[0:22] All rights.

[0:23] We're going to call the meeting of September 1st to order

[0:28] please.

[0:29] So roll call to the clerk of the board please.

[0:35] [calling roll]

[0:42] >> Yes.

[0:42] John, is it okay if you do the salute to the flag?

[0:45] I'm so happy that you are here.

[0:46] And a moment of silence.

[0:48] Think of our men and women fighting overseas.

[0:51] Thank you.

[0:54] >> Please join me in the pledge to our flag.

[0:56] I pledge allegiance to the flag of the United States of America

[0:59] and to the Republic for which it stands, one nation under God

[1:04] indivisible with liberty and justice for all.

[1:29] Thank you.

[1:41] Madam clerk would you please read the agenda item number one

[1:48] and call for public comment?

[1:50] I probably didn't say that loud enough.

[1:54] Your microphone wasn't -- >> Okay.

[1:58] Do I need to repeat myself?

[2:00] >> No Ma'am.

[2:02] >> Adopt and present a resolution recognizing September

[2:04] 26th as National Preparedness Month.

[2:07] Do I have a motion?

[2:09] And Ma'am I have no callers for this item.

[2:15] Please vote.

[2:21] Sorted by a vote of 5-0.

[2:40] >> Good morning.

[2:40] It is an honor to do this resolution of Solano County

[2:43] Board of Supervisors recognizing September 2026

[2:45] as National Preparedness Month in Solano

[2:48] County, whereas National Preparedness Month is

[2:51] a nationwide effort held each September

[2:53] and Whereas the mission of Solano Office of Emergency

[2:57] Services is to protect lives, property and the environment

[3:01] by preparing for and responding to,

[3:04] recovering from and mitigating the effects of natural and human

[3:08] caused emergencies.

[3:09] I'm not going to read the rest.

[3:12] I do want to say it's been 21 years since Hurricane Katrina

[3:16] hit New Orleans.

[3:17] And at that time I was a college student,

[3:21] where we had to prepare to be evacuated

[3:23] by the way of Shreveport Louisiana

[3:27] and then to Fort Worth before I made it back home.

[3:31] So after a week and a half of trying to not only prepare

[3:37] for that natural disaster but also evacuating, making it

[3:42] back home and then recovering after that,

[3:45] it is important that we do prepare.

[3:48] And I will yield the rest of my time

[3:50] to Robin, because I know how passionate she

[3:53] is about making sure that we are prepared in our local county.

[3:58] >> Yes.

[3:59] That's an understatement.

[4:01] >> I know.

[4:02] They're giving me a soapbox which

[4:04] is always fun on this topic.

[4:05] Good morning.

[4:06] I'm Robin of the Emergency Services Manager.

[4:08] Thanks for having me.

[4:10] We are here to talk about preparedness.

[4:13] September is National Preparedness month

[4:16] but we should be preparing all year round.

[4:18] We should be preparing for lots of different things

[4:21] that can happen.

[4:22] In this county, we talk a lot about fires and --

[4:29] there's lots of other things that can happen that we have

[4:32] to be ready for.

[4:33] If you're preparing for one, there's generally --

[4:38] preparedness there's levels of preparedness.

[4:41] First thing is you need to receive emergency notifications

[4:45] and you do that by signing up for alerts Solano.

[4:47] You can go to alert solano.com or the county website

[4:51] and just search for Alert Solano.

[4:54] You will see emergency alerts in a text message, email --

[4:59] I think we can fax you still.

[5:01] For different locations, your home,

[5:04] I sign up for my parents home so I

[5:07] can wake them up for an emergency

[5:08] because their phones are off.

[5:10] I don't recommend that.

[5:11] You won't get them if your phones are off.

[5:14] But signing up for emergency alerts

[5:16] is the first thing we need to do to make sure you're getting

[5:18] those emergency messages.

[5:19] Make sure you're only following information

[5:22] from trusted sources.

[5:24] The number one distraction in emergencies is misinformation.

[5:29] Don't share misinformation and don't take action based off

[5:33] of misinformation.

[5:34] If you're not looking at trusted sources,

[5:38] verify that information before you do anything with it.

[5:42] That's really important.

[5:44] Most people won't take action until they

[5:46] see information 2 or 3 times.

[5:48] Then they'll take action.

[5:50] So if everything being shared is wrong,

[5:53] then that can be dangerous for the community.

[5:56] So I -- following trusted sources.

[6:01] Make sure you're following us on social media.

[6:03] We do share all of our emergency information there.

[6:07] On emergency alerts, the other thing good to know

[6:09] is when we send emergency messaging, which

[6:12] we as Solano send for unincorporated areas

[6:14] in the county, for the Sheriff's office and the fire districts,

[6:18] the cities send messaging for their own residents.

[6:21] We are only going to send you messages

[6:23] if you have to take a protective action for yourself.

[6:26] And that means that there's an evacuation Warning

[6:29] and evacuation order or shelter in place.

[6:32] Those are the only reasons you would receive a message for us

[6:36] and it's only going to go to the people that have

[6:38] to take that protective action.

[6:40] If you live across the street from the evacuation,

[6:43] you are not going to receive that message.

[6:46] That's the way the system is designed

[6:48] because if people are in safety danger,

[6:50] we don't want to over alert the community

[6:52] and have everyone clogging the roads

[6:54] and evacuating that don't need to because they are not

[6:57] in immediate danger.

[6:58] That being said, if you receive an evacuation Warning

[7:02] and you have special needs or you

[7:05] have animals or any kind of situation

[7:09] that means it's going to take you longer to evacuate, a 20

[7:13] something with no responsibilities,

[7:16] then you can leave at that evacuation Warning.

[7:20] You don't have to wait for an order.

[7:22] My grandmother, before she passed,

[7:24] she was encouraged always to leave at a Warning because she

[7:28] was in her 90s and walks very slow.

[7:31] So take those things in consideration.

[7:34] If you ever feel unsafe, you don't

[7:36] have to wait for an evacuation Warning to evacuate.

[7:39] You can evacuate anytime you feel unsafe.

[7:42] That's your choice.

[7:43] You can leave anytime you want to.

[7:46] If there's an evacuation order and you leave,

[7:49] you can't come back in.

[7:51] You better be ready when you leave.

[7:54] And that is what this is.

[7:57] So this is a go back.

[8:00] This is my go back.

[8:02] Does it have to be this big?

[8:04] No.

[8:04] But I am bougie.

[8:06] I have an aluminum blanket in here

[8:09] but I also have a regular blanket

[8:11] because who wants to sleep with an aluminum blanket?

[8:14] All you need is an aluminum blanket.

[8:15] If you ever want to see what's in here,

[8:18] you're welcome for storytime.

[8:19] Let me know.

[8:20] I can live out of this for a week if I have to.

[8:23] There's food, there's water.

[8:26] I can saw things and cut things and change my clothes

[8:30] and clean my body and I have seven days worth of medication.

[8:34] I have seven days worth of medication.

[8:37] One more time.

[8:41] Seven days of medication.

[8:44] If you take medication, make sure you have some on hand.

[8:50] I understand that's a complicated thing to ask.

[8:53] My mother is a double lung transplant patient.

[8:56] The amount of medication she takes daily is like --

[9:01] her go bag has a go bag for her medications.

[9:06] So I understand what that means and it's never

[9:09] going to be more critical than in a disaster

[9:12] because your access to get that medication

[9:14] if you need it is potentially going to be limited.

[9:18] Especially depending on the type of disaster.

[9:21] We talk about fire and floods.

[9:24] Very few are prepared for an extended power outage.

[9:28] Whether that's intentional or accidental.

[9:31] So think of all the things that require electricity

[9:37] to make the world go round.

[9:41] You should have cash and not $100 bill

[9:44] because no one is taking that.

[9:46] You should have -- you should have fuel because you need

[9:51] electricity to get fuel out of the ground.

[9:53] Your cars should be full.

[9:55] If it's half tank or lower, you need to go to the gas station.

[10:00] My car was on E yesterday.

[10:02] It's a do as I say situation.

[10:04] Okay?

[10:07] So think all of the things through across any kind

[10:11] of disaster that could come across.

[10:13] And prepare for those things.

[10:16] This is a go bag.

[10:17] It's in my car all the time.

[10:19] If it doesn't go with you, it's not a go bag.

[10:22] There are levels of preparedness.

[10:24] In my purse I have personal care.

