1 00:00:00,000 --> 00:00:13,980 Sest valuation for this year, for property tax collection next year, is up 13.3% and that's because this was a re-valuation year. 2 00:00:14,300 --> 00:00:28,060 Every two years, the assessor re-values property to, in this case, June of 2014 is what these market values represent. 3 00:00:28,060 --> 00:00:39,540 value of property at that time and so that's up 13.3% over the two-year period from June of 2012. 4 00:00:41,160 --> 00:00:44,400 And that's the first increase since the recession. 5 00:00:46,200 --> 00:00:56,160 In your memo, we dropped 24.5% in the valuations through 2010. 6 00:00:56,160 --> 00:01:07,600 and then another 6.1% in the valuation through 2012. So now we're coming back of 13.3% 7 00:01:08,020 --> 00:01:20,900 the total tax roll taxes to be property taxes to be collected next year are 114 million dollars 8 00:01:20,900 --> 00:01:25,440 Approximately, which is a 9.3% increase. 9 00:01:27,420 --> 00:01:36,260 The reason that approximates the 13.3% is that we have several districts with fixed no levees. 10 00:01:38,060 --> 00:01:45,940 So, as valuation goes out by 13.3%, their property tax collections go up by 13.3%. 11 00:01:45,940 --> 00:01:56,500 For example, the hospital, CMC, and the county's open space program all have fixed 12 00:01:56,500 --> 00:01:59,120 millevies that would be increasing taxes. 13 00:01:59,380 --> 00:02:04,860 There are also some fire-production districts that have a portion of their millevies 14 00:02:04,860 --> 00:02:07,140 is fixed as well. 15 00:02:07,140 --> 00:02:16,820 So, and we had several elections for increases to both the school districts, the hospital 16 00:02:16,820 --> 00:02:28,140 re-upping their no-levy, and so, some of the largest increases, we covered that page, 17 00:02:28,140 --> 00:02:38,460 The very small print page with colors on it, the county as a whole, including the open 18 00:02:38,460 --> 00:02:48,980 space fund, is increasing $1.7 million. CMC has seen a $1.3 million increase, the two school 19 00:02:48,980 --> 00:02:57,140 districts, Aspen and our portion of the rowing for school district are up in total $4 million. 20 00:02:57,140 --> 00:03:04,640 to the school districts, two and a half of that, it's Aspen, one and a half rowing fork. 21 00:03:05,620 --> 00:03:12,620 And then Aspen Valley Hospital by reading up in there has a one million dollar increase as well. 22 00:03:13,180 --> 00:03:14,700 So those are the biggies. 23 00:03:16,240 --> 00:03:19,100 And with that, you don't have any questions. 24 00:03:19,860 --> 00:03:24,880 We need to use a motion to approve certification and no lunch. 25 00:03:27,440 --> 00:03:36,840 My question was, and I sort of, no part of the answer, but what are the title 32 districts? 26 00:03:37,280 --> 00:03:39,300 Those are all the special districts. 27 00:03:40,460 --> 00:03:47,360 So basically, you have the county, you have municipalities, aspen, basalt, and so on, you have 28 00:03:47,360 --> 00:03:56,040 school districts and then we have everybody else who's called a title 32 district. That includes 29 00:03:56,040 --> 00:04:06,640 the fire protection districts, water and sanitation districts, metropolitan districts, metro districts, 30 00:04:07,140 --> 00:04:13,980 those are all the special districts that are title 32. And the title 32 refers to the color 31 00:04:18,860 --> 00:04:21,980 That's their formation of the statute, right? 32 00:04:24,060 --> 00:04:29,980 Great, so we're just looking up the mill, right now. 33 00:04:31,820 --> 00:04:31,840 Yep. 34 00:04:32,060 --> 00:04:33,500 Do you have any questions on it? 35 00:04:33,580 --> 00:04:35,420 We have been through this before. 36 00:04:36,100 --> 00:04:36,640 Thank you. 37 00:04:36,760 --> 00:04:37,440 And at my apologies. 38 00:04:38,080 --> 00:04:40,120 I don't know what happened to the alarm just didn't even go on. 39 00:04:41,560 --> 00:04:43,260 I'm looking at things. 40 00:04:46,630 --> 00:04:47,350 But I brought cookies. 41 00:04:48,730 --> 00:04:50,910 And then that makes my cake. 42 00:04:51,230 --> 00:04:53,890 That might be a piece of sugar, though, ma'am. 43 00:04:55,970 --> 00:04:57,870 So just for the public. 44 00:05:00,000 --> 00:05:14,920 This is a statutory requirement that before we produce these millevies. This is like our last official act of this calendar year, we will take our holiday break. 45 00:05:16,300 --> 00:05:19,580 So, I would then have to change the motion to. 46 00:05:21,400 --> 00:05:22,820 I have another question first. 47 00:05:22,920 --> 00:05:23,380 Yeah, okay. 48 00:05:24,560 --> 00:05:28,940 So, what we're approving, there's no resale or anything before us. 49 00:05:29,180 --> 00:05:33,920 It's just we are approving the participants document, 50 00:05:35,100 --> 00:05:40,980 which is entitled Budget 2016 Certification of the University of Canada. 51 00:05:42,020 --> 00:05:46,280 Okay, so I'll make a motion to approve a certification of 52 00:05:46,280 --> 00:05:49,420 have you seen Reven is for the budget year 2016? 53 00:05:49,940 --> 00:05:50,100 Yes. 54 00:05:51,120 --> 00:05:51,580 Okay. 55 00:05:51,700 --> 00:05:54,100 It's moved in second unto approve the certification 56 00:05:54,100 --> 00:05:58,520 and any further discussion on favor say aye. 57 00:05:58,920 --> 00:05:58,960 Aye. 58 00:05:59,740 --> 00:06:00,260 Thank you. 59 00:06:00,580 --> 00:06:00,900 All right. 60 00:06:01,180 --> 00:06:01,440 Thank you. 61 00:06:01,560 --> 00:06:02,880 I found a lot of money calling. 62 00:06:04,040 --> 00:06:05,540 Well, right in the checks to other people. 63 00:06:06,020 --> 00:06:06,440 Thank you. 64 00:06:08,300 --> 00:06:08,700 Thank you. 65 00:06:12,120 --> 00:06:12,400 Okay. 66 00:06:12,580 --> 00:06:18,080 Next we, oh, I didn't obtain a motion to adjourn the special meeting. 67 00:06:18,080 --> 00:06:18,940 So moved. 68 00:06:20,280 --> 00:06:21,360 Sir, second. 69 00:06:22,880 --> 00:06:25,500 All in favour of adjourning the special meeting say aye. 70 00:06:25,520 --> 00:06:26,000 Aye. 71 00:06:29,130 --> 00:06:33,850 Okay next we have Jeanette, you can go on vacation now. 72 00:06:35,290 --> 00:06:35,610 Almost. 73 00:06:36,390 --> 00:06:37,510 She's not dead yet. 74 00:06:38,350 --> 00:06:39,290 Right Jeanette. 75 00:06:42,010 --> 00:06:46,270 Next we have point months to various sports and permissions. 76 00:06:47,830 --> 00:06:48,110 Okay. 77 00:06:48,110 --> 00:06:55,250 Thanks Steve. Every year at your first regular meeting, the Board adopts a resolution, 78 00:06:56,590 --> 00:07:04,210 appointing commissioners to different boards and commissions that board members are asked 79 00:07:04,210 --> 00:07:12,890 to serve on as well as appointing the chair and vice chair for the Board. What we have in front 80 00:07:12,890 --> 00:07:19,930 reviewed today is a request just to seek guidance for preparation of that resolution for the 81 00:07:19,930 --> 00:07:27,950 first regular meeting. In your packet is really two things. One for the various commissions 82 00:07:27,950 --> 00:07:37,390 and such that the board members serve on. We have the 2015 appointments. And so if there's 83 00:07:37,390 --> 00:07:45,570 discussion to be had about change on those appointments. We'd be seeking that guidance today. 84 00:07:46,290 --> 00:07:55,630 Additionally, for the Chair and Vice Chair, what the Board has been doing really for almost 85 00:07:55,630 --> 00:08:05,350 about the last since 2009, we've been rotating the Chair and Vice Chairmanship by Commissioner 86 00:08:05,350 --> 00:08:12,190 district. This isn't a perfect system because there's five of you and there's four 87 00:08:12,190 --> 00:08:19,370 year terms and so we from time to time run into cycles like we will run into in 88 00:08:19,370 --> 00:08:26,850 2017 where we would have a first year commissioner in the loop to be chair and 89 00:08:26,850 --> 00:08:34,470 typically we do some changing there. The way the rotation works for 2016 we do 90 00:08:34,470 --> 00:08:42,450 have that issue. The rotation would have Rachel who is currently the vice chair as the 91 00:08:42,450 --> 00:08:49,030 district 2 commissioner stepping into the chair position and Michael Housley from district 92 00:08:49,030 --> 00:09:02,870 3 stepping into the vice chair position. You'll see in 2017 both both districts in the 93 00:09:02,870 --> 00:09:09,490 election, what we will have a new district three commissioner who would be set to rotate 94 00:09:09,490 --> 00:09:16,650 into the chair position and we have our district five commissioner George and George 95 00:09:16,650 --> 00:09:20,510 I'm not going to put you on the spot and ask if you're going to run again and that's sort 96 00:09:20,510 --> 00:09:29,870 of thing but a lot of to be determined to be determined but I think we need to see the outcome 97 00:09:29,870 --> 00:09:34,810 of that process and have the discussion again next year, obviously, if George came in, we 98 00:09:34,810 --> 00:09:39,850 would probably want to flip that and rotate George into the chair position, let the new 99 00:09:39,850 --> 00:09:46,770 commissioner have a year of experience gain before they did that, but I think that's a discussion 100 00:09:46,770 --> 00:09:59,850 better to have next year. And so what we're looking for today is guidance one that we want to 101 00:09:59,850 --> 00:09:59,930 Thank you. 102 00:10:01,120 --> 00:10:11,160 And then any discussion about changes that, if any, that we want to make to the 2015 appointment, it's going forward. 