Posit your completed form in the box adjacent to the speaker podium public comments I'm going to have are live. Good morning, everyone. I'm Chair Doug Chafee and also a fourth district supervisor. It's my honor to recognize and celebrate National Nurse Recognition, Recognition, Recognition, Week from May 6th to 12th. And so we're picking the right day here. So nurses are the backbone of the health care system integrating compassion with science to help a patient through their health care journey. Importantly, they communicate with other health care providers to ensure that patients receive the best possible care by doctors, therapists, and we need the social workers. Nurses are vital to our health care system, ensuring patients feel supported and safe during their hardest times. County of Orange have approximately, grateful to have approximately 500 nurses working in our healthcare agency. I'd like to invite up to the podium, Jenna Serran, Director of Public Health and Nursing, and all the nurses here today for the healthcare agency. Nurses are the key to a healthy and strong community, but they face many impacts. According to health care, health workforce analysis published by the Health Resources and Services Administration. In November 2022, the Federal Authority has projected a national shortage of 78,000 full-time RNs in 2025 and by 2030 there is a shortage of 63,000 full-time RNs. To help address this workforce shortage, important Orange County addresses the factors influencing the nursing shortage. Help decrease the shortage here in Orange County, I, with Supervisor Sarmiento, approved at the Cow Off of Board of Directors last year a $5 million grant extending over five years to support the Cow State Fullerton Nursing Program students including their training. Cow State Fullerton is utilizing this grant to expand the numbers of associate degrees in nursing to bachelor science in nursing students. Cal State Fullerton is awarding $10,000 stipends to 50 nurses each year, complete their BSN, a total of 250 students across the five year program. In return, we'd asked that on a voluntary basis that those receiving the scholarship find employment in the county somewhere for two years after that to help us relieve the shortage. I'd like to invite up from Cal State Fullerton School of Nursing who have celebrated 50 years in business at this point. Drickie Torres, a student grant recipient, Kathy Bayhem, a Cal Optic Project Director, and Sadeca Almajin, Director of the School of Nursing. This is one tangible step to county, and other stakeholders can take to empower more people to come nurses, encourage all residents who wish to make a difference consider becoming a nurse. I want to say thank you to all nurses for your dedication and tireless efforts to make our community healthier. For Director Sarah and Gishe remarks to my colleagues wish to say a few words colleagues. Okay, you're off. Thank you. Good morning. I'm Katrina Foley County supervisor representing the Fabulous Fifth District which covers Costa Mesa where I live all the way down to San Clameney. Today we recognize the thousands of registered nurses and nurse practitioners across the United States with this year's theme, you make a difference. And this is our National Nurse Recognition Week. Nurse practitioners across the country see upwards of 6 billion patients annually, 6 billion. Bringing vital care and solutions to patients in all community settings. Our board is pleased to recognize some of our outstanding medical professionals from our county nursing administration, our registered nurses who work in our hospitals, behavioral health clinics, correctional facilities, and members of the United Nurses Association of California, union of healthcare professionals, and more. With so much at stake for public health, I look forward to working with leaders to address the growing shortage of nurses here in Orange County. As the chairman mentioned, Cal Optima is our partner to help to build that farm team of nurses into our community. In 2022, I sat around a table at UCI with Cal Optima to discuss nursing shortages and programs. We, at that time, came up with the idea to follow the Cal State Fullerton model and invest $5 million in UCI's nurse OC program. This program offers externships to 60 students and residences to six graduate students. And one of the things we learned in that roundtable was that the nurse, there's nurses in school, but they also have, they struggle with housing. And so part of this program is to provide housing. And the students, they, they are provided financial stipend, networking support to find work within organizations that they serve for our at-risk communities and a bond to give back to their communities in exchange for the stipends. I commend the incredible work of more than 100 7,340 registered nurses and more than 64 hundred nurse practitioners in our Los Angeles Orange County Southern California area. Join me in thanking a nurse today. They do so much and they care for all of us. Thank you. Good morning. I also want to take a moment to recognize and celebrate the incredible dedication, compassion, and strength of our nurses everywhere. Nurses are the back-up bone of our health care system. Having served as the vice chair of Senate Health for many years, we know and continue to have the discussion of why and what we can do to bring in more nurses into California. Think about it. When we seek health care, it's often a nurse who sees us first, listens to us and stays with us through every step of the journey. Day in and day out, they serve with the utmost devotion, bringing healing and human dignity to those in their care. Their work is demanding, feel with relentless pressure, and they are so extraordinary. This week, we honor the quiet strength of nurses who show up in our hardest moments, and we thank them to all our nurses, past, present, and future. Thank you. Good morning everybody. I feel very underdressed after seeing you folks here. So somebody's going to take me shopping next year before we celebrate this again. I'm Vicentha Semyento Orange County Supervisor for the second district. And thank you Chairman for bringing National Nurse Recognition Week for us for us to recognize. So Orange County's population is exceeding 3.1 million and district two as one of the largest service areas the demand for health care is rapidly growing. Nurses remain central to delivering equitable care, improving patient outcomes, and protecting community health. Key hospitals in my district include UC Irvine Medical Center, St. Joseph Hospital of Orange, Chalk Children's, Anaheim Regional Medical Center, Anaheim Global Medical Center, and Orange County Medical Center. It is estimated that Orange County is home to over 18,000 registered nurses, 8,000 certified nurses, nursing assistants, 6,000 licensed vocational nurses. At a local district events, such as our resource fairs, nurses have delivered health screenings and vital information to over 600 families showcasing their role beyond just clinical settings. As was mentioned, as Cal Optima members, the Chairman and I have supported approval and award of nearly $25 million in grants as part of a $50 million initiative to address healthcare work for shortages and expand the educational pathways for future nurses and healthcare workers. As was mentioned, Cal State Fullerton had a pro where are the Titans? There they are. All right. So I'm going to speak to the other ones is what the other programs because we love our Titans but we also love our friends at Coast Community College District that received $2 million to enhance their RN pipeline and create a radiologic technology program. Concordia University at Irvine received 5 million to grow the accelerated BSN program and provide scholarships and here locally in Santana, the Rancho Santiago Community College District received 1.2 million to expand its nursing and health care technician programs. And UC Irvine's Sue and Bill Gross School of Nursing received $5 million for one year externships for pre-licensure nursing students providing hands-on experience. So these investments reflect our continued commitment to strengthening the nursing workforce and ensuring a robust pipeline of qualified professionals ready to meet the health care needs of our communities. Nurses are the first point of contact in hospitals serving hundreds of patients daily, and they are the backbone of our health care system. They devote themselves selflessly to the care of others, often placing their own health at risk, a sacrifice we saw during the pandemic and we see every day. That reflects both their profound commitment and their critical responsibility, from labor and delivery units where they welcome new life into the world to intensive care wards, where they navigate the most fragile moments with skill and tenderness, their presence as a source of strength and healing. I'm especially grateful today because I understand that Kaiser and NUHW have reached a tentative agreement for their 2400 behavioral health professionals including psychiatric registered nurses addressing critical issues like increased time for patient care management and parity and wages and pensions. The importance of that is to make sure that our nurses are not only respected and we celebrate them, but they're compensated. That's something that's important. We know that it's getting extremely difficult and expensive to live in our beautiful county, and want to make sure our healthcare professional is not only are, again, supported by us, but they're also compensated well. So it's a meaningful step toward supporting the vital work that folks behind me and all through our healthcare system do every day. Let's continue to celebrate them and support them. Thank you. Good morning and thank you Chair Chafafee and the Honorable Board of Supervisors for the recognition of National Nurses Week. My name is Jenna Ceren and I have the privilege of serving as the Director of Public Health and Nursing at the Health Care Agency. The American Nurses Enterprise encompasses the American Nurses Association, the American Nurses Credentialing Center, and the American Nurses Foundation. And they have designated this year May 6th through 12th as National Nurses Week. This year's campaign shines a national spotlight on nurses as the driving force behind compassionate care, innovation, and transformative changes in health care. It is no wonder that according to Gallup Poles, nurses remain the most trusted profession and have held this position for over 20 years with high approval ratings from the public. California nursing standards are some of the best in the country and this is reflected by factors including high educational standards, legislated nurse patient ratios and the ability for hospitals to apply and obtain magnet designation in alignment with models of care reflecting nursing excellence. On behalf of the healthcare agency, I'd like to take this opportunity to recognize the expertise, compassion, and commitment of excellence that are nearly 500 HCA nursing professionals provide to our diverse patient populations throughout behavioral health, correctional health, public health, and specialized medical services. The health care agency appreciates this opportunity to also acknowledge, thank, highlight, and advance the work of nurses working within our organization and the thousands of nurses working across the health system. In acute, skilled, community, correctional, school, education, and research settings throughout the county, your partnership and your excellence in care has a direct impact on the health of Orange County community. Thank you all for your service and happy nurses week. I think you are. I'm going to go to the next slide. I will ask you to ask a few questions. I will ask you to ask a few questions. I will ask you to ask a few questions. I will ask you to ask a few questions. I will ask you to ask a few questions. I will ask you to ask a few questions. I will ask you to ask a few questions. I'm going to go to the next room. I'm going to go to the next room. I'm going to go to the next room. I'm going to go to the next room. I'm going to go to the next room. I'm going to go to the next room. I'm going to go to the next room. I'm going to go to the next room. I'm going to go to the next room. I'm going to go to the next room. Thank you. I hope you say this correctly. I'll die day. Well, once in a while. So thank you, Supervisor Janet Nguyen, for bringing this forward. And I'm just going to try to get this out of the way. I'm going to try to get this out of the way. I hope you say this correctly. I'll die day. Oh, well, once in a while. So thank you,visor Janet Nguyen for bringing us forward. And I'm just gonna turn this over to you. You are gorgeously dressed, stunning. Thank you, Mr. Chairman. Thank you for giving us the opportunity. Today we recognize and celebrate May 15 as Ao Ya Day. Aoai is the breath of the Vietnamese culture. I started this tradition in Sacramento back in my first term, almost a decade ago, in the state senate where Californians can celebrate also and recognize Ao-Yai throughout the state of California. I'm glad to also very pleased to say that they continue to do so in Sacramento. It's not only our standard garment, but a tradition and source of pride of the Vietnamese American community. In Orange County, you're often seeing them worn during cultural celebration like TET and the moon festival. But to dish away our eye is not only worn for holidays, but also for formal evenings like weddings or use more casually for school uniforms. It can be worn for any type of event. And today, you're gonna see the many various different types of aliyah here. And you can kind of see where what would probably fit for which occasion for what you're gonna see. The only difference is that what material style and the color you wear would mark what that event is for. Our YI Day is important because it promotes awareness and preserve a tradition. This day also allows Vietnamese Americans to embrace their culture and feel comfortable showcasing their our YI. The history history of the al-Yai dates back to 1744 in Vietnam. It was persistent until the fall of Saigon, at which point the communist government banned it. However, what they claimed it was a symbol of capitalism. However, the ban has now been eventually removed. Today, the al-Yai remains the prior to the Vietnamese people all around the world. And I thank all for allowing me to share this with you. Since then, I've witnessed so many individuals wearing out-of-the-miss and I appreciate our vice chairwoman for also wearing her out-of-the-miss You know, the aliyah, as mentioned, it could be for formal, informal. It could be for school, it could be for gala, it could be for business meeting. And when you say out-yard, if you want little translation, out means shirt, yai is long. So it's a long shirt. That's the literal translation what ow yi is. And I'm so proud and I love doing this because my two boys, as most of you know, well my first term here, I was pregnant with them, they were, and so they though now has continued to want to every time when Ted comes around. They go, did you get my out-yard for this year? So it's a tradition of the culture that I will be honest with you when it grown up. I was uncomfortable wearing it. I was like, oh, that's a costume. Is that for Halloween? But it's not. It's actually a tradition of culture that I believe for us, most of us in the community, when we wear it, it shows to our children that they can carry on the cultural tradition and it's a daily wear that everybody should just be okay with it and very proud of it. And so I want to bring up a lot of the fellow folks that are here with us today as well. I want to bring up Fountain Valley Mayor Ted Bowie, Garden Grove Council member Cindy Tran, former Councilman Fat Bowie from the City of Garden Grove, Ms. Kiki Tran, Dr. Christine Chung. I've got Connie Fikun-Win, Gopfan, Richard Buy, Hua Buy, Quynh Wynh, My Long, Cao Cao, Jennifer Chu. And then I've got my two staff who also will be joining us up here to Michelle Doe and also Nelly Tran. And at this time I want to ask if Mayor Ted Bowie from the State of Fountains of Valley would say a few words and represent the entire group. Well, thank you so much, Supervisor Green. Well, good morning, honorable supervisors and everyone. My name is Ted Boy, Mayor of Fountain Valley. Today, I'm honored to speak about a symbol of Vietnamese culture, Greece and the Dandy, the Ausai. The Ausozai is more than just address. It is a national costume of Vietnam and a proud expression of the country's heritage. It is, like Supervisor Wayne says, that it is than just a fitted, that we are aware, and it's an expression of the country heritage, with its long flowing lines, high collar, and fitted silhouette, the alzai beautifully combined modesty with elegance. wornitionally worn by both men and woman, boy and girl doing special occasion like dead Vietnamese New Year. Waitings and school ceremony, but the outside is not just about parents, it tells a story. It's designed, reflect Vietnamese values of simplicity, gentleness and dignity. Even the colors and embroidery can carry deep meanings. White for innocent, red for luck and gold for prosperity. To wear an out-eye is to carry history. It connects generation. It's a symbol of how Vietnam embraced the future while honoring its past. To the next generations of Vietnamese Americans. So the next time you see an out-eye, don't just admire its beauty, but be part of it. Like I say, be part of it. Remember the culture, the artistry, and the spirit it represents. It's a celebrations of identity, confidence, and creativity. Thank you for listening. And may your house always catch the wind perfectly when you walk. Have a wonderful day, everyone. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. So, I think that's a lot of time. I think it's a lot of time. I think it's a lot of time. I think it's a lot of time. I think it's a lot of time. I think it's a lot of time. I think it's a lot of time. I think it's a lot of time. 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I'm going to go to the bathroom. I'm going to go to the next room. I'm going to go to the next room. I'm going to go to the next room. I'm going to go to the next room. I'm going to go to the next room. I'm going to go to the next room. I'm going to go to the next room. I'm going to go to the next room. I'm going to go to the next room. I'm going to go to the next room. I'm going to go to the bathroom. I'm going to go to the bathroom. I'm going to go to the bathroom. I'm going to go to the bathroom. I'm going to go to the bathroom. I'm going to go to the bathroom. I'm going to go to the bathroom. I'm going to go to the bathroom. I'm going to go to the bathroom. I'm going to go to the bathroom. I'm going to go to the bathroom. Okay. Well, then, not until you rise. Well, then, not until you arrive. Good morning. We have one more presentation to make. My honor to recognize and celebrate the 60th anniversary of community action partnership of Orange County. We sometimes call it CAPOC. I'd like to invite to the podium CAPOC CEO and President Gregory Scott, Irene Bastakis, the board chair and Alicia Verhal, the board treasurer. CAPOC partners with struggling Orange County families provide them with the necessary tools to achieve long-term stability. They are a place of hope and a driving force for change in our community. Programs and services they provide include but not limited to commodity, supplement food program, home energy assistance program, and family resources. KAPOC worked closely with Orange County leaders, faith-based organizations, government agencies, nonprofit service providers, and local business community to deliver services that help end and prevent the next generation of poverty. KAPOC has helped reduce food insecurity in Orange County, establishing food banks throughout the county. During the COVID pandemic, they helped distribute a probably 63 million pounds of food to Orange County residents. I've had the pleasure of working with capital city and my signature events, such as the Justi Fort Children and Family Health Fair, holiday food drive and toy drive. At the children and family health fair that my office recently hosted, Kapposy distributed a huge number of boxes and also diapers. During the past 60 years, they have created a lasting impact on countless families helping our community and our toughest times. We thank all the volunteers, staff, and leadership that has been a part of the capo of CIS journey in empowering Orange County families. If our Mr. Scott guesses we mark, my colleagues like to say a few words. Good morning. Well what a beautiful ceremony we had. Thank you all for joining us in brightening our chambers here today. Today, we recognize Community Action Partnership Orange County 60th anniversary. What a great organization to celebrate. They give, give, give for our community through emergency assistance assistance, workforce development, educational services, CAPOC provides pathways out of poverty. Orange County is a partner with CAPOC. We've invested $11.17 million in the organization since 2021. $1.5 million in American Rescue Plan funds and 1 million to the OC Hunger Alliance. Cappossi offers practical tools, critical resources, and the basics for people, meal boxes, rental assistance, diapers, diapers are a big part of CappoC. And, of course, homelessness prevention. By addressing the immediate crises, the organization delivers solutions that help individuals and families gain stability. For 60 years, CappoC has been a trusted resource for working families striving to lead a better life. Thank you to President and CEO Gregory Scott. Appreciate you being here. Board Chair Irene Bestakas, thank you for being here. And we also, of course, my good friend Alicia Behrhal, the Treasurer, who we've known each other and have been creating good trouble for a long time. Thank you all. Survival is the first step. Only then can individuals and families truly begin to thrive. So if you need assistance, visit capoc.org or you can call 714-897-6670. Thank you and happy anniversary, 60 years. Yay! Again, I want to congratulate Community Action Partnership Orange County on their 60 years. For six decades, this organization has been pivotal in the fight against poverty and food insecurity. What sets them apart is not just the resources they provide, but the way they do their best to reach every community. I've had the privilege of working alongside this organization for years. I know I can always count on them to step up and to help whether it is responding to a crisis or supporting underserved communities. Our staff and I know that when we call upon them they will always answer and ready for a solution and if actually even more is that they already thought and knew the problem was coming. There's so, it's unbelievable what the action, community action partnership does. The county is very lucky to have them. So to the staff and to the volunteers, you are the heart of this mission and we appreciate you. Your impact is felt every day. Thank you for your devotions and congratulations on 60th anniversary. Thank you for your devotion and congratulations on 60th anniversary. Good morning again everybody and congratulations on 60 years. You guys don't look a day