[10:26] If I get stuck somewhere, I might be hungry and thirsty

[10:30] but I'm not going to smell bad.

[10:33] Okay?

[10:33] But at home, I have --

[10:38] I'm not a hoarder.

[10:39] I'm not like a prepper.

[10:41] Not a full prepper like a YouTube prepper.

[10:44] But I have food.

[10:45] Okay?

[10:46] I have water.

[10:47] It takes a gallon of water per person

[10:50] per day plus your animals.

[10:52] That's a lot of water.

[10:54] Find the best way to store it.

[10:57] So what does your family need and how

[11:01] best are you going to prepare?

[11:04] This is an expensive venture.

[11:07] I have been crazy for a long time.

[11:09] So I have been preparing for a long time.

[11:13] Do it slowly over time if that's what it takes.

[11:16] When you talk about people who are struggling

[11:20] to make ends meet, just paycheck to paycheck,

[11:24] and you talk about having emergency food on hand,

[11:27] that is not a realistic thing they can think through.

[11:33] But if you have $20 a month -- and I remember $120 a month was

[11:38] a lot of money -- you can buy -- you can buy a pound of rice

[11:45] and put it in a box in the closet.

[11:47] You can buy one gallon of water for $0.99

[11:51] and put it in the closet.

[11:53] Guess what?

[11:54] An emergency for your family might not

[11:57] be an emergency for everybody else.

[11:59] You might need to dip into that emergency food

[12:01] because that emergency is just for you guys.

[12:04] But that's what it's there for and it's

[12:07] only there if you do the work to put it in.

[12:10] Okay?

[12:11] Seven days of medication.

[12:14] Sign up.

[12:15] Know your zone.

[12:18] There are evacuation zones.

[12:19] If you don't know it, shame on you.

[12:21] I talk about it all the time.

[12:23] Go to our website and you can find that there too.

[12:26] We all have a responsibility for our own preparedness.

[12:31] Our first responders are amazing people.

[12:35] Our community is amazing and in a disaster,

[12:37] we stand up and help each other in ways

[12:40] that give me hope for humanity.

[12:42] It's just -- you guys know because we've all seen it.

[12:47] There's only so much first responders can do

[12:50] and they're going to prioritize life safety in a disaster.

[12:56] And they're also members of the community and they are impacted.

[12:59] A lot of us live here.

[13:02] When there's a disaster, we are impacted.

[13:04] Our families are impacted.

[13:06] We have to deal with that as well.

[13:09] You are responsible for yourself and your family.

[13:13] We will do everything we can to support you and help you.

[13:17] Understand that we cannot save you every time.

[13:20] Okay?

[13:26] >> Thank you.

[13:29] [applause]

[13:33] >> My bag is so heavy!

[13:41] >> The other thing is know your medications.

[13:43] >> Have a list of your medications.

[13:45] Have a list of your medications.

[13:47] Seriously.

[13:48] If you're not conscious of whatever --

[13:53] (inaudible) somebody should know that.

[14:02] >> Five days, right?

[14:03] Five days.

[14:05] [laughter]

[14:17] >> There's so many things I missed.

[14:19] Paperwork and plastic bags.

[14:23] [laughter]

[14:51] >> Madam clerk?

[14:51] If you would please read the title

[14:53] and see if anybody wishes to speak under public comment

[14:56] for item number three?

[14:58] >> Adopt and present a regulation recognizing September

[15:01] 2026 as National Food Safety Education Month.

[15:04] Can I entertain a motion?

[15:08] >> Second.

[15:11] >> I have no callers on the line and no cards for this item.

[15:15] Please vote.

[15:19] So ordered by a vote of 4-0, or 5-0, sorry.

[15:33] >> I think we're still back on number seven.

[15:47] >> Did I not do something?

[15:48] Oh.

[15:49] Is it my turn already?

[15:52] Oh God.

[15:54] Sorry.

[15:54] No wonder everybody --

[16:03] [inaudible conversation]

[16:19] >> This has to do -- sorry.

[16:20] It is trippy if you think about it

[16:22] because what about 2 or 3 months we couldn't eat lettuce?

[16:26] This is a resolution of the Solano County

[16:28] Board of Supervisors recognizing September 2026 as National food

[16:34] safety Education Month.

[16:37] And who would like to talk about the fact

[16:39] that we're not going to get any money from the feds

[16:42] to keep the FDA alive?

[16:44] We are not.

[16:47] >> That's true.

[16:49] >> Okay.

[16:51] All right.

[16:52] Thank you chair Brown, board members for your time.

[16:56] I'm the Solano county environmental health manager.

[16:59] The main objective of our environmental health mission

[17:02] statement is to protect public health.

[17:05] We do that through a variety of programs

[17:07] covering hazardous materials common solid waste common water

[17:10] wells common septic systems common public pools and food

[17:14] facilities among others.

[17:16] While most of our programs are regulatory in nature,

[17:19] we strive to correct deficiencies and improve

[17:23] public health and safety through education

[17:24] and voluntary compliance rather than enforcement.

[17:27] We are here to recognize our consumer protection team

[17:31] and through their efforts to protect public health

[17:33] during national food Safety Month,

[17:35] and of course they are doing it every day out in the field.

[17:39] In addition to reviewing food facility plans come issuing

[17:41] operating permits, investigating foodborne illness complaints,

[17:45] our team conducts regular inspections

[17:47] of food facilities and special events

[17:49] to ensure they are meeting standards

[17:51] to help protect public health.

[17:53] I'd like to turn it over to Connie.

[17:55] She has been with Solano County Environmental Health

[17:58] for over 19 years.

[18:00] She has been our consumer protection supervisor

[18:02] since the beginning of this year.

[18:10] >> Good morning chair Brown and board members.

[18:12] I am Connie Howard supervisor for the Consumer Protection

[18:15] Program in the Environmental Health.

[18:18] Our consumer protection program consists

[18:20] of four primary programs which are food, pools, housing

[18:25] and land.

[18:26] The food program is our main program and our food facility

[18:30] inspections cover multiple areas of food safety including

[18:33] sanitation, personal hygiene, vermin elimination,

[18:38] cross avoidance and maintaining safe food temperatures.

[18:42] This September and recognition of National Food Safety Month,

[18:46] Solano Counties Consumer Protection Program team members

[18:50] are conducting focused inspections at food facilities

[18:53] on assessing food temperature, food temperatures and their food

[18:57] cooling practices permit the goal is to remind and educate

[19:01] food facility employees to keep food out of the temperature

[19:05] danger zone, to keep the food cold enough and the hot food

[19:10] hot enough.

[19:11] This campaign is our way of taking a preventative approach

[19:14] to food safety by rewarding our facilities that apply good food

[19:19] safety practices and educating the facilities that

[19:22] need to improve their food temperature, best management

[19:26] practices.

[19:27] Our overall objective is to help our food facility protect

[19:31] public health by keeping our food safe.

[19:35] Thank you for your time and thank you to our consumer

[19:38] protection team.

[19:43] [applause]

[19:49] >> So is it good to work for?

[19:50] You guys know we love Star Wars, right?

[19:54] Because if you don't --

[19:56] I'll write.

[19:57] Is there anybody else who wants to say something?

[19:59] It's not -- it's cool not to if you don't -- too early.

[20:04] So since you got to speak in front of everybody,

[20:08] you get to -- and let's go take pictures.

[20:15] You're not going to come?

[20:22] >> Wash your hands.

[20:23] >> Is that what I have to do?

[20:26] >> That's very true.

[20:47] >> Here we go.

[20:48] On three.

[20:48] One, two, three.

[20:55] >> Thank you.

[21:12] [inaudible conversation]

[21:42] >> Okay.

[21:42] Madam clerk, item number four.

[21:44] If you could read the title.

[21:46] Are we on three?

[21:51] >> I did too far.

[21:53] There we >> Adopt and present a resolution recognizing September

[21:59] 7th 2026 as World Duchenne Awareness Day in Solano County.

[22:03] Do I have a motion?

[22:05] >> So moved.

[22:06] If I have no colors and cards.

[22:19] >> That helps if I vote to.

[22:20] Sorry.

[22:21] Sorted by a vote of 5-0.

[22:26] >> (inaudible)

[22:34] >> And joining me today is going to be Thomas,

[22:36] Chris and Doctor Maya Evans.

[22:39] Thank you for all being here today.

[22:43] For some of you who may not know, two of my children

[22:48] was diagnosed with Duchenne's muscular dystrophy.