103 00:10:11,640 --> 00:10:15,840 I appreciate this, because I think it looks like you've reelected me in 2019. 104 00:10:17,820 --> 00:10:23,380 Oh, good word, yeah, I'm really really sure about it. I'm sorry, okay. We should have had a TVD there. 105 00:10:23,380 --> 00:10:27,720 I mean, it looks pretty good to me right here. 106 00:10:29,700 --> 00:10:33,080 We tried to capture those, but you know, we're going to get a year off. 107 00:10:33,100 --> 00:10:34,760 I'm going to come, come, come, come, come, come. 108 00:10:40,710 --> 00:10:51,330 So with that, I turn it back on me to the board, perhaps it'd be easiest to start with the chair and vice chair discussion and work our way backwards since that's been a pretty standard rotation. 109 00:10:53,330 --> 00:11:01,810 Yeah, I truly look forward to my last opportunity to be chair before I'm term-limited out. 110 00:11:02,170 --> 00:11:04,410 So my name's not under the STBDs at all. 111 00:11:05,910 --> 00:11:12,590 And as I did when I was chair before, I'd be very diligent about getting that alarm earlier 112 00:11:12,590 --> 00:11:13,210 than ever. 113 00:11:13,770 --> 00:11:15,890 The meeting with John and being here on time to start the meeting. 114 00:11:16,230 --> 00:11:19,930 So I do apologize for this morning, especially I really don't know what happened. 115 00:11:22,450 --> 00:11:25,510 We've got sugar out to about 20 departments yesterday. 116 00:11:25,770 --> 00:11:27,990 I got a lot more to do to that after we're done. 117 00:11:28,590 --> 00:11:31,110 But the one thing I would like to, you know, 118 00:11:31,150 --> 00:11:35,070 put out there to, you know, and I'm sure Michael would be interested 119 00:11:35,070 --> 00:11:37,550 in being a good chair, vice chair, in my absence, 120 00:11:38,430 --> 00:11:40,870 is that because we have a rotating chairmanship 121 00:11:41,950 --> 00:11:43,950 and, you know, you become chair, whether you're a good 122 00:11:43,950 --> 00:11:45,370 a chair or you're bad at chair. 123 00:11:46,630 --> 00:11:55,410 It's not a competition in the classic sense where other boards try to keep somebody or decide who does it the best for their boards. 124 00:11:55,810 --> 00:11:56,930 And so it's not that situation. 125 00:11:57,550 --> 00:12:05,750 I do have other obligations that at times I'm going to miss these meetings here for the public lands, particularly, or CCI. 126 00:12:05,750 --> 00:12:15,430 I do never, I've never missed these meetings in order to go to club 20 or, or those, but that one would kind of supersede. 127 00:12:15,670 --> 00:12:20,650 So there may be times that I will have to miss a Wednesday meeting and Michael have to chair. 128 00:12:21,630 --> 00:12:33,330 So if that, you know, I know Michael, you travel a little bit, so we'd have to talk to the board in advance and see if anybody would need to step in if by chance the two of us being a way fell on the same Wednesday. 129 00:12:33,330 --> 00:12:36,710 But that's all, am I only comment? 130 00:12:39,910 --> 00:12:40,730 Is that okay with you, Michael? 131 00:12:41,650 --> 00:12:41,810 Yeah. 132 00:12:42,430 --> 00:12:42,710 Okay. 133 00:12:42,790 --> 00:12:43,630 So what are we doing, right? 134 00:12:43,710 --> 00:12:44,550 Yeah, that's what we do. 135 00:12:44,690 --> 00:12:45,670 I just began with a lot. 136 00:12:45,750 --> 00:12:47,930 You know that maybe sometimes when there's direct conflicts, 137 00:12:48,870 --> 00:12:50,890 but those positions do take time and 138 00:12:50,890 --> 00:12:52,350 some already to work your way into. 139 00:12:53,270 --> 00:12:54,750 Let them go for one here. 140 00:12:55,090 --> 00:12:55,790 Okay, thank you. 141 00:12:56,150 --> 00:12:58,350 Rachel, I appreciate your comments about, 142 00:12:59,130 --> 00:13:01,950 you know, we take turns being chair. 143 00:13:02,730 --> 00:13:06,570 And I think my experience this year being chair, 144 00:13:06,570 --> 00:13:13,610 I think it makes you a better board member to be the chair in the rotation because you understand 145 00:13:13,610 --> 00:13:16,510 more than the way the whole process works. 146 00:13:17,670 --> 00:13:18,750 I agree with that, Steve. 147 00:13:20,230 --> 00:13:22,770 And it's been a good experience for me. 148 00:13:22,890 --> 00:13:24,010 I've enjoyed it. 149 00:13:24,010 --> 00:13:25,470 And it's sometimes it's stressful. 150 00:13:27,070 --> 00:13:33,330 But definitely it's a different view of how the Board of Commissioners works. 151 00:13:35,810 --> 00:13:42,350 So we'll prepare, we'll take that as guidance to prepare the resolution for chair and vice chair, 152 00:13:42,870 --> 00:13:48,990 for this rotation, so the official changing of guard will happen at the first regular meeting in January. 153 00:13:51,070 --> 00:14:02,490 The other items we were seeking guidance on is the appointments to the various boards committees and 154 00:14:02,490 --> 00:14:10,010 other areas for the county's represented if there are any changes or discussion there 155 00:14:10,010 --> 00:14:13,890 if we should leave those appointments as they stand. 156 00:14:15,670 --> 00:14:16,190 Steve? 157 00:14:16,790 --> 00:14:22,910 I just want to say that I'm still really confused about the workforce boards and I think most 158 00:14:22,910 --> 00:14:26,390 of the people who attend those meetings are still really confused because we really don't 159 00:14:26,390 --> 00:14:31,790 have a worrisome region as we had in the past so I mean I go to the meeting if they actually 160 00:14:31,790 --> 00:14:35,490 Oh, Khan stigma from some at County asked me to be the 161 00:14:35,490 --> 00:14:43,450 Leak the Cleo, which is the chief elected official for this for next year, but I'm not going to do that because it's 162 00:14:43,950 --> 00:14:48,890 Most of the meetings are phone meetings, but they all really meet on the I70 corridor 163 00:14:48,890 --> 00:14:59,810 And then she travels around the front range sometimes and I don't really know enough about what the workforce does other than it's required by state statute 164 00:15:00,270 --> 00:15:15,380 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. 165 00:15:16,530 --> 00:15:25,150 I'm getting back involved in that because of some of the issues we have run on with our force here, the prescribed burden, we're going to do it 100 creek. 166 00:15:25,650 --> 00:15:35,150 There's some funding opportunities through CBBC that I'm working with Gary Tanabam about to see what we might be able to bring out of that. 167 00:15:35,790 --> 00:15:39,030 And the other one is with Northwest Colorado Council of Governments. 168 00:15:39,310 --> 00:15:44,210 Actually, they have the economic development district which is kind of a sub entity of that. 169 00:15:44,230 --> 00:15:45,890 And I'm Vice Chairman of that. 170 00:15:45,890 --> 00:15:48,590 I think Rob was chairing that. 171 00:15:48,590 --> 00:15:52,170 And we have arranged for the meetings this last year, the meetings were all on our regular Wednesday. 172 00:15:52,170 --> 00:15:58,270 So I couldn't go. So they have switched that so that I'll be able to participate. Some of the meetings actually follow North West 173 00:15:58,270 --> 00:16:04,250 God. Fog and other meetings. There's a workboard part of it that's, that's going to be on Wednesdays. 174 00:16:04,930 --> 00:16:10,210 So I'm going to be attending those as part of North West Cox. So it's the really the economic development district. 