Aug 24, 2022 Board of Directors Meeting

[00:00:02]

ALL RIGHT.

WELL, GOOD MORNING, EVERYONE.

WELCOME TO ALAMO AREA.

COUNCIL OF GOVERNMENTS, BOARD OF DIRECTORS MEETING TODAY IS WEDNESDAY, AUGUST 24TH, 2022.

LET'S CALL THIS MEETING

[1. Meeting called to Order The AACOG Board of Directors is meeting in accordance with Chapter 551 of the Texas Government Code (Open Meetings Act). As such, the Board of Directors reserves the right to retire into executive session concerning any of the items listed on this Agenda whenever it is considered necessary and legally justified under the Texas Open Meetings Act.]

CAN I GET YOU TO CALL THE ROLL, PLEASE? JUDGE TEAL.

TIFFANY COVINGTON FOR COUNCILMAN PUTNEY FOR COMMISSIONER CALVERT, AMERICAN LEON THERE DENNIS COUNCILWOMAN GARCIA.

YEAH.

HEAR ME GET A CHARLIE THAT'S JACKSON THAT'S FUSED.

JUDGE KELLY.

JUDGE.

CROUSEY.

YES, NO YOU THEY'RE GIVING YOU THE SIDE.

THE ROTOR JUDGE.

YOU ARE WILLIAMS REPRESENTATIVE BADER MAN.

MR. HOFFMAN.

THANK YOU SUZY.

YOU JUST HAD JULIE INDIVISIBLE.

WE

[4. Public Comments This time is for anyone to comment to the Board of Directors on issues and items of concern. There will be no Board of Directors deliberation or action on these comments. Time allowed is at the discretion of the Chairman; with three (3) minutes being customary.]

NO, SIR.

JUDGE HURLEY.

GOOD MORNING.

STRUCK THE BLACK ON IT.

THREE MINUTES, THREE MINUTES.

I JUST WANTED TO MAKE HER EXCITED.

WE'VE BEEN WORKING ON FOR TWO YEARS AND, UH, UH, OUR COUNTY IS ONE OF THE FEW SMALL TOWNS WITH A DETENTION CENTER.

THEY'VE BEEN CLOSING SMALL CHARACTERS, CLOSER ATTENTION CENTERS ALL OVER THE SITE BECAUSE THEY'RE LOSING MONEY AND WE ARE TOO.

BUT OUR METHOD TO TRY AND KEEP IT OPEN IS TO USE THE UNUSED PORTION OF IT TO DEVELOP A TREATMENT SYSTEM FOR OUR JUVENILES OR TROUBLE.

IT'S CALLED POST TREATMENT PROGRAMS. THREE IS WHEN A JUVENILE IS IN JAIL FOR THEIR ADJUDICATED.

SORRY.

I WANT TO YOU BUS AND SOLID.

IT'S ALL THE JUDGES.

IF YOU'RE A FEW OFFICERS AND SOMETIMES IF WE CAN'T GET THEM ALL UP, OH, WELL, SOME OF THEM ALSO FOR TREATMENT AND, UH, TREATMENT IS WHERE THE BOTTLENECK IS IN.

TEXAS IS WHERE THE DEMAND IS.

THAT'S MY PLAN FOR A TREATMENT.

SO SEPTEMBER 1ST WE WILL BEGIN TAKING, UH, JUVENILES FROM CJD AND FROM, UH, ANY OTHER COUNTY LONG SENTENCES AND PAY OUR FEE.

WE ARE GOING TO CHARGE FOR IT.

AND WE HAD PICKED OUR RACE TO, UH, WE'RE JUST GONNA ATTACK OUR BRIGHTSPACE COUNTY.

THEY DID A REAL MENTOR TO US, CAN VERY HELPFUL IN THEIR PROGRAM.

AND THEY'RE, IF YOU'RE A JUVENILE JUDGE, YOU KNOW THAT WHEN YOU HAVE A CHILD GOING TO TREATMENT AND FOR GOOD REASON, SIERRA COUNTY, THEY GOT THEIR OWN POLICY.

SO WE HAD A SMALLER COUNTY.

WE SMALLER COUNTY, WELL SIDE OF, UH, THE LORD'S WRIT LARGE COUNTIES.

AND, UH, UH, SO WE'RE GOING TO CHARGE YOU 50 A NIGHT AHMED LIKE OF LIKE HAYES COUNTY.

THOSE

[00:05:02]

SO WE'RE GOING TO PUT, THIS WILL NOT ONLY PROVIDE A LOCATION, A LOCAL PLACE FOR OUR KIDS TO BE TREATED.

THE SAD THING IS, SORRY.

THIS JUDGE SAYS, I DON'T KNOW OF, FOR EXAMPLE, AS A KID, WE TRY TO SEND BACK HOME AFTER THEY GOT IN TROUBLE WITH VIOLATED PROBATION, WE JUST CAN'T GET THEM STRAIGHT.

SO WE SEND THEM AWAY TO TREATMENT WHERE THEY ARE LOCKED UP AND THEY WALK AND THEY ARE, UH, UM, THEY'RE NOT ALLOWED IS LOCK UP SIX TO NINE MONTHS ON THESE TREATMENT.

AND, UH, UH, THE PROBLEM IS, IS THAT IF I SEND SOMEBODY OR WAIT OR WIND UP IN NORTH TEXAS OR WEST TEXAS, MOST OF THE PARENTS WOULD CHOOSE FOUR TO GO VISIBLE FACILITIES.

NOT ONLY IN OUR OWN COUNTY, WE JUST SERVE THE SURROUNDING COUNTIES WHERE THE PARENTS CAN ACTUALLY COME VISIT.

THAT'S VERY ENCOURAGING TO THESE YOUNG PEOPLE TO HAVE THEIR GIRLFRIENDS, THEIR FAMILIES, THEIR FRIENDS, TO BE ABLE TO COME VISIT THEM.

THE SPIRIT OF THIS VERY, UH, SO, UH, UH, CJD IS VERY SUPPORTIVE OF WHAT WE'RE DOING AND HAVING THE FACILITY TO THE SMALLER COUNTIES TO USE.

UH, UH, THE PARENTS CAN HAVE A PROGRAM FOR COUNTY JUDGES.