[22:52] They are no longer here with me today.

[22:56] However, I am so honored and so thankful for Shriner's Hospital.

[23:03] And for some who may not know, Shriner's Hospital

[23:08] is located in Sacramento.

[23:11] But they service all the residents here

[23:15] with neuromuscular diseases in Solano County.

[23:20] So I just felt it's only fitting that we recognize them today

[23:26] and that they accept this resolution.

[23:29] I won't read the whole thing because I want to give them

[23:32] a chance to speak and share with you the great work they are

[23:38] doing in Shriner's.

[23:41] But whereas Duchenne's Muscular dystrophy is a rare, progressive

[23:48] and life limiting genetic disorder typically diagnosed

[23:52] in early childhood, affecting approximately one

[23:57] in every 5000 live male births, and whereas duchenne's is caused

[24:03] by mutations in the dystrophin gene located along the X

[24:08] chromosome, and primarily affecting

[24:11] boys across all racial and ethnic backgrounds,

[24:15] and whereas the absence of severe deficiency in dystrophin,

[24:20] a protein essential for maintaining healthy muscle cells

[24:25] causes progressive muscle weakness.

[24:28] And degeneration throughout the body.

[24:31] Whereas the world Duchenne's Awareness Day was established

[24:35] in 2014 and is observed annually on September 7th,

[24:40] to unite communities around the world in raising awareness

[24:46] of Duchenne's and Becker muscular dystrophy.

[24:51] Whereas world Duchenne's Awareness Day has grown

[24:54] into a global movement involving families, advocates,

[24:59] healthcare professionals, researchers and organizations,

[25:03] and in 2026 -- of 2026 theme, access changes lives,

[25:09] calls attention to the importance of removing physical,

[25:13] medical and social barriers and ensuring equitable access

[25:18] to early diagnoses, specialized care,

[25:22] clinical trials and opportunities for full

[25:26] participation in daily life.

[25:30] I'm also going to present to them --

[25:33] and I'm not going to read this all out --

[25:35] but I'm presenting to them also a proclamation from our office.

[25:41] Just highlighting all the work, the assistance, the equipment,

[25:47] specialized care teams, financial support and therapy

[25:50] that they provide children at no cost.

[25:55] And it's truly a blessing.

[25:58] If you know any parents that just had the diagnoses,

[26:03] please tell them about Shriners Hospital at this time I would

[26:07] like to --

[26:10] Wendy, are you coming?

[26:11] I'd like to have Wendy come forward and speak.

[26:15] >> Thank you.

[26:17] Good morning.

[26:19] Thank you Supervisor Williams and members of the Solano County

[26:23] Board of Supervisors for recognizing

[26:26] Duchenne muscular Dystrophy Awareness Day

[26:29] and for helping more families understand this rare condition.

[26:33] My name is Wendy Thomas and I'm the Director of Patient Care

[26:36] Services and the nurse executive for Shriners Children's

[26:39] in Northern California.

[26:41] Supervisor Williams, we know how deeply personal

[26:45] this is for you and it was an honor and privilege

[26:48] to love and care for your family.

[26:50] We are forever grateful for your ongoing support

[26:53] of our mission in the hospital.

[26:55] We are proud that all services are provided,

[27:00] regardless of the family's ability to pay or insurance

[27:03] status.

[27:03] You may be surprised to know that last year we

[27:06] served hundreds of children from Solano County

[27:09] and we are honored to be a trusted pediatric specialty care

[27:13] resource for families throughout the region.

[27:22] >> Good morning supervisor Williams and Solano County Board

[27:24] of Supervisors.

[27:25] I'm Doctor Maya Evans, a physical medicine

[27:28] and rehabilitation physician.

[27:30] I've been caring for children at Shriners Children's in Northern

[27:34] California for the last ten years

[27:36] specializing in neuromuscular conditions.

[27:39] Duchenne muscular dystrophy is a genetic condition

[27:43] that causes muscles to become weaker over time.

[27:47] It primarily affects boys and can eventually

[27:50] affect the child's mobility, heart

[27:52] and muscles used for breathing.

[27:55] Because a child's need changes as they grow,

[27:58] Duchenne's requires ongoing coordinated care and support

[28:03] across many specialties at our hospital.

[28:06] At Shriners Children's northern California,

[28:09] our dedicated team provides specialized pediatric care

[28:13] centered on each child and family.

[28:16] Families choose Shriners knowing they

[28:19] will receive compassionate, individualized care from people

[28:23] who understand that a complex diagnosis affects

[28:26] the whole family.

[28:28] And thank you for elevating Duchenne's awareness

[28:32] and recognizing children, families, clinicians, caregivers

[28:37] and advocates who face this condition with courage

[28:40] every day.

[28:50] Thank you supervisor Williams.

[28:51] And members of the board for this important recognition.

[28:54] My name is Chris and I'm the Vice chair

[28:57] of the Shriners Children Northern California Board

[29:00] of Governors.

[29:01] I also have a daughter who was born with a rare genetic disease

[29:05] and was treated at Shriners and how important it is.

[29:09] I became a Shriner because I believe a life of service

[29:12] should be measured by how we care for others, especially

[29:16] children.

[29:16] Supporting Shriners Children's is

[29:19] an extraordinary medical teams allows

[29:21] us to help children receive the best care, encouragement

[29:25] and opportunities they deserve.

[29:28] Shriners commitment to service and helping children

[29:32] and families through some of their most difficult moments

[29:35] is an essential part of our community.

[29:38] I'm honored to accept this recognition

[29:40] and have the Shriners Children's Northern California

[29:42] and we are grateful to Solano County for recognizing

[29:47] Duchenne awareness and the importance

[29:48] of compassionate, accessible pediatric care.

[29:51] Thank you.

[29:58] [applause]

[30:04] >> (inaudible)

[30:09] >> The parade.

[30:40] >> Here we go.

[30:40] On three.

[30:55] We can have races.

[31:06] >> I can hear the sounds of the go carts.

[31:10] >> I'm just moving that out of the way.

[31:51] Do you need some time?

[31:54] Okay.

[31:57] All right.

[32:10] So we are going to move to item number five right now.

[32:16] Is everybody here for item number five?

[32:19] Okay.

[32:21] Number five?

[32:26] >> No.

[32:27] >> No.

[32:28] It is cool.

[32:30] This is why I have a support staff.

[32:33] Okay?

[32:35] >> Receive a presentation from the auditor comptroller's office

[32:38] on the selection of Rosalind Mendoza for employee

[32:40] of the month for September 2026.

[32:49] >> So who is here to help on that one?

[32:50] >> I think I see Rosalind but I don't think I see the auditor

[32:55] comptroller's office.

[32:56] They may be making their way down.

[32:59] There she is.

[33:00] Slight stall.

[33:01] Thank you.

[33:03] >> We just wanted to see if you were watching us >> Good.

[33:07] And also come on the person who gets the parking lot,

[33:09] you pick the best time because they're

[33:11] supposed to be an El Nino and you get undercover.

[33:19] Maybe I'll get started.

[33:21] Sorry we were -- beam and don't worry about it.

[33:23] Maybe a little delay.

[33:25] So good morning Chair Brown and members of the board.

[33:28] Janine, auditor Comptroller.

[33:30] Thank you for recognizing Rosalind Mendoza as September's

[33:33] employee of the month.

[33:34] Rosalind has been an invaluable and knowledgeable member

[33:37] of the property Tax division for 12 years.

[33:40] Her dedication and teamwork and excellent customer service

[33:42] have made her an outstanding lead for her coworkers

[33:45] and tremendous support to her supervisors.

[33:47] Rosalind worked in the property tax division

[33:50] prior to the implementation of our new property tax system.

[33:54] There she is.

[33:56] I didn't even see you.

[33:59] Prior to the implementation of our new property tax system,

[34:03] and her deep knowledge of the legacy

[34:05] system continues to be an incredible benefit to her team

[34:08] and supervisor.

[34:09] As we know the property tax implementation

[34:12] has been several years now and she

[34:14] is our last remaining from our legacy system on our team.

[34:18] We have a very new team.

[34:20] We've had a lot of promotions and retirements comet

[34:22] and Rosalind is fantastic.

[34:24] I just want to take this opportunity

[34:26] to thank her and recognize her as the employee of the month

[34:31] or the parking spot of the month which is exciting.

[34:33] I'm truly grateful for your support and your expertise.

