Behavioral Health Board - Regular Meeting

be getting a route now. Okay. I know it's a little bit north of I ordered a bike electric bike pretty well and it'll be here on the next one. So I didn't even think a bike you know what they say right back. Get yourself a helmet. Okay. That's coming. That's coming with the bike. Oh, good. You're prepared.

I can't damage what I can do. I can't damage the rest of this. Keep that beautiful brain intact.

Hello. Hey, Bob. Hey, Bob. I need to make a time to sit down with you and Vernon about the committee because the standing committee schedule away. What do you got? I won't work around y'all. Yours is tighter than mine. Okay. But you're coming from Florida. I'm taking the county. Give me an hour and a half to get it from Michael here. She said she was

I so

Monday I'm off. Hello dude. How are you? Good to see you. say that something I love. I don't think so. I love I try my laptop. just die. I I pretty bad.

Oh, what is what is she? Yeah, but it only shows you screen. So there is a supervisor. Supervisor. Oh,

and I think Hey, Sean. Really? I have to leave at 1:30. So, if Laura kills over, don't she's the one that starf. You're in charge, buddy. Hello, everybody. Then I guess the turn you wanted. I have tried to get in touch with you know I am so so I have I'm no longer at the hospital so I need to know that it's a good it's a wonderful what are you doing I um started patent foundation with Dana oh it's going yeah we have 30

oh found a house for the social the planning commission say go ahead congratulations because I don't have a hospital now Did you get

I think that there was a little there was a thumbs up from I don't know who to If it's not supervisors and It's terrible.

I wouldn't ask So we don't have to take time to explain it here and then explain it again.

Yeah.

Perfect. It might be too small. Here's my check. I told her I need something. I don't care. Granddaddy's house. Coffee. Yeah. What?

I'll just stay outside. coffee was um someone we named it after him house

very very exciting right here

you don't Right, right, right. the community still you know, and this morning I put in two minutes later, this is still

like, okay,

right. literally That actually We we made a valley in security and just for the next person.

Oh. Oh, you're bubbling again. It's like it's not like

good. Okay. Good. Nice to see you.

Oh, that's right. I love to see these. I want to see. Oh, you can take that one. I'll take this.

Yeah, I'll just like point it. I belong.

Get ready. You ready to talk?

I don't think anything drive them from cheap. How's it going? Could I look over your shoulder at

all?

All right. Welcome everyone. It is. No, it is 12:15. I am calling the monthly behavioral health board meeting to order. Before we begin, let's take a moment to acknowledge the time, energy, and commitment each of you bring and to set the intention that we sh show up as traumainformed, compassionate partners in his shared work to improve behavioral health in our community. That is our intention. Joe, if you would roll. Sean Burger here.

Here

on there

absolutely Price here. Peter here. Joshua present.

Okay. So, we do have a form and just so you know, Natalie is not well, not feeling well. So, she is um online and since we have a form in the room, Natalie, um you can turn your camera off if you want. And we are not going to do a roll call vote. We'll just do that's okay with you. That's fine. I'll uh comment as a public member as needed.

Well, you can also do a report. It's fine. Um I wrote I did not do my welcome to the behavioral health board meeting which I will do now out of order and then we will go to intro of staff. Welcome to the monthly behavioral health board meeting. We are the advisory board of the board of supervisors. We hold this meeting on the 4th Thursday of each month and it runs from 12:15 to 2:15ish. We meet in person at 507 Street in Eureka. This is a public meeting and everyone is invited to attend. Members of the public may participate remotely. The minutes in the agenda can be found by searching Humble County Behavioral Health Board online. We provide time for public comments early on the agenda. Public comments are limited to three minutes and pertain to matters related to behavioral health. We ask you to make your comment in a respectful manner. Please note this meeting is being recorded. Please contact myself or any of the behavioral health board members if you have any questions about our work as a board. And with that, we will start over there with introductions, guests, and staff. Sharon Wolf, DHHS legislative analyst. Nancy Stard, legislative product manager for health services, director for nation's finest services, deputy rights director for tours behind. Now we'll go online. um who online. Let's see. Introduce me. Oh, Christine, you can introduce yourself. Thanks.

Hi there. Christine Messenger, DHHS Communications. Is there anyone else online who'd like to introduce themselves? Um, I'm Juliana Nelson and I'm Natalie Aoyo's intern. Uh, hi David Iikenbomb. I'm a HTC Youth Advocacy Board member.

All right. No one else wants to do introductions. We are at adjustments to the agenda. I do have one. I would like to move action item 6B to um after the presentation seven.

No. All right. Does anybody else have an adjustment? Hearing none. We'll go to public comments. But in the room have a public comment online. There any comment? Public comment online. All right. Now go to the first action item that we're going to do now. Approval of minutes from 32626. I motion to approve. Second. All right. All in favor of approving.

I say I I opposed very good minutes are approved. All right. The next one we will wait till after the presentation. Wow, we got here fast. So excited. Yeah, this gonna be quick. All right, so Joe's gonna hold presentation. As I said, I'm Nancy Stark. I'm the legislative and policy manager for the Department of Health and Human Services for Humbone County. Um, and that's Billy Bill from Schoolhouse Rock. Next slide, please. Oh, yeah.