WHEN YOU DO SOMETHING, YOU SCRATCH TWO BIG BOXES.

THANK YOU VERY MUCH.

THANK YOU, JUDGE.

AND ALSO WE HAVE, UH, UH, MAYOR SCHROEDER FROM A CITY CASTROVILLE I THINK I CAN JUST THREE MINUTES.

SO I JUST WANTED TO LET YOU KNOW, UH, THIS MIGHT BE AN INTEREST OF A LOT OF THE SMALL TOWNS AS WELL, SO WE SHOULD HAVE BEEN GOING THROUGH SOME PRETTY MASSIVE GROWTH, UH, AND, UH, THE WONDERFUL CITY OF SAN ANTONIO IS AT OUR DOORSTEP.

WE KIND OF HEARD ABOUT IT.

UH, SO ONE OF THE THINGS THAT, UH, WE'RE GOING THROUGH, UH, WE'VE SEEN A LOT OF OTHER CITIES WHERE THEY HAVE BEEN BASICALLY SWALLOWED UP BY .

WE JUST DON'T WANT IT.

SO WE'RE ACTUALLY GOING THROUGH A ROAD THROUGH, WITH A PLANNING PROCESS, UM, WHERE WE'RE TRYING TO CAN, WHAT IS IT THAT YOU PASTOR, BILL, HOW DO WE GROW AS CASTRO, NOT AS ANYWHERE ELSE? UM, SO WE'RE ACTUALLY STARTING AS A SPEAKER SERIES, UH, STARTING FARMING.

UM, IT'LL BE FOR FOUR WEEKS.

WE HAVE, UH, WE HAVE TUESDAY MINORS, ONE ON EITHER SIDE, UH, ON THE BEGINNING, WHAT THE END WE GROW AS A CITY THAT WE ARE ALL, WE ACTUALLY ARE CLOSE WITH SAN ANTONIO AS MUCH.

WE HAVE A ARCHITECTURAL HISTORIAN FROM TRINITY UNIVERSITY.

THIS WILL HELP US UNDERSTAND A LITTLE BIT MORE ABOUT OUR, UH, OUR VERNACULAR ARCHITECTURE OF HOW TO HONOR THAT AS WE CONTINUE TO GROW.

UH, AND THEN DENNIS MICHAEL FROM, AND THE CONSERVATION SOCIETY, TALK TO US ABOUT HOW DO WE MAINTAIN OUR HERITAGE AS EVEN AS YOU'RE EXPERIENCING TRIPLE DIGIT, TRIPLE DIGIT GROWTH OR WITHIN THE NEXT EIGHT YEARS, PROBABLY FOUR OR FIVE MONTHS.

I SAID VERY, VERY QUICKLY.

SO IT'S GOING TO BE AN INTERESTING JOURNEY IN VIRGINIA WITH THE ENTIRE COMMUNITY.

SO I JUST THOUGHT IT MIGHT BE KIND OF INTERESTING TO SEE HOW IT WAS A LITTLE TIME GROW UP WITHOUT.

THANK YOU, MAYOR.

THAT'S VERY IMPORTANT.

WE APPRECIATE.

THANK YOU FOR .

I ASKED WHY IS EVERYBODY SO SCARED OF SAN ANTONIO? THAT'S WHAT I DON'T NEED ANY EXPLANATIONS.

THANK YOU.

OUT OF THE EQUATION BOARD MEETINGS.

ABSOLUTELY.

ALL RIGHT.

I PROBABLY SUPPOSED TO LEAD THIS MEETING, I GUESS.

SO ITEM NUMBER FIVE, DECORATIONS, A CONFLICTS OF INTEREST BY ANYONE ON BOARD HEARING NONE.

WE'LL MOVE ON TO ITEM

[6. OnMed, new services for indigent healthcare providers in Texas - Tom Wilkinson]

MS. RAF, CAN YOU INTRODUCE OUR ESTEEMED? YES, YES, YES.

I WILL.

I'M VERY PLEASED TODAY THAT WE HAVE MY FORMER COLLEAGUE, HE WAS

[00:10:01]

IT WAS GOOD.

JUST RESOURCED ME WHEN I TOOK THIS JOB AND I'VE KNOWN HIM IN DIFFERENT LIVES, DIFFERENT PLACES.

THEN HE HAS RETIRED, BUT IS REALLY INVOLVED WITH A VERY INTERESTING PROPOSITION THAT I'VE MENTIONED TO MANY OF YOU.

I'VE SEEN A PRESENTATION TWICE AND PARTICULARLY IN OUR RURAL AREAS.

I THINK I'M ON BOARD.

YOU'VE GOT THE, SOME INFORMATION IN YOUR NOTEBOOKS, BUT I THINK WHAT YOU'RE ABOUT TO SEE MIGHT BE VERY INTERESTING FOR YOU SOME TIME.

THANK YOU VERY MUCH FOR BEING HERE.

AND I KNOW THAT YOUR COMPANY, UM, BY SOME FOLKS FROM THE COMPANY, SO I'LL LET YOU INTRODUCE HIM.

THANK YOU FOR BEING HERE.

WE REALLY LOOK FORWARD TO THE PRESENTATION OF THE, AND TALK ABOUT THIS.

UH AND UH, EXPANDED GVP HOG.

HERE ARE SEVEN COUNTIES, BUT WE SPENT THREE ADDITIONAL COUNTIES THAT PROVIDE VEHICLES, ET CETERA, BUT CITIZENS KNOW, KIND OF USE THAT.

SO CONGRATULATIONS.

ALL RIGHT.

SO I HAVE VIDEO.

I'M GOING TO START WITH THAT.

OH, SORRY.

WE HAVE A DOUBLE ON MED STATION, TWO PATIENT CONSULTATIONS SEPARATED BY THE ANDRE PHARMACY BALLS.

LET'S TAKE A LOOK INSIDE ONE OF THEIR CONSULTATION RULES.

AS WE APPROACH, YOU WILL NOTICE THE DOOR AND WINDOW WERE CLEAR.

THESE WILL TURN ON PAIN DURING THE CONSULTATION FOR PRACTICING.

IN ADDITION, SEVERAL SOUND TECHNOLOGIES ARE USED FOR ENHANCED SECURITY.