[34:36] I want to make sure you know the entire department is

[34:40] so grateful for the leadership and expertise you bring

[34:44] and especially from your supervisor who

[34:46] wasn't able to be here today.

[34:47] You've been a wonderful support to her.

[34:49] Thank you.

[34:50] Would you like to say a few words?

[34:54] >> Sorry.

[34:55] Sorry.

[34:56] Hi.

[34:56] I am Sarah, the assistant auditor Comptroller.

[35:00] I just want to reiterate what Janine said.

[35:05] We've got a lot of change in leadership, a new auditor

[35:09] and assistant auditor com a new property tax manager.

[35:13] And Rosalind is our senior member of the property tax team

[35:17] and she has been a huge support to us

[35:20] and I just want to say thank you.

[35:23] She makes sure that we meet our deadlines

[35:25] and that we even know what our deadlines are and doesn't

[35:28] let anything fall through the cracks.

[35:31] Just a few words, Rosalind is a very kind, very thoughtful,

[35:37] meticulous.

[35:39] Anything she has reviewed and signed off on,

[35:41] I know that she's checked every single number to the penny.

[35:46] She's very knowledgeable and she's done a lot of training.

[35:52] And I just want --

[35:55] I want to share what her team Mates described.

[35:59] As an employee, Rosalyn is dedicated, ethical and committed

[36:05] and works tirelessly to get the job done.

[36:07] As an individual she's compassionate and warm, caring,

[36:11] thoughtful but will never bend the rules.

[36:14] Thank you, Rosalyn.

[36:23] >> Hello.

[36:23] I am the Chief Deputy Auditor Comptroller.

[36:25] I was the previous property tax manager.

[36:27] I work with Rosalind for over ten years

[36:30] and just some things that come to mind.

[36:33] She is dedicated, professional, very kind,

[36:38] almost saying what Janine and Sarah said,

[36:41] she goes above and beyond.

[36:44] She's reliable.

[36:46] I can always know that she will be there every day.

[36:50] Rarely taking vacations, because as you know,

[36:54] property tax never ends.

[36:56] I just want to say thank you.

[36:58] You've made a difference to the auditor Comptroller's office

[37:00] and the county.

[37:02] I appreciate everything you've done.

[37:04] Congratulations.

[37:10] [applause]

[37:13] >> Wow.

[37:14] I wasn't expecting to hear so much kind words

[37:16] and it's just an honor to have my hard work be recognized.

[37:20] I think you board, I think you department and also especially

[37:23] my division, because without my division,

[37:25] we all in a team and we're all just --

[37:29] we're as well deserving as this acknowledgment as I am.

[37:33] Thank you.

[37:39] [applause]

[37:45] >> Come on down.

[37:45] Everybody come on down.

[37:48] Even if you're a shy, we want your picture anyway.

[37:57] Yeah.

[38:08] [inaudible conversation]

[38:20] >> One, two, three.

[38:22] Congratulations.

[38:28] [applause]

[38:57] >> Okay.

[38:57] Madam clerk, item number four please?

[38:59] If you would read the title and for public comment.

[39:06] Adopt and present a resolution recognizing September 15

[39:08] through October 15, 2026, as National Hispanic Heritage

[39:08] Month in Solano County do I have a motion?

[39:12] I have no callers and no cards.

[39:16] >> Thank you.

[39:20] So ordered.

[39:26] 5-0.

[39:38] Listen, it's an honor to present this resolution acknowledging

[39:44] Hispanic Heritage Month, and I was

[39:48] intentional to acknowledge Communicare all,

[39:52] for multiple reasons.

[39:54] But first, I will read the resolution and share

[39:58] why they were selected for this presentation when

[40:01] I read a little excerpt from my proclamation to them.

[40:07] Whereas each year our nation observes national Hispanic

[40:11] Heritage Month from September 15th through October 15th,

[40:16] to celebrate the histories, cultures come a traditions

[40:20] and contributions of Hispanic and Latino Americans whose

[40:26] heritage is rooted in Spain, Mexico,

[40:30] Central America South America and the Spanish speaking nations

[40:35] of the Caribbean, and whereas the national Hispanic Heritage

[40:40] Month began in 1968 as Hispanic Heritage Week under President

[40:47] Lyndon B Johnson and was expanded in 1988 under President

[40:53] Ronald Reagan to a 30 day observance from September 15th

[40:57] to October 15th, and as enacted by public law,

[41:03] and whereas September 15th holds special significance

[41:07] as the anniversary of independence for Costa Rica,

[41:12] El Salvador Guatemala Honduras Nicaragua followed

[41:17] by Mexico's Independence Day on September 16th

[41:20] and Chile's Independence Day on September 18th.

[41:27] Whereas Hispanic and Latino communities encompass a rich

[41:32] diversity of cultures, history and experience,

[41:34] by sharing traditions and values,

[41:37] that continue to contribute to the social,

[41:40] cultural and economy by -- and the vitality of Solano County,

[41:45] whereas the 2026 National Hispanic Heritage Month is --

[41:51] I cannot say the Spanish word here -- (inaudible) somos Mas.

[42:01] Together, we are more.

[42:03] Celebrates the strength that comes from unity

[42:08] and recognizes the collective contribution

[42:10] of Hispanic and Latino communities across our nation.

[42:15] And I just wanted to share just from the proclamation, why

[42:23] they were selected.

[42:26] Communicare offers fully bilingual and bicultural care

[42:30] across all health centers where most providers and staff are

[42:36] bilingual, primarily in English and Spanish,

[42:38] as well as languages like Dari, and Vietnamese.

[42:47] And they also provide multiple health care

[42:53] and I chose them because they do service

[42:56] a lot of the Hispanic community because they've

[43:00] offered the bilingual care that is needed in this county.

[43:06] I'm going to stop here because I want to give them an opportunity

[43:10] to share.

[43:11] I'm not sure if they're translating in Spanish

[43:14] but I definitely want to give them an opportunity to speak.

[43:25] >> Good morning, I'm Sonia, chief development officer

[43:27] for Communicare LA and Supervisor Williams,

[43:30] we thank you so much for including us and being honored

[43:34] as part of Hispanic Heritage Month.

[43:36] It's actually a really important month for our organization

[43:39] because we opened our doors on September 17th 1972.

[43:43] And we were founded to provide primary care for migrant farm

[43:49] workers.

[43:50] Fast forward today, 54 years later, we still

[43:53] hold true to that value of making sure

[43:55] that everybody in the communities that we serve

[43:58] is able to access quality healthcare regardless

[44:01] of their ability to pay, their immigration status

[44:04] or their insurance status.

[44:07] In Solano County specifically, we

[44:10] take care of nearly ten thousand patients every year

[44:13] at three health centers in Fairfield

[44:16] and our staff really reflects the patients that we care for.

[44:23] We pride ourselves on offering bilingual, culturally competent

[44:29] care.

[44:30] And stay rooted to that initial founding of making sure

[44:36] that most importantly our agricultural workers

[44:38] and our essential workers that help fuel all of our economies

[44:43] have access to the health care that everybody deserves.

[44:46] We thank you very much for this and I know many of our staff

[44:51] will be very honored when they take this back.

[44:56] Maybe I'm all right.

[44:59] Okay.

[45:00] We're going to come down and take photos.

[45:05] >> Okay.

[45:06] Thank you.

[45:07] Okay.

[45:35] >> On three.

[45:35] One, two, three.

[45:37] >> Thank you.

[45:43] [applause]

[46:17] >> Items from the public -- it is time for us to take public

[46:17] comment.

[46:17] For those of you here in person, please complete the speaker card

[46:21] and submit it to the clerk on my right

[46:24] to permit the clerk will call your name.

[46:26] Please come forward to the podium

[46:28] promptly and be ready to speak.

[46:29] For those attending the meeting virtually,

[46:33] please press *3 to raise your hand to alert the clerk that you

[46:38] wish to speak under public comment.

[46:40] The clerk will call out the last two digits

[46:42] to let you know it's time for you.

[46:44] If you're not present when your name is called,

[46:46] we'll move on to the next speaker.

[46:49] Madam clerk, public comment.

[46:52] >> I have no callers but I do have one card.

[46:54] Susan B Anthony?

[47:02] >> Oh my God.

[47:02] She showed up yesterday.

[47:06] >> For allowing me this opportunity to speak before you

[47:09] chair.

[47:09] Chair Brown and members of the supervising board

[47:12] and the esteemed members of the service of the community as well

[47:17] as the public.