All right. So, our unit is largely responsible for tracking and assessing the uh state and federal budgets and legislation for their impacts on county health and human services. I'm going to start with the with budgets and I'm going to turn it over to Sharon to talk a little bit about some bills. Um so as you may have seen in the news, the president recently we've uh released a federal fiscal year 2027 federal budget proposal. Um I would say about presidential budgets is that they are largely just a statement of values. They're where the president would like to see Congress uh appropriate funding. Congress does hold the power of the purse. Um, and I would also just note that Congress traditionally kind of ignores the president's budget um, and largely works off of last year's appropriations bills. Um, that said, this is an election year. So, I would say that we're probably more likely to to see what's known as continuing resolutions. continuing resolutions are um just continuating continuing funding from the previous year into the following year. So while we will see some action in the House to uh move some appropriations bills, not likely to move too far in the Senate, especially in an election year. Uh but that said, we are tracking it. The president's budget overall for health and human services proposed about a 12 and a half% cut uh overall across health and human services. They're also proposing restructuring a lot of the administration health and human services. So, for example, they're proposing to uh reorganize the substance abuse and mental health administration

known as SAMHA into a new uh organized structure called what is it called? It's like the Make America Healthy Again administration. Uh something similar to that. Uh so, we'll see if there's any movement on that, but for now, we're really focusing our attention towards the state. the governor released a January budget proposal. Uh, and in that proposal, the Department of Finance says that there's a deficit. Well, the state legislative analyst office says that that deficit is quite a bit higher than what the Department of Finance says it is. Either way, there is a deficit for this year. And importantly, there is a state structural budget deficit, meaning that there's budget deficits going out into the outp uh widely expected to announce a run for president. So what the legislature will do here, we're not sure, but it might just be solving for just this year's deficit and not really addressing future years deficits. Uh so we are likely to see some cuts in some areas of the state budget and there's also plenty of proposals to raise revenue for the state. Uh we're all going to be very likely seeing a bond proposal on the November ballot to raise $10 billion in bond funding to support building.

Uh so we're probably all going to get to vote on that in November. There's also uh a proposal that's gotten a lot of traction in the news around basically um finding or penalizing or raising revenue from some corporations who pay wages such that their employees qualify for medical. So you might see that in the news. expert taking things like McDonald's, Walmart, um and raising revenue out of those corporations to put into medical. Uh all of that said, the revenues are coming in a little higher than expected um than the Department of Finance expected. That's largely based on stock market and the um artificial intelligence realm. Uh so we might see a little rosier picture in the May revise. Uh we'll see. Um but what we're really focusing on is that counties need funding to offset the impacts of House Resolution One. That's uh the bill from last year, the one big beautiful bill or one big awful bill um that is going to make major cuts to Medicaid and Calresh. So that's really largely what Sharon focusing on time on. Next sympathy, please. Uh so I want to talk a little bit about medical in county. Right now we've got a little over 54,000 people enrolled in medical in Humbults. It's about 41% of the county's population. Of those a little over 21,000 are enrolled based on income. So remember there was traditional medical which um covered people who were aged, blind, disabled. Then we have the Affordable Care Act which expanded medical to anyone with an income below 138% federal poverty level. So that's about 22 think $22,000 a year for an individual.

Um so that those 21,000 people in Humboldt that's who the who HR1 is largely going to affect. Next slide. Uh so just to recap, just a reminder for everyone in the room next year, HR1 uh limits eligibility for medical to US citizens and green card holders, very similar to Calash. And those 21,000 people who are enrolled in medical based on income will have to reapply for medical every six months instead of annually. Um, and I I just really want to make this point because this doesn't apply to people who have SSI, who have social security. Um, it's only those enrolled in medical based. Next slide. And you've heard this stuff before, so I'm just refreshing here. Also, starting in January, work requirements for those 21,000 people ages 19 to 64 uh, who are ablebodied adults or both. Um, some of those will will uh qualify for exemptions from work requirements. Next slide. And those exemptions include people who are enrolled in drug or alcohol uh treatment programs, substance use disorder treatment programs, young people uh who have serious mental illness or serious medical conditions, developmentally disabled, all kind of under that medically frail category. Um, so right now what the state is doing is figuring out ways to automate that so that it will, you know, try to get to that noouch reertification so that the person doesn't have to do anything. The state can verify their eligibility on the back end using existing databases. So, I don't want to get into the weeds,

but that's a lot of work to figure out what databases the state has access to um that could certify that the person qualifies for an exemption for being medically frail or being enrolled in an SUD treatment. Both of them. Next slide. Uh, so this get this gets really into the weeds and I'll send this out afterwards, but I just wanted to show you that before the before the Affordable Care Act, so I've been doing this for about 23 24 years before the Obamacare or the Affordable Care Act, the only people who qualified for medical were people who qualified based on age dis age or disability had to be blind, disabled. Um and during that time for a long time we had about 24,500 people enrolled in Medicare in the whole county for years. Um and then the affordable care act passed 2010. People started enrolling in 2014 and look at how it it went up. I mean we doubled enrollment in medical and humble county. That's important for the behavioral health system because for the first time the counties had a funding source to expand uh well to to serve people with serious mental illness but also to expand substance use disorder treatment. And then between 2016 and 2020, it really leveled off, right? And and we had about 52,000 people enrolled in medical in Humble County for a good period of years. And then the pandemic hit, right? And there were all sorts of policy changes that helped people keep their medical. And our numbers started climbing up. We got up to 61,000 people enrolled in Humble County in medical. those policy changes have kind of unwound now, right? They've they've kind