BEGINNING OF CONSULTATION, AS SIMPLE AS PRESSING START ON THE SCREEN, JUST A FEW SECONDS, THE START SIGNAL COMMENCEMENT OR VIRTUAL MEDICAL CENTER BEFORE SHOWING THAT SIDE OF THE CARE PLATFORM, JUST A FEW MORE FEATURES OF THE STATION.

IT'S BASIC VIALS ARE POTENTIALLY THE MOST IMPORTANT PATIENT BASELINE TO COLLECT INTERMEDIATE WITHIN THE FLOOR TO THE HUNGER SCALE.

EACH PATIENT AUTOMATED BLOOD PRESSURE IS TAKEN.

HEART RATE IS ANALYZED.

OXYGEN SATURATION IS MEASURED.

DEMOGRAPHY SCREENING IS PERFORMED TO DETECT POTENTIAL FEVER.

ALL OF THESE VITALS ARE TAKEN VIRTUALLY BY A CERTIFIED NURSE ASSISTANT, ALONG WITH ALL YOUR TYPICAL CLIPBOARD INFORMATION, EXCEPT THERE IS NO QUICK BOARD, INSTANT GRADUAL ONBOARDING APPLIED NURSE ASSISTANT ANSWERING ANY QUESTIONS ALONG THE WAY PRIVACY FORMS AND OTHER DOCUMENTS ARE EASILY SIGNED BY THE PATIENT ON THE OVERSIZED SCREEN LOCATED JUST IN FRONT OF THE PATIENT.

THAT'S THE CLUSTER FROM THIS AREA, THE CLINICIAN CAN REMOTELY LOAD A VARIETY OF DIAGNOSTIC TOOLS TO HELP DIAGNOSE THE PATIENT'S COMPLAINTS.

THE STETHOSCOPE IS USED FOR HEART AND LUNG SOUNDS ARE ICI.

CAMERA CAN BE USED TO SEE THE PATIENT'S THROAT.

EXTERNAL LOT MAY SET THE BODY INCLUDING MAGNIFICATION OF SKIN LESIONS OR SUSPICIOUS AREAS.

PRESCRIPTIONS ARE AVAILABLE INSTANTLY.

THE AHMED PHARMACY BOLT HOLES, HUNDREDS OF COMMON MEDICATIONS THAT REMOTELY VERIFYING THE PATIENT INFORMATION AND DISPENSED IT UNDER A MINUTE.

LOCATED JUST BELOW THE SCREEN.

IT'S THE PHARMACY DISPENSING AREA FOR EASY RETRIEVED BY THE PATIENT.

LET'S TAKE A CLOSER LOOK AT THE VIRTUAL MEDICAL CENTER AND SEE WHAT THINGS LOOK LIKE FROM THE DOCTOR'S PERSPECTIVE.

THIS IS THE VIRTUAL MEDICAL CENTER MADE FOR.

WE HAVE A SIMILAR ROOM FOR LIKE TESTING, LINING THE WALLS OR THE CLINICIAN STATIONS.

THIS IS THE AREA CLINICIAN STATE LINE TO THE PATIENTS.

EACH AREA IT'S LIKE A MINI TV STUDIO, QUALITY IMAGE, AND SOUND ADJUST INTO THE AIR, BUT NOT IT PREFERENCES OF EACH CLINICIAN.

THE ON-NET EXPERIENCE IS ONE-TO-ONE AT SCALE.

IN OTHER WORDS, THE DOCTORS AND NURSES ARE LIFE-SIZE, BUT ONLY APPEAR ON THE SCREEN IN FRONT OF THE PATIENT.

THIS ALONG WITH ON BED DEVELOPED CAMERA TECHNIQUES, PROVIDER, FIELD, LIFE ENCOUNTER, THE CLINICIAN CONTROLS EVERY

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LET'S MOVE IN TO TAKE A CLOSER LOOK.

YOU CAN SEE THE BORDER OF THE SCREEN HAS VARIOUS BUTTONS THAT CONTROL ALL THE EQUIPMENT, THE GENERAL OPERATIONS OF THE STATION FROM SIMPLY TURNING OFF THE LIGHT TO ACTIVATING THE BLOOD PRESSURE AT BOARD EXAMINATION, USING THE THERMOGRAPHY CAMERAS MORE.

AS WE SAID EARLIER, ONBOARDING OF A PATIENT TO SIMPLE, THE CERTIFIED NURSE ASSISTANT WALKS THE PATIENTS THROUGH THE QUESTIONS.

WELL, I LEAVE THE DATA.

IF YOU DO THE ELECTRONIC HEALTH RECORD, HOW DOES THE VITALS AND THE ENTRANCE WAS CLINICIAN REVIEWING THE PATIENT VIA A SHORT VIDEO IS PLAYED REDUCING THE CLINICIAN TO THE PATIENT SHARING DETAILS ABOUT THEIR EDUCATION AND GENERAL BACKGROUND.

OH, MY MASTER'S DEGREE IS IN RESPECT TO TENSIONER FROM THE UNIVERSITY OF THIS PERSONALIZES THE EXPERIENCE AND PROVIDES A NATURAL TRANSITION FOR THE DOCTOR, OR IT CAN BE THE CLINICIAN DISCUSSES THE PATIENT'S COMPLAINTS AND DOES THE CRITICAL WORK USING ALL THIS DIAGNOSTIC TOOLS, ALL IMAGES ONLY TELEMETRY AND OTHER CRITICAL INFORMATION ARE STORED TO THE PATIENT'S ELECTRONIC MEDICAL RECORD.

THIS RECORD IS AVAILABLE WITH THE PATIENT'S PERMISSION TO SHARE WITH THEIR PRIMARY CARE OR OTHERS THAT REQUESTED ON MEDS.

HIPAA COMPLIANCE SOFTWARE INTEGRATES WITH ALL PATRIOT ELECTRONIC HEALTH RECORD COMPANIES, MAKING INTEGRATION WITH OTHER HEALTH COMPANIES, SEAMLESS ANY CONSULTATIONS WILL RESULT OF THE PATIENT RECEIVING A PRESCRIPTION, THE PHARMACY ROBOTICS SYSTEMS REMOTELY CONTROLLED BY THE CLINICIAN OR THE PHARMACISTS, THEIR SECURITY MEASURES AND VERIFICATIONS TAKE PLACE DURING THE DISPENSING PROCESS.