175 00:16:11,590 --> 00:16:12,850 And that will keep me busy. 176 00:16:13,630 --> 00:16:22,150 And Paddy, I think we didn't have the economic development district on this list because it was a separate a point that that's an appointment made by now. 177 00:16:22,150 --> 00:16:28,350 Northwest cog independent of the board is that is that how do you understand that? 178 00:16:28,670 --> 00:16:28,670 Well, 179 00:16:30,760 --> 00:16:34,740 I don't know. They have represented and the representatives are different than 180 00:16:35,580 --> 00:16:40,260 people that you normally see at the cog meetings. So I just wanted to make sure that that was 181 00:16:40,260 --> 00:16:45,120 because we can check that out before the national January meeting. And the meetings will be separate. 182 00:16:45,320 --> 00:16:50,960 The meetings are held on separate days in Northwest Cox. And then the Colorado bark beetle 183 00:16:50,960 --> 00:17:00,200 cooperative is that independent so is that something that we want to add it's 13 counties and 184 00:17:00,720 --> 00:17:05,640 and there are I think it's 13 counties that are involved so it's Rocky Mountain region then you 185 00:17:05,640 --> 00:17:12,360 got Park County Lake County going up that way up the San Luis Valley from what and they 186 00:17:12,360 --> 00:17:18,700 they just have an elected official from each jurisdiction. This might be an appropriate one we have 187 00:17:18,700 --> 00:17:19,900 then. Yeah. 188 00:17:23,310 --> 00:17:25,730 There are two other North West 189 00:17:25,730 --> 00:17:30,690 called committees that I've been attending one regularly 190 00:17:31,230 --> 00:17:34,730 and they're like, kind of like subcommittees of a whole big picture. 191 00:17:34,730 --> 00:17:41,190 Senior council. Well, one is the rack, which is the regional 192 00:17:42,130 --> 00:17:51,130 Bizarre Council on the Alpine Agency on H and Pake. 193 00:17:51,270 --> 00:17:53,730 The gap is the main representative. 194 00:17:55,670 --> 00:18:02,070 And she was, I guess, appointed by Marty Ames. 195 00:18:03,050 --> 00:18:06,670 But then your, my name and your name were also on their kind of like, 196 00:18:06,670 --> 00:18:13,530 as alternates, we could go to those, and I've only attended that by phone once or twice before. 197 00:18:15,250 --> 00:18:20,710 And then the other committee is the regional transportation coordinating committee, 198 00:18:22,390 --> 00:18:30,160 which has to do with the transportation for Medicaid, Medicaid, 199 00:18:32,300 --> 00:18:35,180 non-emergent, Medicaid cases, 200 00:18:35,180 --> 00:18:39,900 and transportation of veterans is involved in it. 201 00:18:40,560 --> 00:18:43,000 So that's like a little subgroup of Northwest 202 00:18:43,000 --> 00:18:45,540 called that they meet separately. 203 00:18:46,200 --> 00:18:48,220 So I've attended that a few times. 204 00:18:49,120 --> 00:18:53,740 And they always meet in gypsum at the eco-transit or by-home. 205 00:18:54,980 --> 00:19:01,100 So Stephen, are they asking you to represent the county's position 206 00:19:01,100 --> 00:19:02,980 in the board's position. 207 00:19:04,420 --> 00:19:07,860 Well, the one, the rack one is like it was 208 00:19:07,860 --> 00:19:12,460 a body who has pigment gap, it has been doing it 209 00:19:12,460 --> 00:19:14,720 for quite a few years, and so she's 210 00:19:14,720 --> 00:19:17,180 like the regular representing for Pitkin County. 211 00:19:17,820 --> 00:19:23,100 But I would say that would be an official representation 212 00:19:24,040 --> 00:19:28,700 at that committee, and I would see Patty and me 213 00:19:28,700 --> 00:19:31,560 as being alternates on that, not as the name 214 00:19:31,560 --> 00:19:34,980 because Pag is definitely the main person on that. 215 00:19:35,200 --> 00:19:37,280 Didn't we approve makes appointment to that? 216 00:19:37,420 --> 00:19:39,840 Seems like it came back through a state. 217 00:19:39,840 --> 00:19:42,560 At a separate, yeah, because that's a citizen. 218 00:19:43,240 --> 00:19:44,480 Yeah, yeah. 219 00:19:45,440 --> 00:19:50,400 And the RTCC, I've just been going to it because I know a lot of that 220 00:19:50,400 --> 00:20:00,000 transportation and it was just my interest and some of the 221 00:20:01,820 --> 00:20:14,740 So I don't know, we may be want to check into the exact official part of that and see if it needs to be in an actual appointment. 222 00:20:14,740 --> 00:20:15,700 And 223 00:20:18,580 --> 00:20:28,920 the other thing I noticed that on the CCI there is a new legislative committee called 224 00:20:28,920 --> 00:20:32,900 Justice and Public Safety that we need to add for that list. 225 00:20:34,140 --> 00:20:39,560 It was kind of a sub-heading of general government wasn't it, Rachel? 226 00:20:39,680 --> 00:20:41,460 Yeah, and then they created it as it's own. 227 00:20:41,480 --> 00:20:46,460 It had so many items on it, they made it separate, and it's called Justice and Justice 228 00:20:46,460 --> 00:20:48,240 in public safety. 229 00:20:48,840 --> 00:20:56,660 It's dealing a lot, apparently, with issues such as mental illness in the jails and how to 230 00:20:56,660 --> 00:21:02,920 try to get treatment instead of jail and other issues such as whenever anyone is incarcerated, 231 00:21:03,660 --> 00:21:11,820 they lose whatever Medicaid insurance or things like that they may have had and so for those 232 00:21:11,820 --> 00:21:13,980 who are mentally ill, it means losing your medications. 233 00:21:15,020 --> 00:21:18,400 And then when you get back out, it takes six months to get back on the system and you 234 00:21:18,400 --> 00:21:21,480 had the back in jail before your illness is taken care of again. 235 00:21:22,120 --> 00:21:23,940 So those are some of the types. 236 00:21:24,100 --> 00:21:31,060 There's also certainly a program that I think Pippin County should be proud of Dan Bird's 237 00:21:31,060 --> 00:21:34,420 Don Bird's involvement in the prevention of prison rape. 238 00:21:34,880 --> 00:21:39,660 And it's a national program that's been evolving and he's really taking a lead on that. 239 00:21:39,660 --> 00:21:41,500 And so issues along those lines? 240 00:21:42,360 --> 00:21:47,280 So would you see that as an extension of CCI appointments? 241 00:21:47,480 --> 00:21:52,400 Well, I think it's mostly about the voting things that will send us later. 242 00:21:52,780 --> 00:21:53,520 Who is the first vote? 243 00:21:53,580 --> 00:21:56,740 So we just need to decide if it's right to order me out of the vote. 244 00:21:56,740 --> 00:21:59,920 You can be the first vote, and I'll be the alternate to not the meeting. 245 00:22:00,280 --> 00:22:03,900 The way we've always worked at one of us is not there, the other one. 246 00:22:04,040 --> 00:22:07,040 Is the alternate and is there to vote? 247 00:22:07,280 --> 00:22:09,000 Yeah, so we should add it to that list. 248 00:22:09,000 --> 00:22:24,540 Also, John's also proxy for all of the committees if neither one of us could be there, but always vote with the exception of the health and human services now, which is the proxy which is going to be in my last question for you. 249 00:22:25,700 --> 00:22:28,500 Can anyone understand this by the pages of the document? 250 00:22:29,280 --> 00:22:30,960 It means to be right on top of that. 251 00:22:32,160 --> 00:22:41,860 All right, so I think what I'm hearing right now is not any changing in positions on the list. 252 00:22:42,200 --> 00:22:57,700 I'm hearing that we are looking to add the Colorado Barclad Feetal Cooperative with Patty as the appointee that we'll add a CCI legislative committee for justice and public safety. 253 00:22:57,700 --> 00:23:08,920 Again, with Steve and Rachel listed, probably with my self as a proxy, then we have Steve 254 00:23:11,060 --> 00:23:12,240 and 255 00:23:12,240 --> 00:23:19,720 Patty as alternates for the regional advisory committee for the Alpine area agency on 256 00:23:19,720 --> 00:23:27,700 aging, which would be in addition, and then we have Steve as an appointment to the regional 257 00:23:27,700 --> 00:23:34,700 transportation, coordinating, committing, as in addition, otherwise, no, no other changes. 258 00:23:35,380 --> 00:23:37,060 So that seemed to capture it. 259 00:23:39,800 --> 00:23:43,680 We will get that prepared for January that. 260 00:23:46,110 --> 00:23:48,750 This is all going quicker than we just made it. 261 00:23:53,650 --> 00:24:00,830 And then the last thing, which I think we already addressed, was just called out that CCI 262 00:24:00,830 --> 00:24:06,950 It does request for 2016 the designation of CCI Steering Committee, Proxies. 