of re gone back to study. So, you see a little bit of drop off. The UC Berkeley Center for Labor uh released a report estimating how many people are likely to lose medical coverage under HR1, the one big beautiful bill. And for Humble County, they pegged that number at about 10,000. people are likely to lose coverage based on the red the semianual redeterminations and the work rate. So that does fit with our estimates. Um and it's unfortunate. So that's that little red bubble that we're likely to see it drop below what we had traditionally seen as it level up. Next slide. Uh, so what counties are advocating for in the state budget are ways to keep people enrolled. We do not want to see 10,000 people lose their healthcare coverage, right? We want to do everything we can to keep people enrolled. And one of the ways that we're going to do that is through our social services eligibility enrollment. Our eligibility workers are facing a double of their workload, right? Um, so we're going to need more eligibility workers and we're going to need to train them. So, that's one of the things the counties are advocating for in this year's budget. Um, we're also advocating for funding for indigent care in Humble County. That's called the County Medical Services Program or CMSP. For years before the Affordable Care Act, we had about three or 4 thousand people enrolled in CMSP in any given month. Um, now that number is about 10 people. We have about 10 people enrolled in CMSP each month since the Affordable Care Act passed. That's wonderful. Um, but we're going to see those numbers start ticking up as people lose medical coverage. So, we're advocating for funding and we're advocating for funding

for behavioral health because people are going to lose their coverage, but they're still going to qualify for specialty mental health care through the county. So, we're going to need additional funding uh to continue to to continue the levels of services we talked today. Next slide. So, now we're going to switch over to legislation and I'm going to turn it over to Sharon Wolf who's going to talk a little bit about our legislation that we're tracking. Okay. So, right now we're tracking 266 active bills. And I put that in air quotes because that includes 58 instead of twoyear bills. Um they are ones that were introduced the last session, didn't go anywhere for whatever reason, um but are still lurking out there right now and could come back at any time. So they're technically active. So 266 active bills making their way through the process. At the end of this week, so tomorrow, is one of the major deadlines for getting bills passed fiscal past policy committees and over to appropriations. Um so it's one of those big hard deadlines of bills that don't meet that deadline will start to fall off. So we're going to watch those um and then they all go into the appropriations committees where um they have a price tag attached to them. Um so the themes of what we're watching particularly in behavioral health is a lot of proposals around mental health diversion expanding who qualifies for care court and pathways into conservatorship. Um, and so I've got I'm watching about 15 bills that are solely related just to conservatorship broadly. Um, they're they're and they're moving. Um, I'll talk about one of them in more depth in just a second. For the federal bills, I'm tracking 24 active federal bills. And I put active for federal bills in

this because they don't actually do anything. They introduce them and then they sit there and it sounds really nice. and I I watch them and someday maybe something will happen with them. But that's why active is in air quotes for federal bills. What they're talking about there are bills that would expand healthcare access. There's a number of bills that would reverse HR1 cuts probably not going to happen in the current u configuration. Um, but expanding healthcare access, the Peer Support Act, that's a big one, very bipartisan bill that I'm hoping they will get attention back on and get that through, but it is moving and it is supported. Um, and rural health and they're talking a lot about rural health. Um, again, the situation with when they're talking about federal rural health, um, as we know, their definition of rural isn't always what our definition of rural is, but they're at least talking about it. So, that that's a good thing. Next slide, please. So, this is one of the mental health diversion bills that I was talking about, SB 1373, and we talked about it in our ad hoc legislative committee meeting. That's one of the more public ones. It's got a lot of press on it. Um, it is a bipartisan bill as far as sponsorship on it and it has it just passed its committee hearing and ends in appropriations. Um so this bill is seeking to um put some parameters around mental health diversion and they're citing a couple of highprofile cases out of the districts where the authors are coming from with um they're awful stories but they're people that were on diversion bad things happened. So they're talking about mental health diversion putting a few guard rails on who qualifies for the list of offenses. Um should everybody qualify for those kinds of things. what they're talking about is putting guard rails is the theme of what they're going on to um in

the committee and this is the frustrating part also watching the committees they kept talking about there are proposed amends that people liked but I haven't seen them but we do know that um they have amends that people have seen some of the groups that we work with like CBHA is happy with the amends they're not thrilled but they're happy it moves it in a better way um and there's a couple of groups that will be removing their opposition possibly once those amendments come out. So there's there's positive movement. I just can't tell you what it is. Um but it has moved to appropriations and we will see that bill the language will come out and then what will happen is they'll attach a price tag to it. They means the department of finance will attach a price tag to it and that'll decide whether or not the bill goes to the suspense file for I price tag bills or does not and it goes through its process there. So that's what we watch for is the price tags that they attach to these bills. Um, next slide please. So your role in the legislative advocacy is really important here and if there's any question please be sure and ask because what your role is is to advise our board of supervisors. So, we had we spoke as an ad hoc committee um and had a really good discussion of some of the bills and if anybody would like to join the ad hoc committee for any future meetings, it was a really good chance to discuss in a small group some of these bills and then choose whether or not to bring them forward to the executive board for consideration. Um once the behavioral health board, that's the executive board takes action one way or the other to support or oppose anything, um the legislative staff, that's us, will work with you to create the letter and get that forward. So that needs to go to the board of supervisors. Um board of supervisors agrees um then we can get that letter

signed, sent off to the committees, and that's terrific. That's that's what we do. We love doing that. So we will be there for that. So that gets us to the next bill. If you could go to the next slide, please. Okay, this one is um one of our nitrous oxide bills. There's a couple of them that are in the area of nitrous oxide that we're watching. Um this bill has passed its committee. It is s sitting in appropriations right now. Um and it passed 11 to zero in its committee. So that was great. It adds nitrous oxide to the list of products that are illegal to sell miners. There's a state list of things you can't sell the minor. It would add it to that, which is great. Bans the use of gift cards for online purchases for things that are illegal to sell to a minor, not just the nas. Um, I had no idea about the use of gift cards for these things until I watched a committee hearing and one of the one of the assembly members talked about their mother using a gift card to purchase her vapes online. So her husband doesn't know about it. So well, she ratted them out in the meeting, but it was it was kind of funny. But apparently gift cards is one of the ways you can get around some of the age restrictions and stuff. So they're they're tackling that issue. Um and then it has civil penalties against the retailer for failure to comply. Um so we discussed that one. Um there is a draft letter of support that we will be discussing after this presentation. Um and that came from our discussion in the ANDUP committee moving forward. um and then brought to you today. So, we'll discuss that one shortly, but that's a pretty good overlooking.