IT'S STILL WITHIN SECONDS.

THE PATIENT HAS THEIR PRESCRIPTION.

AND IN THE RARE EVENT, THE ALTERNATE STATION DOES NOT HAVE THE REQUIRED MEDICATION OR THE PATIENT WOULD RANDOMLY PICK UP THEIR PRESCRIPTION FROM THE LOCAL PHARMACY.

THE DOCTOR WILL THEN E-PRESCRIBE WHEN THE PATIENT EXITS THE CONSULTATION.

THE SANITIZING PROCESS BEGINS.

THIS TAKES ROUGHLY TWO MINUTES.

DURING THIS TIME THE IS FILTER USING SEVERAL ON-NET PRIMO TECHNOLOGIES.

IN ADDITION, A POWERFUL GBC LINE FEELS KIND OF THE GINS MAKING THE CONSULTATION AREA SAFE FOR THE NEXT PATIENT ON IT.

AND ALSO IN HIS FIELD MENTIONS THAT RIGHT? WELL, WE SERVICE IT REALLY CLEAN BEYOND MED STATIONS.

AS YOU CAN SEE BEYOND THAT EXPERIENCE IS QUICK, EFFICIENT, SAFE, AND SECURE TECHNOLOGICALLY UNMATCHED.

SO HE MIGHT HAVE TO TELL ME TO STOP FARMING.

SO, UM, THE, UH, THE TEXTING PIECE OF THIS BECAUSE, UH, COLLEGE OF MEDICINE AND DIFFERENT DEPARTMENTS HAVE REVIEWED SEVERAL OF THESE TYPES OF MACHINES THAT SITS UP THERE WITH WINE.

IT'S JUST THE BEST.

AND THE DIFFERENCE BETWEEN MOST OF THE OTHERS IS THAT PRESCRIPTION DISPENSING.

SO WHEN I SAW, AND THAT'S HOW I BOUGHT, UM, THE OPPORTUNITY TO HAVE THE CHURCH, MOST OF, UH, THE INDIGENOUS COMMUNITY, GETTING THEM TO PICK UP THEIR PRESCRIPTION IS A CHAT.

UM, AND THEN THEY'RE RIGHT BACK TO THE SAME SITUATION.

AND WE ALL KNOW WHAT THOSE ARE.

IT'S MORE HIGH BLOOD PRESSURES.

THAT MEANS IT'S MORE ISSUES TO THAT.

SO, UM, THERE ARE TWO OBVIOUS USES FOR THIS JLL, ESPECIALLY IN SMALLER RURAL COUNTIES WHERE YOU PROBABLY DON'T HAVE HOSPITAL AND YOU WERE SPENDING IN AN PUB OR A INMATE WHO AT TWO IN THE MORNING SAYS, JUST THINK ON THAT.

AND IF YOU HAVE TO BRING IT IN TO THE JAIL STAFF ON CALL THAT NIGHT AND THEN TAKE THEM BY AMBULANCE TO A NEIGHBORING CAMP.

SO YOU'RE TYING UP POSSIBLY TWO OR THREE AMBULANCES IN YOUR COUNTY TOTAL AND TAKING JAIL PERSONNEL AND

[00:20:03]

AND IT WON'T PICK A MODEL FOR THEM, BUT HEY, THE SMALL GROUP IS CRITICAL.

YOU DON'T RIGHT.

AUTOMATED WAS NOT WITHIN THE FIRST FIVE MINUTES, WHICH ARE REALLY GRIPPING TIMES AND STUFF LIKE THAT.

SO YOU'RE ALREADY RESPONSIBLE FOR THE JAIL.

BOTH OF YOU AT ONE VARIETY OF WHAT IS A, BUT THIS WILL BE, UM, NOT INEXPENSIVE, BUT IT WAS LIKE CARE OF YOU, THE OPPORTUNITY AND THE COUNTY, YOU CAN USE THIS MACHINE FOR OTHER USE ALL THE PERSONNEL.

YOU'RE GOING TO HAVE ALL THE ACCOUNTING PERSONNEL AND WHERE YOU LOCATE THIS IN JAIL, DO USE THIS FOR THEIR OWN PERSONAL POSSIBLY REDUCE THE COUNTY DISCLOSURE FOR ITS OVERALL, UH, INSURANCE COSTS.

SO, UM, THE OTHER THING IS THAT IN THE JAIL THAT TEXAS CRIMINAL JUSTICE TRANSPORT IN BRISBANE AND THE STATE OF TRAINING, INMATE SCHEDULING PROBABLY HAS THREE BRANDS, ANY OF YOUR, WHERE YOU TOOK CARE OF IT.

SO YOUR GUYS WERE ON TOP OF IT, CALL IT THAT THE AMOUNT OF ELECTRICAL, BUT IT'S A RISK SAVING TIME.

YOU TAKE THE PRISONER OUT OF JAIL.

MAYBE YOU HOST BEING READY TO INMATES, OR LET'S SAY, ALL RIGHT.

SO THE SECOND HALF IN, UH, THE FRAT, SHE PUT IT IN YOUR PACKET, BRIEF THING THAT I NEEDED, UH, ON INDIGENT GEAR, ALL OF, YOU KNOW, THAT'S THE RESPONSIBILITY YOU HAVE IN OFFICE.

IT WAS SMALL AND IT'S JUST SOMETHING, YOU KNOW, YOU HAVE TO BUDGET FOR.

AND YOU HAVE STAFF PERSON THAT SOME OF YOUR PUBLISH ON CABIN TRENDS WE TOOK OVER FOR WORK CAN WORK IN CAMP IS VERY LARGE COUNTY.

IT'S JUST BRINGING THE PATIENTS.

UM, IT WAS DANNY , THERE'S BEEN AN ALL UP EVERY YEAR.

THAT'S THE CONTRACT I MANAGE FOR THEM.

PLUS THE OVERHEAD OF A SAD PERSON WOULD SAY, I HAD ONE EMPTY, TWO LESS THAN ONE, LIKE CONTRACTORS AND OTHER BIDDING PROCESS SEVEN MONTHS AGO.

AND WE MANAGE IT AS A REGION.

AND SO IT'S, IT'S NOT A DAY FOR YOU ALL HAD AN ASSESSMENT.