over 21. We are the same age and you guys look a lot better than I do. So congratulations, Halvi. Thank you, Chair. I just want to express my gratitude for the team at KAPO-C, especially to President Gregory Scott, to Irene and Alicia. Thank you. And please extend our gratitude to your entire board, your volunteers, and all your sponsors. So for the past 60 years, KAPO-C has remained focused on ending and preventing poverty by addressing it through its root causes and not just the symptoms. Through decades of service, KAPO-C has continued to stabilize families, sustain them through times of hardship, and empower them toward long-term self-sufficiency. The KAPO-C mindset understands the complex challenges families face and responds with compassion, cultural responsiveness, and dignity. Each year KAPO-C provides vital assistance to thousands of families through essential programs focused on food insecurity, housing stability, financial wellness, and emergency relief. KAPO-C has been an invaluable partner to our community in a variety of ways. And over the past three years, they played a key role in our resource fairs supplying food boxes to the most vulnerable members of our community. Additionally, they have offered crucial assistance with utilities for those experiencing financial hardships. Their commitment goes beyond emergency relief. Capoc also operates Family Resource Center in Edmolina in my district. This center serves as a welcoming and trusted place where older adults can enjoy Lotharia and participate in live instructor led exercise programs using iPads. Children have access to recreational activities while individuals can receive the guidance and support they need to navigate essential services. The FRC is a place of trust, connection and empowerment, and it really does embody the mission of KAPO-C because it is probably one of the most active spaces in the in a neighborhood and they don't have many resources there. So this is a place that they call their own. And I want to thank you all for creating that opportunity for them for them to gather and feel like they're seen and they're heard. And really the mission of CAPOC has been something that I've admired for my time as mayor and council member in San Anna. But they really have understood that these resources, the support and the effort, has to be delivered to one's community. versus somebody coming to them, they go to the community and make sure that their needs are met. So I just want to thank you for your dedication to all our families in the entire county and specifically in District 2 for helping them. You know, in their greatest time in need, your work is extremely essential and will be leaning on you even more as these years and months come before us for help, for guidance and teaching us on making sure we help each other in a way with dignity and respect. Thank you. Good morning. My name is Gregory Scott and I am proud to serve as the Presidency of Community Action Partnership. And we want to thank the Board of Supervisors for this moment, for this day. We don't take it for granted by no means. On Saturday, we had the opportunity to celebrate our 60th anniversary with a big gala. In Orange County showed up as they always do for the work that we do. So I want to thank the chairman. I want to thank all the members of the Board of Supervisors who are not just serving in this role, but they've been partners with us for many, many years showing up to our food bank, showing up answering our calls when we call. So it is greatly appreciated. So on behalf of the Community Action Partnership of Orange County on this county and wanna express our heartfelt gratitude for your steadfast support of our mission and for joining us in celebrating our 60th anniversary. For six decades, KappoC has worked tirelessly to serve our communities, tackling poverty, advancing equity, and uplifting families across this great county. None of this would be possible without your continued partnership commitment to the people we serve. Your leadership and investment and Sui Raza Foley spoke about the 11 million, over 11 million dollars that's been invested into our organization, especially to our food bank and diaper bank since 2020 has made a difference. But it's not just food, it's empowering young people, it's supporting families in crisis. It's providing the resources to families when they need it the most. As we look to the next 60 years, we remain committed to transforming lives, strengthening the foundation of our community. With your continued support, we ensure that the residents of Orange County had the opportunity to thrive. I always tell people that Orange County matters. It's big enough to matter across this country. I'm from the East Coast and as a kid growing up, I heard about Orange County and here I am. And so it's big enough to matter. It's also small enough that we can really make a difference. And that's what's happening today through our partnership. In 1965 when we were created, we were created because of the board of supervisors who stood steadfast during that moment to help create our organization. And here we are 60 years later. in a board of supervised still standing up for the work to be due and for the most vulnerable in our community. So again, I want to say thank you. A lot of gratitude today, a lot of humility today. I'm honored to be here and I'm honored to serve in this great county. So again, thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. I'm going to go to the next room. I'm going to go to the next room. I'm going to go to the next room. I'm going to go to the next room. I'm going to go to the next room. 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I'm going to do a little bit of the same thing. I'm going to do a little bit of the same thing. I'm going to do a little bit of the County of Orange Board of Supervisors will begin shortly. If you would like to address the Board of Supervisors, please follow these steps. Complete a speaker request form. Deposit your completed form in the box, adjacent to the speaker podium. Public comments can also be submitted electronically via email at response at ocgov.com. I'm going to go to the next one. Good morning everyone. Good morning to our colleagues, ladies and gentlemen. Welcome to our meeting of the Orange County Board of Supervisors for today, which is May 6, 2025. We're going to meet with the invocation to be offered by Vice Chair Foley. And today's pledge allegiance will led by Supervisor Newin. If you're able, please stand. Good morning. May is military appreciation month. A time to recognize the contributions, sacrifices, and service of the members of the Armed Forces, both past and present. Last week we commemorated the 50th anniversary of the fall of Saigon and the end of the Vietnam War, commonly known as Black April. Let us remember the nine million Americans who earned the title of United States veteran, and the 58,220 soldiers who lost their lives during the Vietnam War. Let us keep in our thoughts the 1.3 million active duty personnel, including the 166,000 stationed abroad who protect our freedoms. Let us remember the 105,000 veterans who live right here in Orange County. Today, we extend our profound gratitude to our service members, veterans, and their families who serve as profound examples of the values of freedom and democracy. Please think of them today. Thank you. It is both an honor and privilege to stand before you today as a proud American. Deeply grateful for the freedoms we enjoy as citizens of this great country. As we prepare to recite the Pletive Allegiance, I invite you all to reflect the values that binds us together, liberty, justice, and a commitment to improve our community. Please join me in slaying to our great flag. The pledge allegiance to the flag of the United States of America, to the Republic for which it stands. One nation under God, indivisible. Thank you, Supervisors, fully in the wind. A couple of reminders for today. First, please use the main entrance, which is right back there. When entering and leaving the room, all other doors are alarmed and are for emergency exit only. We set all phones to mute or vibrate at this time and for the duration of the meeting. Listening of changes to today's agenda along with the agenda's and request to speak, located lobby outside the boardroom. Board will be breaking for lunch around the noon hour during which time we'll also recess to a closed session. Parking validation for the P4 parking lot adjacent to the County Administration building north is available. Please see the deputy clerk next to the podium to receive a parking validation card. We'll now proceed to the agenda for this morning's meeting. This agenda contains a brief description of each item to be considered except as otherwise provided by law no action may be taken at any I'm not appearing in today's agenda.. Agendas divided into sections, all matters on the consent calendar are approved by one motion. Unless they board member or remember the public, request action on a specific item. You wish to address the board, please complete his pick request board form located outside the board room. To ensure this move conducts the meeting, should you wish to speak on a consent calendar item. You must turn in your form before the beginning of the consent calendar. If you wish to speak on a different item, you again must turn in your form before that item is called. The speakers may address the board on up to three occasions with three minutes allocated to the speaker per occasion. You're called to speak. Please step to the podium. Please note the light on the podium. The green light means you have three minutes. The light changes to yellow. You have one minute and light turns the red when your time has expired. We ask that you observe the time limit so all who wishes be have an opportunity to do so. When addressing the board, please adjust the board as a whole through the chair. At this time, I'm going to ask if any member of the board wants to comment on any agenda or not a agenda item and may ask question to give direction to staff. If I had no action may offer. Denda items, unless authorized by law. Any board members wish to comment or speak at this time. Supervisor Nguyen. Thank you, Mr. Chairman. I would just like to take a moment to announce an upcoming event that my office is co-hosting with the Orange County Department of Education and County Superintendent Dr. Stephen Stefan Bean. On August, it's August. I'm already in August. On Thursday, May 22nd, we'll be having a CTE internship and apprenticeship fair at the Freedom Hall in Moscow Park in Fountain Valley. As some of you know, CTE is career and technical education to prepare you for real-world career opportunities like entertainment, engineering, culinary arts, aviation, and etc. This event is designed to connect students and families with high-demand career path across more than 15 industry sectors, whether it is to prepare them for color, skill traits, or technical careers, where have the food trucks there, drones, and the latest AI innovations to explore. More important, we'll have leaders in various industry ready to provide students, hand-on-hand experiences through internship programs. I'll tell you, growing up in community, there wasn't many respectable options outside of, you know, in my family, we were told doctors, lawyers, or engineer, but there are so many other career paths that our youth can explore if they knew about it. Although there is nothing wrong with those jobs, but I want to help change the narrative. I want these families to know that there are so many options for a fulfilling high-weight career. This event is open to all students of all ages and yes, food and parking will be complimentary as well. Thank you. Supervisor Sarmiento. Yes, thank you, Chair. Thank you for the opportunity. So I simply wanted to say that I know that today we're closing our emergency dental clinic at the health care agency clinic on 17th Street of Claw across from the college. I believe that on June 30th we'll also be discontinuing the children and family clinic there as well. So I want to ask you, Madam, a CEO, if you can please work with the HCA press information officer to make sure that we push out this information. Thank you, Dr. Kelly, for putting it on the website. I just believe that these services are so needed and so important that we should try to work as closely and as collaboratively as possible to share the information with the public so they know what services they've come to rely on that will no longer be there. In addition, I know that there still will be immunizations tuberculosis, HIV, SCD, and a WIC clinic that will continue at the HCA site on 17th. I believe the only service that has been moved is the health lab, which was moved to the new site in Irvine. So, but really the public facing part of it will continue with the exception of, as I said, the emergency dental, the children and family clinic will no longer be there after June 30th. So we're going to be seeing a lot more of these closures, terminations of services and programs. My only ask is that we share this with our public who's come to rely on these. And putting it on a website, although it being a good first step, we need to make sure we're aggressively sharing that information to the extent our office can be helpful to make sure we message in Spanish to the Spanish language press nonprofits at work in the Latino community. I'm sure I won't speak for her, but I'm sure Supervisor Wynn, who has special relationships and close relationships with the Vietnamese community, I'm sure can communicate those in cooperation with everybody. I think that we're looking down a path where we're going to be doing a lot of this, and I know that Madam CEO CEO you're in the process of putting together a list of programs and services that may may have already been terminated as a result of some changes from federal dollars that we're getting and state dollars but also you know we can forecast what may be coming as well and we understand that HIV treatment and services looks like it's on the chopping block as well, as well as so many other services to folks who are disabled. So I am very troubled by this as many of us are, but to the extent we have information and we are able to share it with our public, it is extremely important that we do that together. So those are my comments, Mr. Chair, and I just wanted to make sure that we share that with the public. Thank you, Supervisor. Supervisor Foley. Thank you. Just a couple of announcements. It's an unsettling time for sure. I wanted to make sure that people knew in case you don't know that we had our federal student loan program, loan forgiveness program has been halted. So if you don't know this, help get the word out, help us get the word out. You can check your loan status at studentaid.gov and save a copy of your records in case of data issues. And then that's where you can also see whether or not your loan payments are becoming due again. Also, we have some exciting programs happening in the community. Our Orange County Libraries is kicking off our Comic Orange Celebration Laguna Hill's community center on Wednesday, May 7th at 6 p.m. And that will be R.L. Stein, who has captivated generations of horror lovers with his iconic Goosebumps and Fear Streets series. will be available for purchase, courtesy of mysterious Galaxy bookstore, and early arrival is suggested. I can tell you, as soon as we shared this from the OC Public Libraries onto our social media, we started getting all kinds of people excited about it and sharing it. I think it's one of my most shared posts. So people will be, I think, turning out in big numbers. So Wednesday, May 7th at 6 p.m. at the Laguna Hills Community Center. And then also that same, or the following week on a Wednesday, we will be celebrating our 32nd annual Wild and Crazy Taco Night. This is a community event that is to help share ourselves, which is our Community Health Clinic in Costa Mesa. The event will be May 14th from 537-730 at the Orange County Fair and Events Center. It's got all kinds of chefs from all over the county, making up crazy tacos. So I invite you all to participate and to join us. You can enjoy all you can eat tacos. It's important to RSVP, you can go to share ourselves.org to RSVP. And that's all I have. Thank you. Thank you, Supervisor Foley. My only announcement is that last Friday we met at the Veterans' Cemetery site along with the, is that Friday? I'll give my days wrong. The Secretary of the California Veterans Association and it was a wonderful meeting sponsored by Assemblywoman Sharon Quirk Silva. It is go ahead and every respect to get that veteran cemetery built. So it's good news. We are moving strongly in that direction. Madam CEO, do you have anything you'd like to comment on? Yes, thank you, Chair. Just wanted to let members of the public know that we will have a public budget workshop to virtual sessions on May 29th at 3 o'clock and 6 o'clock PM and the information related to those workshops is on the county's website at oseagov.com. Thank you chair. Thank you. Madam Clerk, do we have any changes to our agenda items? Yes, we do. The consent calendar item five is been deleted. On the discussion calendar items 20 and S41, excuse me, item 20 has been deleted. And item 21 and S41A have both been continued to May 20, 2025 930 AM. And under closed session SCS4 has been continued to May 20, 2025 930 AM. And the public has not requested to pull any items from the consent calendar. Thank you Madam Clerk. I ask that my colleagues any request to hear an item on the consent calendar separately. Mr. Rosner-Win? Mr. Chairman, I would just like to record an abstention on number two. On number two. Thank you. Okay. Okay, she's been pulled so we'll deal with it then. Okay, any other request? They moved the balance that would be then items 1, 3 and 4, item 5 has been deleted in the objection to that balance. Seeing none, that carries. Supervisor Folley, you have asked to pull item 2. Thank you. Item 2 is my appointment of Allison Sonenshine as the alternate member to the Orange County Commission on the status of women and girls. Allison Sonenshine of Newport Beach is a women's health advocate with more than 30 years of experience. She's the founding director of the Orange County Women's Health Project, a nonprofit organization with a mission to advancing women's health in Orange County through education, collaboration and advocacy. Her career started as an attorney with Bingham McCutcheon, now Morgan Lewis in Los Angeles, where she specialized in commercial litigation and employment law defense. She then transitioned into the nonprofit sector in Orange County, where she worked with the merge foundations to establish the nationally recognized SOS El Sol Wellness Center, now a federally qualified health center and a Title I charter school in Santa Ana. Allison Sonne and Shine graduated with honors from the University of Pennsylvania, earned her JD at USC Gold School of Law. And she's an excellent, she'll make an excellent addition to the status of women and girls commissioned for the county of Orange. With that, I moved the item. Sir, been moved and socketed. And there is an abstention on this one. So then three in favor with one abstention. Motion passes. Thank you. I have a request now that we move to item supplement 41E. Madam Clerk, would you please read that item? I'd like to raise chair, Chair, Chair, V, adopt resolution opposing photo Medicaid spending cuts, and direct staff to send letter of opposition to each member of Orange County Congressional delegation. Mr. Chair, we have received. Ten requests to speak on S41E. Please call those speakers. I would call three names at a time. Please line up in the center of the room behind the podium when your name is called of California, a member of the state of California, a member of the state of California, a member of the state of California, a member of the state of California, a member of the state of California, a member of the state of California, a member of the state of California, a member of the state today to urge you to pass the resolution opposing federal cuts to Medicaid, or as we call it, Medi-Cal, here in California. I'm not speaking just for myself, grow for one million people here in Orange County who rely on Medi-Cal to live healthy, dignified lives. A little personal story back in 2020, when my wife was in grad school to be a registered dietician. She was unable to afford the health insurance her medical school offered so she relied on Medicaid to keep healthy. If it wasn't for Medicaid she would have been without health insurance during the COVID-19 pandemic putting herself our family and our community at risk. My wife is a young, healthy and accomplished professional and she depended on Medicaid to keep herself healthy. I'm also here to speak on behalf of a few of our fight for our health coalition partners, namely two small business owners here in Orange County who could have make it this morning. PJ Roch, the founder and CEO of Little Red Dog in Anaheim, and Navin Gupta, the president of CMIT Solutions in Anaheim. They urged the board to recognize the proposed Medicaid cuts will have far reaching consequences, not only for individuals and families, but also for small business owners across California, whether directly through reduced access to care for themselves or their employees or indirectly through increased community instability and higher uncommitted care costs. The proposed cuts would create economic ripple effects that threaten the resilience of our local business ecosystem here in Orange County. Additionally, Medicaid is not just a program for the over 30% of Orange County residents that are direct beneficiaries. Medicaid is an essential pillar of our health care system with over $1.44 billion in health care funding flowing into our local hospitals, clinics, and community services every year. One local example, the HealthBridge Children's Hospital right next door in Tustin, has over 89% of their annual revenue coming from Medicaid dollars, 89% of their funding comes from Medicaid. What would happen if facilities like these, if federal Medicaid dollars are cut. Will providers be laid off? Will services be closed? These federal programs serve all of us and must be protected. Orange County deserves a health care system that takes care of everyone. We especially do call on Representative Young Kim to represent her constituents and hear from this board here in this resolution to stand up a half of her constituents and join the other health delegates here in Orange County and protecting Medicaid Please pass this resolution today and stand up for the health dignity of every resident in Orange County. Thank you Thank your comments. I need to make one correction to the Resolution I know you mentioned 1.44 actress one. It's actually it's 12.44. That's an error that we made and when it comes back to the board, I'll ask that correction be made. And there's another correction that has pointed out to me. And the fifth whereas it should read numerous community clinics more than 18 and not the 12. So that's my office should have corrected that. We only found out about the error in the last minute. So thank you for your comments. Please call the next speaker. Good morning, supervisors. My name is Jessica Magdalena. I'm