[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.