516 00:46:28,100 --> 00:46:35,920 I was required by the position to stay at altitude for seven days and that came out of my 517 00:46:35,920 --> 00:46:36,460 own pocket. 518 00:46:36,960 --> 00:46:41,320 I said, why am I sleeping in my car with my head down for a 4-day and that was a little 519 00:46:41,320 --> 00:46:41,740 frustrating. 520 00:46:42,140 --> 00:46:47,160 And the other example was the friend who went to get her husband's MRI after brain surgery 521 00:46:47,160 --> 00:46:52,340 and it was $500 with better equipment in Denver and $3,500 in the valley. 522 00:46:53,140 --> 00:46:58,500 And that, you know, those price discrepancies, you know, affect where you're going to go. 523 00:46:58,860 --> 00:46:59,400 I mean, they really do. 524 00:46:59,440 --> 00:47:02,460 Are people who are now shopping for the better deal for health care? 525 00:47:02,940 --> 00:47:08,600 Well, and frankly, it's supposed to encourage that, you know, it is just down to saying incredibly 526 00:47:08,600 --> 00:47:09,060 complex. 527 00:47:09,060 --> 00:47:14,620 I recall Dr. Mitchell saying pretty clearly, look, you know, if we were running this like 528 00:47:14,620 --> 00:47:18,880 a business, we wouldn't keep the emergency room open after midnight, you know, it's as we 529 00:47:18,880 --> 00:47:19,460 wouldn't do it. 530 00:47:19,460 --> 00:47:25,240 But people want in emergency room 24 hours a day, so we're all paying for that effectively through our rates. 531 00:47:26,320 --> 00:47:32,060 But I just want to say before we move on to any other subjects that this does mean that we may, 532 00:47:32,320 --> 00:47:35,800 it should reach a stage of being a viable bill or bill we're introducing. 533 00:47:36,440 --> 00:47:41,320 Coming down to give testimony, producing some picking county data, some information, 534 00:47:41,520 --> 00:47:44,580 having the point of view, and proceeding it seriously. 535 00:47:45,360 --> 00:47:48,160 So I just wanted to make sure we knew it was a little bit of a workload 536 00:47:48,160 --> 00:47:50,900 We're asking John and staff if we're pursuing that. 537 00:47:53,180 --> 00:47:56,080 That was my only open discussion item. 538 00:47:56,620 --> 00:47:56,760 Okay. 539 00:47:57,680 --> 00:48:01,960 We want to have John on the open discussion, John Ely. 540 00:48:02,300 --> 00:48:04,820 Are you ready for the open discussion item? 541 00:48:05,360 --> 00:48:06,600 I'm kind of took all your space. 542 00:48:06,780 --> 00:48:07,840 As you are here for. 543 00:48:09,380 --> 00:48:16,000 The board would know what I would like to do is offer for 544 00:48:16,000 --> 00:48:24,240 consideration of a letter that's proposed to be sent to the BLM in 545 00:48:26,920 --> 00:48:28,200 response to a new 546 00:48:28,200 --> 00:48:29,980 request for an extension of time. 547 00:48:30,500 --> 00:48:31,620 This has points on it, John. 548 00:48:34,600 --> 00:48:41,900 This is for the extension of the deadline for comment. 549 00:48:42,240 --> 00:48:42,400 Yes. 550 00:48:46,720 --> 00:48:49,860 All right, John, I'm here for you, but it's okay. 551 00:48:52,390 --> 00:48:53,110 There you go. 552 00:48:53,390 --> 00:48:58,050 That's a amazing kind of letter, it's a letter that's in response to you. 553 00:48:59,290 --> 00:49:00,050 We'll talk. 554 00:49:03,020 --> 00:49:03,640 You can call me. 555 00:49:03,900 --> 00:49:04,520 Oh, yeah. 556 00:49:04,960 --> 00:49:06,280 She's coming over for a second. 557 00:49:14,430 --> 00:49:14,690 Okay. 558 00:49:14,870 --> 00:49:15,310 That's okay. 559 00:49:16,090 --> 00:49:17,130 All right. 560 00:49:17,250 --> 00:49:17,590 Oh, right. 561 00:49:20,450 --> 00:49:22,690 I thought they'd already denied these. 562 00:49:22,730 --> 00:49:23,070 They did. 563 00:49:23,690 --> 00:49:24,830 It's been re-assured. 564 00:49:25,250 --> 00:49:25,730 Reiterated. 565 00:49:25,870 --> 00:49:26,150 That's correct. 566 00:49:26,410 --> 00:49:26,650 Okay. 567 00:49:27,230 --> 00:49:28,510 The first request for... 568 00:49:28,510 --> 00:49:30,690 was for 90 days and this is for 45. 