here to thank the governor for the opportunity to thank the governor for the opportunity to thank the governor for the opportunity to thank the governor for the opportunity to thank the governor for the opportunity to thank the governor for the opportunity to thank the governor for the opportunity to thank the governor for the opportunity to thank the governor for the opportunity to thank the governor for the opportunity to thank the governor for the opportunity to thank the I am here today to urge you to pass the resolution of opposition, Federacles to Medicaid and Medical. I am not using speaking for myself, I'm speaking for more than one million people in Orange County who depend on medical to live with dignity, health, and hope. Every day I get for children whose families depend on medical to live with dignity, health, and hope. Every day, I get for children whose families depend on medical, cold fresh, and subsidized child care. When we hear about medical cuts, we are not just talking about budgets. We are talking about real families who will face real consequences. In those consequences, when just last a day or a year, they could impact life for generations. When medical is cut or made harder to access working families, the ones are trying their hardest to stay afloat. Juiced a small increase in the income can mean the loss of healthcare, food assistance, and childcare. That's not a system that lifts people's up. That's a system that punish people for trying to survive. Let me be clear, nearly in one in three people in Orange County, reliance on medical that's over 32% of our community. Medical brings 12.44 million every year into our local healthcare system. That funding supports our hospitals, communities, clinics, and care providers. If it cuts, we risk losing critical services, especially under safe neighborhoods. Medical also helps seniors and people with disabilities in their homes. Instead of the costly, nursing facilities,ursy facilities, it is fun. It's it's fun programs that help children with special needs. Success in school. It is not the healthcare. It is a community care. Orange County deserves a system that works for everyone, regardless of income or background. So today, I ask you to please, both yes you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Good morning supervisors, my justice. My name is Layla Cater and I proudly represent 115,000 health care workers in the state of California. We are a part of a larger coalition made up of hundreds of organizations across the aisle called Fight for Our Health, who are dedicated to safeguarding Medicaid. I'm here today because we are no stranger to healthcare shortages. It was amazing to hear each supervisor this morning speak and recognize healthcare workers. And it was also mentioned in the comments, you know, the fragility of our healthcare system that we experienced just under five years ago. And so we understand, you know, exactly how this fragility is really, excuse me, at impact with these looming cuts. And so, you know, cuts to this vital program will not just devise our county, but most definitely our country. And so, you know, we're here today because cuts to Medicaid aren't just numbers on a page. These are longer wait times lost access to doctors, life threatening consequences for people like me and my community. I'm here today to ask you to please pass this resolution to ensure that we are protecting our constituents, to ensure that we are protecting our healthcare workers, our healthcare systems, and so that we can provide care to families, to working families, and to everyone alike. Thank you. Maybe we have the next speaker, please. Thank you. Good morning, Supervisors. My name is Samantha Schwimmer, and I am here on behalf of the FIPAA Health Coalition as an organizer with the California Pan Ethnic Health Network. To urge the board to adopt the resolution and opposition to Medicaid cuts. Our coalition represents over 200 nonpartisan organizations statewide, including dozens in Orange County. We stand firmly in the belief that any cuts to Medicaid would put the over 1 million people in Orange County at risk for losing health coverage and increase the risk for hospital closures. Every cut that the federal government is currently considering will lead to a devastating loss of coverage for Orange County residents. For example, the work requirement being considered would mean that around 8.2 million Californians would be at risk of losing coverage. These 8.2 million Californians represent 56% of medical enrollees and 35% of working age adults in the state. Most of the adults at risk of losing coverage under potential work requirements are already working. The impact of this cannot be overstated. Medicaid work requirements for expansion and rollies would cost 3,481 lives per year in California. If the government eliminates the expansion population, another cut that they're considering, that would cost 6,569 lives in California per year. When we say that the Medicaid program is a lifeline, this is what we mean. Further, the economic consequences of this would be catastrophic. The UC Berkeley Labor Center projects at the loss of $10 billion to $20 billion in federal Medicaid, Medicaid funding in 2026, which is what we're projecting based on current cuts, that that would result in between $109,000 to 217,000 lost jobs, $18.5 billion to $37 billion in reduced economic output, and $860 million to $1.7 billion in reduced state and local tax revenue. So that would be the impact across California. It is critical that the entire Orange County delegation in Congress stand firm in their promises to not support any cut to the Medicaid program. One million Orange County residents are not waste, fraud, and abuse. I think the board for their commitment to protecting Medicaid to ensure that all county residents that depend on this vital program retain their access to life saving care. Thank you. Good morning, board, a model supervisor. My name is Chantacong. I am a community organizer with the Cambodian family. A community Center here in Orange County. I'm here today to urge a supervisor to please pass the resolution opposing federal cuts to Medicaid's medical. Many members of our Cambodian community and Cambodian elders rely on medicals where struggle are struggling if the cuts are met to medics and medicals. As you may not take that, over 1 million of people in Orange County rely on medical to live healthy and dignified life. With that said, please pass the resolution to today and on behalf of the community we serve, thank you so much for your attention. Thank you. Thank you. Thank you. After Gabriella, the next speakers are Autumn Overton, Brandon Marci, and Gilda heat on. Good morning. My name is Gabrielle Daniel, and I'm resident Orange County. He representing Gifre as my, we are an organization that is dedicated to supporting vulnerable individuals and families through Orange County. And I'm speaking today in support of resolution, opposing medical and Medicaid cuts. And I urge the Board of Supervisors to stand with over 1 million people in our county who rely on medical. For many of the families we work with, medical is not just a program. It's a lifeline. It means access to doctors, to medication, to mental health services, and to preventing care. Care that keeps people healthy and out of the emergency rooms. Medical gets family peace of mind. It means children can get checkups, egg impairments can receive the car they need, and no one has to choose between paying rent or going to the doctor. It helps working families to stand up for a lot, and it keeps our community stronger, safer, and healthier. At Gifra's mile, we see firsthand the impact of this courage. We see how he allows people to live with dignity, to go back to school, to return to work, and to care for the loved ones. The idea, a garden they support is not just heartbreaking, it is dangerous. Helper should be alright, not a privilege. We must protect programs that ensure access for everyone, regardless of income or background. I respectfully ask the board, please, pass the resolution today. Send a clear message to the state and federal, leaders that Orange County values the health and the well-being of its people. Thank you for your time. Good morning supervisors. My name is Autumn Overton. I'm a resident of Tustin. And I'm a faith-redued organizer with Clu, clergy and lady United for Economic Justice here in Orange County. Our mission is to organize the faith community to accompany workers and their families in their struggle for good jobs, indignity and justice. I'm here to urge you to pass the resolution, opposing federal cuts to Medicaid and Medi-Cal. Our community is most vulnerable. Who rely on these services would be absolutely devastated by these cuts. My own personal story is that 15 years ago I was an esteemed academic professor in the college system except that I existed in a system where you can't get full-time positions anymore. You just get adjunct part-time positions. And so I was working full-time between three different colleges. This was over eight years. And the result but the situation was since I was adjunct, I could not get health care at any of these schools. And the pay was so low that I could not afford health care. At the age of 30, 15 years ago, I had my first ever major medical health crisis. And it was humiliating and life threatening. And I didn't know what to do. It was medical and Medicare that saved my life, that made sure that I didn't go bankrupt, that made sure that I could continue my career teaching and sharing and mentoring. And so for me, this is a very personal thing, but I also wanna share that as a person of faith, these cuts to Medicaid, I see them not only as, as cuts they are an attack on our most vulnerable community members. And in my faith tradition, we believe that our community has to stand for and take care of every single person, we see the image, it's the spark of God, of creation of life and everyone. And it's for these strong convictions that I have that I risked or rest about a week and a half ago with nine or ten other really brave folks and with the disabled community who will be devastated by these cuts if they take place. So here again to please ask you to pass this resolution and demonstrate to our other leaders who actually have a real voice on this that they need to stand with their community not against us. So thank you so much. Thank you, Mr. Chair and supervisors. Allow myself to introduce myself. I am the new CEO of the Orange County Medical Association. My name is Brandon Marci. It's good to see some of you again. I want to start off by thanking you for working with community physicians and providers that provide health care services to Orange County residents and for supporting physicians as they provide care to their patients. I am here to urge you to support the resolution in front of you today. If Medicaid cuts come to fruition, patients suffer. Benefits will be reduced and enrollment numbers will drop, costs will rise and patients will be funneled to the emergency room. We have been there before and we should not go back. I have been with many of you in the trenches in Sacramento during those votes and please continue to support the Medicaid program and our local providers. We at the Orange County Medical Association strongly support the resolution in front of you today and urge our congressional delegation to do the same. We look forward to working with you and I personally look forward to working with you to keep Orange County residents healthy. Thank you. After Guilda, the last speaker is Tanya Farouchi. Good morning supervisors. My name is Kilda Hiron, and I'm representing Disability Voices United, a non-profit statewide organization. I'm also a resident of Brea here in Orange County. I'm here today as a mother, a caregiver, and a concerned community member to urge you to pass the resolution of posing federal to Medicaid, Medi-Cal. This issue is deeply personal. I'm the parent of a five-year-old daughter with a disability, Spina Bifida, and I know firsthand how critical Medi-Cal is for families like mine. It's what makes it possible for our children to not just get by but but to grow up with health, dignity, and opportunity. As a caregiver, I've seen how vital this program is across all stages. My brother-in-law lives with a significant disability and depends on medical for the medications and home-based supports that allow him to live with dignity and independence. Without that support, he wouldn't be able to remain safely in his home. Our family does everything we can, but the cost of care without Medi-Cal would be more than we could manage. Please support this resolution, stand with families like mine, families doing our best to care for our loved ones. With the support of a program that keeps people safe, stable, and at home. Thank you. Last speaker is Tonya Faruchi. Good morning, everyone. My name is Tonya Faruchi. I'm a UDW member and I'm here for Fight for Our Coalition. Fight for our Health Coalition. I'm here today to urge you to pass the resolution opposing federal cuts to Medicaid. I'm speaking not just for myself, but for over one million people in Orange County who rely on Medicaid to live healthy, dignified lives, and the care providers who help to provide that life. It is all possible thanks to the very funding that is now threatened. I am a US IHS provider. I care for my mom who lives with dementia. Medicaid funds 50% of the IHSS program that allows me to care for my mother. Without that funding, IHSS might not exist without Medicaid. There might not even be an alternative to the in-home care I provide. That's how serious this is. Cuts to Medicaid won't just disrupt one program or another. Cuts will destroy the foundation of all care in Orange County in California and in the United States. Cuts to Medicaid aren't just numbers on a page. You cut caregivers, you cut meals, you cut medication, you cut humanity. You live vulnerable people, many without family, without a voice, completely on their own. Orange County deserves a healthcare system that takes care of everyone, not just those who can afford private insurance. We need Congresswomen, Yon Kim, to listen to her constituents and reject harmful cuts to Medicaid. Please pass this resolution today and stand up for the health, dignity and future of every Orange County resident by letting representative representative Kim, that Orange County's leaders once stand by while the health and welfare of their constituents is threatened. We all need to stand in solidarity with our community. Pass this resolution. Thank you very much. Thank you, because Mr. Chair. Thank you Madam Clerk. Don't bringing this resolution forward. Quest our Orange County congressional delegation to pose federal Medicaid spending cuts. About one in three Orange County residents more than a million people see of health care through Medi-Cal. And we're respectfully going to ask Orange County Congress representatives who are Linda Sanchez, Young Kim, Derek Tran, Luke Correa, Dave Minne, and Mike Levin, consider the importance of continued support for these programs. Passing this resolution, Shorn's Orange County's commitment to health and well-being for all of its residents. There are two little corrections, one is a big one actually, to the resolution. If we look at the resolution that is the third paragraph, as a major error there, I didn't catch it. He said 1.44 billion is actually 12.44 billion. That's a mistake. I didn't catch it. We said 1.44 billion is actually 12.44 billion at this mistake. I didn't catch it. So it should read that whereas the medical spending brings 12.4 billion into Orange County each year, and these funds are at risk of significant cuts in the proposed federal budget. Then paragraph five, we understated the number of federal qualified centers in Orange County. It should say, whereas numerous community clinics and more than 18 federal qualified health centers in Orange County, depend on medical revenue and their proposed federal cuts will impact their ability to serve low-income communities. With those corrections, I move it to option of the resolution. So, Rajasar Mrianto. Yes. Thank you, Mr. Chair. And let me just begin by thanking the members of the public that came and spoke and described the urgency. And I want to thank you, Mr. Chair, for bringing this resolution forward. You know, it really odd I don't even it's it's almost surreal to even have a resolution that's discussing this we shouldn't be here we know that having to protect something that protects the health of our residents one in three not a small portion here in here in the. And these are for folks who are our elders, our seniors, our children, people with disabilities and working families who are struggling. So, you know, at a local level, the impact that congressional inaction on this could cause is could it could put 58,000 adults in Orange County at risk of losing coverage. If the Federal Inflation Reduction Act isn't renewed over 138,000 residents who benefit from this will see cost spikes and some by over $1,000 a year. And let's not forget the 569,000 orange county residents on Medicare who could lose out on lower prescription drug prices and kept insulin costs if Congress rolls back these critical protections. So, you know, I know that I have a couple of additional We're ass clauses, Mr. Chair, and I'm going to ask for you all to consider those. And they're being passed out now. Hopefully they're consistent with the spirit and the theme of what we're trying to accomplish in state here today. And a resolution is a non-binding effort for us to explain, or try to communicate the urgency and the importance of this. So the edits, the first, whereas clause, I'd like to include reads, whereas cutting healthcare for vulnerable individuals will lead to higher long-term costs for taxpayers due to increased emergency room visits, avoidable hospitalizations, and greater reliance on high-cost crisis care. The second whereas clause reads, Medicare plays a crucial role in addressing behavioral health and substance use disorders through treatment programs and crisis stabilization services, especially as Orange County faces, rising medical health and addiction challenges. Those are the two additional whereas clauses I'd like to have the board consider. If we could interlineate those, I would ask respectfully, Mr. Chair, that you consider those and incorporate those into your motion. I will certainly second that. You know, I, again, this is, you know, deeply personal. I heard some very personal comments made by all of you about how it affects your life. And the lives of so many others that we call our friends, our neighbors, our loved ones and people that we are supposed to provide services for here. That is literally our role in this agency is to make sure people are protected, taken care of and kept healthy here in the county. And this goes across all demographic lines. So it's not one race, it's not one gender, it's not, you know, this is across the board. So there is nothing more cohesive than to make sure that all of us understand that this affects everyone that, you know, so many people that we know in this county. I know that there was a specific mention of Representative Young Kim and I certainly echo that as well. But I am calling out all members of our delegation because simply saying you're not supportive of any cuts to Medicaid, that's the easy path. And too many of our delegation take that easy path. You have to be loud. You have to be vocal. You have to be as strong as a people that have come to speak here today. And if you're not, then there's a problem. And that is a big part of the problem. They don't understand what is happening in this county. And so I ask you all, make sure you call your corresponding congressional representative and make sure they understand this is why we sent you this is why you're there so I just want to say look I will be sending letters to all the delegation especially the one that represents my district to make sure you don't just say no you be vocal and that's a different stance so thank thank you, Mr. Chair, those are my comments. And again, the edits for your consideration. I also make a motion. I accept your edits. If you want to. That's a second. Thank you. All right, Supervisor Nguyen. Thank you, Mr. Chairman. I also want to first thank all the speakers that came here today to express your support for this item. As you all know, access to a medical is extremely important to me and my district, considering the large number of my residents are enrolled in medical. And most of the causes in this resolution are extremely important. And I also looked at the proposal supervisor, cementing, proposed and I'm okay with those as well. I'll be supporting those amendments. I do agree that medical is a critical source of healthcare coverage for our county. I also think that if we had data and numbers into this would have been, would give a lot more power to the resolution as well. However, Mr. Chairman, there's a couple items here that I would like for your consideration in terms of support. So one is, the final cost to me is extremely problematic. Specifically, in the first sentence, it opposes all cuts to the fetal Medicaid system. This is too inclusive. We don't know what those cuts are. And it's very arbitrary. So some of these cuts may actually could be helpful. Some might be effectively worked to help streamline processes that in turn might actually improve the service delivery. So what I'm asking is instead of having the word all cuts regardless of contacts on merit. What we're asking for is that it says that the Orange County Board of Supervisors here by opposed the proposed cuts to the federal Medicaid system, which helps to fund medical and hereby call on the Orange County Congressional delegation. And then the second part, this part here also, I'm asking if you can remove it to replace, to fight vigorously in this effort to ensure accurate funding of MediCal for our residents. So instead of having to vote against any budget that includes cuts to this and that and that, that I think is just keep it broad on that part so that it is you know includes any proposal that is out there that we don't know yet and so I'm asking for those two changes and if so then I would be supportive of it Mr. Chairman. Thank you supervisor Foley. Thank you, this is a very important item and I appreciate the chairman for bringing this item forward. You know, silence is not an option. We have to make sure that the health of our community is strong. A strong, healthy community is a prosperous community. It's a community that is able to sustain what might be a fragile and unstable time. And so healthcare is one of our just core values here at the County of Orange. We have built a system of healthcare that is, in part, dependent upon Medicaid and Medi-Cal to help to support our efforts in terms of providing for health care for our children, health care for our seniors, providing substance use treatment that we know we have a serious issue for here in Orange County, is to provide healthcare for disabled residents and those who are literally the most vulnerable in our community. I can tell you this is personal, I think, for all of us. Anybody who has a parent that is in Medicare understands that right now there's a lot of anxiety