WE HAVE A CONCEPT OF A MANAGED CARE SYSTEM, OR IT WILL REDUCE YOUR OVERHEAD, UH, BECAUSE, UH, YOU KNOW, HOW MANY OF YOU ARE IT, BUT MOST THREE TO FIVE AND EACH ONE OF YOU HAD AT LEAST ONE, AND IT IS POSSIBLE THAT THEY ARE APPROVING EXPENDITURES THAT ARE NOT REQUIRED LAST DAY.

NOW THAT MIGHT BE YOUR CHOICE QUESTIONS FOR THIS, FOR OUR CITIZENS, BUT YOU DON'T HAVE TO ALSO IN YOUR HANDOUT, THERE'S A CHAPTER 61, WHICH IS IN, UM, 61.030 ALLOWS YOU TO GET A PRIMARY COMBINED, WHICH IS GOING TO BE THIS ON, THERE ARE THREE EXCEPTIONS.

IF IT'S AN EMERGENCY, IF ON THIS SYSTEM IT'S NOT MEDICALLY APPROPRIATE OR DOWN, FOR SOME REASON, IT'S NOT GOOD, THEY CAN GO, WELL, THAT'S JUST NOT.

SO, AND ALSO BY HAVING ONE THAT YOU WERE USING INDIGENCY, SO

[00:25:01]

THERE IS ONE IN THE STATE OF TEXAS, AND I DON'T HAVE ONE FOR SEVEN YEARS.

NOW.

IT IS THE JAIL.

THAT'S NOT.

SO CITIZENS ARE ALLOWED TO HAVE ACCESS TO IT.

AND IN FACT, THE DIRECTOR OF THERE, JIM REED, UH, NEEDED A DOCTOR.

AND SO HE JUST DROVE TO THAT.

AND IT IS THROUGH THE, UH, THE RECOMMENDED BOTTLE IT'S ALREADY BEEN HERE, UH, SSI, WHICH IS PURCHASING SOLUTION ALLIANCES ALREADY DONE HERE FOR THE ENTIRE CENTER.

SO EACH ONE OF YOU HAS GOT A WAY TO TAKE SKIN OFF OF THAT CONTRACT.

THEN YOU DON'T HAVE TO DO A FULL, UM, THE, UM, PRESCRIPTION IS AN OPTION.

YOU WOULDN'T WANT THAT.

, IT'S JUST BASICALLY THE BAKERY OR OBESITY AND DENTURE AND, AND, UH, BUT, UM, SO YOU CAN HAVE THE WHOLE, IF YOU TALK TO YOUR CITIES, CAN'T SAY THIS CHAIR COSTS.

IF I CAN OPEN UP TO THE ENTIRE CITIZENS, SO YOU CAN CREATE A CAR THAT SET UP AND IMPROVE HEALTH CARE ACCESS CONTINUES, I GUARANTEE, BUT I GET THAT, THAT THEY WOKE UP.

SORRY, IT'S JUST, IT'S JUST GOT TO BE THAT WAY.

SO THAT THE PROOF, UH, IS ESTABLISH THAT THIS IS NOT ONLY ABOUT A LITTLE BIT.

AND SOMEONE GOES TO THE YOUTH TO GET A LITTLE BIT OR A AMATEUR SPORT EVIDENCE, BUT YOU MAY OR MAY NOT HAVE ADVOCATED.

ALSO BECAUSE MOST OF YOU NOT, OR SHOULD NOT SPAN ALL OF YOUR, UH, IS UNDER INDIGENOUS JUST FOR THE JAIL, BECAUSE TECHNICALLY YOUR JAIL CAN'T BE CLASSIFIED AS INDIGENOUS, BUT THAT'S WHAT, THAT'S WHAT WE DO.

SO THAT HOSPITAL AND FAMILY, YOU MADE IT TO YOUR LOCAL HOSPITAL.

BUT IF YOU DID THE PROBLEM THAT MOST HOSPITAL SYSTEMS HAVE TODAY IS THE EMERGENCY ROOM.

MY 98 YEAR OLD DAD BROKE THE SHIRT, THESE SHIRTS, BECAUSE HE WENT TO BROWN UP, THIS IS LIKE, THIS IS A SCREEN DEVICE OR A EMERGENCY.

OH, IT MUST BE NICE TO SEE, ESPECIALLY YOUR INDIGENOUS STUFF, TO SEE THE DOCTRINE IN ORDER TO HANDLE THROUGH THIS.

AND THEN THE BAD PATIENT EXPERIENCE, WHICH IS A PROBLEM FOR THEM.

IF THEY DON'T, UH, GET THE MEDICINE, THEN THEY'RE NOT GOING TO GET BETTER.

RIGHT.

AND USUALLY GET THE ER THREE-YEAR LACE HOW MUCH WITH PILLS.

YES.

UH, THEY'RE INSULTED.

SO PRICE IS DOWN, DEPENDING ON THE HOSTILE SAID WHEN HE WANTS TO USE IT, IT'S 70, IT'S EXPENSIVE.

IT'S PROBABLY THAT THE 30,000 A MONTH IT COULD BE UNLIMITED ACCESS TO THE CONDITIONS FOR THAT.

IS THERE PARTNERSHIP WITH THE PHARMACEUTICAL, THROUGH THE PHARMACY COMPANIES? I WOULD IMAGINE THERE IS.

AND WOULD THAT HELP SUBSIDIZE? LET'S SAY MY REGION HAS, YOU KNOW, PHARMACEUTICALS KNOW, HEY BOY, THIS PARTICULAR AREA DISPENSES THAT PARTICULAR TYPE OF PRESCRIPTIONS.

SO WOULD THERE BE LIKE, HEY, WELL, THEY REALLY WANT IT IN YOUR AREA.

SO LET'S CUT THE COSTS

[00:30:01]

LET'S GET IT.

WE KNOW WE'RE GOING TO PUSH.

YEAH.

SO NO, TEXAS MEDICAL PROVIDER PHYSICIAN CANNOT PRESCRIBE, CAN PRESCRIBE TO US, BUT CANNOT DISPENSE IF YOU GO TO YOUR DOCTOR.