263 00:24:08,150 --> 00:24:12,470 I've been the proxy for all committees except for the Health and Human Service Committee, 264 00:24:13,210 --> 00:24:17,250 which we've appointed NAND to support comfortable continuing with that. 265 00:24:19,170 --> 00:24:22,070 That's all I've got on the appointments then. 266 00:24:27,500 --> 00:24:27,900 Okay. 267 00:24:28,640 --> 00:24:29,640 Moving on. 268 00:24:29,960 --> 00:24:31,900 Are you a future agenda calendar? 269 00:24:32,920 --> 00:24:44,900 Yeah, and really we are coming to our last meeting of the year. Congratulations. This is actually this is the last meeting we have been there and almost at the end of it. 270 00:24:46,220 --> 00:24:57,740 What I did want to talk about for next year, George, we are working on a January meeting with Biscult's not on yet, but we'll get that had it hopefully over the next week or so. 271 00:24:57,740 --> 00:24:59,940 Um, the other thing. 272 00:25:00,000 --> 00:25:16,340 We need to talk about is setting aside. I'd like to set aside two days for a 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. 273 00:25:17,480 --> 00:25:23,560 But typically we're pretty solid and at least using a day and a half for our discussions. 274 00:25:26,320 --> 00:25:32,960 What I'd like to propose are dates and February to give staff some time. 275 00:25:33,100 --> 00:25:39,280 We've had a pretty busy end of the year here and so frankly we need some time still to 276 00:25:39,280 --> 00:25:42,580 plan for the retreat and organize. 277 00:25:44,960 --> 00:25:50,260 In terms of weeks, we've been flexible in the past. 278 00:25:50,260 --> 00:26:03,680 Sometimes we've taken more accession dates and use those in addition to another date, we typically try and do our retreat on a week that does not have a regular meeting. 279 00:26:07,410 --> 00:26:17,370 The first week in February, any of those dates would work whether it be the first second, third, fourth and fifth to block out. 280 00:26:17,370 --> 00:26:21,150 I think that would give us adequate time to plan. 281 00:26:23,730 --> 00:26:28,450 Yeah, I just going to say the very first week of February is pretty much the only week for me. 282 00:26:28,450 --> 00:26:31,710 And less we did it a Monday, Tuesday and took that work session there. 283 00:26:31,790 --> 00:26:32,750 I didn't even look at your books. 284 00:26:32,990 --> 00:26:33,330 I know. 285 00:26:33,810 --> 00:26:35,430 I'm not saying thank you for me. 286 00:26:35,630 --> 00:26:39,970 I mean, yeah, the very first week that Thursday and Friday would be ideal. 287 00:26:40,370 --> 00:26:42,930 But the following weekend is CCI Thursday Friday. 288 00:26:42,930 --> 00:26:44,370 We have a regular on the 10th. 289 00:26:44,370 --> 00:26:47,790 And the following week would be NATO, if I'm fortunate enough to be 290 00:26:47,790 --> 00:26:48,950 reelected on public lands. 291 00:26:50,330 --> 00:26:54,270 And then the last two days are the Club 20 Ag, Water, and 292 00:26:54,270 --> 00:26:54,910 Public Lands meeting. 293 00:26:55,810 --> 00:26:57,170 So the first week were great. 294 00:26:57,570 --> 00:26:59,750 War Monday and Tuesday in the same zone. 295 00:27:01,170 --> 00:27:05,170 Yeah, for me, right now, the Friday, the fifth copy won't work. 296 00:27:05,670 --> 00:27:08,610 There's supposed to be a regional transportation forum that day. 297 00:27:10,130 --> 00:27:13,350 But the Tuesday and Wednesday, the second and third, 298 00:27:14,430 --> 00:27:15,390 Groundhog State. 299 00:27:16,350 --> 00:27:16,830 Perfect. 300 00:27:17,010 --> 00:27:18,390 Second and third work for me. 301 00:27:19,670 --> 00:27:22,250 Okay, we've got three of you for the second and third. 302 00:27:22,450 --> 00:27:23,830 The second and third calendar is upstairs. 303 00:27:24,390 --> 00:27:27,530 I know the second we can February doesn't work. 304 00:27:28,190 --> 00:27:28,730 As well. 305 00:27:28,910 --> 00:27:33,030 The first week, as I recall, there's no conflicts. 306 00:27:33,890 --> 00:27:35,110 And I'll just have to double check. 307 00:27:35,270 --> 00:27:35,890 This is amazing. 308 00:27:36,510 --> 00:27:37,830 Because we're doing it early. 309 00:27:38,050 --> 00:27:38,930 I don't like. 310 00:27:40,370 --> 00:27:42,670 Michael is second and third work for you on February. 311 00:27:42,670 --> 00:28:02,770 Why don't we go ahead and block out on the second and third, we can, you know, if the board wants to engage in some discussion now about the nature of the retreater, we can schedule that for, you know, our first work sessions in the new year to talk about what you guys would like out of your retreat this year. 312 00:28:04,390 --> 00:28:05,610 That was easy. 313 00:28:06,370 --> 00:28:08,190 I know this is all going way too easy. 314 00:28:20,850 --> 00:28:25,310 I'm really outside of schedule trying to work. 315 00:28:25,650 --> 00:28:27,990 Just schedule joint meeting with basalt and January. 316 00:28:28,350 --> 00:28:30,010 And now laying down those retreat dates. 317 00:28:30,210 --> 00:28:34,130 At this point I really don't have anything else for future genders for you. 318 00:28:34,450 --> 00:28:35,770 I have one heads up. 319 00:28:37,110 --> 00:28:41,550 We have been with the Gulf of County Commissioners for a long time. 320 00:28:41,850 --> 00:28:45,470 We can put a we can certainly reach out and set up a joint meeting. 321 00:28:48,450 --> 00:28:50,870 Did we have been meeting with Gunnison? 322 00:28:51,350 --> 00:28:52,530 Please to meet with Gunnison. 323 00:28:52,870 --> 00:29:00,950 Gunnison really prefers to meet when there's a specific burning issue for both boards. 324 00:29:01,750 --> 00:29:05,510 We like counties been very active with us. 325 00:29:05,510 --> 00:29:07,350 I think Garfield County would be up. 326 00:29:07,470 --> 00:29:10,410 I think it's a good time to me with Garfield County now. 327 00:29:10,550 --> 00:29:22,210 They've had a turn over and I think they're starting to settle down on some of their administrative changes and such and over at the manager level and was on their senior staff at the attorney and manager. 328 00:29:23,630 --> 00:29:31,850 So they've certainly had a lot going on and I think it's probably a good time to get together with them and when was the last joining with Carbondale? 329 00:29:32,630 --> 00:29:34,230 It's been quite a while meeting with Carbondale. 330 00:29:34,230 --> 00:29:37,310 Yeah, we'll have to, maybe think of the scheduling of that this year. 331 00:29:37,670 --> 00:29:37,970 Yeah, I don't know. 332 00:29:38,170 --> 00:29:38,590 I can't wait. 333 00:29:38,930 --> 00:29:41,230 Carmedale and Garfield, I'd see this coming up. 334 00:29:42,150 --> 00:29:42,230 Okay. 335 00:29:46,860 --> 00:29:50,640 The one thing that I have, um, I will not be here. 336 00:29:51,660 --> 00:29:56,080 This is planning way ahead on March 1st for the regular, or for the work session. 337 00:29:56,660 --> 00:29:58,200 I'm hoping to, um, 338 00:29:59,320 --> 00:29:59,980 Put on and see my mom. 339 00:30:00,000 --> 00:30:11,180 I'm for her 91st birthday, March 1st. Those birthdays are getting real, yes, those birthdays are getting real, important, and she's good. 340 00:30:13,040 --> 00:30:16,680 I'm not going to surprise at this time because she almost killed me when I did that at Thanksgiving. 341 00:30:19,700 --> 00:30:24,040 This is also further out, but I could go ahead and put the state out there for Michael 342 00:30:24,040 --> 00:30:24,620 and the board. 343 00:30:25,060 --> 00:30:29,900 Should I be fortunate enough to be re-elected on the public lands, I will be missing the 344 00:30:29,900 --> 00:30:35,360 February 24th regular meeting, and would not be available to chair that or the Tuesday 345 00:30:35,360 --> 00:30:36,280 work session. 346 00:30:36,280 --> 00:30:38,280 So those are my naco dates. 347 00:30:39,260 --> 00:30:40,260 It's my little spirit. 348 00:30:40,700 --> 00:30:42,040 I think we've got to be each other. 349 00:30:42,340 --> 00:30:48,280 On February 2nd, we have a joint meeting with City Council right now. 350 00:30:49,520 --> 00:30:51,400 Part of that is just housing guidelines. 351 00:30:52,340 --> 00:30:53,140 Just for an hour. 352 00:30:53,900 --> 00:31:00,440 But we may want to schedule some work session time ahead of that in terms of one adding anything else onto the agenda. 