around how do we live, how do we take care of ourselves, how do we make sure that we can pay our bills, we can pay for our food, we can go to the doctors that we've been going to. My mom and her friends, they talk about this all the time. They have so much anxiety over what the future holds for them who are on limited incomes and dependent on Medicare. Now, I know we're talking about Medicaid, but it's just a slippery slope in my opinion. So I appreciate the resolution no family should have to make the choice between going to the doctor, caring for their children, or buying food as an example. No senior should have to worry whether or not they can pay for their prescription drugs. And I know there are seniors when we're out in the community who share these concerns with us every day. They are, there are seniors who are taking risks with their health by cutting the tablet in half and maybe taking one part of the tablet that's a prescription now so that they can save and have a little bit more of the tablet, take it later. Well, that's not how the prescription works and that's putting their health at risk. No child should have to go without health care because we want children to be healthy and strong and able to learn and grow and develop into good, strong, smart citizens so that we have good futures here in Orange County. So I will support the motion. I do think there's some data that we could include. We, as you mentioned, there's one in three residents who are on Medi-Cal here in Orange County. In District 5, we have 100,000 of our 670,000 residents that are on Cal Optima and Medi-Cal. In Aliso, Viejo, 18% of the residents are members of Cal Optima. That means they make less than $20,000 a year and are living below the poverty line. In Laguna Hills, 23% of the residents are living and needing Cal Optima and Medi-Cal. And so this is real. I appreciate the work that Congressman Levin is doing. So I have three congressional representatives that overlap with our district. We have Congressman Levin, we have Congressman Min, and we have Congresswoman Young Kim. And I have good working relationships with all three of them. But I have to say, I see the information that Congressman Levin is getting out into the community, the advocacy that he is doing around these issues. I see the advocacy by Congressman Min. I see the advocacy by our neighboring district with, Kareya. I talk to him about these issues all the time. They're very concerned. I see the advocacy coming out of congressman trans office. I guess I'm concerned, and I know she cares, but I'm concerned that congresswoman Kim has not stepped up to support this. So I appreciate Supervisor Winn, your support for this, and I hope that we can get our Congresswoman to join us to protect the health of Orange County because we do care. Thank you. Mr. Chairman, I would be supportive of it if you would consider amending your motion to add my two proposals as well. You know, I am just looking at the language. I have trouble limiting the word all because I don't know what the proposed cuts actually are. And I think there's part of the fight is until we find out more details we oppose all the cuts. Your other language actually becomes redundant if we keep the word all there because all is inclusive of all those other things. I do like your closing, we mark this as fight vigorously in this effort to ensure adequate funding of Medi-Cal for our residents That's I like that closure But I have trouble limiting the word all So I'd like the other supervisors you'd weigh in please Surprise to win Mr. Chairman and like you said we don't even know what those proposed cuts are. And so I think not knowing what they are and being adding the word all really just throws everything in and blindly not knowing what they are, what they can do or cannot do. I'm a thousand percent supportive of, you know, fighting and making sure that we do get the funding that we need for Medicare in Orange County. No doubt. It was like that when I was in Sacramento as well. And but, you know, if you keep the word all, then I will then abstain at this time to continue to watch what happens in DC. Thank you for your concern, Suviza Sarmerido. Yes, thank you, Chair. I do agree with you and your analysis and your comments on the proposed changes. I appreciate Supervisor Wins comments. I could not be supportive if we strike the word all of this because I believe it dilutes and waters down the spirit of this resolution. I certainly am fine with the closing passage of the closing phrase of fighting vigorously in the effort to ensure adequate funding of Medi-Cal for our residents. I'm supportive of that, but that is the only change that I'd be willing to accept from the proposed edits. Thank you, Supervisor Foley. Thank you. Is there somebody from our staff that could tell us about what are some of the proposed cuts that we actually know about right now? Do we have anyone? I'm looking over here. Dr. Kelly. Good morning, I'm Veronica Kelly, Director of the Healthcare Agency. The information that we received regarding potential cuts, much bigger than just Medi-Cal, although Medicaid is very impactful for us, that would be about we are budgeted for $180 million in federal financial participation this year. If Medicaid is cut, we will not be able to draw down those dollars. That's how we bill for the services we provide to people who have Medicaid. Additional cuts are looking to happen in HRSA, in SAMHSA, that will affect all of our block grants, that will also affect all of the funding we get for public health, which includes all of our HIV funding, all of our communicable disease funding. So it's much bigger when we're looking at what the federal budget could possibly be, and that's information we've received from the federal folks. They've released part of their budget. Okay, thank you. Thank you, Father. Okay. So we do have a motion that is moved and seconded. I'm willing to accept part of what Suris and Owen is suggesting but the word all needs to stay in. I would ask Suris fully where she stands on that. I'm I mean I'm gonna support the majority for the motion to proceed so I'm hearing that you to want to keep word all, and that means that you need my vote to make it happen, so I'm going to support you. OK. All right. Well, then let me clarify. Then there's a correction that I previously mentioned to the third paragraph. It's actually 12.44 billion, not 1.44. And in the fifth paragraph, the correction is numerous clinics and more than 18, if I'd recall if I had health centers in Orange County. There's that correction. And then as to, we add then supervisors, Sarmiento's additions, which I think are consistent with the rest. And then as to the last paragraph, let me just read how I think that now would be worded. Now therefore, it resolved that the Orange County Board of Supervisor hereby oppose all cuts to the federal Medicaid system, which helps to Fudmanical. And and hereby call on the Orange County Congrel Declaration, sorry, congressional delegation, to fight vigorously in this effort to ensure adequate funding of medical for our residents. I think that's my understanding. That's not correct, please let me know. Mr. Chair, if I could. Excuse me,. Mr. Chair, if I could. I, excuse me, I thought we were going to be adding the additional language fight vigorously to the, to the original language. So the, what would, what I understood is that that was just sort of additional language to the original resolve clause. So I didn't realize that we were striking the additional language which said vote against any budget that includes cuts to Medicaid system, including work requirements, changes to reimbursement rates, and so on and so on. My rationale is the word all includes all of those things, and they need not be specifically called out. And then include the fight be icel. Yeah, I think I like that closing fight vigorously. I'm fine with either because I think that this list isn't even comprehensive. It could be longer. That's fine. I'm willing to agree. All right. We do have one abstention. I sense then that simply ask if there's any other objection or abstention. The motion carries with the amended resolution three in favor and one abstention. So thank all of you for the great discussion. Thank you, supervisor, when for your concern. Now we come back to I believe it's agenda item six. And Madam Clerk will you read that item? I'd like to share a corner proof of amendment one to contract with the range ordinance cleanup LLC for lead remediation services. Authorized County procurement officer to be does just need to execute amendment that makes sequel exemption findings under sequel guidelines section 15330. We have no requests to speak on agenda item six. This is an all district item. Second. Second. An objection? Motion carries item seven, please. Under Sheriff's Corner, approve amendment two to contract with Central Square Technologies, LLC. To add server rehousing services to contract for software subscriptions, associated implementation services, and support of inform and vision field based reporting. And authorize county procurement officer, Deputy Tais Designi, to execute amendment. We have no request to speak on agenda item seven. So all district item. Second, any objection? Seeing none, motion carries item eight please. I'd like to share a corner proof contract with Alice and Mechanical Inc. Diversified Thermal Services LLC and and FM Thomas Air Condition Inc. For heating, ventilation, and air conditioning maintenance and repair services. Other as County procurement officer, Dippetized Designed to Ex-U Contracts, and makes equal exemption findings under SQL Guidelines Section 15301. We have no request to speak on agenda item 8. Move the item. Pugin second, any objection? Motion carries item nine please. Under Sheriff Corners, approve amendment two to renew contract with Hanger 1, Aveonix Inc. For helicopter meeting and services. And not the other can be given officer or deputized as he needs to execute amendment. We have no request to speak on agenda item nine. It's all a justic item. Move the item. Second, any objection? Seeing none, motion carries, item 10, please. On a shared corner, approve retroactive assignment of contract from Evolution MS Inc. Doing Business as Premier Computing Inc. To Mon, time publishing LLC and doing business as Premier Tech partners for commissary inventory software maintenance. approve retroactive amendment amendment 2 to contract with Mon time publishing LLC to a business as for Mayor Tech partners for help desk support for commissary operations system. And I'll be kind of transparent officer to be designated to execute amendment. We have no request to speak on agenda item 10. District 2 item. Second. Moving, seconded. Any objection? Motion carries. Item 11, please. On a health or agency, a proof continuation of local health emergency from county's health officer issued on September 20, 2024 for Tribute Cocaine in airport fire and affected areas to facility debris and ash removal as well as mitigation efforts to protect water wells and set review to Germany for continuing local health emergency from a 20th, 2025. and as you can see, we have a bill to be able to be able to do that. We have a bill to be able to be able to do that. We have a bill to be able to be able to do that. We have a bill to be able to do that. We have a bill to be able to do that. We have a bill to be able to do that. We have a bill to be able to do that. and three to renew contract with C? Motion carries. Item 12, please. Under health care agency approval of amendment 3 to renew contract with CERNAR Corporation for electronic health record maintenance support and remote hosting services. And authorised kind of procurement officer to be dizziness and need to execute the amendment. We have no requests to speak on agenda item 12. It's an all district item. Move the item. It's any objection? Motion carries. Item 13, please. Under health care agency, I approve master and individual contracts with various providers of HIV, STI prevention and treatment services. And author's kind of procurement officer, Debitized Destiny, to exercise cost contingency increase, not to exceed 10% under certain conditions and execute contracts. We have no request to speak on agenda item 13. Supervisor Foley. I'll move the item, but have a question for healthcare office. Please go ahead. My question relates to, I noted that 70% of the funding is coming from federal funding. Is this one of the items that we are concerned about risk of losing funding related to? Good morning, Jenna Ceren, Public Health Director for the Health Gragency. And yes, Vice Chair, this is one of the items that we're watching closely because in this contract it is for our testing and prevention services. We know that we have some capacity within the community, but depending again on some of the medical cuts we spoke of potential earlier. also these streams of monies it is something we would be closely monitoring and watching and our potential contractors if this should be approved are aware as well. Okay and so what would happen if we lose that funding? Yeah in this situation in our testing treatment and care clinic at 17th Street we would likely continue to be able to offer testing services through health realignment. Some of the monies that go into this would be for like prep navigation, pre-exposure navigation services. So while they might be able to get the medications, it may be that the navigation services would be eliminated. So we'd have to work more closely through our community partnerships, certainly through our MediCal Managed Care Organizations, to then provide that support to the clients seeking those things. Okay, thank you. Of course. May I also ask 30% of the funding is from the state? Yes. And I'm just wondering to what extent the state relies on federal funding? Yeah. And in this situation, some of our STI money are sexually transmitted infection money. It could be that they have federal streams, although for the most part, these, to our understanding, are direct state dollars. Next week with the May revise being released, this is another portion of it that we're also watching closely to see if there is going to be any kind of reduction in those funds as well. Thank you for that. I'm going to second the motion if it wasn't already. It was. It was. Any objection? Motion carries. Item 14 please. I'm a health care agency. I hope contracts with Orange County Association for Mental Health doing business as mental health association of Orange County and College community services doing businesses, Kavita for adult behavioral health patients services and Authorities kind of requirement officer to be ties to signate exercise cost contingency increased not to exceed 10% under certain conditions and Execute contract. We have no recourse to speak on agenda is a district two, three, four, five item. Supervisor Nguyen. Thank you, Mr. Chairman. I just have a question for staff. So my question is on the agenda item. It says here that the program will incorporate the statewide behavioral health accountability set, timely access standards, et cetera. But also though it says on here that the stay is in the process of developing performance measurement standards for its statewide behavioral health goals. So they're developing it. Are we jumping before the performance measurements matrix from the state comes down? Should we hold off? Should we wait? How does this work? Good morning, Ian Kemmer for the health care agency, being our health director. Thank you for the question, supervisor. So these metrics are being developed every year. They relook at those metrics. We are utilizing the metrics that have come out for the 2023. And we have put in the contract that we will adjust those metrics as they come out new from the state. The state just has not developed those. So these are the best numbers that we have to go off of. The contract does say that they have to at least meet the minimum of that. So if they go up over the years, then they would continue to have to change for that. If we change in the middle and do we end up spending more money because they have to meet the new standards, that's my concern is if we're right now entering a contract of looking at the performance that was set by the state in 2023. We are at 2025. this work? I mean, if we tell them, okay, you can now have to meet these new standards. And by the way, it's probably going to cost you another X amount of money. So do we come in and give them that extra money? Or do they just accept? The cost, it should not increase. The cost really, the goal is to aim higher than those. and we've put that in there. The service though is identified to work above that basic minimum. That is the minimum requirement. Thank you. Move the item. We're going to second any objection? Motion carries. Item 15 please. Under health care agency, approved contract of mental health systems in behavioral health patients, rights, advocacy, and certification review hearing for patient advocate services. Authorized director, designated to designate mental health services in as the county patient's rights advocate. And authorize county procurement officer or deputiates designee, to exercise cost contingency increase, not to exceed 10% under certain conditions and execute contract. We have two requests to speak on agenda item 15. Please call the speakers. Paul Haig and Brian K. I'm going to get be a good guy. I'm not going to be a good guy. I'm not going to be a good guy. I'm not going to be a good guy. I'm not going to be a good guy. I'm not going to be a good guy. I'm not going to be a good guy. I'm not going to be a good guy. I'm not going to be a good guy. I'm not going a plan. We're going to go to the hospital. Yes. I'm going to go to the hospital. Yes. I'm going to go to the hospital. Yes. I'm going to go to the hospital. Yes. I'm going to go to the hospital. Yes. Yes. Yes. just curious what This is where if a patient finds themselves in mental health and they read the documents on the wall that say Just curious what was so funny there. You want to share the joke with everyone? The patient's rights and The advocates for the patient's rights. So if somebody is in a mental health facility in Orange County And they want to reach out for help because they've been abused or they're improperly placed. This money is supposed to provide for that service. And I'll share with you after being at global, having my genitals taken pictures of because they had to inject me in my thigh, my file to complaint. And actually, I had filed a complaint before that. And the agent said, yes, Mr. Kay, everything you're saying is correct. You don't belong in a mental health facility. This is inappropriate for you to be there. The guidelines that are in place to decide who belongs in a mental health facility have not been met. You don't belong there. Rather than being released, I was led to a back room. I was beat up. I was concussed. The providers at your mental health facility, this patient's protection. And it actually says in the guidelines, there'll be no retaliation if somebody files a complaint. Not very funny. Vince, you can wait till I'm finished. This is my three minutes. What the fuck is so goddamn funny about this? This is about providing proper mental health services to, as you've mentioned, the most unabit, the people who have the least ability to defend themselves and you're laughing about it. What I'm saying is that this money isn't being properly spent. The people who are in those positions aren't doing their job. and you have no oversight. So people who don't belong in mental health facilities are being forced into mental health facilities. People who follow complaints are retaliated against beaten up and forced medication. Which is great because then you make money, right Janet? Every person who's taking psych medication, that's a dollar in your pocket. And you don't care whether they need that medication or whether it's good for them. You need to change this. Happy day. Mr. Height, your next, sir. West Anaheim locked up a buddy of mine for 14 days in a sight-pward instead of. He came in as general and was given all kinds of medication. His name was Peter Warner and he was locked up for 14 days. Came from a care facility. We need to get and West End of theheim is being run by an Asian who thinks handgaps don't have any rights. I know for the speaker, Mr. President. Thank you, Sue Bazaar Foley. Thank you. I have a question for the healthcare agency. This contract is that we're being asked to approve is related to hiring three full-time equivalent certification review hearing advocates and six full-time equivalent patients rights advocates. And so my question is, will these individuals be trained on the new law related to SB 43? Yes, good morning, Ian Kemmer again for the Health Care Agency, behavioral director. Yes, we are working through that process of how that training is going to roll out for those providers because that will affect some of the folks that are coming into services and there will need to be some information provided about folks with just substance use disorders who are in services. So we are working through that process. What we've seen in other counties is that SB 43, those counties that have started it, there really hasn't been a huge increase, but the training is important and they will be trained in that. So when does the training start for our hearing officers and our advocates? So we're developing that training in our SB 43 collaborative work groups with the state and that's going to roll out to several providers and not just the patient's advocates, also police agencies and sheriff's departments. And so as we get closer to implementing in 2026, we will roll that out across our system. Okay, we're almost halfway through this year. So we're going to wait until next year to start training. No, we will train this year prior to the implementation. All right, thank you. Move the item. Mr. Pryze Sarbhiyato. Yes, thank you, Mr. Chair. So I'll be recusing myself from this item to avoid any potential or perceived conflict of interest. As the patient advocacy system involved in this contract includes a component of the California Office of Patients Rights, which operates directly under the Disability Rights California, which is where my wife is employed. So just out of an abundance of caution, I'll be abstaining. Thank you, Mr. Cher. Well, I will second the item. Call for the voter. There are any other abstentions? Any objection? objections? Motion carries three with one extension. All right. Three to zero. One exemption. Sorry. Now we come to item 16, please. I'm going to help you see approve master and individual contract with various providers of adult peer support, wellness, and supported employment centers. And authorize, can I procure an officer at Dipitai's Designate to exercise cost contingency increase, not to exceed 10% under certain conditions and execute contract. We have no request to speak on agenda item 16. So one, two, three district item. Any objection? Motion carries, thank you, item 17. On health care agency, I approve amendments three to renew various contracts with telecare corporation for general population full service partnership services regions A, B and C. I approve amendment two to renew contract with telecare corporation for collaborative court full