[47:18] I am Susan Anthony from Vallejo California

[47:21] and I have small business and I'm here

[47:25] to ask for help in a couple of areas

[47:29] that I have been faced with.

[47:32] I wanted to bring this information

[47:35] before the board in case you weren't aware

[47:38] that I do raise our native dog called the Carolina Dog

[47:43] and they are a native dog of North America.

[47:46] I have asked to exhibit them at the Exploratorium in San

[47:52] Francisco and they have also been

[47:54] featured on the National Geographic movie

[47:58] comet in the movie, search for the first dog.

[48:01] I just wanted to bring that to your attention.

[48:05] I had an issue back in 2017 and I

[48:10] was forced to look for a larger piece of property

[48:13] to put my dogs I want keep my dogs on.

[48:16] I have been a Steward of this native dog since about 1999.

[48:21] I went back to South Carolina and found them

[48:26] and they asked me to keep a genetic strain here

[48:30] in California so that if something happens

[48:32] to their dogs in the eastern United States,

[48:35] that I would have a genetic strain that would be continuing.

[48:41] Since most of the native dogs that were in the Americas have

[48:46] passed, these dogs have very strong genetic ties with

[48:50] themselves and they are not --

[48:53] they are not dog aggressive and they are not --

[48:57] in the wild if they get injured, they know they will die

[49:00] and so they want to avoid danger.

[49:02] I had a problem because most fencing in the neighborhood that

[49:07] kept animals in was only like 3 or 4ft tall and if you've ever

[49:12] watched any of the homestead movies about how to homestead,

[49:16] you have to be able to keep your animals safe.

[49:19] These dogs have been a problem and had gotten out

[49:24] and I tried to remediate but anyway, I'm faced with a problem

[49:30] with maybe possibly these all being destroyed

[49:33] and I'm asking great appreciation for any help you

[49:38] could possibly give me to prevent this from happening.

[49:41] The property I purchased was two and a half acres

[49:46] and it was in dire need of being cleaned up.

[49:50] It was being used as an illegal dump.

[49:52] I thought this would be a property

[49:54] that I could be an asset to the community to clean up.

[49:57] So I spent the better part of eight months totally focused

[50:03] on just cleaning up the debris on this property and I

[50:08] worked on the fencing and whatever.

[50:11] But anyway, I was faced with fixing up the property

[50:15] to live in it and I have a permit

[50:16] that I have been working on for eight years

[50:18] that I need help with.

[50:21] >> Everybody gets three minutes.

[50:23] >> Am I done?

[50:24] >> Yes you are.

[50:25] Thank you very much.

[50:28] >> Okay.

[50:29] I have no other callers and I have no other cards.

[50:41] >> We're aware of a lot of the different things.

[50:43] I appreciate that.

[50:43] Thank you very much.

[50:44] I'm sorry.

[50:44] I have no other cards.

[50:48] All right.

[50:49] We will go to additions or deletions from the agenda.

[50:56] >> No additions or deletions today.

[50:58] Thank you.

[51:03] >> It's been properly moved and seconded.

[51:07] To approve the agenda comment in case somebody

[51:10] wasn't sure what we were doing.

[51:12] Okay.

[51:14] Ordered by a vote of 5-0.

[51:26] Okay.

[51:27] So is there any public comment on the consent calendar?

[51:33] Anybody from the board?

[51:37] >> Okay.

[51:37] Anybody from the board?

[51:39] All right.

[51:40] It's been properly moved and seconded to approve the consent

[51:44] calendar.

[51:47] We are so ordered by a vote of 5-0.

[51:58] >> Okay.

[51:59] I'm not going to say anything because I'm going to jinx it

[51:59] so I will keep on going.

[52:01] Okay, item number 13, board of supervisors regular calendar.

[52:08] To the clerk of the board, please Receive a presentation

[52:17] on the transition of Solano County's Drug Medi-Cal Organized

[52:20] Delivery System (DMC-ODS) from the Partnership HealthPlan

[52:22] of California regional model to Solano County Behavioral Health

[52:44] administration, effective January 1, 2027,

[52:45] including an update regarding implementation planning,

[52:46] continuity of the existing substance use disorder (SUD)

[52:47] provider network, administrative and information technology

[52:48] infrastructure, and preliminary fiscal >> So we found out where

[52:51] the backpack went.

[52:51] I'm just teasing.

[52:51] So this is a presentation only, which

[52:51] is just information that's always needed and thank you

[52:53] both for sitting here in front of us

[52:55] without having to wait for 100 speakers.

[52:57] So go ahead, Emory.

[53:02] >> Thank you chair Brown and members of the board.

[53:04] I'm the health and social services director

[53:07] and I'm accompanied by deputy Director of Behavioral Health.

[53:11] And I wanted to call out -- our director is going to get the day

[53:17] off.

[53:17] She's retiring at the end of the month.

[53:20] We're very happy for her.

[53:21] She gets to take a break.

[53:23] We appreciate all she's done for behavioral health.

[53:26] I'll give a history and Nathan who's

[53:28] had a lot of experience implementing this delivery

[53:30] system in other places and we'll talk about what's

[53:33] happening right now.

[53:35] And so we will start with the background.

[53:39] So drug Medi-Cal organized delivery system,

[53:45] what is it other than a long acronym, DMC-ODS?

[53:51] It's medical program for people with alcohol or drug use

[53:56] that we refer to as substance use disorders

[53:58] and it operates as the county's current plan

[54:00] which is what we do right now in the Behavioral Health division.

[54:03] What this does is that it matches up people

[54:06] to the right level of treatment based on their needs

[54:08] and according to the American Society of Addiction

[54:11] Medicine or the Asam criteria.

[54:14] It is validated evidence based treatments

[54:16] required for this population.

[54:18] In most counties now operate drug Medi-Cal directly and this

[54:23] one has an array of treatment programs like residential

[54:27] treatment withdrawal management previously known as detox common

[54:31] medication assistant treatment --

[54:32] you can't hear me -- thank you.

[54:35] Can you hear me better?

[54:38] >> Yes.

[54:39] And so it funds an array of treatment programs

[54:42] like residential withdrawal management or detox medication

[54:45] assisted treatment and outpatient

[54:47] and intensive outpatient treatment and other services.

[54:52] >> All right.

[54:53] And so state reform changes have been

[54:57] making us move in this direction for a number of years.

[55:00] A lot of other states already integrate mental health

[55:03] and substance use.

[55:04] California was a little behind that and so with the evolution,

[55:08] we've been required every single county that has to integrate

[55:12] mental health and substance use services by January 1st 2027.

[55:17] That means key administrative functions

[55:19] have to be brought together under one behavioral health

[55:22] system.

[55:22] Currently our partnership regional model,

[55:26] they organized that network for us.

[55:28] We passed the money to them and they contract

[55:30] with that network of providers.

[55:32] That doesn't really fit well with the structure

[55:34] that's required under -- to integrate the mental health

[55:39] system.

[55:40] The goal is to reduce separate and duplicative processes

[55:43] and create simpler access screening

[55:45] referrals and oversight for our residents.

[55:48] Prop one, if we were to remember that,

[55:51] also has included substance use as part of the requirements.

[55:55] It moves us to more fully integrate

[55:58] behavioral health planning, funding, accountability

[56:00] and outcomes.

[56:01] The opportunity we have is that now we

[56:04] get to run all of these things under our behavioral health

[56:07] system for simpler access.

[56:09] All right.

[56:11] And so a little bit of the history for Solano.

[56:15] In the past, Solano County provided substance use disorder

[56:19] services directly through county, staff

[56:22] and county direct contracts and under the state plan.

[56:25] And then around 2017 through 2019,

[56:28] the board agreed to move towards a regional implementation

[56:33] for the organized delivery system.

[56:36] This is when the state was moving to managed care

[56:38] and so partnership came about and said we'd

[56:41] like to propose original model.

[56:43] So we partnered with six other counties

[56:45] to be part of this region to deliver services.

[56:48] It was kind of The only one of its kind in the state.

[56:52] Other counties decided they could do it on their own

[56:55] and some counties weren't in that system yet.

[56:58] So fast forward, they've been providing that service

[57:02] since 2019, July 2020 is when they kicked off

[57:06] delivering that under the model, the regional model.

[57:09] In 2022 -- these are some other things that have happened.

[57:14] We started receiving opioid settlement funds also

[57:17] from the federal settlements to start

[57:20] strengthening opioid response substance use

[57:22] infrastructure and services.