353 00:31:00,580 --> 00:31:02,980 We might want to cancel if we're having a retreat that day. 354 00:31:02,980 --> 00:31:05,140 Yeah, actually I missed the February 355 00:31:06,320 --> 00:31:07,220 Yeah, yeah 356 00:31:07,520 --> 00:31:11,260 That's okay. Okay, so we have to see if we can reschedule that city council 357 00:31:11,260 --> 00:31:15,160 Okay, yeah, and I think good heads up that good 358 00:31:15,980 --> 00:31:18,240 Yeah, I missed that 359 00:31:21,020 --> 00:31:22,480 I just saw that it was a work session 360 00:31:23,300 --> 00:31:25,040 That's right. Yeah, right 361 00:31:27,680 --> 00:31:27,920 Okay, so 362 00:31:29,400 --> 00:31:32,060 Next the OTC is that in March 363 00:31:32,060 --> 00:31:33,620 Schedule right now 364 00:31:35,100 --> 00:31:37,460 We're not out that far, we're just curious if that was- 365 00:31:37,460 --> 00:31:40,280 You know, I'm going to have to look up the email for John. 366 00:31:40,440 --> 00:31:42,620 I don't know if that's the top charge. 367 00:31:44,060 --> 00:31:47,820 I believe it, I think I've went towards the end of the first quarter, 368 00:31:48,000 --> 00:31:49,220 which would have us in March. 369 00:32:08,360 --> 00:32:11,820 Okay, anything else on the future of Gendus? 370 00:32:15,540 --> 00:32:16,900 Open discussion items. 371 00:32:18,960 --> 00:32:21,320 Actually, I was just going to email, 372 00:32:21,580 --> 00:32:23,540 John Ely was going to come down. 373 00:32:23,540 --> 00:32:27,540 He had a letter, he wanted to discuss with you. 374 00:32:28,260 --> 00:32:33,340 I wonder if we want to take maybe a five-minute break unless the board has any open discussion items. 375 00:32:33,460 --> 00:32:34,740 I've got a couple of things. 376 00:32:34,740 --> 00:32:37,420 I have a couple of things by wouldn't I think I'm very first. 377 00:32:37,700 --> 00:32:37,860 Yeah. 378 00:32:38,660 --> 00:32:39,200 So Rachel? 379 00:32:41,440 --> 00:32:45,740 Yeah, I emailed John and NAND this last night. 380 00:32:47,780 --> 00:32:51,780 I got a call yesterday morning from Tom Jim Powski with Garfield County, 381 00:32:51,780 --> 00:32:58,420 And they, as we all are, are continuing to be concerned about the cost of private and health 382 00:32:58,420 --> 00:33:06,780 care insurance in our region and their region, and they, he wanted to know what would our 383 00:33:06,780 --> 00:33:08,380 board like to try to do. 384 00:33:08,740 --> 00:33:12,920 You know, we're similar to other places, not seeing the real problem with the group insurance rates 385 00:33:12,920 --> 00:33:17,560 as much as, again, the private and that's a very limited pool. 386 00:33:17,560 --> 00:33:32,080 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. 387 00:33:32,640 --> 00:33:40,120 It's also affecting the front range in places like that, rural communities there, once you get out of the metropolitan area. 388 00:33:40,120 --> 00:33:48,080 You know, I don't know, and he was saying, you know, you don't really think of the look that might have ability to pass, 389 00:33:48,740 --> 00:33:53,200 given that it would affect other people's rights and potentially bring them up as others can then on. 390 00:33:53,400 --> 00:34:01,040 But that it would create the attention and the focus on the problem that the rural areas are having with this issue. 391 00:34:02,180 --> 00:34:07,060 And so he had said, you know, why don't we talk to your board about it and see what people think. 392 00:34:07,920 --> 00:34:16,260 And then I think that they're having a conference call with Summit and Eagle and Garfield tomorrow, 393 00:34:16,380 --> 00:34:19,820 which is a role in that same district now, but we all have the same issue. 394 00:34:20,540 --> 00:34:24,780 Later this afternoon, and so I forwarded that information to John to potentially sit in. 395 00:34:25,120 --> 00:34:29,700 I don't know if it's something that if you don't think it's really going to pass, 396 00:34:30,380 --> 00:34:33,960 it's going to hurt your credibility working on other issues, you know, 397 00:34:33,960 --> 00:34:39,520 asking some of our legislators like Millie or their red legislator Bob Rankin to 398 00:34:39,520 --> 00:34:43,100 co-sponsor whether it takes one of their five bills that they really could 399 00:34:43,100 --> 00:34:48,160 accomplish something with but that seems to be at least one course that people 400 00:34:48,160 --> 00:34:53,580 are thinking about how to start to drive a little change on this so I thought I 401 00:34:53,580 --> 00:34:58,860 bring that up for you guys to think about. I'm sorry you know I got the call yesterday 402 00:34:58,860 --> 00:34:59,940 before our very last night. 403 00:35:00,000 --> 00:35:15,660 Well, wasn't that part of the discussion that Caradana van Haten basalt? That was one of her focuses was this, maybe, this proportionate thing with in the Rocky Mountain region, versus front rain, et cetera, that different. 404 00:35:15,660 --> 00:35:24,260 Yeah, so just to even to go back a little bit further, this is actually something that we did advocate for at one time 405 00:35:24,260 --> 00:35:29,060 It's for the division of insurance to combine rating areas. 406 00:35:29,160 --> 00:35:37,320 So I think what we looked at originally, this day was divided, I believe, into 11 different rating areas. 407 00:35:37,320 --> 00:36:06,700 And that probably requires a level of discrete data about actual costs in those areas in order to set rates that I think we didn't have a lot of confidence actually existed that the rates are being set on a pretty limited data set within each of those discrete districts. 408 00:36:06,700 --> 00:36:11,340 And so we did make the argument to division of insurance two years ago now. 409 00:36:11,400 --> 00:36:27,260 I think that was when we were over there, that the 11 rating areas should really be combined down into one until we have better data collection capabilities and analytical capabilities, maybe to break out. 410 00:36:27,600 --> 00:36:35,080 The result of that discussion to get to the bottom line was they went from 11 rating areas to 9 rating areas, 411 00:36:35,080 --> 00:36:39,160 combining the western slope into one rating area. 412 00:36:39,180 --> 00:36:44,400 They took all the the resort regions and such and combined them into one with the exception 413 00:36:44,400 --> 00:36:51,060 of Mason County, which sits as a highland, as a more urbanist family in that western slope. 414 00:36:51,300 --> 00:36:52,700 Yeah, because of Rocky Mountain Health Care. 415 00:36:52,840 --> 00:37:02,360 And because of Rocky Mountain Health Plants, and so it would be a continuation of that discussion. 416 00:37:02,360 --> 00:37:10,180 And I thank questioning the information and that it's probably a more accurate representation 417 00:37:10,180 --> 00:37:15,240 to go across the whole state rather than to break into discrete regions. 418 00:37:16,060 --> 00:37:21,380 I think the argument on the flip side of that division of insurance was looking at or 419 00:37:21,380 --> 00:37:28,080 what they came back to us with is to say, well, we also want to be sure there are incentives 420 00:37:28,080 --> 00:37:35,140 because we do believe there are areas of the state that have higher health care costs and areas that have lower health care costs. 421 00:37:35,640 --> 00:37:45,300 And we want to be sure that there is an appropriate incentive for communities to work, that are high costs to really work on lowering their cost. 422 00:37:45,440 --> 00:37:55,760 It kind of feels our pressure on the reality of those costs rather than have them kind of watered down by being averaged out with these lower cost areas. 423 00:37:55,760 --> 00:38:05,040 And so I think that's why they wanted to keep the different rating areas alive. 424 00:38:08,810 --> 00:38:20,610 I think the level of transparency right now in health care funding financing costs still remains fairly low. 425 00:38:21,250 --> 00:38:35,690 in a lot of areas, and so it's very, very difficult for us, I think, to evaluate the accuracy of actual costs within these discrete 11 districts or rating areas that have been set up. 426 00:38:36,330 --> 00:38:40,870 So I are not now nine. I'm sorry. Now nine rating areas have been set up. 427 00:38:41,150 --> 00:38:48,030 So I do think there is an argument to, if not combine across the state, at least combine into larger regions. 428 00:38:48,030 --> 00:38:55,410 And as soon as you do divide into these rating areas, frankly, rural areas are always going to be more expensive. 