service partnership services. I approve amendment four to renew contract with college community services to embassies, cut via, for criminal justice, full service partnership services, and amendment two to renew contract for older adult, full service partnership services, and authorized county procurement officer or deputy's designated to execute amendments. We have no requests to speak on agenda item 17. Supervisor Foley. I have a question for a health care agency. This item includes 85% of the funding coming from appears from medical, federal financial participation. Could you comment on any concern about a risk of loss of funding for this item? Morning, Ian Kemmer, Healthcare Agency of ARIL Director. So yes, as Dr. Kelly said, the Federal Financial Participation is a big piece of this contract and what we draw down. We are budgeted to draw down $180 million. If that participation is cut or that medical billing is cut, that would mean that we would have to find other funding sources to support these programs. Which at this point would be difficult and would be removing funding from other services that we already have in the budget. So this funding is 26 million for this program. Can you describe what will happen if we don't have access to the 26 million? What are the services and what will happen to those services? So the services funded by that, we would have to look at the other areas where we have. What are the services? Sorry, these services specifically are our FSP services, so this is the highest level of outpatient treatment. For the viewing public, FSP is. Full service partnership. Thank you. I apologize. And so this is the highest level of our intensive outpatient treatment. They provide psychiatric services of whatever it takes approach to make interest so they go to the community, to homes, to provide services to folks. There's medication services therapy, education and employment support and housing support that are provided through these services. Without that financial participation coming down, the amount of services we can provide in this area would be greatly reduced. And so the services would go to our general outpatient clinics where people do not get that high level of treatment. So as I understand it, so just wanted to confirm the programs that are funded with this contract are connected to our courts, our collaborative courts. They're connected to our Sheriff's Department and they're connected to our mental health and treatment programs. Is that correct? Correct. There are three that are general. There are the large, three large general population FSP's that serve the entire county, but there are also a specific population for our older adult FSP that serves older adult community, a collaborative court, as you mentioned, that works with folks coming out of our, that are in the justice involved system, and also what we call whatever it takes model but also works with our court and justice involved folks. So very vulnerable people that require this treatment. So the collaborative court that would be at risk is which court? That is our, that's our, whatever court. Okay. Is that the Judge Hernandez's program? That is not Judge Hernandez's program. You know what I'm talking about. That's care, that's care court. No, no, no. The program for first time youth offenders is. No, that's not this one. Okay, that's this is for adults. Okay. All right. Well, thank you for the information. I'll move the item. Move to second abjection. Motion carries. Item 17, please. I'm excited to be 18. Under Healthcare Agency, I approve amendment 11 to contract with telecare corporation for housing and full service partnership services in authorized county procurement care for officer to be ties to the ex-cute amendment. We have no request to speak on agenda item 18. Second, this is I'll just try to move in a second any objection. Seeing non-motion carries item 19. I'll help her to see if we have a amendment one to various contracts with emergency ambulance service Inc and care ambulance services for 911 basic life support emergency ambulance response transportation and related services for exclusive operating areas ABC TNE and authorized and the procurement officer will deputize designated to execute amendment. And Mr. Chair, we receive one request to speak on the agenda item 19. Please call the speaker. Jimmy Webb. Good morning Chair, good morning supervisors. I know that this item will probably pass and it's going to be for three months until the next RFP comes out and is awarded. What I'm asking for is that we put an amendment in there that in the next three months, the ambulance companies need to be adhering to the response times. because going on our own county agency website, FalconBuelance has not been compliant for over four years now. response times because going on our own county agency website, Balka ambulance has not been compliant for over four years now. That's ridiculous. There needs to be stronger repercussions for this. LA County recently in the past couple of weeks has found them in breach of contract. So I'm asking for our county to be strong and start taking this more serious because when you look at what they're not compliant with, it's the most critical calls when they respond to 911 services. But yet their profits are going up. I got this information by filing for a financial request had to fight through the superior court to get it and still one. I know what'm seeing, it's all can be backed up. So I'm asking that if you guys are going to award them another three months of service, let's not make it crappy mediocre service. Let's make them adhere to what the contract is. And I thank you for your time. Thank you for your comment, Supervisor DeWid. Thank you, Mr. Chair. I just have a quick question. Why just three months? Do we have this ready after? Do we have a ready September? Well, no. September 1st. Chairman, chief, honorable board, Mindy Winner, so I, Healthcare Agency, Director of Medical, Specialized Medical Services. So, EMSA is the Emergency Medical Services Authority. They are the ones that give the approval for the RFP to be issued, and they review it. And when we asked for the extension, they gave us only three months. At this time, I spoke with our division manager of contracts and procurement, and we're on target to meet the timeline. And if we are not, what happens? So if we were not, then we would have to go back to the EMS authority and ask them for a further extension and make it at an amendment. How long does that process take? Well, when we ask them for this extension, it was within a week or two. Thank you. Yeah, surprise are fully. So has this, well, my first question is on the response times as part of the ongoing contract With the ambulance providers is there terminology within the contract that requires that they meet the designated response times Yeah, so the required Response time percentage is that they have to meet at least 95% meet at 95% of the time. And care or fall, the last two years has met that. They have met that. Okay, so why would there be a concern that they have not met it? What is the disconnect there? Do we know? I don't know. OK. Maybe you can speak to Mr. Webb after the meeting to understand his concerns. Because I know he's advocating on behalf of the EMTs. So there's some disconnect there. I'm not qualified to chime in on it, because I don't know the data. Okay, and then as it relates to the three-month extension, so help us understand what's going to happen after the three months. So the RFP was released and it has closed and it's currently going through its process the. And so when the panel determines which provider will be chosen for each of the exclusive operating areas, then we will bring it back to the board for the board to vote. And we hadn't finished the work, that's why you need the extension. So we submitted our RFP draft to the state June 2024. We did not receive it back until March 2025. It's unusual. The state explained to us some of the reasons for that and that's why they were open to giving us an extension. Thank you. If I have one question, what is the response type? Okay, so it depends on the code or the type of, yeah. So in a code three, which is where there's lights and sirens, etc. It's less than 10 minutes in an urban area. The different areas are determined based on the population density. There's definitions for that. And then code two, which is without sirens, and lights is less than or equal to 15 minutes, less critical. Okay. Hopefully we can do better than that. Yeah, 15 minutes. That's a long time. Yeah, it is. Yeah, so thank you for that. Okay. Any more questions? I have one more question. Okay. Thank you for that question. Followed question. Mr. Chairman. So, who sets the response times? We do, right? Well, I'm going to defer to, we do. We said it in our contract, but I'm not sure if it's a national. Okay. Yeah. Do you want to speak to the national? Hi, good morning. Adrian Rodriguez, health care and the senior emergency medical services division. Yeah, we take the California standard in the urban areas and also suburban and wilderness areas. And that's what we've done is taking that standard. So it's 10 lights and sirens, 15 basic life support and no lights and sirens. Okay, because I know in the cities it's more like seven minutes, five to seven minutes. So have we done a survey? I know the cities do this. They do a survey to determine what's the appropriate response time. Yeah, we've taken, we've looked at other contracts throughout the state with similar populations and sizes, and that's what we've done. Okay, so we haven't done a survey. I'm talking about like a survey of the unique areas where we live, not a survey of other providers, but other departments. Like a testing of the system, if you will. Sure, yeah, and they've met those response times. Right, I'm saying maybe the response times are too long. That's my point here. Because 15 minutes, I mean, that's a long time. Well, like I said, what we've done is, we haven't done a survey per se, but we've looked at other contracts. And that's what other contract with similar populations in size of the county. So, a survey, not so much. Okay, because that doesn't make sense to me. Because it's not just about population, it's about geography, it's about where people live, where the businesses are located, where the freeways are. I don't know how you could decide a response time for Orange County for a particular community based on, for example, San Bernardino and their response time. Because how does that relate to us? They have totally different neighborhoods. LA, completely different neighborhoods. So I don't, I guess I don't understand the methodology. So Vice Chair, we do have quite a bit of data and we can go look at that data and then get back to you with the information that we have. Okay. I guess I would also ask that you maybe reach out to the Fire Chiefs Association and get their feedback on response times because the individual fire departments, which there are three in District 5, they actually do a Study to determine whether or not the response times that the council sets are Adequate to meet the needs of the community. Okay. I feel like we're missing a piece of this analysis by not studying our Specific area sure, so we'll go back and look at the data and get forward. Thank you. So you're right. Sorry, Otto. Yes, thank you, Mr. Chair. I simply wanted to just restate what we're doing. What you're asking us to do today is simply to push this out for three months because the RFP stalled at the state. So we're going to be pushing this back services. continue. I think if you can bring back some of the information that's been asked maybe to share with the entire board and the state. So we're going to be pushing this back services. We'll continue. I think if you can bring back some of the information that's been asked maybe to share with the entire board and the public and put that in the ASR, and that way we can take a look at what the national standards are for the three, I guess, areas that you mentioned, the wilderness, suburban, urban areas, and that way, even our county is not consistent, right? I mean, we have some very densely populated areas like the district I represent versus other areas that are maybe less urban. So that will allow us to ask questions, I think, more thoughtful questions as we go through the decision making going forward. Absolutely. We'll do that. So far as you'll win. Thank you, Mr. Chairman. I also want to request, as we're moving forward, do we have to look at every area or zone or whatever you call them the same or do they all have to be similar contracts? Could they be different types of contracts given that the different districts and different areas of needs? So the exclusive operating areas are determined based on location, how close the cities are near to each other so that there can be adequate response time. So the panel will evaluate what is is submitted for as far as what contract. But EMS has done significant research, should he determine which exclusive operating areas which cities should be combined for that? I'm sorry, maybe I don't mean I don't care who the contractors are. I'm more of the delivery services. Can there be different types of delivery services depending on the area? And by different delivery services, what do you mean by that? Do you mean like paramedic versus? Yeah. Yeah. Yeah. Okay. So accommodate, I mean, I'm just, because like, you know, like stated earlier on by the board members every area is different and so I think is when we're looking at moving forward is we look at them uniquely in its different area and not look at a this is how all should be done in Orange County. So we can have that for the discussion. Sure, be happy to discuss with you further, but for this RFP, it only pertains to ambulance basic life support services. Thank you. All right, thank you. Thank you. I think for the answers. Okay, so this is simply an extension needed because the state was slow and getting back to us. Do I have a motion? With the item. Second, any objection? Motion carries. All right, the item, the next item has been deleted, I think, and next after that continued, come to item 22. On our John Wayne Airport, approved job border contract with Solving Miller Contracting Company for pavement maintenance and repair services. In authorized county procurement officer to deputize designated to execute contract, we have no requests to speak on agenda item 22. District 5 item. This is approval of a job border contract that will allow regular pavement maintenance of runways, taxiways and vehicle service roads to prolong the life of the pavement and ensure safety of our passengers at John Wayne Airport without a move the item. Second, any abduction motion carries item 23. Under John Wayne Airport approve amendment 2 to extend contract with site IPS USA Corp for common use passenger processing system meetings and repair. And author rice can be here on officer or deputized as it need to execute amendment and make exemption findings under secret guidelines section 15301. We have no reconsist to speak on agenda item 23. District five item. Thank you. This is a sole source contract because the common use passenger processing system is a proprietary system with that under the item. Moodynessy, any objection? Motion carries item 24 please. And OCE can be resources, approved subordinate contract with M, B, all over ink. Doing businesses agricultural pest control services for pest management and control services at various OC Park facilities. Authorities can county procurement officer to be tied does it need to execute amendments? We have no records to speak on agenda item 25 Second the objection motion carries. motion carries item 26 please. And it was you can a resource to approve amendment 1 to contract with Belfree Contractors Inc. For on-call trail maintenance and repair services at various park facilities. And authors can be given officer to be tithy to execute amendment. We have no records to speak on agenda item 26. In all district item. Moody item. Brutaness, no objection, motion carries. Item 27, please. I don't know if it was the public work, so proof contract with an all-couple company, LLC for water treatment chemicals and related services, central utility facility and cooling towers. Authorize, county procurement officer at deputized housing a need to execute contract, and make SQL exemption findings under SQL government section 15301. We have no requests to be counted on 27. District two, item. Second. Any no abduction, motion carries, item 28 please. Under OCE Public Works, acting as the board of supervisors and words, County Blood Control District, a top resolution appointing Kevin Onuma, Director of OC Public Works, or designate as an engineer for Orange County of Blood Control District, and actively resend resolution number 20-204. We have no reclusses. I'm 28. I'm very pleased to move the item. Second. Second. Objection. Motion carries. Congratulations, Kevin. Item 29, please. I know C Public Works. Second, the Board of Supervisors and Orange County Flood Control District. Atop 2025, job order contracting pavement maintenance, special provisions, and unit price list. I approve job order contract with various contractors for pavement maintenance services. And. And all the rights director, it doesn't need to exceed contract and future amendments under certain conditions. We have no request to speak on agenda item 29. So all district item. Moved in second, I think. No objection, motion carries. Mr. Chair, can I get clarification who second that? I'll second if nobody else. Thank you. All right. Move on to item 30 please. Under OCE Public Works, acting as the Board of Supervisors in Orange County Flood Control District, approved job order contracts with various contractors for flood control and bridge maintenance services and authorized director or designate ex-u contracts future amendments and the certain conditions. We have no request to speak on agenda item 30. All district item. Clear the item. And then the objection saying on motion carries item 31 please. Under social services agency approval member one to contract with Binti Inc. For web application for resource family approval program and authorized county procurement, does it need to execute amendment? We have no request to speak on agenda item 31. All district item. Second. Who do you second in the objection? Motion carries. Item 32 please. Under social services agency approved non financial memorandum of understanding with city of Anaheim and Anaheim Workforce Development Board for vocational training activities. I approve memorandum of understanding with the City of Santa Ana and Santa Ana Workforce Development Board to co-locate Social Services Agency at Santa Ana's America Job Center of California. And authorised director of designate to exercise cost contingency increase not to see 10% and execute amendments under certain conditions. We have no requests to speak on agenda item 32. I see a positive fully. Thank you. I have a question for social service agencies. Mr. Tran. Good morning, Chairman Chaffee on Translok Services Agency. Thank you. I see that 80% of the funding for this contract we're voting on or this MOU is coming from federal funding. Have you received any notification related to these funds? No, the 80% comes from the state's block grant in the budget that the White House released last week. There's no mention of any risk to these particular funds. Okay, because it says the 80% is coming from the TANF. Yeah, the TANF. Okay, TANF. Okay, and then it's 20% from CalWORKS from the state. So it's the same. Yeah, it's a block grant that the state receives and then allocate that out to particular counties. Okay, so we're good with this one. So far as I know, yes. Okay, thank you. All right, do we have a motion? Second. any objections. Seeing none, a motion carries. Item 33, please. And it's also service agency, a preventment due to contract with the regions of the University of California. On behalf of UCI University Physicians Insurgents, UCI Department of Psychiatry for Sexual Abuse, Counseling Services, and the Authorities Canterbury-Kermit, Officer of Dept. Heighted Designate to Execute Amendment. We have no request to speak on agenda item 33. District two item. Second. Any objection? Motion. Chairman, Officer of Deputized Designate to execute amendment. We have no request to speak on agenda item 33. District two item. Second. Any objection? Motion carries, item 34 please. Under Social Services Agency, approve amendment three to contract with Mercy House Living Centers for Housing and Support Program Services. I approve amendment one to contract with Mercy House Living Centers for Home Safe Program Services and Authorized County Precurement Officer or Depitized Designee to exercise cost contingency increase, not to exceed 10% under certain conditions and execute amendments. We have no request to speak on agenda. I am 34. Supervisor Foley. Thank you. I I like to have social services come back up to the podium please. Thank you. So this is an amendment to the contract with Mercy House Living Centers and the recommendation by staff is to reduce the metric standard. And so while I appreciate the work that is being done here, I appreciate Mercy House taking steps to include landlord outreach, providing clients with credit repair services to increase their odds of renting a unit and linking people to employment resources. I am concerned that we are recommending to reduce the standards. We should be like lifting up the standards, not reducing them. According to the data that I saw, we currently require a metric of 70% of the residents would, what is it, 70% of the residents would remain housed after six months, I'm sorry, after a year from the date of the original move-in and we're, we're recommending to reduce that to six months. And we also have a requirement currently that 70% of the clients approved for services will transition to permanent supportive housing. And we're recommending to reduce that to 50%. Now, in looking at the data provided in fiscal year 2324, they were above 50% at 54%, not meeting the 70% but at least above what we are now saying should be the metric. And for this fiscal year to date, it looks like they'll track to be above 50% as well. I guess I don't understand the downgrade, and I definitely don't support downgrading to six months housed instead of one year housed. I get it. We're trying to, you know, it's a difficult demographic to try to address and to try to house, especially when we have a pipeline issue with regard to people are getting stuck in the shelter, no place to go permanent, supportive housing. I know we're working on that, but I don't know why we would downgrade to be low, the metric standard that they're already meeting. Can you address that? Yes, thank you Chairman Chaffee, members of the board on Translator Services Agency. Two things were considered when we made that recommendation. The first one is we substantially reduced their maximum obligation because of funding cuts from the state. We're reducing their contract from 5.3 million a year to 1.7 million a year. We know that that is going to impact their ability, their staffing ability, and the amount of referrals that we are going to kind of provide to Mercy House. The second consideration that we did was