AND HE SAYS, I WANT YOU TO FILE AS A MEDICINE HERE AS A SAMPLE 1 76 BILL, THAT'S IT SOMETIMES WE'LL GIVE THEM THREE TO PULLED OFF AND THAT'S IT.

THEY MAY NOT BOXED.

SO ON THAT CONTRACT WITH THE PHARMACY AND TEXTS DO PUT THE MEDICINE IN THERE HAS TO BE DONE THAT WAY, THAT A STATE LAW.

SO, UM, THE ONLY OPTION THAT INJURED NEGOTIATIONS WITH AUTOMATIC IS WANT THAT OPTION.

IF YOU'RE GOING TO USE IT IN THE JAIL, YOU KNOW, FOR DRUGS TO BE PROVIDED BY FARMERS, YOU HAVE A LOCK IN SOMEWHERE, BUT THEN YOU GO GET IT.

IF IT'S THE INDIGENT ONE THAT YOU CAN GET THAT RIGHT.

THE SCRIPT, AND I CAN TAKE IT.

IT'S JUST THAT IF YOU TALK TO YOUR PEOPLE THAT ARE MANAGING, OR YOU WILL FIND THAT VERY FEW AND THERE PROBABLY DON'T MEAN THAT.

YEAH.

SO TWO QUESTIONS.

ONE IS THE $30,000 A MONTH.

IS THAT REGARDLESS OF HOW MANY CONSULTS THERE ARE.

AND JUST TO BE CLEAR, YOU SAID THAT DOES INCLUDE THE PRESCRIPTION MEDS.

SO IT'S SOMEWHERE BETWEEN EACH ONE IS A YOU, BUT THE CONTRACT HAS OPPORTUNITIES TO CUT INTO YOUR LEADS AND YOUR ABUSES.

SO IT DEPENDS ON, SO IT COULD BE A LOW OF 25,000 TO 30,000.

THE, UH, IT'S JUST KIND OF, OKAY.

AND THEN MY SECOND QUESTION.

SO THE ONLINE CARE PROVIDER, IF THEY THINK THAT THE PERSON COMING TO THEM IS IN NEED OF URGENT CARE HOSPITALIZATION, HOW HAS THAT REFERRAL MADE? SO I GET CREDIT TO MY DIRECTOR OF SPECIAL PROJECTS.

YOU'VE TEXTED ME TO ASK, AH, SO, UM, IT IS, UH, 9 1, 1 SERVICES SENT TO THE STATION OR THAT PATIENT ONLINE.

AND THEN THE PAYMENT OF THAT IS TOTALLY SEPARATE.

UH, WHO IS IT IS AN EMPLOYEE OF THE COUNTY, YOUR COUNTY INSURANCE FOR INDIGENT CARE.

SO IT JUST DEPENDS ON WHO'S AT THE BOX AS TO THE PAYMENT, BUT YES, THERE WILL BE A SEPARATE CHARGE.

OKAY.

THIS IS ALL THIS, LIKE YOUR REGULAR DOCTOR'S OFFICE AND THE DOCTOR.

IF YOU WENT TO THE DOCTOR'S OFFICE AT MERCY, THEY CALL IT A SAVE EXPERIENCE FLOW.

SO VERY SPLIT TO GO INTO THE DOCTOR'S OFFICE.

OKAY.

SO THEN A FOLLOW-UP TO THAT, WHEN I GO TO MY DOCTOR, I'VE BEEN GOING TO, FOR YEARS, SHE KNOWS MY HISTORY.

SO IS THERE ANY WAY TO ENSURE THAT IF SOMEONE GOES, THEY CONTINUE TO HAVE THE SAME PROVIDER? YEAH, NO.

HE IS OUT INTO THE VIDEO, THEN KEEP TRACK AND THEY HAVE TO LOOK AT THE, THEY HAVE TO LOOK AT THE FILE OR WHATEVER, BUT ARE THEY ABLE TO REQUEST THE SAME PERSON? YOU WON'T HAVE THE SAME OPERATOR, ANSWER THE CALL, BUT SO WHAT ABOUT MAT MEDICATION? LIKE AN URGENT CARE CLINIC IN A BOX? SO IT'S LIKE GOING TO THE TEXAS MED CLINIC, BUT YOU'RE GOING IN ON FOAM BOOTHS.

IT'S THE SAME CONCEPT TO ME.

I'VE NEVER ASKED, BUT I'VE NEVER BEEN TO.

SO IF YOUR DOCTOR REQUESTS THE RECORDS FROM THIS THING, THEY COULD GIVE IT TO THEM WITH MY UNDERSTANDING THAT.

AND SO WHETHER YOU, WHEN YOU CREATE A PRENATAL CARE MANAGEMENT SYSTEM OR YOU CONTINUE WITH YOUR INDIVIDUAL TO THAT PERSON, SO THAT THERAPY IS THAT IT CAN BE ATTRIBUTED BACK TO YOUR INDIGENT.

AND SO WE NEED THAT RECORD FOR THAT.

OR IF THE SAME PERSON KEEPS GOING TO THE MONDAY BOOSTS, THEY WILL HAVE THE RECORDS OF THAT SAME PERSON CONTINUING TO GO INTO.

WE ALL KNOW THE CHALLENGE EVER SEEN IS NOT.

AND THAT'S THE REALITY THAT WE'RE FACED WITH PEOPLE JUST DON'T.

SO THAT'S ALL AS ADS,

[00:35:01]

WHAT WAS STUDENTS? THAT'S ALSO THE COMMUNITY AT LARGE.

SO, UM, IT IS, UH, IT IS A GREAT TOOL, WHICH IS ALSO, UM, LIKE BY MY INSURANCE WENT OUT TO, UH, SO I'M GOING TO TELL YOU MOST OF THE EMPLOYEES, WE GET THAT, BUT WHAT DO THEY CALL A DOCTOR TO USE IT FOR THE KIDS? YOU KNOW, THE KIDS THAT SCRAP AND YOU KNOW IT, BUT YOU CAN'T GET MEDICATION BECAUSE ALL OF OUR DOC IN JAIL, ON THE SENTENCE AS A DOCTOR, YOU KNOW, ALL THE ANTIBIOTIC, WHATEVER.

UM, BUT JUST AS YOU WERE CONCERNED ABOUT, WELL, I WASN'T TOO HAPPY THAT IT WOULD BE AN APPROPRIATE SPOT, BUT FOR MY KID AND I WAS ALL ALERT.