[57:24] In 2023, the Board of Supervisors

[57:28] agreed to come together and combine both the separate Mental

[57:32] Health Advisory board and the separate Alcohol and Drug

[57:34] Advisory Board into one behavioral advisory board

[57:37] with new bylaws.

[57:38] And that was all in plans for what we have to do now.

[57:42] And so today, partnership manages our current network

[57:45] of providers.

[57:47] They do the administration and billing and oversight

[57:49] and they serve about 1800 or so residents annually.

[57:54] So partnership has said we no longer can do this.

[57:58] All seven counties are having to figure out

[58:00] what they're going to do and Solano

[58:02] has to come up with our plan to implement it directly.

[58:05] So as of December 31st, partnership will no longer be

[58:09] providing the regional model.

[58:11] They've already notified the contractors

[58:14] and the state has been working with us

[58:17] and we'll talk a little bit about that.

[58:20] So starting January 1st we have to take on all

[58:22] of the administration and make sure there's continuity

[58:26] of services.

[58:27] That's really important so clients

[58:28] can continue to get the care they've already been receiving.

[58:31] This is a transition of responsibility,

[58:34] not necessarily creating a whole new treatment system.

[58:37] It exists and we just have to keep maintaining it

[58:39] and build the infrastructure internally.

[58:42] Okay.

[58:46] >> Since April this year, the state has been meeting with each

[58:49] of the counties in the regional model to successfully transition

[58:52] them out of that model.

[58:53] And more recently since July, Solano County

[58:57] has been meeting on a bi weekly basis with the state

[59:00] and I just want to share that it's been a very strong working

[59:04] relationship.

[59:04] The state has been very supportive and provided a lot

[59:07] of guidance so that we are on track to go live on January 1st.

[59:12] What you see here is a simplified timeline

[59:15] of our major deliverables for the transition.

[59:18] Starting on the left, in July we submitted our county transition

[59:23] plan to the state and this is essentially a document that

[59:27] articulates what the system will look like come January 1st.

[59:31] As well as the existing resources

[59:33] we have and the new resources that we will need

[59:37] to make the system go live.

[59:39] Moving to the right, we are currently on that red dot

[59:44] now in September.

[59:45] We're engaged currently in a readiness review with the state

[59:48] and for that, we are simply updating our policies

[59:52] and procedures that are primarily

[59:54] ready for the mental health plan and integrating substance use

[59:58] requirements into those policies.

[1:00:00] We've also developed -- excuse me --

[1:00:04] provider contracts and templates and member notification letters

[1:00:09] that explain the changes to the system that we mailed out

[1:00:12] to Medi-Cal members over the next several months.

[1:00:16] We're also working right now on our electronic health record

[1:00:22] system to update that so that it's able to bill and claim

[1:00:25] for services come at January 1st.

[1:00:28] Okay.

[1:00:29] So with this transition to county administered DMC-ODS

[1:00:40] behavioral health will -- it's important to know that

[1:00:42] in general, what we're talking about here is maximizing

[1:00:45] and augmenting our current managed care infrastructure

[1:00:50] to accommodate these new responsibilities.

[1:00:52] Many of these are parallel requirements

[1:00:55] on the mental health plan.

[1:00:57] We're not building a new system from scratch,

[1:00:59] we are working with the system we already have and adapting it.

[1:01:04] So access to care is one of those important responsibilities

[1:01:10] right now.

[1:01:11] One of the major things there is we're

[1:01:13] converting our mental health access

[1:01:15] into an integrated behavioral health call

[1:01:18] center that will accept mental health and substance use

[1:01:21] calls from the public.

[1:01:22] We plan to maintain our current access line phone number

[1:01:26] and hire additional staff to respond to the increased

[1:01:29] volume of calls.

[1:01:30] We're also going to cross train staff so any staff member who

[1:01:35] answers that phone is able to handle

[1:01:38] either mental health or substance use.

[1:01:41] For utilization management, this is essentially

[1:01:43] a program that ensures beneficiaries are being served

[1:01:47] the right level of care based upon their needs

[1:01:50] and symptoms in the moments.

[1:01:52] Our county staff member will review and make

[1:01:54] authorization decisions for the highest level of care

[1:01:57] which is residential treatment.

[1:01:59] We're going to be building upon our existing quality

[1:02:03] program which includes monitoring

[1:02:04] the oversight for regulatory compliance

[1:02:07] through tools such as audits and site reviews.

[1:02:12] And our quality and Contracts program tool

[1:02:15] monitor provider performance as well as patient outcomes.

[1:02:18] Our staff will be training our providers

[1:02:21] and providing technical assistance

[1:02:24] for a variety of things such as documentation standards,

[1:02:28] implementing evidence based practices,

[1:02:30] a number of different things.

[1:02:33] A new dimension for the quality and compliance

[1:02:36] program for substance use records in particular.

[1:02:40] These records have a higher standard

[1:02:43] of patient confidentiality protections

[1:02:46] as compared to mental health.

[1:02:48] A number of different electronic systems as well as

[1:02:52] forms and information sharing practices

[1:02:54] we'll need to be updated to comply with federal law

[1:02:59] on patient confidentiality measures for substance use.

[1:03:03] On the physical side, the staff will support direct

[1:03:07] billing and claiming to state for drug Medi-Cal billable

[1:03:11] services and activities.

[1:03:13] These responsibilities also involve

[1:03:15] accounting for different sources of revenue,

[1:03:18] tracking and reporting expenditures as well

[1:03:21] as budgeting and revenue projections.

[1:03:23] And last thing the important on this slide is network adequacy.

[1:03:29] The county must maintain a sufficient size or network

[1:03:33] of qualified providers to meet the Medi-Cal population's

[1:03:37] need for services.

[1:03:38] Substance use programs must be geographically accessible with

[1:03:43] no more than -- that is located no more than 30 miles or 60

[1:03:48] minutes from Medi-Cal members where they live.

[1:03:51] So timeliness is crucial.

[1:03:53] When someone presents to the county requesting help,

[1:03:56] ready to start treatment, we can't wait.

[1:04:00] We can't have them waiting a long time.

[1:04:02] That window of opportunity is short.

[1:04:04] Having an adequate network means we'll get people in the door

[1:04:08] right away.

[1:04:11] So network adequacy as I mentioned is key to our success.

[1:04:15] To gain the network we need in a relatively short amount of time,

[1:04:20] we plan to use an expedited procurement process to contract

[1:04:24] with existing organizations that are currently

[1:04:27] under contracts with Partnership Health of California.

[1:04:31] The resulting contracts will be short term contracts lasting

[1:04:35] for a total of 18 months and the plan is to start them December

[1:04:40] 1st of this year.

[1:04:42] We use three criteria to pick vendors

[1:04:46] and those criteria are as follows.

[1:04:48] Number one, providers must have served a significant amount

[1:04:51] of Solano County beneficiaries.

[1:04:53] Number two is located in Solano County

[1:04:56] for our neighboring county and number three,

[1:04:59] the contractor must be needed in order to fill network adequacy

[1:05:03] requirements.

[1:05:04] At this point we have identified 11 contractors

[1:05:09] that have expressed desire to contract with behavioral health.

[1:05:12] These organizations operate at approximately 19 different sites

[1:05:17] either in Solano County or neighboring counties.

[1:05:21] And together represent all the required levels

[1:05:24] of care within the system.

[1:05:27] The selection strategy really helps facilitate continuity

[1:05:31] of care by maintaining service with the same programs that --

[1:05:37] currently enrolled in now.

[1:05:39] We are projecting that there could

[1:05:41] be a small number of Solano beneficiaries

[1:05:43] who are enrolled in programs far away from Solano County

[1:05:47] that we don't intend to have long term contracts with,

[1:05:50] so for example in Shasta County we

[1:05:52] may have 1 or 2 members there who

[1:05:54] need to be continuing their services.

[1:05:57] If that's the case we'll do signal case agreements

[1:06:00] to be able to provide continued care for them

[1:06:02] and they can finish their treatment.

[1:06:04] At the end of 2027 when the system is stable and running,

[1:06:10] we'll conduct a formal competitive bidding process

[1:06:14] in accordance with county --.

[1:06:24] >> All right.

[1:06:25] Operating cost estimates -- this is one of the few things that is

[1:06:27] actually a funded mandate.