429 00:38:56,010 --> 00:39:03,590 There is no way that rural areas, whether it be the eastern plains or the mountain rural resort regions, 430 00:39:03,650 --> 00:39:09,350 are going to enjoy the economies of scale that urban areas are going to enjoy. 431 00:39:09,350 --> 00:39:16,530 And so if our goal is really to make health care more accessible, which would be leveraging 432 00:39:16,530 --> 00:39:20,970 that rural urban difference into a combined rating area. 433 00:39:21,210 --> 00:39:26,730 So all that is to say, I think there's a legitimate discussion to have about combining 434 00:39:26,730 --> 00:39:27,830 the rating area. 435 00:39:27,850 --> 00:39:29,410 Sorry, kind of wound around that. 436 00:39:29,650 --> 00:39:30,670 I know, I appreciate that. 437 00:39:30,890 --> 00:39:31,790 You bring it back again. 438 00:39:33,450 --> 00:39:39,570 Is there a response to high cost to have the whole state work on the cost reductions? 439 00:39:43,660 --> 00:39:53,780 Yeah, and some areas of the state unfairness do have probably lower the national averages and some areas like ours that probably have higher than the national averages. 440 00:39:54,500 --> 00:39:59,980 However, I think the solution needs to be a statewide solution you need to. 441 00:40:00,000 --> 00:40:12,140 We're covering the resources of the statewide solution to bear. And also opportunities. You know, it can create a more competitive environment if you can get out of your regions to get those services. 442 00:40:13,360 --> 00:40:21,780 Yeah, to Michael N. John's point, I was just reading an article last night out of the New Yorker on Healthcare, which I forwarded to John and Ann as well. 443 00:40:23,420 --> 00:40:31,580 But it's said that, you know, in areas where there are our towns or whatever, whether for our more hospital or providers, 444 00:40:32,980 --> 00:40:40,320 Generally, rates for services are about 15% less than areas that have less than four because of the competition. 445 00:40:41,220 --> 00:40:46,460 But the bigger example was the difference between, it was a great article. 446 00:40:46,720 --> 00:40:48,720 I'll try to forward it to everyone later if I can find it again. 447 00:40:49,560 --> 00:40:55,580 But even between Medicare payments for the same service versus private insurance payments for the same service, 448 00:40:56,480 --> 00:41:04,260 wildly different prices from town to town for the exact same service because Medicare can negotiate 449 00:41:04,260 --> 00:41:08,900 a price for services with the hospitals and they have a set fee where private insurance 450 00:41:08,900 --> 00:41:10,600 companies can't do that. 451 00:41:10,820 --> 00:41:15,600 And then on the flip side, private insurance companies can negotiate for lower drug costs, 452 00:41:15,900 --> 00:41:18,180 but Medicare was forbidden from doing that. 453 00:41:18,500 --> 00:41:22,760 And so it just talked about these wild springs between treatment costs for whether you're on 454 00:41:22,760 --> 00:41:26,600 Medicare, Medicaid, or private policy. 455 00:41:27,120 --> 00:41:29,700 The other item that we found two years ago 456 00:41:29,700 --> 00:41:32,760 in chasing this down was that we have so many employers 457 00:41:32,760 --> 00:41:34,780 who have group plans that their data 458 00:41:34,780 --> 00:41:36,660 doesn't go into the system the same way. 459 00:41:36,660 --> 00:41:39,220 That's part of that transparency that he's talking about. 460 00:41:39,580 --> 00:41:41,420 So when you look at a place like this, 461 00:41:41,940 --> 00:41:45,920 your major employers all have group policies. 462 00:41:46,340 --> 00:41:49,280 So their costs and benefits aren't in the dynamic. 463 00:41:49,280 --> 00:41:53,200 It's this very small fraction of people with private policies. 464 00:41:54,160 --> 00:41:58,920 And so even employers like City Market, depending on where the process, their payroll 465 00:41:58,920 --> 00:42:01,940 is where they consider all their employees to be employed. 466 00:42:02,820 --> 00:42:07,560 So they could get the lower rate, you know, for policies where a group policy, because their 467 00:42:07,560 --> 00:42:12,220 office is in Denver or something like this, I mean, it just really was incredibly complex. 468 00:42:12,360 --> 00:42:14,240 I'm not sure it all made a lot of sense to me. 469 00:42:14,240 --> 00:42:42,660 The end of the article came down to it really has a lot to do with the treatment paths and that the type of things that we're working with the Valley Health Alliance of two different towns compared in Texas, roughly similar poverty and illness ratios, roughly similar populations and then one spending two times as much as the other gave me exact same results, but it's the overtreatment and it's the lack of follow-up and all sorts of things. 470 00:42:43,600 --> 00:42:49,420 So, you know, I was surprised to hear the Grand Junction actually had the highest single policy 471 00:42:49,420 --> 00:42:53,880 prices in the country, because you hear so much about Rocky Mountain Healthcare, keeping 472 00:42:53,880 --> 00:42:54,920 their cost down. 473 00:42:55,180 --> 00:43:00,320 They also have the lowest Medicare costs in the country, because they do a great job following 474 00:43:00,320 --> 00:43:00,620 out. 475 00:43:00,860 --> 00:43:03,020 But the whole system is pretty crazy. 476 00:43:03,560 --> 00:43:08,120 So anyhow, it sounds like, to me, that it's a good conversation to have, and maybe 477 00:43:08,120 --> 00:43:13,540 good bill to support and to see what we can move forward from your analysis with that. 478 00:43:13,880 --> 00:43:18,520 At least I have the discussion, I think there's it provides a lot of pathways for us to 479 00:43:18,520 --> 00:43:23,620 discuss things that we would like to see in our Valley Health Alliance efforts around 480 00:43:23,620 --> 00:43:25,960 information, transparency and that's. 481 00:43:25,960 --> 00:43:30,200 So I think Eric Donovan, because she's a descendant again, so that big meeting of the 482 00:43:30,200 --> 00:43:41,000 couple months ago. One consideration people are traveling to where they can get the best procedure 483 00:43:41,000 --> 00:43:50,020 done for the most cost-effective. For instance, my daughter was sent from Alaska to gold 484 00:43:50,020 --> 00:43:56,440 and to have her shoulder operated on. It saved the insurance company. A huge amount of money 485 00:43:56,440 --> 00:44:05,040 pay her airfare to go have the surgery done at a place that they had, you know, had probably 486 00:44:05,040 --> 00:44:09,580 some sort of an arrangement worked out where it was low, there were lowest costs they could 487 00:44:09,580 --> 00:44:09,980 get. 488 00:44:10,600 --> 00:44:17,980 And so people here, you don't go to have an organ transplant of the Aspen Valley Hospital or one 489 00:44:17,980 --> 00:44:26,220 what you go somewhere else where they are experts at that and so that's just a trend in health 490 00:44:26,220 --> 00:44:34,240 care that you don't go to your local, your local, medical facilities for a lot of things, 491 00:44:34,580 --> 00:44:40,600 you travel somewhere else, so having it be a statewide thing to me makes a lot more sense 492 00:44:40,600 --> 00:44:45,180 and having a just be our region mind. 493 00:44:46,160 --> 00:44:48,000 Well, and one of the things that's been interesting 494 00:44:48,000 --> 00:44:50,360 when we did the look at the data two years ago 495 00:44:50,360 --> 00:44:52,680 is that can actually cut both ways, 496 00:44:53,860 --> 00:44:58,760 that sometimes in a community that has a fluent members, 497 00:44:59,020 --> 00:44:59,920 like ours does. 498 00:45:02,400 --> 00:45:13,540 The travel costs, like if they were going from actually what might have been a lower cost service to a higher cost service area, we're getting counted against our medical experience locally. 499 00:45:14,240 --> 00:45:29,900 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. 500 00:45:29,900 --> 00:45:33,420 at least two years ago, and we were looking at this. 501 00:45:34,780 --> 00:45:36,620 And the other kind of discussion that 502 00:45:36,620 --> 00:45:40,280 becomes important for the rural areas in particular is, 503 00:45:40,740 --> 00:45:43,360 how do you provide enough support so that you can 504 00:45:43,360 --> 00:45:46,800 maintain services that you want to have in your community? 505 00:45:46,880 --> 00:45:51,060 Because if we start sending it all out or cherry-picking, 506 00:45:52,520 --> 00:45:56,440 then the question of sustainability of our local services 507 00:45:56,440 --> 00:45:59,420 comes into question, which has been a big discussion. 