that, in looking at the initial contract and the RFP that we let, the outcomes were unrealistic. The population in the cow works have some challenges in being able to obtain self-sufficiency. It takes some time for us working through the cow works program in order for us to give them, get them to the point where their job is ready and then be able to become self-sufficient. The housing support program is a time limited opportunity for us to assist with those, and it's limited to six months with an optional renewal of another six months of one year total. So in consideration of the timeline that would take for them to go through the CalWORKS program in time for them to become job ready, get a job, and hopefully become self-sufficient with limited framework of the housing support. We did adjust the outcomes to make it a little bit more achievable and something that's more obtainable. But you've adjusted the outcomes to be less than what they're actually performing, so that it's a guarantee. And it does not, in my opinion, provide any incentive to increase the number of people that have permanent supportive housing and become stabilized. So I guess I don't know how you chose 50% instead of 60%. Let's just say because the 60% is still higher than the outcomes that they are currently meeting. If you had it at 60%, instead of 70%, that would still be addressing the concerns that you've raised, but at least we would be setting a bar to achieve something better than we have now instead of just the status quo. So that's my concern and I would like to see us not change this to 50% because I think we don't want to support the status quo. We want better outcomes. And the reduction of the funding, that shouldn't affect the metrics because it's just going to reduce the number of people served. Those individuals that are served are what the metrics are based on. So that I don't think should have any impact on the metrics, at least the way I read it. So I would be willing to move this item but change the outcome objectives from 70% to 60% related to the services for transition to permanent supportive housing and keep the minimum of 70% will remain housed after one year instead of six months. That's my motion. I disagree with that because I think the issue here is funding in order to do the referral, the third person needs to have the ability to accept the referral. So I think the, the,, for example, can refer people, but they can't accept the referral if there's no funding to achieve that referral. And so I think it's more realistic. And if we have more funding to help with that, then that would change the outcome. So it's a hard thing when we have this reduction in funding. And I'd rather have realistic statistics if we want to increase the target, but then you need to add more funding. Surprise, or for Sarmerino? Yes, thank you, Mr. Chair. I do agree with the vice chair that we certainly would like to keep our standards as high as possible, but there are some things that are beyond the control of our provider here and the contractor. And I think as it was spoken to funding, I think does affect that. And I don't know about there being a direct relationship with decreased funding and lower the fewer number of people that you're actually servicing I think you're trying to service as many people as possible you're just doing it with less monies and so so there will be a metric decrease on that as a result and and be less effective I think there's also some issues with the fact that again there's just not much inventory here, you know, housing, we know that we have some landlords that are very unwilling to accept, you know, folks with little to no income, they have evictions on their records, they have low credit scores, they're just as impacted and they carry debt. So those are very challenging, that's a challenging profile for folks to be able to work with. So I just see these numbers are elusive and they're arbitrary. I think the initial numbers are arbitrary. We can choose 65, 70, 50, whatever the case is. I think our objective is probably, we may meet it sometimes, we may not, depending on some of these external factors that we're talking about funding, talking about the cooperation of some of our landlord community to be able to be willing to accept folks that are, you know, that have profiles that are maybe, you know, riskier for them to accept. and you know many of the the landlord property owner population is very risk averse and don't want to deal with this population. So there are very real challenges here. I agree. I agree with the chairman. I appreciate, you know, the vice chair, we want to keep our standards high, but I just don't want to set people up for failure. I want us to see. We probably will have to revisit these numbers as things go on. Maybe there's less funding for some of these efforts, and you're going to have to come back to us and say, look, we're just going to be reaching fewer and fewer people. The effectiveness is not going to be there. So I just see this as a very moving target and an elusive group of outcomes that we're going to be looking at. And sometimes again, I'm trying to figure out what the rationale is for some of these numbers. You know, you know, a group of outcomes that we're going to be looking at. And sometimes again, I'm trying to figure out what the rationale is for some of these numbers, you know, rather than, you know, us pulling it out of the air. But I don't see what number, what number is, is captures the actual goal that we're trying to set versus another. So that is very difficult. But I do believe that the adjustment here that's requested in this ASR is warranted. All right I'm going to move the item is second. I didn't hear a second. Second. Supervisor Foley. Thank you. point out that one, the outcome objective that staff is proposing, the reduction in the outcome objective is less than the amount, the percentage that they are actually achieving right now. And that's like asking for an F, you know, we should at least get a D right so I don't support that I don't see why we would require an outcome objective that is less than what the provider is able to accomplish today that should be the floor not the ceiling and then then as it relates to the other outcome objective regarding a minimum of 70% of clients will remain housed after one year from date of original move-in to permanent housing, they're at 94%. They're exceeding the outcome. So why would we reduce that? That doesn't make sense to me. So again, I'm not talking about creating arbitrary numbers. These are percentages that are based on the performance of the provider that's been our provider for a while. And it is proven what they can do to achieve permanent housing for our residents. And so to . . . . . . . . . . . . . . . . . . . . . . . It is proven what they can do to achieve permanent housing for our residents. And so to bring the standard down to less than what they have proven they can do, I'm not sure how that accomplishes our overall goals of building out our system, getting more people housed. Now the root of all the problem that we're having, that's underlying, you know, the reason why you're downgrading is because we don't have enough permanent supportive housing. We aren't building permanent supportive housing fast enough. And I know we're working on it. Certainly, there's a lot in the pipeline right now, but it's going to take a little bit of time for that to get built. But in the meantime, we should at least, again, require our providers to do more than meet the status quo. Professor, if I may also address that, in terms of those outcomes, funding does play a role. For example, right now with a $5.3 million budget, the likelihood of us continuing to provide services and continuing to provide rental assistance for those beyond six months is high. However, because we're reducing the overall amount of money that's available to provide those supportive services to individuals, we're gonna be a little bit more judicious in renewing services beyond the six month period, so that we can help as many families as possible. So within the context of us trying to maximize what we can within six months and providing as many services to as many people as possible. That's part of the calculus in terms of looking at the overall system of care of us trying to provide permanent support of housing for individuals that aren't cow-works. Now, also, you're absolutely right about the inventory and the availability of housing stuff. These services are eligible for CalWORKS families. They're not housing units aren't just one bedroom apartment. We're looking for larger size homes to accommodate families, which is more costly and also the availability is much more limited than single bedroom apartment as well. So again, those are the challenges that we're facing with this and definitely the reduction in the funding has made an impact and we believe it's going to make an impact on the ability for them to achieve the outcomes that we set in the original RFP. Okay, thank you. We have a motion has been seconded in the objection. I'm not going to object because we have to move forward with any item? But I would like to state my position for the record, is that I don't support the change of the metrics and I don't think that that's the right direction for us to be going. Thank you. Motion carries, three to one. Thank you. No, I thought you did. I didn't. That's what I was to put the item in the room. I think it's a good idea to put the item in the room. I think it's a good idea to put the item in the room. I think it's a good idea to put the item in the room. I think it's a good idea to put the item in the room. I think it's a good idea to put the item in the room. I think it's a good idea to Okay motion carries forward to nothing all right Moana item 35 please Social services agency approve amendment one to master contract and individual contracts with new alternatives in all of Cress, Foreign, Credence and Services, Orange County, doing business as Credence and Services for Children and Families, and Heart Community, Holmes, Inc for Transitional Housing Program, plus, and Transitional Housing Placing Program for non-minor depend, remote side services. And authorize, can I procure an officer deputized design to exercise cost contingency, increase not exceed 10% under certain conditions and execute amendments. We have no requests to speak on the chin, item 35. So no district item. Move the item. Second with comment. We'll use that go ahead. Yes, thank you, Mr. Chair. So I know that we're approving the item second with comment. Will you so go ahead? Yes. Thank you, Mr. Chair So I know that we're approving this item despite our providers not having the insurance recommended by the CEO's risk management team So we you know anticipate this is probably going to happen more often and we see public agencies struggling with just getting coverage We know that the insurance industry is is, you know, there are a lot fewer providers. Many are leaving the area. Many are have inflated costs. So as we look at those and we anticipate encountering more of these with our group home providers, but we're also just facing it just generally. I know we're facing it here at the county. I know at OCTA, we're also having the same conversation about coverage. So just Madam CEO, just sort of more globally and on a macro level, should we look at other options, like self insurance, maybe having some of these providers look at that, do we work in tandem with them? Is it beneficial for us to maybe look at a state solution on this and maybe see if we can work with the insurance commissioners office? Some others to see if there's a legislative solution to this, but I just see this, excuse me, as a recurring theme that we may see. And as we have providers that may not be able to secure insurance, does that liability now come to us? I know they may have us on as additional insurers, but you could pierce that and you could come after us, and that's the fear is that the more contractors we have that don't have coverage, does that risk flow to us, even though they have insurance, they may list us, they may not have insurance and then we're all on the hook. So just any thoughts that you could share would be helpful. Thank you for comments. It has been moved and signeted in objection. Motion carries. Item 36 please. I can't executive office approve grant application awards submitted by health grad agency and OC public works and reactor active grant application awards submitted by OC committee resources and May 6, 2025 grant report and other actions is recommended. Adopt resolution authorizing health grad agency director or designate to execute grant agreement and subsequent non-monetary amendments with state water resources control board for local oversight program. Adopt Resolution approving standard agreement amendment two with California Department of Aging for Older Americans Act programs and authorizing Oc C. Canary Resources Director are designated to execute amendment and related documents and research conditions. Mr. Chair, we receive one request speak on agenda and 36. Please call the speaker. Brian K. Would you like to move forward? Happy day. So you'll receive a lot of money for the grants and then you spend it on other things. One of the issues that I'd like to bring up today, and this may sound a little bit unusual off topic, but it's the bathroom and the deputy sheriff's office. They seem to be a little bit too close. And quite honestly, if we're going to have the deputies at these meetings and in this building, they have to have a reasonable office to work from. And that little hole that they work in right now and the only access is a door that opens right into the hallway with three bathrooms. Now you're mentioning handicapped and disabled access. Okay, so people in wheelchairs or people who are elderly, they're gonna have to work a little bit harder to get into that bathroom back there because it's down that hallway. But what happens if you have a real emergency? What happens if something happens? Let's say I become completely delusional, lose my mind, and we now need to have deputies rush out and call me down. Okay, this item is related to the grants. Yes, I want you to spend and consider spending grant money on this. I want you to consider putting an actual deputy sheriff's station as is in the building across the hallway at the actual entrance. and maybe one over in the lobby area where that if when people come and go, they can see a deputy sheriff and ask questions or service can be provided immediately if there's an emergency. Right now, if there's an emergency, somebody is trying to access the bathroom. The grants that we are being asked to approve, do you have any comments related to the four grants? I'm asking you to consider this as a grant. It's not on the agenda for tonight. It doesn't have to be on the agenda. It's a grant that I'd like you to consider spending money on. I'd like you to consider spending money making this building safer for people. And I'd also like you to consider making it a healthier environment for the deputies. Thank you. I mean, you've already squashed them and asked them to violate the Constitution. So why not put them in the smallest, most uncomfortable, most unpleasant environment possible to do their job? Force them to walk past a bathroom to go to work every day. And not just one bathroom, but three bathrooms and down a hallway. way. So they could be walking to and from their office. They could be living in an environment, working in an environment with fresh air, and access to the public, and access to real potential emergencies. Right now, if there's an emergency, they have to rush out from that little office. And if there's somebody trying to use the bathroom in a wheelchair or something. I like how you make fun of the handicap and you make fun of the disabled. That's really very mature to train fully. So we're trying to discuss and make this building safer and healthier and we're recommending that we take some of that grant money and do that. I'm not sure why you thought that was a joke. Standing up for the deputies, something you don't seem to want to do or care about. Happy day. No further speakers. Thank you. Is there a motion? It's all district item. Any opposition? Motion carries unanimously. All right. Thank you. Now we go on to item 30, Salvan. And a executive officer, we prove recommended positions on introduced remitted legislation and are considered other legislative subject matters. We have no request to speak on agenda item 37. Second. All those in any objection? I have a comment. I just want to make sure Mr. Chairman, thank you. We have one item that's on the agenda that we are voting on, opposing SB 789. This is a taxation item that is essentially a back door around what the voters voted against, which was Prop 15, the split role vote. So I appreciate the board considering us taking an opposed position to this, because we shouldn't be taxing vacant properties, commercial properties. We don't need to make it worse for people right now. If they have a vacancy, there's probably a reason. So I appreciate the support for this item. Thank you. Any objection? Motion carries. How we go on to item 38? I'm going to can executive office, I can as a board of supervisors consider first reading of an ordinance of the County of Orange, California. Authorizing chief real estate officer or to grant or otherwise convey easements, licenses, or permits in real property, not exceeding $50,000 to public entities. And so it's second reading and adoption from May 20th, 20th, 20th, 25th, 930 AM. Acting as yours, County of Flood Control District, adopt resolution, authorizing Chief Realistic Officer Designee to approve execute grant and otherwise convey easements in other property interests under certain conditions. Director Chief Rill's office or a designated submit any report and superseding and replacing authority granted by GA 1627-S4-3. So, September 28th, 1993. We have no requests to speak on agenda item 38. May I have a motion? I seconded. Any objection? This is the first reading. It will come back later. Motion carries. Item 39, please. I can't executive office. Second, as a Board of Supervisors, consider first reading of an ordinance of the County of Orange, California. Authorizing Chief Real Estate Officer or Designi to approve and accept acquisitions of real property interest not exceeding $3,000 and set second reading and adoption for May 22, 2025 930 AM. Instruct auto controller to make related payments under certain conditions. And acting as the Orange County Flood Control District, the top resolution authorizing chief real estate officer designated to approve and accept acquisitions of interest and real property. to $300,000 under certain conditions, directing chief real estate officer designated to submit annual report, instructing audit controller to make related payments under certain conditions, and superseding and replacing authority granted by resolution number 2-0-040. We have no request to speak on agenda item 39. We have a motion. Move the item. Second, the objection. Motion carries again a first reading. Come back now now go on to sorry item 40. I can't executive office approve of amendments to various type two work orders. Under contract for data center, desktop applications and service desk services. And under contract for managed services network voice insecurity services with science applications and international corporation for various information technology projects and services and authorize chief, community chief information officer designated to execute amendments. We have no request to speak on agenda item 40. So I'll district item. Oh yeah. Second. Any objection? Motion carries item 41. Yes. Yeah, yeah. Sorry. Under kind executive office, approve amendment 3 to renew contract with Covenant House California for emergency shelter operation and services for a transitional age youth. I approve amendment 2 to renew contract with friendship shelter in emergency shelter operations and services for individuals. I approve amendment 4 to renew contract with the Illumination Foundation for Emergency Shelter Operation and Services for Families. I approve amendment three to renew contract with Interval House for Emergency Shelter Operation and Services for Survivors of Domestic Violence. I approve amendment two to renew contract with Mercy Health Living Centers for Emergency Shelter Operation and Services for Individuals in North Service Planning Area. I approve amendment four to renew contract with pathways of hope for emergency shelter operations and services for individuals in north service planning area. I approve amendment 4 to renew contract with pathways of hope for emergency shelter operations and services for families. I approve amendment 1 to renew contract with shelter providers of Orange County Inc. Doing business as homemade Orange County for family care center operation and services. And authorised county procurement officer or debitized design to exercise cost contingency increase not to exceed 10% under certain conditions and execute amendments of Health and Health, and the Department of Health and Health, and the Department of Health and Health, and the Department of Health and Health, and the Department of Health and Health, and the Department of Health and Health, and the Department of Health and Health, and the Department of Health and Health, and the Department of Health and Health, and the Department of Health and Health, and the Department of Health and Health, Hello, my name is Jordan Huapert and I'm the Director of Housing Strategy and Community Partnerships for Illumination Foundation. I'm here today to speak in favor of Agenda Item 41 in particular provision in the Agenda item that renews funding for three of our agency's family emergency homes. We believe that this partnership with the county is more important now than ever. As we take a look at our most recent point in time count findings that saw an increase in unsheltered homelessness. A continued wait list for family shelter through the family coordinated entry system, bed reservation system, and cuts to affordable housing at the federal level. I'm proud to say that between July 1st and March 31st of this fiscal year, our agency's been able to serve over 200 people under this contract, which more than doubles the number of people that we were contracted to serve. Hopefully I'm not inviting a metric increase with that. But we believe that this funding has been integral to that. It has allowed us to be able to leverage private grant funding in an almost one-to-one rate, and also leverage funding through Medi-Cal Cal Cale Ames services to help pay for the supportive services. Our family emergency homes are single-family residential homes, the five to nine bedrooms that are into neighborhoods. And I want to highlight that in particular because this model, while congregate shelter is important, provides the families we serve with a private room. It provides the parents with a kitchen to cook their meals at. It provides the kids with a backyard, ensure a sense of normalcy and stability that these families really need. And because of the small number of people we're serving at each location, we've been able to have a limited footprint in the neighborhoods that we operate in. Additionally, I