[1:06:29] This is something we do provide funding from the state

[1:06:34] to partnership to manage this for us.

[1:06:36] There are some changes with this coming back to the county.

[1:06:39] One of the significant changes is the payment model

[1:06:42] is going to be different.

[1:06:44] We are moving from a per member per month

[1:06:47] to a fee for service model.

[1:06:49] Fee for service is how we operate on that plan now.

[1:06:52] So it's not foreign to us.

[1:06:55] But what that complicates things is

[1:06:57] that it's hard to estimate what it's

[1:07:00] going to cost us because it was valued

[1:07:03] in a different way in that process.

[1:07:06] One of the other hiccups is we've never

[1:07:09] had cost data reconciliation between partnership

[1:07:12] in the state.

[1:07:14] So through that whole time, the network has been operating --

[1:07:20] they haven't fully received validated historical cost

[1:07:23] baseline.

[1:07:23] So we have some estimates of what the providers are getting

[1:07:27] paid and what the contracts look like and we also have new rates.

[1:07:32] The rates are higher and so we are

[1:07:35] losing that plus historical data to estimate

[1:07:38] what this will cost us ongoing.

[1:07:40] With the money that we already see from the state.

[1:07:44] So we have a very preliminary budget.

[1:07:46] We expect this to be higher, sort of 12, 13, 1415 million

[1:07:53] or so.

[1:07:54] We're not putting anything solid yet

[1:07:57] but we'll come back to the board and give you more updates as we

[1:07:59] go along through the process.

[1:08:01] And 15% of whatever allocation we are receiving

[1:08:05] can go to administration.

[1:08:07] We're estimating about $2 million

[1:08:09] for initial administrative costs.

[1:08:11] And the funding sources are typically our drug Medi-Cal

[1:08:16] reimbursement so we get to bill for these services.

[1:08:19] We have also substance use block grant funding

[1:08:21] and then required nonfederal match funding

[1:08:24] which is primarily 2011.

[1:08:26] And administrative reimbursement is eligible,

[1:08:30] so anything we do for quality assurance utilization management

[1:08:34] can be claimed for Medi-Cal.

[1:08:38] So the key next steps -- we need to complete our readiness review

[1:08:44] with the state and we are meeting bi weekly and making

[1:08:48] sure that we are working in tandem to align with all

[1:08:52] of the requirements for policies,

[1:08:54] network and compliance.

[1:08:56] We also have to execute the number of contracts that Nathan

[1:09:01] mentioned with the providers, which means also coming up with

[1:09:05] estimated costs per contract, negotiating all of that

[1:09:10] and so we'll be coming back to the board to accept a group

[1:09:16] of contracts that need to be ready, ideally by December 1st.

[1:09:20] So providers can have time to transition their systems

[1:09:23] and ready to go billing us for services January 1st.

[1:09:28] And staffing is also a need.

[1:09:30] We need to finalize the staffing plan

[1:09:33] and there are some staff that we will be cross training and some

[1:09:36] that we will be using across mental health and substance use

[1:09:39] but there's some new stuff that we

[1:09:41] will have to add because of the significant load

[1:09:44] the work requires in terms of compliance

[1:09:47] and all of the items mentioned.

[1:09:48] Will be returning to the board with FTE requests

[1:09:52] for some of these activities.

[1:09:54] Also most importantly is the client transition.

[1:09:58] We're working with both partnership, the providers,

[1:10:01] the state to make sure we know how many clients

[1:10:04] need to continue services and make sure they get noticed.

[1:10:08] One of the things that Nathan and the team's coordinating

[1:10:12] is also potential town hall, so we

[1:10:14] make sure the community is aware of that change

[1:10:16] so that there's no surprises.

[1:10:18] This has been discussed in Drug safe Solano meetings

[1:10:22] and our partners and all of the partners

[1:10:24] that we have in the community.

[1:10:26] We don't expect a lot of change for people other than now

[1:10:31] that provider needs to build a partnership.

[1:10:34] So the client shouldn't feel changed.

[1:10:37] The contractors, they will feel a change

[1:10:40] because the county systems are at different.

[1:10:42] There's a little bit of a nuance --

[1:10:46] so we want to just be thoughtful and create space for discussion

[1:10:50] if there's any concerns about that transition.

[1:10:53] So past the go live January 1st, we have to be really good

[1:10:58] provider monitoring to make sure things are operating the way

[1:11:01] they need to and make sure our electronic health records are

[1:11:04] tracking all of the reports that we need --

[1:11:09] and all of those things.

[1:11:12] Continue training, fiscal training and testing and then as

[1:11:17] mentioned, procurement of all the things that happened.

[1:11:21] So it's a huge undertaking.

[1:11:23] I don't want to undervalue that.

[1:11:27] It is something that we've been planning now for some time.

[1:11:30] I feel like we have the plan we just have to operationalize

[1:11:34] all these things.

[1:11:36] It's a process.

[1:11:38] But it will happen and I think it will be okay.

[1:11:42] But it is a big step at the community is taking.

[1:11:47] Do you want to open for questions?

[1:11:51] >> When you kept saying it will be okay, it will be okay --

[1:11:56] it's like when you're brushing your teeth in the morning.

[1:11:59] Good.

[1:12:00] Supervisor Williams?

[1:12:02] >> Thank you chair.

[1:12:04] Thank you.

[1:12:06] Thanks for this.

[1:12:08] Thanks for this in-depth report and update.

[1:12:12] It's very important.

[1:12:13] I know we've met previously, but just hearing it more than once

[1:12:23] -- and I want to thank you for making sure that we stay abreast

[1:12:25] of things.

[1:12:26] But I do have two questions.

[1:12:29] And this question is on the network adequacy.

[1:12:34] I know you indicated that it could be a provider --

[1:12:41] could be 30 miles away up to 16 minutes.

[1:12:44] When I thought of that, I wanted to know,

[1:12:50] are we partnering with Solano Transit Authority

[1:12:53] or any agencies for those individuals who

[1:12:56] may need to go that distance?

[1:12:59] But do not have transportation?

[1:13:09] >> Do you want to take it?

[1:13:10] >> One of the benefits of the managed care plans is

[1:13:12] transportation.

[1:13:13] Both partnership and Kaiser offer medical transportation

[1:13:19] to appointments including out of county appointments.

[1:13:23] That's the primary means of transportation that --

[1:13:26] many of the providers also have their own bands for out

[1:13:30] of county, so they would be picking folks up as well.

[1:13:36] >> As a resort, we also have a contract with --

[1:13:39] and so if we need to get some bus passes we'll make sure

[1:13:42] people can get there.

[1:13:44] Because Shriners have their own vans.

[1:13:48] They pick up clients here and take them back to the hospital.

[1:13:53] And I thought what are we going to do?

[1:13:56] That's good to hear and since we're transitioning,

[1:14:01] will they continue to still provide other transportation,

[1:14:06] even though --?

[1:14:09] All right, thank you.

[1:14:11] That makes me feel better.

[1:14:14] >> That's a Medi-Cal benefit for anybody with anything.

[1:14:17] Just so you know.

[1:14:18] >> That's good to know.

[1:14:20] And then my last question is on the client transition.

[1:14:26] I did hear you mentioned you will be providing a town hall.

[1:14:32] I commend you.

[1:14:33] What I wanted to know is outside of the town hall,

[1:14:37] how many touch points will they have

[1:14:41] to make sure that they truly understand one, they're not

[1:14:46] going to lose their services, and number two, how that's going

[1:14:51] to be a smooth system for them?

[1:14:53] I know sometimes it takes multiple touches

[1:14:56] before it will really resonate.

[1:15:00] >> I know where we'll start is also with the providers.

[1:15:03] If these are existing clients you want to make sure

[1:15:05] their providers can use their minds through that process

[1:15:09] of just keep coming and don't worry,

[1:15:12] you're not going to lose a benefit --

[1:15:14] they will still have Medi-Cal.

[1:15:16] They just need to know I need to keep coming to my provider

[1:15:19] and then we'll have to worry on our end to make sure

[1:15:21] that provider has everything they

[1:15:23] need to build for that service.

[1:15:25] So the communication through the provider to the member --

[1:15:29] there's the member letters that they'll receive.

[1:15:32] The letters can be a little intimidating.

[1:15:34] I think in the past we've also done

[1:15:37] a little bit of that extra marketing to people

[1:15:40] and just educate them with social media.

[1:15:42] Will do some other communications

[1:15:45] through our different partners to make sure

[1:15:47] that the letters just come as a supportive letter.