508 00:45:59,420 --> 00:46:11,540 And it is, it's remarkably complicated and this kind of takes a lot, if you combine the 509 00:46:11,540 --> 00:46:16,600 rating areas, it does take a lot of that off the table, at least initially. 510 00:46:17,480 --> 00:46:21,340 Well, Steve, a pretty good example was that I surgery that I had to have it done in Denver 511 00:46:21,340 --> 00:46:25,920 by a retinal specialist, but the procedure that I had to stay in Denver because of altitude 512 00:46:25,920 --> 00:46:28,700 issues, but my insurance wouldn't cover my stay. 513 00:46:29,180 --> 00:46:36,680 That was interesting. I was required by the physician to stay out to two to seven days and that came out of my own pocket. 514 00:46:37,040 --> 00:46:39,920 I said, why must I sleep in my car with my head down for four days? 515 00:46:41,000 --> 00:46:41,840 I was a little frustrating. 516 00:46:42,320 --> 00:46:47,880 But any other example is the friend who went to get her husband's MRI after brain surgery and 517 00:46:47,880 --> 00:46:52,600 $500 would better equipment in Denver and $3,500 in the valley. 518 00:46:53,360 --> 00:46:58,700 And that, you know, those price discrepancies, you know, affect where you're going to go. 519 00:46:58,940 --> 00:46:59,460 I mean, they really do. 520 00:46:59,560 --> 00:47:02,500 People who are now shopping for the better deal for healthcare. 521 00:47:03,220 --> 00:47:06,080 Well, and frankly, it's supposed to encourage that, you know, 522 00:47:06,560 --> 00:47:09,220 it is just down to saying incredibly complex. 523 00:47:09,620 --> 00:47:15,060 I recall Dr. Mitchell saying pretty clearly, look, you know, if you were running this like a business, 524 00:47:15,240 --> 00:47:17,920 we wouldn't keep the emergency room open after midnight. 525 00:47:18,480 --> 00:47:19,540 You know, it's as we wouldn't do it. 526 00:47:19,760 --> 00:47:22,200 But people want emergency room 24 hours a day. 527 00:47:22,200 --> 00:47:25,340 So we're all paying for that effectively through our rates. 528 00:47:26,400 --> 00:47:29,840 But I just want to say before we move on to any other subject, 529 00:47:29,920 --> 00:47:33,780 that this does mean that we may, it should reach a stage 530 00:47:33,780 --> 00:47:36,000 of being a viable bill or a bill we're introducing, 531 00:47:36,880 --> 00:47:40,480 coming down to give testimony, producing some picking county data, 532 00:47:40,480 --> 00:47:42,660 us, and information, having the point of view, 533 00:47:43,040 --> 00:47:44,720 and proceeding it seriously. 534 00:47:45,500 --> 00:47:48,300 So I just want to make sure we knew it was a little bit of a workload 535 00:47:48,300 --> 00:47:51,160 we're asking John and staff if we're pursuing him. 536 00:47:53,160 --> 00:47:53,180 Okay. 537 00:47:54,540 --> 00:47:56,320 That was my only open discussion item. 538 00:47:57,780 --> 00:48:01,380 We want to have John on the open discussion, 539 00:48:01,720 --> 00:48:02,280 John Mealy. 540 00:48:02,420 --> 00:48:03,240 Do you read it? 541 00:48:03,400 --> 00:48:05,160 Or are the open discussion item? 542 00:48:05,300 --> 00:48:06,620 I haven't kind of took all your space. 543 00:48:06,620 --> 00:48:08,320 As you are here before. 544 00:48:09,900 --> 00:48:09,940 Yeah. 545 00:48:09,940 --> 00:48:15,120 The board with bells being what I would like to do is offer, 546 00:48:15,800 --> 00:48:16,680 for your consideration, 547 00:48:16,680 --> 00:48:24,080 and the letter that's proposed to be sent to the ELM 548 00:48:26,760 --> 00:48:30,440 and response to a new request for an extension of the time. 549 00:48:30,740 --> 00:48:31,840 This has to be on a challenge. 550 00:48:33,260 --> 00:48:33,560 I did. 551 00:48:34,860 --> 00:48:36,320 Is that okay? 552 00:48:37,920 --> 00:48:39,120 It's at one point. 553 00:48:39,720 --> 00:48:42,000 This is where the extension of the deadline for comment. 554 00:48:47,520 --> 00:48:48,000 Go ahead, gentlemen. 555 00:48:48,100 --> 00:48:48,700 I'm here for you. 556 00:48:52,210 --> 00:48:53,030 So two. 557 00:48:53,270 --> 00:49:00,270 It's a nice and kind of letter, it's a letter that's in response to a little time. 558 00:49:03,120 --> 00:49:04,580 This is on the edge of the dollar. 559 00:49:05,100 --> 00:49:06,200 I don't know if it works. 560 00:49:14,630 --> 00:49:15,470 It's okay. 561 00:49:17,430 --> 00:49:17,650 All right. 562 00:49:21,170 --> 00:49:22,790 I thought they'd already denied these. 563 00:49:22,790 --> 00:49:23,250 They did. 564 00:49:23,930 --> 00:49:25,030 It's been re-ass for. 565 00:49:25,350 --> 00:49:25,850 reiterated. 566 00:49:26,050 --> 00:49:26,310 It's correct. 567 00:49:27,450 --> 00:49:30,810 The first request was for 90 days, and this is for 45. 568 00:49:57,940 --> 00:50:00,000 So the bottom line is John this. 569 00:50:00,000 --> 00:50:04,660 That our response is saying, let's just move forward. 570 00:50:04,960 --> 00:50:08,500 Yes, the 90 request, the regular request. 571 00:50:09,300 --> 00:50:12,460 Because it's really not necessary, just to extend it. 572 00:50:12,460 --> 00:50:12,840 Absolutely. 573 00:50:19,390 --> 00:50:22,230 I mean, may the county make boycott, I mean, do our meeting. 574 00:50:28,280 --> 00:50:34,510 You know, the only thing I get out of reading is the final paragraph is to again kind of close with 575 00:50:35,540 --> 00:50:38,380 restating our position more formally. 576 00:50:38,380 --> 00:50:42,640 So delay would merely force all parties 577 00:50:42,640 --> 00:50:45,680 to continue to tread water waiting for a resolution. 578 00:50:47,280 --> 00:50:51,340 We therefore respectfully request that you deny the application 579 00:50:51,340 --> 00:50:52,040 to its death. 580 00:50:52,380 --> 00:50:55,780 Again, just so it's restated at the bottom. 581 00:50:56,460 --> 00:50:56,940 I agree. 582 00:50:57,560 --> 00:51:00,120 John, what's the downside of the extension? 583 00:51:01,740 --> 00:51:05,520 The downside of the extension is a delay 584 00:51:05,520 --> 00:51:08,000 to the process and perhaps taking this out 585 00:51:08,000 --> 00:51:10,960 of 2016, which would put us into a new administration, 586 00:51:13,140 --> 00:51:16,240 the objective, of course, is to have 587 00:51:16,240 --> 00:51:23,160 this process come to conclusion with the same players, so to speak, administrative officials 588 00:51:23,160 --> 00:51:26,440 who were there when the process was initiated. 589 00:51:26,640 --> 00:51:33,060 It allows for a degree of continuity and a greater understanding comprehension of the issues 590 00:51:33,060 --> 00:51:36,700 and the circumstances of what's going on 591 00:51:36,700 --> 00:51:38,500 or opposed to go on in Thompson Divide 592 00:51:38,500 --> 00:51:40,800 and makes for a smoother process. 593 00:51:42,540 --> 00:51:44,020 So that's the primary objective. 594 00:51:50,550 --> 00:51:54,110 I am honored with this, but can I ask something else? 595 00:51:54,130 --> 00:51:56,130 Let's just be on the comments on this letter. 596 00:51:57,510 --> 00:52:00,430 John, are we going to be sending our own 597 00:52:00,430 --> 00:52:06,670 to the county letter to the BLN supporting alternative for? 598 00:52:06,670 --> 00:52:07,370 Yes. 599 00:52:09,650 --> 00:52:24,630 When we do that, I'd like to have, you know, refer to the joint letter that was sent and make a sort of reference to, you know, let's see. 600 00:52:24,850 --> 00:52:33,710 With this in mind, we were pleased to see the BLN strap, the IIS container for pose action. Of course, never specifically said what was a pose action. 601 00:52:33,710 --> 00:52:40,790 So, I'd like to couch that based on our joint letter, that proposed action that we support 602 00:52:40,790 --> 00:52:47,370 is alternate for, so it's a very clear, I'm sorry that the United and this letter 603 00:52:47,370 --> 00:52:55,030 politics took president, but I think we can refer to this letter and strengthen this joint 604 00:52:55,030 --> 00:52:58,250 letter by saying, and that proposed action is alternate for. 605 00:53:00,230 --> 00:53:06,170 And the other jurisdictions may also be referring to the letter from their point of view as well. 606 00:53:06,210 --> 00:53:07,030 And that's fine. 607 00:53:13,390 --> 00:53:15,990 Yep. So I think we should move on with this letter. 608 00:53:16,290 --> 00:53:16,550 OK. 609 00:53:17,050 --> 00:53:17,850 Great to change. 610 00:53:19,290 --> 00:53:20,510 Is that all right for everyone? 611 00:53:21,330 --> 00:53:22,030 OK. Thanks. 