So, and Margary, who is on the legislative behavioral health board's legislative ad legislative ad hoc committee, uh did send ahead as ask Joe to send out a summary of that bill for you. Also in your packet would be a draft letter of support. This is the recommendation from your legislative ad hoc committee. Uh that includes Vernon here. Um and if anyone would like to join us in that ad hoc committee, you're very welcome to join us. If this kind of tickles you and you're thinking this is interesting, come join us. We're going to meet regularly to uh go over bills. And this is actually the first bill that your legislative ad hoc committee is bringing forward to your board for consideration. Go ahead. Next time.

Okay. AB540, the 988 suicide crisis line, LGBTQ plus for you. Good bill. This one is also in appropriations and it passed seven to zero out of its policy committee. Um it's it would require federal approval. Requires the state to apply to the feds for the approval. Um but that's good. We sent um Nancy sent the bill to um our folks over at the Humble County Transitional Age Youth Collaboration, Grac Tasty folks to get their input and their their feedback on this and the YAP supports this bill. Um and we really appreciate getting their input and their feedback on the bill. So this one uh like I said, still waiting for that price tag is in appropriations.

So this one would add the press three option to the 980 crisis line. Uh, and the young person would be automatically connected to a uh specialized service that specializes for LGBTQ plus uh youth. Um, and it was at the recommendation of the legislative ad hoc committee to send this over to HCAC. I want to give a big shout out to Jess. Thank you very much uh for bringing this to the HCTC Youth Advisory Board for discussion and consideration. ACTC does support the bill. We do not have this as an action item on today's agenda. Um so the behavioral health board cannot take an action on this bill today because it is not agendaized. Sometimes the timing just doesn't work out. So, um, we were unable to add that to today's agenda, but we will put forward the HCTC Youth Advisory Board's um, support letter to the board of supervisors uh, to request the board's support um, for this bill as well. Next slide. And I think that's it. I'm happy to take any questions on state state and federal budgets or legislation. Um, and then you can take up your action item. And I also just want to pre space for just a moment to ask Vernon if you have anything to add about our ad hoc committee um or about anything.

Okay. Would what was your experience on the ad hoc? very informative and and learning a learning experience of how to track a bill um how to do a bill analysis uh and track that um and to be able to search bills out see where they're standing in. So, it's very very educational

and and I would I would say it was for me too. Um it's it's really helpful to Sharon and I to um to hear your experience and your thoughts and Margarets's um it's it's very we need that input so that we're not um just looking at it from a county health and human services administration. We we need your input. We need your feedback. And I just wanted to pause and say thank you very much for spending time with us for providing that feedback because you've um you know you've you've given me on a couple of the bills. I'm really looking at it then with a different lens now and I want to just stop and show appreciation that

yeah Jess I guess I have a question. Is there some area where I can read about all the details for our behavioral health board committees? I'm a little bit like booked out with the end of the semester, but that afterwards I would like to be able to access that information so I could um look at it for in the by. Okay, awesome. Thank you. And we do create um minutes.

Yeah. for the ad hoc. Um so everyone will have access to those and um and you you have mine and Sharon's contact information. So even if you're you know not acting on beh on behalf of the behavioral health board, you can feel free to reach out to us anytime. That's what we're here for. I will put I'll add to that for a shameless plug just for myself. I really appreciate it because frequently a question that I get from someone will clue me into a bill that might not have been on my radar previously. Um, so I really appreciate that. Even if you think, "Oh, she probably already knows about this bill." Go ahead, please.

Um, the mental health aversion bill, do you happen to know what the new offenses are that they've added? Sorry to get into the I prepared for that.

Okay. So, the bill adds to the list of offenses for which a person would be excluded from mental health diversion. Adds the following offenses. Child abuse and endangerment if charged as a felony, assault of a child under eight years of age resulting in the death of the child. Human trafficking. Corporal injury that causes great bodily injury. inflicting cruel or inhumane corporal punishment on a child resulting in an injury if charged as a felony. The bill also adds to the list that the court may consider in making its decision regarding the public safety risk to include the defendant's prior history in pre-trial diversion plan, the degree of danger posed to the community as evidenced by the defendant's prior violence and criminal history and the severity of the injuries to the victims.

Thank you. So that's huge being able to include prior history. Yes. Because if somebody it blows me away that that doesn't get counted like that's and there were a couple cases they cited of people that have done diversion on more than one case. Yes.

Is there some sort of monthly scale to compare my past actions to to see if I'm qualified for that? Not necessarily me specifically, but Well, that's where it gets really difficult is some of they they'll give you a large list like that and then it falls down to judicial discretion on this and you have to kind of fight it out. So that's that's where it gets really difficult. They're trying to put enough of a guardrail around this to where there's some consistency, but then each court is going to interpret that a little bit. They're quite funny. So that's a a a frustrating way of saying talk a little bit about who opposes that bill or or the reasons.

Yeah. I why people oppose that bill. Um the disability rights California group um in particular is opposed to that and some of the early champions of mental health diversion courts in the first place. Um so I'm going I'm going down I wrote myself a note of the committee hearing that they had in this which was really really interesting. the main issue that they had to interview.