[1:15:52] It's not a scary letter.

[1:15:53] It comes from the county -- oh no.

[1:15:56] So I think the language is going to be important.

[1:15:59] I don't know if there's any other avenues that we

[1:16:03] can make sure people are aware?

[1:16:07] >> The providers themselves -- that would be really important

[1:16:10] when they're actually in treatment.

[1:16:13] Providers need to articulate what's going on

[1:16:15] and answer questions.

[1:16:16] So we're in good communication with providers.

[1:16:20] >> Will they be providing you their strategy on how

[1:16:24] they're going to communicate out?

[1:16:26] It's one thing to -- and another thing to make sure

[1:16:31] they're following through.

[1:16:33] Not to say they wouldn't, but how

[1:16:35] do they then relate back to the county

[1:16:38] that they have took the steps to ensure that our Medi-Cal clients

[1:16:46] are aware?

[1:16:49] >> That's a good question.

[1:16:50] I think we'll need to build that into our plan

[1:16:52] and make sure they are strongly communicating with us

[1:16:55] and that there's that feedback loop.

[1:16:58] That's something we'll want to make sure to address.

[1:17:02] >> I thank you for that suggestion.

[1:17:04] We don't want to lose anyone in the cracks if we can.

[1:17:08] Thank you.

[1:17:09] That was all my questions.

[1:17:19] >> Anybody else?

[1:17:19] Any comments from the public?

[1:17:25] >> I have no callers.

[1:17:26] >> So -- I beg your pardon.

[1:17:29] Okay. >> (inaudible)

[1:17:37] >> All right.

[1:17:38] >> Thank you chair.

[1:17:38] Quick question.

[1:17:39] Just following up in regards to communication with community

[1:17:43] and partnership with transportation --

[1:17:47] is there a one Solano, one message in regards to like this

[1:17:54] transition?

[1:17:54] There's a lot of things that are happening with Medi-Cal over

[1:17:58] the next few months and I know specifically,

[1:18:02] like in my district, public transportation --

[1:18:05] you see a message on the bus or the ferry or whatever the case

[1:18:09] may be, those avenues, have they been explored?

[1:18:13] >> Yeah.

[1:18:14] I'm thinking through that now.

[1:18:15] You mentioned something --

[1:18:17] P we don't want people to confuse us with --

[1:18:20] and all the things.

[1:18:22] We could probably follow up with a press release

[1:18:25] if that's helpful and also, I think to your point,

[1:18:30] we have scripts to all of our providers of what they consider,

[1:18:34] what they can use but also -- the providers will have letters

[1:18:39] from us with why and when and all that information.

[1:18:43] They have met with all of the providers.

[1:18:47] They meet regularly through the negotiation and the contract --

[1:18:51] so we will ramp up a little bit more on the marketing side.

[1:18:56] And to your point on transportation,

[1:18:59] we have talked with STA also about some of the transportation

[1:19:02] needs related to HR one.

[1:19:05] This might be another avenue -- some of those funds --

[1:19:09] if for some reason -- they might need to lean on other

[1:19:13] transportation, so some of that transportation responsibility

[1:19:18] because of their need for mental health or substance use services

[1:19:21] does fall on the county as well.

[1:19:23] We will work on some of that messaging.

[1:19:25] So it's less confusing.

[1:19:27] It is complicated.

[1:19:30] >> No problem.

[1:19:32] Go ahead, supervisor Williams.

[1:19:36] I thought she said I have a question.

[1:19:41] Are we good?

[1:19:43] Okay.

[1:19:43] So it was a really good presentation

[1:19:47] and there's no public comments or anything like that?

[1:19:51] And -- I'm tired and I just listened to what you guys have

[1:19:56] to do.

[1:19:58] >> Thank you for your >> I don't think Jennifer should be allowed

[1:20:05] to go when she comes.

[1:20:06] Can't go right now, my friend.

[1:20:07] Okay.

[1:20:08] Thank you guys very much.

[1:20:19] Okay.

[1:20:20] All right.

[1:20:22] We are at board member comments and reports on meetings.

[1:20:31] Anybody?

[1:20:32] Let's start from the left.

[1:20:35] We should go to the left.

[1:20:37] Okay.

[1:20:42] Yeah.

[1:20:43] That's all right.

[1:20:45] It takes a village to go through this.

[1:20:57] >> Let me see.

[1:20:58] The only thing that I have to report back

[1:21:00] is JPA meeting next month instead of

[1:21:05] the last Thursday of the month.

[1:21:07] It will be the third Thursday, September 17th.

[1:21:10] Instead of the 24th.

[1:21:12] And also, I have my fifth stop on my community engagement.

[1:21:17] It will be at tackle --

[1:21:21] Taylor Chapel at 1203 Louisiana.

[1:21:24] And we are partnering with -- or we have invited the City Council

[1:21:31] members Brett Kinzer.

[1:21:34] That's all I have to report.

[1:21:36] Thank you.

[1:21:39] >> Anything?

[1:21:40] So I would like to adjourn in memory of Robert Fuentes.

[1:21:48] If you need --

[1:21:50] I knew him through Faith in action.

[1:21:54] And I'm happy to run into his husband who told me he passed

[1:21:57] away, which I did not know.

[1:21:59] I said I would adjourn in his memory.

[1:22:01] He was a founder and executive director of the nonprofit and --

[1:22:07] let me go through the obituary and pick up --

[1:22:12] he was actively involved in the broader community as a member

[1:22:18] of the Solano Coalition for Better Health and the Senior

[1:22:21] Coalition for Solano County.

[1:22:23] And he wrote columns for the daily Republic's religion page

[1:22:28] and he was born in Central Valley Valley of California

[1:22:34] and graduated from the University of the Pacific

[1:22:36] with a degree in International Relations.

[1:22:39] He founded and launched Faith in action in 1998

[1:22:43] and the agency as a volunteer based with the mission

[1:22:47] to serve the home band, elderly of Solano

[1:22:50] County through a continuum of service to foster independence,

[1:22:54] connection to the community and a positive outlook on life.

[1:22:59] And prior to putting together Faith in action,

[1:23:06] he was the Executive director for the Pacific Center

[1:23:11] in Berkeley, the third oldest LGBTQ center

[1:23:15] in the nation founded in 1972.

[1:23:19] Fuentes and Faith in action partnered

[1:23:21] in support of Solano Pride Center on various levels.

[1:23:26] And he worked many years for Seneca Center

[1:23:30] as a group home counselor.

[1:23:32] He was always busy.

[1:23:35] It didn't matter with Robert.

[1:23:37] He was always busy.

[1:23:38] If you saw him it was at a meeting.

[1:23:41] So yeah.

[1:23:43] I thank you guys for letting me share with him

[1:23:47] and it was knowledge for a lot of us that he had passed away.

[1:23:51] We just didn't know which is why we do this,

[1:23:54] to let everybody know.

[1:23:55] Thank you.

[1:23:57] Yeah, give me a second to turn to the right page.

[1:24:01] There we go.

[1:24:06] So hold on.

[1:24:09] So we don't have -- so Supervisor Williams,

[1:24:16] do you have anything? >> (inaudible)

[1:24:30] >> I told you he was always around (laughs).

[1:24:32] If you found him at home he was on his way

[1:24:33] out probably, knowing Robert.

[1:24:35] No problem.

[1:24:36] I just happened to run into his husband and did not know.

[1:24:42] So I said I would.

[1:24:44] All right.

[1:24:45] So we are then, county council, I

[1:24:49] believe we go to closed session?

[1:24:52] >> That's correct and we may have a report out.

[1:24:56] >> So there probably will be a report out,

[1:24:59] so for closed session -- madam clerk, could you please ask --

[1:25:04] read the title?

[1:25:05] Excuse me.

[1:25:07] I'm sorry.

[1:25:18] 1) CONFERENCE WITH LEGAL COUNSEL -

[1:25:19] ANTICIPATED LITIGATION (Pursuant to Government Code §

[1:25:22] 54956.9(d)(4)) - Initiation of litigation:1 and I do not have

[1:25:24] any callers or cards.

[1:25:24] >> Okay.

[1:25:24] So pursuant to all of that, I get to not hit an itch today.

[1:25:26] I'm so sorry.

[1:25:27] But I do have to gavel that we are going into closed session.

Board of Supervisors on 2026-09-01 9:00 AM

Agenda

Transcript