SO YOU DIDN'T EVEN SEE SOMEBODY AND SEE MY CHILD TALK ABOUT THE CITY, THEN IT'S ALL, IT ALL KIND OF CLICKED BETTER SYSTEM, BUT WHY MEDICATION FOR TREATMENT OR ESPECIALLY IF IT'S SOMETHING REALLY SERIOUS, YOU WANT TO, ALL ACROSS THE BOTTOM OF THE SCREEN, THEY'RE SEEING BLOOD PRESSURE.

THEY'RE SEEING HEARTBREAKING TO SEE TEMPERATURE, ALL OF THOSE THINGS REAL TIME.

YOU START WITH THE CHEAPEST IN OUR SYSTEM, YOU CERTIFIED.

AND IF SHE SEES SOMETHING THAT PAYS MORE THAN YOU GET A REGISTERED NURSE, IF A REGISTERED NURSE SEE SOMETHING THAT IS OF WHAT HAPPENED, YOU GET A POSITION.

SO IN THAT CENTER OF THE CLOSET, THERE'S WAY MORE CERTIFIED NURSES.

THEN THEY'RE HARD TO LEAVE.

TOM, THANK YOU SO MUCH FOR THE PRESENTATION WE REALLY APPROACH.

SO YES.

UM, HAD A QUESTION ABOUT BILLING, HOW OUT YOU SAID 20, $30,000 A MONTH, BUT THESE PEOPLE ARE GETTING CHARGED THE THREE YEARS.

I CAN TELL YOU, YOU DON'T WANT TO OWN THIS TECHNOLOGY FAST.

THAT'S ALL SO EXCITED ABOUT THE DELL TECHNOLOGY.

ALSO, YOU DON'T WANT TO BE RESPONSIBLE FOR COUNTING THE CLAIMING RESPONSIBILITY BOARD AND MAKING SURE EVERYTHING'S WORKING PROPERLY IN THAT PRICE INCLUDE THAT TO THE SERVICES.

IF THEY'RE, SO YOU'RE SAYING THAT THIS WOULD BE SOMETHING THAT A MUNICIPALITY OR A COUNTY COULD USE.

YOU'RE TALKING MAINLY ABOUT INDIGENTS, ABOUT PRISONERS.

UH, SO THIS WOULD BE SOMETHING YOU'RE NOT ACTUALLY DOING BILLING FOR NORMAL CUSTOMERS.

YOU CAN, AND THERE IS AN OPTION FOR THAT.

YOU CAN HAVE IT WORKER.

UH, SO IT'S THE ENGINE HEALTHCARE AND THE REGIONAL WE HAVE, WE CREATED A CALL AND JUST TALK TO THE EMPLOYEES HERE, HAVE INDICATION, BUT YOU CAN PUT A BARCODE ON THE BACK OF IT.

THEN IF YOU THE MACHINE JUST LIKE YOUR CREDIT CARD.

SO YOU CAN GIVE THOSE OUT TO THE END OF GYPSY.

YOU CAN KEEP TRACK OF THAT WAY.

AND THEN GENERAL, YOU CAN HAVE ONE OF THE OPTIONS.

SO THESE ARE MORE FOR URBAN AREAS WHERE PEOPLE ARE THE RULES.

OKAY.

NOW ONE DAY WE CAN DO IT ALL OVER THE PLACE.

UH, LET'S SAY THE HOSPITAL SYSTEMS HAVE INVESTED BILLIONS IN BRICK AND MORTAR AND THEY CAN'T SUPPORT.

IT'S JUST OVER TIME.

THAT LITTLE CLINIC SAYS YOU HAVE, AFTER ALL YOUR DOCTOR, TWO DOCTORS NEVER , IT'S TOO EXPENSIVE.

[00:40:01]

THAT'S WHY I SAY 10 YEARS, THE MEDICAL SYSTEM IS GOING TO HAVE TO DO THAT BECAUSE THE COST, I CAN SEND YOU SOME QUESTIONS.

I'LL FIND.

IT JUST DOESN'T MAKE SENSE BECAUSE, UH, IN A RURAL AREA, MOST OF US DON'T HAVE, UH, UM, POLLING FACILITIES.

UH, MOST OF US DON'T HAVE LARGE BUDGETS.

MOST OF US DON'T HAVE LARGE INDIGENT WELL, , YOU'RE ALREADY SET ASIDE, BUT YOU CAN SAY THE CITY THAT YOU CONTRIBUTE OR $7,000 A MONTH, AND THAT THE CITIZENS OF YOUR CITY, YOU GOT FOUR CITIES IN CANADA.

EACH OF YOU WERE PAYING A PIECE.

YOU CAN ALSO DO.

IF SOMEBODY HAS INSURANCE, YOU CAN SET IT UP SO THAT IT'S REIMBURSED THROUGH THE CITY AND COUNTY EMPLOYEES OR THE LOCAL PROPOSER THAT SELF-ASSURANCE AS WELL.

AND THAT WILL HELP THEM BRIDGE THE COST OF MAJOR HOSPITALS THAT PEOPLE HAVE COVERAGE.

UH, WE'RE WORKING WITH THE IT'S THERE, WE'RE WORKING WITH AIRPORTS.

PEOPLE NEED CARE.

THEY ARE, AND IT'S JUST VERY CONVENIENT OR THE WAY THE DISCIPLINE, THE GUY.

WELL, I KNOW THIS IS AN INTERESTING SUBJECT.

EVERYBODY'S GOTTEN A BROCHURE AND TOM'S TOM'S CARDS IN THERE.

HE WANTS, HE WANTS NO LESS THAN 500 QUESTIONS OUT OF THIS MEETING.

SO, SO WE CAN, UH, I KNOW HE CAN GET US THE ANSWERS AND TOM, WE APPRECIATE YOU MAKING THE TRIP, UH, AS ALWAYS AS GOOD TO SEE.

THANK YOU AND HAPPY TO COME BACK HOME.

THANKS THREE VOTES.

SO IT'S THE COUNTIES OR CITIES WANTING TO ADD A ONE-ON-ONE I'M SAYING VERY GOOD.

THANK YOU, SIR.

ALRIGHTY.