Okay. So, from the LA County Public Defenders Union, what they don't like is um I've seen diversion cases with weekly check-ins and many requirements over two years. So, it is is an intensive service. Um they're saying it's already a rigorous process. victims already have their chance to say have their say in court. Now, regarding the five-year diagnosis, because this one includes that the diagnosis needs to be within five years. The regarding the five-year diagnosis, mental health isn't linear and doesn't follow a timeline. Also, disproportionate impact on homeless and people of color who might be prevented from taking part mental health version. Um, so at that point we had the public defenders association, CBHDA, and a number of the criminal justice groups that were in the room for the hearing that are in respectful opposition to that. Um, we had another senator who was also concerned about it. You spoke um quite a bit about his concerns about creating stigma for the people going through mental health diversion. Um but then it then the bill has to generally um limiting judicial discretion, right? And and so there's this balance that the legislature is trying to strike with a lot of the criminal justice bills around mental health. Um and you snap the diversion bills with care for bills and with conservatorship bills. Um, so it's it's a it's some of these are kind of squishy, right?

It is a tough one. You have a lot of very very good attorneys in the state that will utilize whatever system is available to them for their clients, whether it's appropriate or not, which makes it really hard for the people it's appropriate for to get into these services. Other questions? I have one. Um, is that okay? Um,

sorry I can't really read the room as well as usual. Um, I I am curious. Um, you know, I've obviously been hearing a lot about the HR1 efforts to, you know, ask for state support to fill some of those gaps. Um but and so you know I've I've heard about the kind of block of folks doing this advocacy, but I'm curious if you've had any conversations um that you've been a part of that kind of tell you what the like what's the read on that from the state? What's uh is there has it been possible to get input about what's really feasible there?

Yeah. Uh, supervisor, I've been in several rooms where I feel like that there is an acknowledgment, at least on the Senate side, that additional funding will be needed for eligibility work. I am not seeing any traction around additional funding for behavioral health and it's cricket. It's just really quiet on the indigen care, the indigent healthcare side. Uh CMSP has asked for $300,000 starting in fiscal year 2728. Uh they have enough reserves to get by for one year. Uh so I think that they're going to they may push off that discussion for a year until uh this governor is on to his next office. Um so I think of the three the one that's getting some traction is around the eligibility work. But I will say in the last budget, the state allocated $20 million for eligibility workers for training and anticipation of HR1. They still haven't gotten any of it out the door. We don't know when any of it will get out the door. Um, and they've kind of even given up asking about it at this point because what we are hearing is we're still in negotiations. We'll see what happens with the May revise. We're not sure. So, we are kind of up in the air for that and very concerned. Yeah, like most things, the real conversations happen after maker reise, right? It's like those last two weeks of of budget session where the actual conversations happen. So, they're they're just not tipping their cards very much right now. Um, one other thing I just want to quickly note is that we have great support from Assembly Member Chris Rogers who represents us in the estate assembly for the mobile crisis benefited. So the in the governor's uh

January budget proposal, they have proposed making that a county optional benefit with the county picking up the state cost for mobile crisis benefits. Um and our assembly member Chris Rogers was the first one to initiate a letter opposing that. Um he's the first signature of his letter. So, uh, it's terrific to get such strong support right out of the gate for state. Yeah. Yeah. My question was kind of like, um, it's tethered to that eligibility work thing. Um, is there any likelihood that the work requirements will not actually go into effect? Does seem like that,

you know. I mean, I'll be honest. I gosh, I was holding out hope at the beginning that California would at least try to delay delay delay delay. Uh but that doesn't seem to be the case. Um the department of healthcare services is moving full speed especially on the automation pieces um to prepare for January 2027. Uh and certainly the redeterminations will certainly begin on January. the semianual redeterminations for those 21,000 people that are enrolled visa.

There are a couple of bills to bifurcate on work requirements. There's a couple of bills that are floating around there um that would bifurcate the work requirements um because HR1 would require work requirements for people that are still eligible for the benefits. Um, the argument is for people that are not mandated to do the work requirements by HR1, California should not require them to do the work requirements.

There's a couple of bills that talk about that would do that. That would bifurcate that. The governor's January proposal did not do that. Had everybody lumped in. Not sure where they're going to land on this one. It's one of those bathroom things exactly that Nancy said. They're negotiating that. We're not going to know much until after the May was. They're talking about it. I have no idea what's going to happen there.

Well, thanks for so much for having us. Yes, thank you very much.

All right, at this time bringing in the action item of the Florida suit since AB 2076. Um, everybody should receive that. Okay. Great. So, does anybody want to make a motion? Second it, and then discuss the type. Sure. Awesome. Motion to approve. Second. Second. Okay. Discussion. There's a typo. No, it's where it says uh actually I closed it. Performance of the county. Yeah, there's some like weird uh

looks like I'm sure I can find the typo. It's in second paragraph performance of the counties. It should just be an apostrophe, but there's like a number sign. But otherwise, it's great. Gremlins gre we'll get the gremlins out if you for the Thank you. So with that, um, all in favor of approving the butter with typos fixed. I

opposed. No votes. Awesome. We will get that fixed and send it over however we do that. Thank you. And thank you so much for the work you do. All that's my mind. I could never do it. Oh, it's super fun. You should join a legislative hop. Really? Fun group. And maybe I will for one just to see.