want to note that it's not enough to provide a roof over the head for the families that we serve, but we believe it's important to set them up for success in the long term. And I'm also proud to state that we, for this current fiscal year, the current contract term, have been able to exceed our contract metrics related to positive exit destinations. So people transitioning to permanent housing and increases in income. We were able to more than double the number of people increasing income. In a short term program that's serving families for 90 days with some potential for extensions and not 30 day increments. And I'd like to end my time really by transitioning to MediCal. I know there's a lot of conversation around that. I just want to point out how important MediCal is for homeless services agencies as well. Our agency 70% of the funding we receive is through MediCal, through that we're able to house more than 1200 people last year. And I also want to highlight that the state plays an important role in that. We have the revised budget coming out. About 50% of Medi-Cal funding comes from the state and there's the potential for cuts there too. So I'd encourage the board to keep an eye on that revised budget and to work with the county state delegation if there are any proposed cuts. Thank you. Thank you. Supervisor Nguyen. Thank you, Mr. Chairman. Oh, sorry, was there another speaker? You may have one more thing to apologize. Oh, Mr. Hyatt, please come forward. Two suggestions. One on the individuals. Let them walk in, walk out on the winner's shelter. Two, they could also under cow works, work with the shelter to run the place, because various people have various traits. I've run into one way that ran a daycare. The family operation could use a lead like her and they could also have other people that worked in daycare, child care, help with the families so the mothers and fathers can go out and get a job and if they need every every shelter, need maintenance, why not hire somebody that's done maintenance to be in that shelter and work in that shelter? Bridges, when I went there, there was no maintenance. They said, oh, we have a maintenance man. The one guy was covering five different shelters. Why not have somebody learn and help run that particular shelter? And they also need better security with no guards, with guns. They need licensed people like security tasks, Lloyd's have those people come in and groceries come from second harvest and on the senior part, let the seniors go to the senior center like 35, 35, one bus goes down to the senior center, the senior center provides a hot lunch and activities and workshops in their own department on the singer. And as far as the buses go, have people like Kyola, Art runs a good senior program good senior program with a senior bus and their drivers are all qualified on transit buses. Mercyhouse does not. They just bought an OCTA surplus and turned it into one of their shelters and who's driving? Who will say it just on a sea when that's air break and it's required to have a bee with a bee with a pair of transit? They need to get trained drivers. They can even contract with Keola that become to supply the drivers for such buses. So, Rosin, what? Thank you, Mr. Chairman. Can I ask staff to come up, please? So, I'm looking at these data, and I know that there's, you address some of the comments here, but you know, you've got data and goals, you've got fiscal year 22 to 23, 23 to 24, 24 to 25. And what I'm looking at is, it's very clear on some of these providers, they're not meeting the goals. And even worse is, they're getting worse. So, you know, when you have a goal set for really low 15% and you have a provider who's in 22, 23, we're at 23, 26% went down 22% last in 23, 24 and 24, 25 is at's Convin House. And then you have a elimination foundation at 51%, and they went to 41%, and then 34%. I get the elimination is meeting the 15% goal, but from 51% two years ago, to now we're at 34%. Mercy House is 6%. Your average bed occupancy rate, you know, Elimination Foundation, it was at 75% back in 22, 23. Our goal for this is 90%. So they were at 75%, they went to 80%, they're back to 82%. You know, it's just, they're really startling data that really makes me crunch. Are we getting better? Are we getting worse? And are we OK with it? It seems like we're OK with it, because the items in front of you're supporting it. So help me try to understand this. Good afternoon, a duckback of the care coordination. So thank you for the question. There's a lot there and I appreciate it and a lot of a really important pieces to that. So a couple of things that I would note. We're bringing seven different contracts here for extensions. Those seven contracts cover a variety of different populations. Three of the contracts cover families, two cover individuals, one covers Tay, so 18 to 24, and then the other, the seventh one is for survivors of domestic violence. So the reason I point that out is because you often see varying results of success depending on which metric you are measuring based on the population. So for example, families often, when they get into shelter, they often stay in shelter at a greater rate than individuals who are coming off of the street. So what that also means is that we see more positive exits and less people leaving quickly onto the streets, which would bring percentages like income down that are leaving the shelter. The other piece is that we are seeing difficulty in, and as we've heard with other items here today at the board, the housing inventory is down. So lengths of stay are causing people to stay longer and increasing the percentages yet again that they leave with a negative exit. Nonetheless, we feel we are office meets with each one of these vendors on a monthly basis to evaluate these metrics. We set the standard at the rate here in the ASR that's been the the standard for the last several months and we work with them to meet those standards So okay Let's just let's take one of the chart percentage of exit to permanent housing Conn of it house our goal is 25%. They're at 39%. Mercy House has not met any of your goals, at any of the categories. It's at 10%. So when we talk about housing, we talk about homelessness. I mean, this is where the concerns is out there, right? Is that, are these people exiting to a permanent housing? You have Mercy House 10%. I mean, even a elimination foundation who came here and touted how great they are, I'll do respect, but their exit to permanent housing is only 44%. It's like, what are we missing? What do we need to do more? Do we need to look at these contract on a one-on-one versus collectively? Do we need to pull some of these contracts? Because to me, obviously, it's not working. You have data here for three fiscal years. If it's not working, why are we continuing to do it? It's like, it just, it makes no sense to me. I don't know how I can support something that if we're, I mean, let's use Mercy House again. 20, this is the exit to permanent housing. 2020, physical year 22, 23, they were at 23%. Still, they're not meet at 25% goal. 23 to 24, they're at 20%. Still, they're not meet at 25% goal. 24, 25, they're at 10%. So they didn't get better, they got worse. So where do these people go? So what's the effort of helping them and then releasing, I mean, they're going back to being homeless? Yeah. This is... everything you pointed out is factual here. And one of the things I want to mention, so a couple of things. We do work with each one of these contracts separately. We bring them to the board as 1ASR out of procedure. Mercy has the, I do want to give them, you mentioned that they are under on all metrics. They are above on average bed occupancy. In terms of permanent housing, this is where a low inventory really impacts this number because what it does is, as I mentioned, it takes longer to house people from shelter. So that means that people have to commit to staying there longer. And that means that less people will stay till the end to get permanent housing. So that means they are serving a lot more people and the percentage decreases. From the office's perspective, understanding that an inventory of permanent housing is something that the shelter does not control, we also measure, which is not on here, but we measure on a monthly basis, how many people are on the coordinated entry system queue? meaning how many people has the shelter provider worked with to the point where they are ready if an opportunity approaches that they can accept that opportunity. And Mercy House has improved that number over the last several months. Those are the facts that I could provide you. It's still doesn't make me comfortable to move forward and be and able to be supportive. I want us to have a solution. You're trying to have a solution, but if you give me data for three years of any organization, if it's not working, it's time we move on. We got it, then we should put more money and figure out why interval house. It's a, they meet everything. And they even exceed, I get the different clientele, I get on that. I'm not dismissing any of that. But there's gotta be something else. We have to have a different discussion or different conversation on moving forward. Yes, thank you, Chair. Doug, go ahead and stay there for a little bit. I think you summarized a lot of what I wanted to ask about. So first of all, why don't we talk about the fact that these are beds and shelters and sites that augment what we have as our congregate shelters, Yale and San Anna, bridges and Anna. Correct. What's the total number of the aggregate of the seven that you mentioned? Yes, so with what we are requesting is the approval of essentially funding at $3 million which will provide us 471, you know, 471 shelter beds for the next two years. Got it. And you broke down the seven into different populations that they're serving, three that serve families, two that serve individuals, and one that serves the take community and the other one serves victims of domestic violence. I would add one additional factor that I think is important as well to show the variety here, is that the capacity of each of those shelters very significantly as well. So that's where I was going, is that it's not just the complexity of the population you're serving, and we know some populations are much more complicated to serve and work with than others. It's also the size, right? So size matters on this one. Just because it looks like we're comparing apples to apples, but it's not really that way. So I would say we're almost, it's almost difficult to compare and they shouldn't be really. They almost need to be broken down more granularly because if we're comparing, you know, shelters that are very small in inventory or bed space that serve families, very different than serving people with, you know, really severe psychotic conditions, medical conditions that are individuals that may have substance use problems, just a number of different things that, you know, there may be challenges with. So I almost feel like we need to break those out and then look at ones that are larger sites. My understanding is that Mercy House provides, has two providers, one in one a park, I guess, that has 140 beds. That is a very large site, a very large shelter. Then they have one friendship shelter in Laguna Beach, which is only 40 beds, right? Yeah, it's 149 and it's 30. I was so close. But you're rounding up. Yeah. So in any event, those are, you know, those are very like different significant differences in this. And as we're trying to, you know, actually compare. And again, we can see trends in performance. Hopefully when they're trending in the wrong direction, your team you've already said, you're meeting with them and finding out what the cause is. And I think we touched upon it on the other item that we were speaking about when we were talking about metrics. We're working on building housing. We're just not working well because we don't have cities to stand up and help work with us because we certainly think that we don't have that partnership, unfortunately. And my understanding, you know, we're looking at a three-year range, things are not getting better with respect to people's needs. There are higher needs, so we are looking at a condition that's not improving. It looks like a condition that's getting worse. So, you know, again, I think that, you know, we need to see how we can reconfigure some of these because it gives us all of them, but it doesn't break out like, hey, these are really larger sites. They're working with a more complex population. And that may help us figure things out better. It's funny, one of the public speakers, I think it was Mr. Hayek mentioned something about the cold weather shelters and we at the commission to address homelessness now called those extreme weather conditions, right? Because it's not only cold weather where people experience these conditions. But we're providing folks money here to the extent that when we solicit some support during these extreme weather conditions for them to set aside a few beds and maybe lower the barrier for people to use those. I think, you know, I don't want to covenant these or restrict these funds based upon that, but there should be a good faith, willingness for them to work with us since we decided not to burden one city or one site with a cold weather or extreme weather shelter. But for there to be this network now of all the providers to be able to say, sure, during you know, bad weather, we should be flexible. And so I just want you to mention that to them as we're continuing to partner and to show good faith on our part, we're certainly, you know, we certainly appreciate there, you know, collective effort in this challenge, but to the extent that, you know, when we solicit as we did from the commission, some support, no cities responded and no shelters responded. So that was very unfortunate because nobody's asking one to shoulder that responsibility, but it could have been a network of all of them standing up and saying we'll do, you know, a 5% set aside for that. But in any event, I just want us to keep that in mind as we're going into this. I think supporting with funding is great. I just like to see the consideration in return. So I'm supportive of the item. Suphiser Foley. Thank you. Okay, so looking at page five, it breaks down the target populations. And so Covenant House, as you mentioned, is our transitional age youth. And this contract is intended to serve 100 households, is that correct? I just wanna make sure I understand the chart here correctly. Yes, over the course of the two year term. Okay, and then friendship shelter, that's 120 adult only households. And that's in the South Service Planning Area. So that's Laguna Beach, any other area? So we're with friendship shelter as with some of these other shelters. With all of the contracts we're partially funding. So Laguna Beach is the primary ministerator of the shelter that friendship shelter of the ASL. They predominantly serve folks in Laguna Beach, but the city of Laguna Beach is always taking referrals from other cities. Okay. And then Illumination Foundation, that's for the North and Central Service planning areas for 60 family households. And then interval house is unique because that's for survivors of domestic violence, including families. So those are 40. This contract would serve 40 unduplicated households. That's the expectation. Okay. And House is for individuals and adult only households, 500 individuals in the north service planning area. So that is, is that, are those specific shelters that this contract is funding? Yes. For Mercy House, it's funding the Buena Park Navigation Center or it's helping fund the Buena Park Navigation Center. Okay. All right. And then pathways of hope that's North Service Planning Area, 52 family households and what it where is that located? That's located in North Orange County I believe in the City of Fulton. Okay. And then the homemade is in the central service planning area and 32 how family households are those all located in one area or scattered. They're all located at the Family Care Center in the city of Orange. Okay. Okay. Thank you. All right. I don't know if we had a motion or not. We do not. All right. Any objection? I'll second. Okay. Oh. I'm sorry. I'm staying. Okay. Motion passes three to zero with one abstention. Supervisor Nguyen. Mr. Chair. I wanted to see if you could indulge me or if I could have boards courtesy. I'd like to see if we could reconsider item 37, which was the legislative items. I didn't realize that one of the bills that is there. We took a position on is one that I have to abstain on. So I'm not sure Mr. General Counsel, if I need to move to reconsider so we could just, I just need to abstain on one of the bills. I think except your extension on that one item and the approval on the rest was out there. Sure, so it would be- I have an objection from the rest of the supervisors. So I simplyuse, thank you. Simply want to abstain and recuse myself on SB634. The county has taken a pose position, but that's not really why I'm abstaining. I'm abstaining because one of the bill sponsors his disability rights California, where my wife works. So just out of an abundance of caution, simply going to abstain. Thank you. Thank you for explaining that. Okay, now let's see, we add supplements, I think. Yes. The first one has been continued, supplement 41A. So we go on to supplement 41B, supervisor Noen. Under supervisor Noen, Orange County Emergency Medical Care Committee, a point, Dr. Van Vu found Valley for term concurrent with first district supervisor, term of office. We have no request to speak on S41B. So, Rosinouin. Second, any objection? Motion carries. Supply at 41C. Under supervisor, Charmante approved sponsorship of various nonprofit entities. From set, in district event funds, approve addition or revisions of events to fiscal year 2024-25, county events calendar, make related findings under government code 626227, and authorize auto control or to make related payments. We have no request to speak on S41C. Second, any objection? Motion carries. Supplement, we have 41D or C. D. Sorry. Undervice chair Foley, a provocation of $25,000 from Fifth District Discretion Funds to settle back Medical Center Foundation, make related findings under government cost section 26227, authorize can executive officer designated to negotiate into agreement as necessary, and authorize utter controller designated to make related payments. We have no requests to speak on S41D. So you've brought it fully. Thank you. May is melanoma awareness month, and I'm honored to be able to allocate 25,000 from our fifth district discretionary funds to the Saddleback Medical Care Foundation. And the purpose of these funds will be to invest in technology, such as interoperative radiation therapy, and to provide screenings and educational offerings in the fifth district to prevent, detect, and treat skin cancer, including melanoma. In 2024, more than 1,100 new melanoma cases were reported in Orange County alone. Nearly 90% of melanomas are caused by UV exposure. I want to acknowledge a constituent of Costa Mesa who attended today's meeting earlier. Gilia Newton, I want to thank her for her volunteer work and advocacy on this issue and say congratulations on being a stage 4 survivor. My brother is also a survivor of melanoma and so it's a very important issue to our family. I stand with both of them in commending Hogue Hospital and UCI in addition to UCLA for their compassionate and comprehensive efforts for treatment. I also want to thank the United States Army for taking care of my brother for many years through his melanoma struggle. Melanoma makes up 3% of skin cancers, but causes 75% of skin cancer deaths. Sunsafe habits like sunscreen, my boys have been calling me Sergeant Sunscreen for their whole lives. Wearing protective clothing and avoiding peak sun hours can reduce risk. Melanoma awareness month encourages us to participate in actions that promote the awareness of melanoma and supports families affected by this devastating cancer, we're proud to be giving 25,000 to help detect skin cancer here in Orange County with that and move the item. We can second an objection to the motion carries. Supplement 41E has already been heard. Supplement 41F. I'm going to vice chair Foley, a pro-sponsorship of various nonprofit entities 5th District Event Funds. A prior additional revision of elements to fiscal year 2024-25 County Vence Calendar. Make related findings under Governor Goeth's Section 26227 and authorize Auto Controller to make related payments. We have no requests to speak on S41F. Mr. Baza Foley. Moody add up. Seconded. Seconded. Seconded. Seconded. Seconded. Seconded. Seconded. Seconded. Seconded. Seconded. Seconded. Seconded. Seconded. Seconded. Seconded. Seconded. Seconded. Seconded. B3. This is a public hearing. I'm going to open the public hearing and ask if there are any public speakers. No, we do not. There are none, and I'll close the public hearing, bring it back to the board for disposition. Any discussion? Is there a motion? Move, move, and seconded. Any objection? Motion carries. One to our second public hearing item item 43. I don't see public works public hearing to consider adopting resolution for general plan amendment tgpa24-03 transportation element. It makes sequel exception findings under sequel guidelines section 1506 1b3. I'm opening public hearing. Are there any public speakers on this item? No, we do not. I'm closing the public hearing, bringing it back to the board. May I have a motion or discussion? I've been moving second. The objection motion carries. Now we come to public comments. How many do we have? Ten. We have ten. Do you want to hear the public comments? I go to the closed session. to public comments. How many do we have? Ten. We have ten. Do you want to hear the public comments? They're going to close session. What's it? What does the board want to hear the public comments? I go to the closed session. What's it? What does the board want to do? What a closed session. I'm sorry, I'm not hearing. What would you like to do? Well, the only ten. Why don't we hear the public comments then? Take them. Go ahead, call for a speaker. Call for a speaker. Steve Rocco, Brianna Adner, and Paul Hayek. I was misquoted in the April 8th minutes, and I've been assured that that will be rectified by Robin Styler. What I said was on 1865, there was 3.9 million live slaves. I said there was about a 1 million dead white Christian American soldiers. Okay illegal aliens, what do we do about them? I give you solutions. Number one, arrest and book, DNA, blood, fingerprints. Number two, militarize the border. Number three, deport with zero. That means if you're deported, you don't get your house back. You don't get your bank account. You leave the way you came. Number four, prosecute the helpers, landlords, employers, school officials. Number five, pay a bow guard, pay a bonus for turning them in. Anybody? Number six, deputized citizens, which was kind of like what was happening years ago along the border when the minute men were there and they were very effective. And they were more effective than ICE agents or the military or anybody else. Deputized everybody who wants to be as long as you're a citizen of course.. And you will see the numbers go way, way down. You