569 00:49:57,880 --> 00:50:00,000 So the bottom line is John this. 570 00:50:00,000 --> 00:50:12,720 That our response is saying let's just move forward. Yes, denied the request, the renewed request. Because it's really not necessary to extend it. Absolutely. 571 00:50:19,290 --> 00:50:24,110 I mean, Mesa County made boycott. I mean to our meeting. You know, 572 00:50:28,980 --> 00:50:39,540 the only thing I get out of reading it is the final paragraph is to again kind of close with restating our position more formally. So, you know, 573 00:50:39,540 --> 00:50:45,300 So, delay would merely force all parties to continue to tread water waiting for a resolution. 574 00:50:46,580 --> 00:50:51,820 We therefore respectfully request that you deny the application to its step. 575 00:50:52,140 --> 00:50:52,220 Okay. 576 00:50:52,420 --> 00:50:54,520 Yeah, just so it's restated at the bottom. 577 00:50:55,760 --> 00:50:56,540 I agree. 578 00:50:57,480 --> 00:51:00,120 John, what's the downside of the extension? 579 00:51:01,980 --> 00:51:08,740 The downside of the extension is delay to the process and perhaps taking this out of 2016 580 00:51:08,740 --> 00:51:16,380 team, which would put us into a new administration, the objective, of course, is to have this 581 00:51:16,380 --> 00:51:22,920 process come to conclusion with the same players, so to speak, administrative officials 582 00:51:22,920 --> 00:51:26,260 who were there when the process was initiated. 583 00:51:26,740 --> 00:51:32,840 It allows for a degree of continuity and a greater understanding comprehension of the issues 584 00:51:32,840 --> 00:51:36,540 and the circumstances of what's going on 585 00:51:36,540 --> 00:51:38,400 and proposed to go on in Thompson Divide 586 00:51:38,400 --> 00:51:40,580 and makes for a smoother process. 587 00:51:41,980 --> 00:51:43,940 So that's the primary objective. 588 00:51:44,800 --> 00:51:45,000 Okay. 589 00:51:49,790 --> 00:51:53,530 I'm good with this, but can I ask something else? 590 00:51:54,090 --> 00:51:55,910 Mr. Neal and comments on this letter. 591 00:51:57,370 --> 00:52:01,290 John, are we going to be sending our own Picking County letter 592 00:52:02,810 --> 00:52:06,470 to the BLM supporting alternative four? 593 00:52:06,470 --> 00:52:06,830 Yes. 594 00:52:09,170 --> 00:52:20,210 When we do that, I'd like to refer to the joint letter that was sent, and make 595 00:52:20,210 --> 00:52:26,650 a sort of reference to, you know, let's see, with this in mind, we replace the C to BLN 596 00:52:26,650 --> 00:52:32,310 strap, the IS container for pose action. Of course, it never specifically said what was 597 00:52:32,310 --> 00:52:39,310 a proposed action. So I'd like to couch it that based on our joint letter, that proposed 598 00:52:39,310 --> 00:52:45,950 action that we support is alternative four. So it's very clear. I'm sorry that that's 599 00:52:45,950 --> 00:52:53,770 not getting this letter, politics to President, but I think we can refer to this letter and 600 00:52:53,770 --> 00:52:58,090 strengthen this joint letter by saying, and that proposed action is alternative four. 601 00:52:58,090 --> 00:53:06,590 Absolutely, absolutely. And the other jurisdictions may also be referring to the letter from their point of view as well, and that's fine. 602 00:53:13,310 --> 00:53:15,830 Yeah, so I think we should look at this letter. 603 00:53:16,250 --> 00:53:16,410 Okay. 604 00:53:16,690 --> 00:53:17,110 With the change. 605 00:53:18,190 --> 00:53:20,330 Is that all right to everyone? 606 00:53:21,290 --> 00:53:21,950 Yeah. Thanks. 607 00:53:22,150 --> 00:53:23,050 Thanks, John. Thanks, John. 608 00:53:27,660 --> 00:53:29,940 Let's see a light on the light that I had. 609 00:53:31,200 --> 00:53:36,000 We'd like to collect that stuff and get rid of it for you or you can hang on to it if you want. 610 00:53:43,480 --> 00:53:58,140 Last night at a Solstice party, I had a conversation with Brent Gardner Smith and he was asking me where we are in our planning of the layout of our new 611 00:53:58,140 --> 00:54:03,920 a new commissioner's meeting room in the new building and he has real definite ideas 612 00:54:03,920 --> 00:54:13,120 about making sure that there's a good press table with electronic connections and monitor 613 00:54:13,120 --> 00:54:23,500 and different things and he said he would contact you John about that and then we had a larger 614 00:54:23,500 --> 00:54:30,800 conversation with several people who have been done presentations before, elected boards, 615 00:54:31,320 --> 00:54:38,560 not stars, but others, and in a variety of meeting rooms from Breckenridge to Garfield 616 00:54:38,560 --> 00:54:47,580 County, to Aspen City Council in various places, and one was Harry Teague was in on that conversation. 