All right. It's now time for communications. This is where each behavior help member gets to tell us all what's up. And I'm going to start um because I'm sure you'll remind me when I forget, but I just did uh the cow VHB training uh and they had some presentations on Friday and u training and I cannot tell each and every one of you enough that you should go BHB's website and you can see the recordings and you can hear what other behavioral health boards are doing. And again, I come away from that going, we are so freaking lucky to have the communication that we have with all of the people with like people saying we've never seen our behavioral health director like how many people their behavioral health board director comes to their meetings like every meeting. and just the communication with all the different people, our deputy directors, our all it's so awesome. So I come away from that saying we are we are doing well in this county. I am grateful for our communication and go humble. So I just wanted to say that communication because I get so excited and I feel so like oh

oh well we just uh talk at our executive anyway Jesse um I guess HTTC had a public health listening session yesterday with a bunch of young people and that was really nice and very diverse but other than that no I don't that's Great announcement. I don't have any group. All right.

Um, uh, my name is Dette. I, um, I really don't have anything to talk about, but I'll do the board. Thank you. Have us

um, let's see. Uh, God. Um there is uh the new SCG Mat quarterly meeting that's going to be um happening May 12th um two I'm sorry May yeah May 12th um and it's 2 p.m. to 3:15 and it's going to be at 908 7th Street. It's organized by Beth Jansen. she is the our um county son and um yeah so we are um going to be revising this uh reviving this meeting. It was a really great meeting we had um last year where all the SUD MAT providers came together um in person and it was a hybrid meeting but a lot of people came in person um we got a lot of things ironed out um and since that has stopped it seems like things have been I don't know I'm having people getting out of jail now and there's there's they're not insured um we're having folks um having problems getting their um medication so we want to kind of like have this quarterly meeting. So be all be on the same page. So if anybody wants any more information, they could see me after the meeting. There is um right now no sun services um at uh Providence um I resigned. So they are looking for another son. Um yeah, so if you know anybody that is looking for a job, it's a it's a very rewarding but high energy virtual sea department. So I think that's all I have.

And what do you do?

Oh yes, I'm sorry. And so I am now um partnered with Dana Hulcom. And so we uh started um E. Patrick's Foundation Homes. We have two homes right now. Granddaddy's which is at 740 East Street and Coffey's House which is at 3021 Spring Street. We have a total of 31 residents. Um and we have been accepting residents coming out of uh detox, out of crossroads, HRC, um prison, um the jail. So um it's working out really well. We actually started um I took one person from Hiberia. So that's wonderful that they were able to have the training to do that. So it's recovery residents, not a flop house. Those are minimum requirements. um six-month program and then after the six month they transition to a long-term housing which we're actively looking for because sometimes people aren't going to be ready after the six-month and we want to prepare them or want to set them up for success. Um we are um we also do ECM um housing navigation. Uh we are still on track and and we are we've found a building for the uh potential site for the 3.2 social model and so break center. So fingers crossed we have everything um ready for the um the uh um bookkeeper. So she she gave me a list of everything we needed. So we have everything for the lender. So fingers crossed um everything will go according to our plan. So uh yeah, I'll keep you all posted. But it's a at a very exciting stage. Very sad to be not of a hospital anymore, but I still am a California Bridge um son mentor. So when new um sons come, I will train them. So um I'll still be, you know, and I still help people in the community get into VTOPS. I'm actually working with three

right now. So still doing the um sun navigation services just in a different location. Yeah. What what is the program called like the housing doing? Patrick's Foundation Homerick. Yeah. But I have business cards. Yeah. Love to Thank you for reminding me about that. I think that's it.

Thank you so much. Absolutely. Some bonus cards. Yeah. Congratulations. Thank you. And I tell people spiritually grounded. My partner's face. I'm not. I go do the yoga thing. I go, you know. So people have an option. You know, they can go with her, they can go with me. But we try to get them on that trajectory of recovery. What's your capacity? Um, right now we um it's 34. Okay. She's probably got at least three. Wonderful. Peter,

I don't have a lot to this one, but I just want to share a story um that I just reflects positivity. So, I mean, it's a hard story. There was a at one of our schools, one of our local districts, there was a arrest um because it was solved uh parent to the child and um and it was very it was a really hard it was just hard. It was very hard for everybody. Um I'm sort of lining to that two things that I just want to highlight. one that the environment of that school was such that they worked so much on their climate that their child felt safe due to someone's world and I was also very impressed by people's ability to recognize how it impacted and often times I'll get called to come in and we'll use sort of restorative practices to fit and and do a debrief and see what people need and and where we going with this. So, um, what was really incredible was that the arresting officer showed up from the sheriff's department and the detective that was handling the case showed up. They sat in that circle and had such an authentic participation and it was it was just really um healing. Uh, it moved things forward. It felt like it built a community of safety and I just thought this is this is exactly what how we need to be intersecting as um service providers. I mean, and to have law enforcement at the table like that was, you know, and so um so anyway, I think Billy also know that that, you know, was was profound. And um I just, you know, and it and it tags on to, you know, Jeremy and I got to spend the week together down at Rancho Cukamonga because Humble County is one of the one of four counties that's a

demonstration county to look at the work that we're doing around AB 2083. building our children's system of health and partnership with the Emmy Busan community agency leadership team and then the EAC which sort of you know the action team that that um consists of directors um but just really find and and then of course our tribal partners and really looking at the commitment to create integrated system of care for students that's responsive and uh collaborative not only in action but in fiscal ways and cultural ways. So um so yeah just feeling positive about those movements. So I'm not sure.

It's great to hear. Great to hear. I wonder if that officer was CIT training. You have such excellent trainers. All right, Bob. I read or heard somewhere that the veteran center is partnering with Wild Souls Ranch to provide you decoin service for veterans.