know, you guys here do every single week is you reward illegals and then you criminalize the homeless. We don't have a housing situation. If you didn't have illegals taking all of the jobs and the work and the houses, you'd have plenty of housing based on a bit of common sense. But you give them food and housing and diapers and all that other nonsense. I'm jealous. Why can't I be an illegal? I know? I mean they have better stuff than American citizens do and they will never become American nationals. They never will. They will be illegal forever and their children will be illegal. They're all criminals. And so are you. On the same subject, let's tell our contractors that bid these construction sites, even if they're union, don't hire the, don't hire the illegals coming through the union. Let's get US citizens because in a safety situation, if I see something right in the habit, and I say, scatter, I don't want it lost in translation. Let's get these illegals out of here, send them back, maybe tattoo them like they do a cow in Texas and send them and don't sell our junk cars to Mexico. Keep them in the United States. Make it where all the United States boys can go to work. Let's get them off the road. Let's, when we catch them in court, departum. If they're a guy hired by somebody fun of who did it, and tell them 10 grand ahead for a private, $10,000 ahead for every illegal. And even tell the unions. After Brianna Adner, the next three speakers are Tanya Farouchi, Cecilia York, and Autumn Overton. Good morning. My name is Mary Cecilia York. And I'm from Cyprus. I've been an IHSS provider for people in my community for over 20 years. I'm very proud to be a member of my union, the UDW. As you know, providers like me depend on good wages and benefits to continue giving good life saving and life affirming care to members of all our communities. I take care of seniors with disabilities in my community, which means not just the actual care I provide for other expenses also, like transportation cost, to get my clients to and from. Without a thriving wage and without good benefits, I would not be able to continue providing care to my community. I was glad to see this board bring a reasonable proposal to the bargaining table. It is good to see you recognizing the essential work providers like myself do. I hope that you will continue to bargain with us and good faith and all our future meetings. Thank you. May God bless you. Thank you. All of you. The next three speakers are Greg Rea Volker, Brian K and Eileen McDermott. Happy day. You know, I've approached this board with peace, polite, gracious, even bearing gifts. thing of every communication is reasonable, it's rational, it's productive. And I don't have that same level of communication with you. You brag about how you care about your community. You know Katrina fully bragged about caring about her mother and her family. You know, J.E.F.E. brags about gun control and keeping weapons out of the hands of people who don't shouldn't have them. And when you're bragging about all these laws that Andrew Doe broke, you know, you're informed you are and how, and you know that he's committing fraud, and you listed, those are the same crimes that you're committing against me. If I would not think that you would want to commit those crimes against somebody, I wouldn't think that you would want to do the same thing that you're complaining about somebody else doing. So I presented evidence for you. And it's amazing, you sat there and you tore Andrew Doe apart, but you're doing the exact same thing that you're tearing him apart for doing. I mean, there's so many quotes and so many biblical references and I could spend a lifetime up here asking you to please pay attention to what you're doing. I mean, I come down here happy day. I call your offices and I communicate or I try to, but you don't communicate back. Even Vincent Sarmianto was saying how important it is to call your government leaders and communicate with them. But he's not available for people to call him and communicate. By standing here, I'm giving you the opportunity to succeed to do what you say that you're doing. If you want a bust on corruption, I've presented corruption. And you can very easily address that petition and take care of it. Now, I realize you, it's not something that you care about. I went to the commission on campaign politics and ethics. Again, one person who doesn't care. You've got a board they're supposed to respond, not the clerk. When we follow petition, you're supposed to respond. And you don't. And now we have problems. Please communicate. Happy day. We have the next speaker please. Good afternoon. My name is Greg Volker. I'm a full-time live-in IHSS provider and a proud UDW member from Hainton Beach. For 14 years, they have been an advocate for my client since I joined the 2011. My client, Gina, who requires 24-hour supervision, protective supervision is waiting out in the hallway with someone else. She doesn't need to hear me talk about her condition. Most of which she would deny, but it is important for this board to know about it so that you understand the people who are affected by your choices at the bargaining table. Apart from her severe neck and back injuries for which surgery is not an option, Gina has lack of impulse control, which is not a condition that is easily seen. She may look fine, but she is very prone to falls. She does not know when she is in danger, which is also known as no fight or flight instinct. This is why I need to be with her 24 hours a day. I want to take a few minutes away from Gina to thank this board for coming to the bargaining table with a reasonable proposal. Without this program, her life would be very, very different. So we thank you. IHSS providers like me rely on this board, bargaining with us in good faith, so we can provide the best care possible for our clients while living a dignified life with a decent wage for me to take care of her, and also the benefits involved with that. So we thank you very much. I hope you'll continue to bargain with us in good faith by bringing reasonable and realistic proposals to the table. So Gina can remain safely on her home. Thank you very much. Good morning. I'm here today representing all the American people that know the big lie about our elections. So my question to you is there were 40,487 more ballots than there were register voters. my is, and I know you're not going to answer it, but what are you doing about that? Because ultimately it lies on you. You did certify the elections. So you are accountable for it. The heart CEO stated the heart voting machines are hackable. The ballot boxes are left without surveillance, and that's one of the laws that has to be followed. The voting machines have a back door, which can be accessed wirelessly to manipulate the votes. Our elections are outsourced by 98% where no one can be held accountable. 2% only where Americans are involved in election process. You are accountable for the certification of our elections. The second thing I want to talk about is previously you talked about HIV and AIDS and assistance. Well, I came across, well, let me read this. Not many are aware that many of our major viruses and diseases are patented, including coronavirus. These patents can be easily found by typing in the numbers shown above into a search engine. The fact that that these are patented has led some to believe that they are man-made. I put it on there. So we have man-made viruses. These are the numbers. All you have to do is type of man. Those are man-made viruses. When AIDS came out or HIV, Dr. Fauci wanted everyone to take the AZD mandated that the ACT was a treatment. 330,000 people died taking the AZT. If you don't think that big pharma and medicine is corrupted, and I worked in it so I know because my patients were given medicines, and when I did herbal medicines, they got a whole lot better. So we have a very corrupted medical system. Thank you, your time has helped. Pay attention to that, anybody that's watching. Okay, have the next speaker please. Greetings supervisors. My name's Autumn Overton, and I'm a faithruded organizer with Clu, clergy and lady United for Economic Justice. I am here today in support of our 40,000 domestic workers in Orange County who provide life saving and life-affirming care to their clients and in most, in many cases, their own family members. This issue is, I understand that they are in negotiations with this board right now to try and obtain dignified contract. This issue is very close to my heart about two weeks ago. My father passed away on the East Coast. He had been ill for about three years and was in and out of the emergency room of nursing home care and finally passed away after about a year at home. For us witnessing him and for him, the most dignified experience he had was at home when he was in nursing care facilities, especially when I got to witness those places are notoriously understaffed deliberately in order to save money. and witnessed him wait over two hours just to get basic care. And that was his experience there was nothing less than hellish. He finally made the decision that he had to live out the remainder of his life at home. He couldn't do it in that kind of space. And we were lucky enough to be able to afford some home care. And that person, one of the main people, her name is Princess. She cared for him for a number of hours every day, seven days a week, I believe. And her work was a miracle. She, I got to meet her and more than just meeting her, I got to meet her on one instance, but I got to hear about her constantly for my father. He talked about how much her care meant to him and considered her a part of the family. And so I'm here to remind you all just how incredibly important these angels are, folks like Mary Cecilia York, who you heard from earlier. And we glue is very happy and encouraged to hear that y'all have been negotiating in good faith and have put a really reasonable proposal on the table. And we just hope that y'all will continue to work with these folks and really see into their into their huge hearts the incredible work and care that they do for so many of our of our residents here in Orange County. Thank you Last speaker is Rosanne Good morning, board. I am Roseanne, the Orange County Chair and Orange County Senator for New California State, soon to be the 51st state, especially since California has a failed state in financial collapse. I am still focused on our unsertifiable, Orange County unsertifiable elections that were certified by Bob Page and this board. The Shirley Weber told Bob Page what to do in conducting our orange county elections, and that's not how it works. Bob Page took an oath of office to uphold and defend the US Constitution against enemies, foreign and domestic, and we know Shirley Weber, Sacramento, and God knows what other entities control our voter roles, and more importantly, the machines behind the scenes, as particularly involved with this new lawsuit. It's Bob Page's job to defend and protect the citizenry from the unconstitutional elections and Article 6 Section 2 states that federal law clearly takes precedent over the state law and we know those were incompatible. I shared long ago about Shirley Weber as this was the Secretary of State who signed off on the 2020 election in April 21 because Alex Padilla knew it was fraudulent and would not sign it. Once again, Bob Page is listening to her to tell him how to run our orange county elections, where everyone has mail-in ballots many more than one. And it's ludicrous and a recipe for fraud. California has abdicated all authority by running on the 1879 non-constitution that is in fact fact a contract is confirmed by the legislative analyst office recent confirmation that the California was failing to follow the 1849 compact constitution. Johoff's series of articles at johoff.com on Orange County's elections, reminds you have access to more records that Bob Page has more access to records than the voter rolls. So we are looking for him to prove his elections on his own. Since it's budget season, let's talk about the cost of the Orange County elections. I've got the sheet that gives the $1.85 cost of a paper ballot versus $19.50 cost of a mail-in ballot. And the bottom line is that there's a $38 million, $477,000 difference spent on Orange County's election just by allowing mail-in ballots. This is ludicrous. We don't need that. We are struggling right now with our Orange County budget. And how does that math work? Orange County citizens want to understand how we spend our money. Especially when election is not fast. Our elections are not efficient. They're not cost effective and they're definitely not transparent. The registered voters in Norwich County demand free, fair and transparent elections. No further speakers, Mr. Chair. All right, I'd ask this time for the clerk to read the closed session items. Supplement of the closed session one, or the county council, conference of legal council existing litigation. We'reSexion 5495-6.91. Name of case Orange County Flood Control District versus Fisher Scientific Company LLC at all. Supplemental closed session 2, under County Council Conference of Legal Counsel, existing litigation, pursuant to Governor Co-Sexion 549-56.91. Name of case, David Castanon versus County Orange at all. Supplemental closed session three under County Council Conference with Legal Council anticipated litigation, significant exposure to litigation, pursuant to a government closed section five for a nine 5.6.92. Number of cases, multiple. Supplemental closed session five under county council conference of legal counsel existing litigation pursuant to government code section five for 956.91 Name of case Dalai Rodriguez versus county orange Supplemental closed session six under county council conference of legal counsel existing litigation pursuant to government code section five for 956.91 Name of case Alba Fiero versus county orange and supplemental closed session seven and the county 7, Board of County Council, Conference of Legal Counselor, Existing Litigation, Pursuant to Government Code Section 5 for an I-5-6.91. Name of cases, mind, my dose C versus Kenny Orange and Supplemental Closetion 4 is continued to May 20, 2025, 930 AM. We have no request to speak on the Clos items. Thank you, Mr. Rossowen. Mr. Chairman, I was just wondering, are we going to do a German before we go into closed session or should we come back for the German? I only have one. What's the pleasure of the board? I would rather do now, if that's the way. Let's do it now, then, go ahead. Thank you. I ask that we adjourn today's meeting in memory of former TV broadcaster and chairs member of the Fountain Valley community at Arno, who passed away on April 10th at the age of 86. A was more than a broadcaster. He was a storyteller and mentor and a trusted voice who connected with audiences for 60 incredible years. His professional journey through stations, including KTLA, KABC, and PBS, SoCal, has left a huge mark on the media landscape. Ed's path began at San Ana College where he excelled as a student and was part of the college, 1961 Eastern Conference Championship football team. Later, at Cal State Long Beach, Ed earned his bachelor's degree in speech where they focused on radio, TV, and film. Throughout his career, he brought stories to life as a sports caster, announcer, and host, whether it was the early days at KTLA. His tenure with KABC, eyewitness news, or his work on KCET and the Wheel Orange. His ability to connect with people made him a beloved figure in Sun and, at home. He was always a voice you could trust and face you, you're very glad and excited to see. His contribution does extend way beyond broadcasting. He was deeply committed to serving his community. He led the Santa Ana College Foundation raising money to provide scholarships to students, athletes. He inspired the rename of the SAC golf term into the Ed Arno, golf classic, it testament to his dedication to the college's athletic programs. At Vanguard University, Ed and his wife, Dixie, left a lasting legacy with their names on the theater. It's work reflected not just a commitment to education, but a passion for empowering others. He was inducted into the Hall of Fame at Santa Ana College and Vanguard University, honors that speak to his, the honor, this honor speaks to his influence on the community and his profession. Yet his legacy isn't measured just on those acoloids. It's found in, it's found in, um, countless lives he's, he's touched the mentors ship he's provided and the love he share with his families and friends. Um, he leaves behind his wife of 63 years. Dixie, Dixie, his son Dean, daughter in law, Rachel and and grandchildren, Jacob and Luke. While his passing is a huge loss, his spirit and stories will live on in our hearts as we all know him. He, you know, even to the very end, he was still going to events, providing his input and providing his expertise and helping. And I see him all the time in the city of Falta Valley. And so Ed, thank you for your friendship. Thank you for your community services. Thank you for always looking and teaching the rest of us and being our mentors. We really appreciate it. We will miss you. We love you. And again, thank you colleagues for giving me this opportunity. Thank you. Suvaz Raffoli. Thank you. So I ask that my colleagues join me in adjourning today's board meeting in honor and recognition of Jean Forbath. Jean Forbath, a Costa Mesa resident, died on Easter Sunday, April 20th, about an hour after Pope Francis at the age of 95. Jean was a Coastamace of volunteer who advocated for the poor and the marginalized. She founded the Cherer selves and save our youth nonprofits still serving thousands in our community today. Marie Swayne was born in Queens, New York on January 21, 1930, the youngest of four children in an Irish Catholic family. The family moved to Hollywood in 1933, where her father worked as a cameraman at RKO Pictures and later in the film lab. She became student body president at Kennedy Girls High in Los Angeles then earned her bachelors and master's degrees in English literature from Immaculate Heart College. Jean married the love of her life, Frank, in 1957. They raised their seven children in Costa Mesa, where the family built a legacy of community service. Inspired by a 1969 adult education class at St. John the Baptist Catholic Church in which participants pondered the social doctrines of the church, Jean thought about how she and others could help their neighbors in need. What began as charitable donations of food, clothing, and material goods swiftly turned into a coordinated effort as participants got to know the people they were helping. In 1970, Jean and Frank brought share ourselves to life. Together, they began responding to the needs of the community by providing food, clothes, emergency money, and health care. The effort grew to serve more than 20,000 people a year during her time leading the organization. Libby Cowan, former mayor of Costa Mesa, shared, she admired the work Jean Forbath did in our community and the way Jean always had the poor and disadvantaged of the community in her heart. Jean set to work bringing awareness to the desolate living conditions, farm workers in the county and doored, which became one early focus for SOS. Through the Orange County Interfaith Committee to aid farm workers, Jean focused her attention on raising awareness for farm workers living conditions at a dozen migrant labor camps throughout the county. She was also heavily involved with the United Farm Workers during Caesar Chavez's 1,000 mile march from the Mexican border to Sacramento in 1975, Jean-Leth Caesar Chavez and about 40 farm workers sleep at their families' Costa Mesa home for a night. After leading SOS for more than two decades, in 1993, Jean founded the nonprofit Save Our Youth, Soy, which provides after-school programs, guidance counseling, and more than 4.5 million in scholarships for Newport Mesa area young students. United States and the United States and the United States and the United States and the United States and the United States and the United States and the United States and the United States and the United States and the United States and the United States and the United States and the United States and the United States and the United States and the United States and the United States and the United States and the United States of serving families. Mr. Trapit shared that Jean always asked, are we serving the community? She stayed focused on the people and described his friendship with Jean as a special bond. Bill was lucky to see Jean the week before she passed and said he was inspired by what a wonderful mom and generous person she was for the entire community. For her life's work, Jean received several honors including my mayor's award in 2017, the Orange County Human Relations Commission Legacy Award, and recognition for serving on the Cal Optima Board. She advocated for providing health care and dental care to all and having affordable and fair housing in the community. She spent many times here at the podium speaking to the Board of Supervisors and advocating for the community. She was never paid for her time as Executive Director and CEO of SOS acting as a voice for our most vulnerable Orange County residents. Mayor Pro Tem, Manuel Chavez of Costa Mesa, and outreach and programs manager at Soy said the timing of Jean's passing. residents. Mayor Proto-M Manuel Chavez of Costa Mesa and outreach and programs manager at Soy said the timing of jeans passing hours after Pope Francis feels like more than a coincidence. It was grace. Raised in the Catholic tradition, Jean lived her faith through action. She didn't preach, she served. Jean built institutions designed to serve the most vulnerable in our community, and her legacy will live on through the people these institutions serve and uplift. Manuel, by the way, is a graduate of Soy as well. Jean's daughter, Jean has been frank, and their son Joe are survived by Jean's children, Steve Kathy, Mary, Susie, Patty, and Brian, and 15 grandchildren. Jean's daughter, Mary Kapalini, shared that her mom did a beautiful job of letting people know of the need in the area. Mary said her mother was an example of love and advocacy. She taught them not to judge, but to always stand up for the least among them that didn't have a voice. Jean's compassion for the poor and her love of family came from her strong faith. Mary told her that her mother was always kind to everyone and an inspiration to her. She will miss her very much. Mary is now leading soy, carrying on Jean's legacy. We express our deepest condolences to Jean's family friends and all those who benefited from her legacy. I am so honored to have been able to know this amazing woman. Jean's funeral will be held at 1 pm on May 9th at St. Simon and Jude Catholic Church, Tiny to Beach. The family suggests those wishing to make donations in our honor consider the Jean 4 Bath Scholarship at Soy or the Emergency Services Fund at Save Our Youth. I request that my colleagues adjourn today's meeting on this day, May 6, 2025 in Jeans Memory. We have a video, but in the interest of time, I'll share it on our website and our social media. Thank you. Thank you. We are adjourned to close session. Thank you. I'm going to put it on the top of the head. you