612 00:53:22,150 --> 00:53:22,690 Thanks, John. 613 00:53:23,010 --> 00:53:23,170 Thanks, John. 614 00:53:27,640 --> 00:53:29,460 Let's see a light on the light. 615 00:53:30,320 --> 00:53:34,040 How do you like the light that stuff and get rid of it for you? 616 00:53:34,360 --> 00:53:36,320 We're going to have to hang onto it if you want. 617 00:53:42,900 --> 00:53:43,220 Yep. 618 00:53:43,220 --> 00:53:54,000 Last night at a Solstice Party, I had a conversation with Brent Gardner Smith, and he was asking 619 00:53:54,000 --> 00:54:00,260 where we are in the planning of the way out of our new commissioners meeting room in the 620 00:54:00,260 --> 00:54:07,960 new building, and he has real definite ideas about making sure that there's a good press 621 00:54:07,960 --> 00:54:15,140 table with electronic connections and monitor and different things. 622 00:54:15,560 --> 00:54:19,860 And he said he would contact you, John, not that. 623 00:54:22,200 --> 00:54:28,800 And then we had a larger conversation with several people who have been done presentations 624 00:54:28,800 --> 00:54:36,300 before elected boards, not stars, but others, and in a variety of meeting rooms from 625 00:54:36,300 --> 00:54:47,660 to part of County to Aspen City Council and various places and one was Harry Tegels and on that conversation. 626 00:54:50,000 --> 00:54:59,820 And they really hope that we can do as close to the ideal setup for our new meeting room in terms of the layout for it and so. 627 00:55:00,180 --> 00:55:29,800 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, we might be an opportunity to try different configurations of how we have our seats in relation to how the public seats are and where the press table would be and all those different items could be. 628 00:55:29,800 --> 00:55:36,600 see if there's a certain way that works better for us and for the public and for the press. 629 00:55:37,260 --> 00:55:39,000 Well, we're in there. 630 00:55:39,500 --> 00:55:41,780 So I thought it's not too soon to bring that subject. 631 00:55:42,040 --> 00:55:49,260 I'll be even though we're still kind of with the legal block part of the discussion on what is actually inside the building. 632 00:55:50,660 --> 00:55:58,880 So in January we're going to be, we have a work session that we're scheduling really to look at two things. 633 00:55:58,880 --> 00:56:06,420 one to bring back the exterior. You guys gave a lot of feedback on the exterior and so we're 634 00:56:06,420 --> 00:56:14,800 going to bring back what we understood that to be and how it translates into a proposal now for 635 00:56:14,800 --> 00:56:21,100 the building based on those discussions. And also sometimes I decide particularly to talk 636 00:56:21,100 --> 00:56:24,960 about the meeting room and so we're going to have a work session on that coming up in January 637 00:56:24,960 --> 00:56:33,240 here. Just so we could start to get some of those ideas. We have talked about the need for 638 00:56:33,240 --> 00:56:38,040 press work space, you know, because right now the press will come in. 639 00:56:38,060 --> 00:56:48,440 Wait, press work space. Yeah, it will be small, don't worry. But, you know, usually with 640 00:56:48,440 --> 00:56:55,640 laptops or recording devices and such. And if we can create a better space for the press, 641 00:56:57,200 --> 00:57:03,420 so they can accurately report on us, right? Yeah, so we can see the screens of their computers, 642 00:57:03,860 --> 00:57:13,200 so we know what they're actually doing. And then you have clear areas for the public. We do not 643 00:57:13,200 --> 00:57:18,100 have that delineated yet, but we certainly, that's been part of our discussion. And 644 00:57:18,100 --> 00:57:29,440 I'll be difficult to fit all that in, but I think we have the opportunity to, right now, and we'll talk about that in January or some more, and see what you guys think of what we're looking at. 645 00:57:29,780 --> 00:57:29,800 Rachel? 646 00:57:30,440 --> 00:57:36,640 Yeah, I really appreciate it, and it was a very collaborative work session on the building exterior. 647 00:57:37,720 --> 00:57:45,700 I didn't think to mention at the time, but I hope that they're bringing back a couple of options for us to look at on things such as the entryway arch. 648 00:57:45,700 --> 00:58:10,560 You know, there were so many different designs shown, and I hope it doesn't come back, it's just a one, and then we start critiquing and going from there, so if you could talk to them, it'd just be my hope that we see a couple different versions of what that entryway arch could look like, or that even what the new roof line for the overhang for this building would look like. 649 00:58:10,560 --> 00:58:14,640 So it's not a single thing, and then we start all designing at the table. 650 00:58:16,080 --> 00:58:20,980 Yeah, and I think the entryway definitely, that's a pretty interchangeable. 651 00:58:21,520 --> 00:58:24,560 The roof line will want to be careful about it. 652 00:58:24,660 --> 00:58:25,520 Sure, yeah. 653 00:58:25,900 --> 00:58:31,680 Well, and again, the entryway arch, I think at least none of the existing ones were really 654 00:58:31,680 --> 00:58:37,840 it, you know, and so that's why, you know, we know when like the real modern metal entryway 655 00:58:37,840 --> 00:58:43,120 the other one looked too large and I suggested a pillar or perhaps is enough to demarcate the 656 00:58:43,120 --> 00:58:47,660 sidewall. Yeah. So they should just bring back some options. And we also have been talking 657 00:58:47,660 --> 00:58:52,840 to the veterans community as well. Yes, that's true. And that's what I'm trying to incorporate that. 658 00:58:53,120 --> 00:58:59,860 Okay. Yeah. Good. I have one thing. I don't know. I don't see anybody else with the packet 659 00:58:59,860 --> 00:59:04,980 information we got with the letter from Lenny Oates. Did everybody get that? Or I got that. I did 660 00:59:04,980 --> 00:59:12,180 covering that okay um and and and you just need to decide how to address that if we want to 661 00:59:12,180 --> 00:59:15,340 I don't know what you're talking about. Did you got to get a copy of it in your box? 662 00:59:15,600 --> 00:59:20,540 I made up to see on my box. Yeah. Well when you guys read it let's just make a decision on what we want to do. 663 00:59:20,940 --> 00:59:26,500 Yeah is it something we might be able to add to the executive session at this point? It's a 664 00:59:26,500 --> 00:59:33,160 potential. I think we've discussed it once but we didn't and then it came back. So I don't know 665 00:59:33,160 --> 00:59:37,700 John Ely is already responded to that letter we got or what so maybe we could add it to executive 666 00:59:38,480 --> 00:59:38,920 possible. 667 00:59:40,360 --> 00:59:41,880 I see if John 668 00:59:47,640 --> 00:59:52,620 would be great just so we can have it done for the sale of it. 669 00:59:54,690 --> 00:59:55,510 That's it for me. 670 01:00:02,100 --> 01:00:07,380 If, you know, long those lines for 671 01:00:09,970 --> 01:00:14,530 the executive session, motion, it may be appropriate 672 01:00:14,530 --> 01:00:22,750 then to do for a acquisitions and for he negotiations, I think that would be appropriate. 673 01:00:22,770 --> 01:00:25,870 Anyway, because the acquisitions, the discussion. 674 01:00:25,870 --> 01:00:27,490 requires some negotiations. 675 01:00:27,950 --> 01:00:32,710 Well, we require both negotiations and that's some least components to it, which are 676 01:00:32,710 --> 01:00:34,790 probably more appropriate under negotiations. 677 01:00:34,970 --> 01:00:40,890 And then if we had the discussion about the letter that we received, that would fall under 678 01:00:40,890 --> 01:00:41,470 negotiations. 679 01:00:43,390 --> 01:00:53,210 Okay, so I would entertain a motion to go into open a special meeting and entertain a motion 680 01:00:53,210 --> 01:01:03,590 go into executive session for purposes of acquisitions, CRS-24-S-6-4024-A and negotiations, 681 01:01:05,570 --> 01:01:09,490 CRS-24-S-6-4024-E. 682 01:01:09,810 --> 01:01:10,090 So, move. 683 01:01:10,970 --> 01:01:11,110 Second. 684 01:01:13,190 --> 01:01:14,870 All in favor say aye. 685 01:01:15,470 --> 01:01:15,530 Aye. 686 01:01:16,190 --> 01:01:18,130 Thank you for joining us and have a good holiday. 687 01:01:18,330 --> 01:01:18,890 Thank you. 688 01:01:19,190 --> 01:01:20,210 Thank you. 689 01:01:22,350 --> 01:01:25,510 And we want to give a few minutes that little room rest.