Um I'm actually have a meeting up there Monday to go become a volunteer wild souls. So I'll have pretty much first information. Okay. When you say you mean the vet center that not the VA I heard I said it was the vet the VA and our staff meeting is corrected to it was the vet. Okay, that's cool. Beautiful. Maybe the horsey set the treatment of PTSD and all those other things. at those moment.

Okay. Couple little things. I'm leaving at 1:30 and Sean's in charge of Lord Kills over. The other thing was just FYI, we have been monitoring the chat. Uh Natalie's doing it remotely, but nobody's commented in the chat yet. So, I'm also spying on my phone, but just to make sure that That's awesome. We'll between Natalie and I, I think we'll make sure that that gets covered in future meetings as well. Natalie, I don't know if you knew that that was what we're doing, but Great.

Awesome. Thanks to both of you. Um, Bob and I met on the adult and older adult program u this month. Uh, I'm going to leave the rest of that to learn as we meet with our executive committee of how we're going to guide this um, committee meetings because we are under the Brown Act and I just want to stay well with inside the ramifications uh, with minutes, agendas and stuff of that nature. Well, so yeah, the three of us only will get on track with that. Looks like we already have a uh Oh,

yeah. Sorry, just thought. Oh, did you have something else? No, I just remembered something. Never mind. I don't need to share. All right. Uh, yes, there's I mean, Kelly Johnson's I am on there. It totally tripped verdict. Um, can I can I feel like every time I space it up?

No, it's okay. I'm in in another dimension. Um, I just wanted to say the peer support proclamation will be coming on May 12th that um I know that Vernon was tracking closely and I appreciate that. Um, so I was able to confirm that'll definitely be on for May 12th. Um, and I don't think I have uh much more beyond that. I think our um our May meeting falls when I'm at um a conf Oh, nope. It's the week after. Never mind. I'm going to be at a legislative conference in Sacramento for the u the the week of May 20th. So, um, I will try to sit in on the behavioral health session there and hear what the California State Association of Counties is working on as well and just talk to colleagues and see what we can collectively advocate for.

Thank you. I don't think this is a public comment period though, is it? I was just saying board member communications board communications. You have something verdant? I I would like to to ask all of the county staff that have peer coaches and peer support specialists uh to try and have we'd like to pack the audience out and the board supervisors, but peer coaches and peer support specialists. So, you have the availability uh please uh send them to the board. Thank you.

You're welcome. Uh, director Beck is on taking some well-earned time off, so that's good. Laurel, anything? No.

Okay, you're up. All right. Um, I I don't have super interesting stuff, but I I was sitting here listening to all the different things everyone in the room said that felt so inspiring to me about the work that we're doing in our community and the partnerships we have. systems and anyway, so I just have to acknowledge how great that feels. Um, I was going to mention budget because we're at the point where we're just like getting it finalized for 2627. Connie is doing a budget presentation at the board of supervisors on May 11th. Uh, behavioral health will be a piece of that. She's going to do it for all of the department. Um, so all of the branches, um, within behavioral health, we're just continuing to really look at and kind of tweak's not the right word, but just make adjustments around staffing in different ways to um, just kind of to reconcile some of the changes we're having in programming. The jail, we're no longer serving the jail, but we have increased um, needs in care court. So, just looking at, so we're shifting some staff there. Um, we're also doing some work in our med support clinic, um, just to really kind of shore up the the psychiatrist time and making sure that we're really, um, maximizing schedules and expertise and making access for the community as um, friendly as possible. were struggling a little bit with some of our doctors and we were looking to bring more on and in the meantime just trying to be creative around how we continue to provide those services. Um just wanted to remind the group about the transition from MHSA to BHSA and so the next plan now is no longer the three-year plan, it's the integrated

plan and it will be here in May for the public hearing piece of that. Um that's at the next behavioral health board meeting. And then I guess the last thing to say is we're continuing in behavioral health branch to finalize our strategic plan which has been um a little bit of a long time coming. Um but hoping to have it done by the end of June. I'm I'm happy because we're taking the time to really align it with the equity work that we're doing both in the branch and in the department overall. So I think it will be I think it will be a good reflection of our values and work that we want to do and we'll share it with this group when it's done. All right. Deputy D directors start sorry it's the fan comes on. I'm freezing and I start off with Jeremy and not a whole lot really new children's be around. It's busy. Spring is kind of the time of year the holiday a lot of referrals coming in before summer when things slow down. So, um, our access team is basically getting referrals, uh, assessments and out to providers. Our providers are filling that up pretty quickly. So, doing everything to get youth and family services quickly as possible. Um, let's see, there's a children's mental health conference that happens every year. Emmy and I are going to both are going to be going to that in a couple weeks. Uh, that's we have some staff from HCTC and Tay as well as some of the behavioral staff that will be attending. So, it's a good opportunity to network and hear what other counties are doing, how they're handling all the state mandates and programming. So, excited about that coming up. Um, really busy with contracts right now. It's kind of the tail end of the contract season. So, we're doing all of our provider

contracts, expanding to um bringing on STRTP. I think I mentioned that before. um some evidence-based practices that we're continuing to research and and figure out how to implement functional family therapy and parent child interaction therapy and high fidelity wraparound. So there's a lot of a lot of state mandates right now that are forcing us to to expand and grow and which is uh good for capacity but also um brings its own challenges with the staffing. So things are busy. Good job. Doing awesome.

Just a couple things tag on to what Emmy said about the us transitioning from behavioral health uh providing services in the correction facility to well path. So that transitions uh uh in the planning stage. And um so right now we're really talking about transition of care for the inmates that are getting care to Will Path. So that's coming along, but as you can imagine, it's a lot of work. Um Dave Bennett, the senior program manager for our forensics programs, is um retiring. So this is his last week here with us. And then um this we finalized our contract with the city of Eureka's care team. So they're now an provider for us providing mobile price benefit services in the Eureka area. So we're excited about that and working with them to around things like how to submit billing and then how the deployments go and paperwork flow. So all that good stuff. So excited to have them on board.