617 00:54:49,080 --> 00:54:56,330 and they really hope that we can do as close to the ideal setup for our new meeting room in 618 00:54:56,330 --> 00:54:59,950 in terms of the layout for it, and so... 619 00:55:00,180 --> 00:55:29,520 I don't think it's too early to start thinking about it but then I also thought when we're meeting in the library meeting room might be an opportunity to try different configurations of how we have our seats in relation to how the public's seats are and where the press table would be and all those different items could be. We could shift them around when we're in there and 620 00:55:29,520 --> 00:55:36,320 see if there's a certain way that works better for us and for the public and for the press 621 00:55:36,320 --> 00:55:42,180 while we're in there. So I thought it's not too soon to bring that subject up even 622 00:55:42,180 --> 00:55:48,040 though we're still kind of with the legal block part of the discussion on what is actually 623 00:55:48,040 --> 00:55:56,580 inside the building. So in January we're going to be we have a work session that we're scheduling 624 00:55:56,580 --> 00:56:03,600 really to look at two things. One, to bring back the exterior. You guys gave 625 00:56:03,600 --> 00:56:07,740 a lot of feedback on the exterior and so we're going to bring back what we 626 00:56:07,740 --> 00:56:14,840 understood that to be and how it translates into a proposal now for the 627 00:56:14,840 --> 00:56:20,760 building based on those discussions. And also sometimes I've particularly to 628 00:56:20,760 --> 00:56:23,840 talk about the meeting room and so we're going to have a work session on that 629 00:56:23,840 --> 00:56:30,520 coming up in January here, just so we could start to get some of those ideas. We have talked 630 00:56:31,480 --> 00:56:37,920 about the need for press workspace, you know, because right now the press will come in. 631 00:56:38,040 --> 00:56:43,760 Wait, press work? Yeah, it will be small, don't worry. 632 00:56:45,840 --> 00:56:49,480 But, you know, usually with laptops or 633 00:56:49,480 --> 00:56:57,300 recording devices and such, and if we can create a better space for the press, so they 634 00:56:57,300 --> 00:56:59,980 can accurately report on us, right? 635 00:57:00,600 --> 00:57:04,960 We can see the screens of their computers, so we know what they're actually doing. 636 00:57:05,060 --> 00:57:06,060 It's easy to watch it on the press. 637 00:57:06,800 --> 00:57:08,440 We like it when you come over and say yes. 638 00:57:08,700 --> 00:57:12,380 And then, you know, have clear areas for the public. 639 00:57:12,540 --> 00:57:17,280 We do not have that delineated yet, but we certainly, that's been part of our discussion. 640 00:57:17,280 --> 00:57:19,560 and then it'll be difficult to fit all that in, 641 00:57:19,560 --> 00:57:22,140 but I think we have the opportunity to right now. 642 00:57:22,720 --> 00:57:26,440 So, and we'll talk about that in January some more, 643 00:57:26,800 --> 00:57:29,680 and see what you guys think of what we're looking at, Rachel. 644 00:57:30,080 --> 00:57:32,820 Yeah, I really appreciated it, 645 00:57:32,840 --> 00:57:34,920 and thought it was a very collaborative work session 646 00:57:34,920 --> 00:57:36,520 on the building exterior. 647 00:57:37,220 --> 00:57:39,320 I didn't think to mention it at the time, 648 00:57:39,320 --> 00:57:41,140 but I'm hope that they're bringing back 649 00:57:41,140 --> 00:57:43,380 a couple of options for us to look at on things 650 00:57:43,380 --> 00:57:49,260 such as the entryway arch, you know, there were so many different designs shown and I hope 651 00:57:49,260 --> 00:57:53,280 it doesn't come back as just a one and then we start critiquing and going from there. 