It's great. They have plenty of staff to send them out. You can make Gabriel stay. No, he's going to be so messed. I just if you talk to like seriously, it's like the glue that holds a lot of things together right now. So I I'm sure you'd love to hear that from I have to say that and how loud. No. All right, Jack. So that Yep. Hey, Jack. What do you have for us?

Hi there. Good afternoon, everybody. Sorry I couldn't be there in person. Um, yeah, probably, you know, not not a lot um either on my end. wanted to remind everybody that, you know, we're we're working on the the May is mental health health matters month activities. Um, and there'll be a calendar that's coming out probably pretty soon, I think this week. And I can get that to Joe and and forward that out to to all of you. But we'll be doing kind of the traditional things that we do like the walk and the barbecue and a few other things um are are planned. And so um that is exciting. and always um really important for our community. So, we're looking forward to to to doing that. Um but yeah, that's probably the my announcement.

All righty. Thank you. Sorry. Is there anybody else I'm missing? Good job.

Um SED committee, do you have any updates for us? So, um again, my name is Still Danette. Um I wanted to say uh uh we had a really awesome um SUD group last uh spell. Uh we had a couple of college students from CR um come and share some some exciting things that they're learning in school that could be possibly be helpful in learning new stuff that's actually going on in our community with um with SUD um and also mental health. Um they were fantastic. I I I think that um it's important we have a lot of uh SUD people that are going to school um and so uh I just thought it would be wise to introduce them to behavioral health um SUD committee um and for a lot more reasons than just um to give them space as opposed uh as us information. So um it was really awesome. Um our first um sorry our her first um recovery happens planning meeting um is going to be May 6 at noon. Um we usually have it um at a later time, but we're going to have it at noon so that people can show up and have input on um we have two venues we're considering. Um, and I'm not in charge, but um I think that uh we need to um have more than just my my brain um making decisions and um and I want to hear what the community thinks about it. Um so we have uh Sequoia Park um

September could be September 19th or Bear River and we put in a a proposal for there as well. So anyways, or maybe we might have both. Who knows? But um you know, creators got uh bigger plans than I do. Um so anyways, it'll be May May 6 on um at on Zoom. Um if you guys want to be a part of the planning committee, please um email me, call me uh what if you don't have my number. It's 707731-3282 and I'll send out the Zoom link to hopefully legislative committee. That's our other committee or committee.

Well, you heard from the legislative committee this afternoon uh that we did meet and cover the bills that we're looking at. Um, and the letter that was hopefully to send to the Mortis Watch and you did also speak to the adult older adult committee as well. Oh, this is an ad hoc. Oh, it's different than committees. It's an ad hoc committee standing. Just put them all together. Yeah. I just was saying because you said the other committee.

Sorry. I just want to make sure we start including all the committees. So that's one of them, right? So we haven't had any official adult got wanted to hear the run of the case. Got it. Okay, I understand that. Sorry. I just was thinking that was came out in communications. So it would be a committee moving forward, right?

Yes. As well the children families. So there's some some things we have to get together like who's the secretary and those sorts of things to send out and have our first official meetings. So got sorry working on that getting ahead of myself. But now it's time for vice chair and since you have to go on seven minutes we finish seven minutes miss John

I don't need seven minutes but uh I guess membership committee we're still working on interviews. We've interviewed a few people that are interested in joining the behavioral health board. Um, and we just received another application today. So, we'll be looking at that at the executive level. I think we're hoping for next month to have a name to vote on in this meeting. Yeah, I believe so. We need to check in check in. I believe uh yeah we have that resignation went through okay

for Virginia and then we need to check in on another person right so yeah just for folks there's uh for folks to know that we're still interviewing haven't made final decisions on everything yet but we're working through everything so thank you for those of you that have applied and are attending the meetings regularly it's much appreciated Yes.

All right. Uh I guess as the chair, I just want to say that um I did not get the retreat minutes sent in in time, but I will do that. I used AI Otter to pick the minutes, which is awesome. forever. It just says speaker one, speaker two, speaker three. And I realized after I was going through it that all the speakers got mixed up and so but Joe gave me some good coaching. So I will have that. I apologize sooner. And um yes, May is mental health month. Um there's going to be an awesome speaker on May 9th. coming CIT speaker who we saw who's very good about the brain and talking to you about why you do things. The title is wait why did I do that? Um he's he's good. So it's going to be a great event at the Warfinger from 10 to 1 invite you all come out email on it's on the Sabbath day. That's that's all I have. Much appreciation for everybody. Are there any updates on Nav Center? No airport. I think we could probably take that off now, don't you think? Because we are rolling.

Guess so. I don't know. I just because I deal with it in my Oh, yeah. You want to know? I'm so grateful. Yeah. I appreciate hearing about it, too. It's it's it's just um going well. We've gotten recognition. Humble county's filling it. Yes, there always be things to improve. We are doing a good job. And crisis trio center there. So, um have any future items that you would like to see on this agenda? Tell me now. Tell me now if you think of it after the meeting. Send me an email. Text me. Yes. Did

you find out we're in the we're in the queue that a presentation by Nation Fus? I've asked for them. Um I will check on the queue. Thank you. All right. Anything else for the greater good? We didn't know. Oh. at 13:27 3 minutes before we adjourn this. Thank you everyone. Stay awesome. Were you tell