652 00:57:53,460 --> 00:57:59,800 So if you could talk to them, it would just be my hope that we see a couple different versions 653 00:57:59,800 --> 00:58:07,880 of what that entryway arch could look like or even what the new roof line for the overhang 654 00:58:07,880 --> 00:58:13,340 for this building would look like so it's not a single thing and then we start 655 00:58:13,340 --> 00:58:18,540 all designing at the table. Yeah and I think the entryway definitely that's a 656 00:58:19,140 --> 00:58:24,520 that's pretty interchangeable. The roof line will one be careful about it in 657 00:58:24,520 --> 00:58:31,020 sure. Well and again the entryway arch I think at least none of the existing ones 658 00:58:31,020 --> 00:58:35,880 were really it you know and so that's why you know we know in like the real 659 00:58:35,880 --> 00:58:41,600 modern metal entryway and the other one looked too large and I'd suggested a pillar perhaps 660 00:58:41,600 --> 00:58:45,960 is enough to demarcate the sidewalk. So they should just bring back some options. 661 00:58:46,180 --> 00:58:52,160 And we also have been talking to the veterans community who have some input to and try and incorporate 662 00:58:52,160 --> 00:58:52,500 that. 663 00:58:52,840 --> 00:58:53,000 Okay. 664 00:58:53,400 --> 00:58:53,480 Yeah. 665 00:58:54,060 --> 00:58:54,180 Good. 666 00:58:55,820 --> 00:58:57,080 I have one thing. 667 00:58:57,700 --> 00:58:58,080 I don't know. 668 00:58:58,260 --> 00:59:02,640 I don't see anybody else with the packet information we got, but the letter from Lenny Oates, did 669 00:59:02,640 --> 00:59:03,360 everybody get that? 670 00:59:03,940 --> 00:59:04,700 I got that. 671 00:59:04,740 --> 00:59:05,540 I did not bring that in. 672 00:59:05,540 --> 00:59:11,760 Okay, and you just need to decide how to address that if we want to. 673 00:59:12,080 --> 00:59:13,240 I don't know what you're talking about. 674 00:59:13,420 --> 00:59:15,100 Did you get a copy in your box? 675 00:59:15,400 --> 00:59:16,620 I have made up to see in my box. 676 00:59:17,000 --> 00:59:20,240 Yeah, well, when you guys read it, let's just make a decision on what we want to do. 677 00:59:20,720 --> 00:59:24,900 Yeah, is it something we might be able to add to the executive session at this point? 678 00:59:25,060 --> 00:59:26,820 It's a potential. 679 00:59:28,540 --> 00:59:31,020 I think we've discussed it once, but we didn't. 680 00:59:31,220 --> 00:59:31,860 And then it came back. 681 00:59:31,860 --> 00:59:38,300 So I don't know if John Ealy has already responded to that letter we got or what so maybe we could add it to executive if possible 682 00:59:40,560 --> 00:59:41,640 See if John 683 00:59:48,160 --> 00:59:52,220 That would be great just so we can yeah have it done so that's it 684 00:59:54,230 --> 00:59:55,270 for me 685 01:00:02,100 --> 01:00:07,240 If, you know, along those lines for 686 01:00:09,830 --> 01:00:33,490 the executive session, motion, it may be appropriate then to do for a acquisitions and for e negotiations. I think that'd be appropriate. Anyway, because the acquisitions discussion requires negotiations. Well, it would require both negotiations and add some lease components to it, which are probably more appropriate. 687 01:00:33,490 --> 01:00:39,570 it under negotiations and then if we had the discussion about the letter that we receive 688 01:00:39,570 --> 01:00:41,370 that would fall under negotiations. 689 01:00:43,410 --> 01:00:52,710 Okay, so I would entertain a motion to go into open a special meeting and entertain a 690 01:00:52,710 --> 01:01:01,830 motion to go into executive session for purposes of acquisitions, CRS 24-6, that's 4024A 691 01:01:01,830 --> 01:01:16,510 and negotiations CRS 24-6-402-4E so move second all in favor say hi hi thank you 692 01:01:16,510 --> 01:01:19,930 for joining us and have a good holiday we 693 01:01:22,070 --> 01:01:23,990 want to give a few minutes 694 01:01:23,990 --> 01:01:25,490 Yeah, we're doing research.