MOVING ON

[7. San Antonio Food Bank - Rural Community Coalition SECURE initiative and partnerships; and briefing on the upcoming Securing Urban & Rural Communities in Southwest, Texas conference, scheduled for November 9, 2022. – Mario Obledo, Chief of Government Affairs & Public Affairs]

AND JUDGE, I CAN TELL YOU I'M MARIO COMES UP.

IF FOOD BANK HAS BEEN SUCH A GREAT PARTNER, NOT ONLY TO US, BUT JUST SO MANY OF OUR COUNTIES, PARTICULARLY IN THE LAST TWO YEARS.

SO MARIO HAS BEEN ACTIVELY ENGAGED IN A COLLABORATION WITH US WITH SOME OF THE RURAL OUTREACH AND PLANNING, AND THEN HE'S GOT A PHENOMENAL CONFERENCE COMING UP NOVEMBER 9TH.

SO HE'S GOT TO GIVE US A QUICK OVERVIEW OF BOTH OF THOSE.

THANK YOU, DIANE.

THANK YOU, CHAIRMAN.

THANK YOU ALL MORNING FOR THE RECORD.

MY NAME IS MARIO, I BELIEVE A FEW YEARS, CHIEF OF GOVERNMENT AND PUBLIC AFFAIRS AT THE SAN ANTONIO FOOD BANK ON BEHALF OF ERIC HOOVER, OUR PRESIDENT AND CEO, OUR BOARD OR ORGANIZATION.

JUST THANK YOU.

THANK YOU.

UH, DIANE AYCOCK FOR ALL THE SUPPORT THAT YOU GIVE, HELP RURAL COUNTIES AND FOR ALL THE PARTNERSHIPS OVER THE YEARS.

UM, AND, AND THANK YOU TO ALL OF Y'ALL WHERE YOUR PUBLIC SERVICE AND THE SUPPORT THAT YOU GIVE TO YOUR COMMUNITIES AND YOUR CITIZENS.

UM, WITH ME TODAY IN THE BACK AND HELPS ME OUT WITH EXTERNAL RELATIONS AT THE SAN ANTONIO FOOD BANK.

SHE'S BEEN A GREAT SUPPORT TO THIS WHOLE LAST YEAR.

UH, ALSO HERE TODAY IS JAY WITH THE SOUTH TEXAS BLOOD BANK AND EXTERNAL RELATIONS.

UH, THEY COVER A REGION, HAVE BEEN VERY SUPPORTIVE AS WELL.

AND THEN ANY BIT OF EITHER OF THE BAR THERE, UH, WITH WSA WORKFORCE SOLUTIONS OUT A COUPLE OF RELATIONS, AND WE PARTNERED WITH THEM AS WELL IN A LOT OF EFFORTS.

SO, BUT I THINK THAT VIRGINIA THIS MORNING, AND I DO WANT TO RECOGNIZE, UH, MCGILL'S AUDIENCE CRYSTAL, UH, DIANE, YOUR STAFF, YOUR TEAM, A GREAT SUPPORT SYSTEM TO US AS WE'VE BEEN NAVIGATING, UH, THROUGH COVID AND COMING OUT OF COVID.

UM, SO JUST REAL QUICK, LIKE, AS YOU ALL KNOW, THERE WOULD BE, SAY FOR PART OF FEEDING AMERICA, 200 FOOD BANKS ACROSS THE COUNTRY AND ROUGHLY ABOUT 25 MINUTES IN THE STATE OF TEXAS.

SO, UH, ALL 254 COUNTIES AROUND THIS NORMALLY SPEAKING FOR ABOUT 40 YEARS, WE COVERED 16 COUNTIES IN SOUTHWEST TENCENT, BUT, UH, RECENTLY WE TOOK ON AN ADDITIONAL 13 COUNTIES TO HELP OUT OUR SISTER FOOD BANK IN SAN ANGELO TO CONTROL VALLEY FOOD BANK, TEAL.

UH, YOU KNOW, OBVIOUSLY, SO YOUR COUNTY AND IN GILLESPIE UP NORTH, UH, IS, IS, UH, REPRESENTED HERE AND PARTICIPATE WITH AYCOCK.

NOW BOTH OF THOSE COUNTIES ARE OUTSIDE

[00:45:01]

UH HAS YOU COVERED WITH HER, UH, 10 OTHER COUNTIES AND THEN, UH, NORTHERN GILLESPIE, UH, THEY'RE THEY'RE PART OF THE CENTRAL TEXAS FOOD BANK UP IN BOSTON AND THAT FOOD BANK COVERS ROUGHLY ABOUT 20 COUNTIES PLUS, UM, YOU KNOW, AS I DESCRIBED THOSE FOOD BANKS AND WE WERE PART OF THE COUNTRY SAFETY NET, RIGHT? SO COUNTRY AND IN OUR STATE.

AND I CAN TELL YOU, AND YOU ALL PROBABLY KNOW, UH, WE'VE BEEN STRETCHED IN MANY, A TIMES, THE LAST TWO AND A HALF YEARS, UH, BUT WE'RE STILL IN ATTACK.

THEY'RE STAY IN STRONG BECAUSE OF OAKLAND AND THE SUPPORT THAT GOVERNMENT HAS PROVIDED TO US.

SO FEDERAL, STATE, AND LOCAL, UM, IF YOU WANT TO RECOGNIZE THE CITY OF SAN ANTONIO, UH, FOR ALL THE SUPPORT THAT THEY'VE GIVEN US AS WE MOVE FORWARD, UM, LAST YEAR AS WE WERE COMING OUT OF THE PANDEMIC, UH, WE THOUGHT WE WERE, UH, WE WERE PLANNING A ROAD SHOW.

IF YOU WILL, YEARS AGO, WE PARTNERED UP WITH A CLUB ON A SIMILAR TYPE OF EFFORT WHERE WE WERE OUT OF COUNTY AND BRINGING STAKEHOLDERS TOGETHER REGARDING FOOD INSECURITY AND FEDERAL NUTRITION, POLICY PRIORITIES, ET CETERA, THIS TIME AROUND, UM, WITH EVERYTHING GOING ON ACROSS THE WORLD, UH, INFLATION, EVERYTHING ELSE, THAT'S IMPACTING FAMILIES THAT ARE STRUGGLING.

UH, WE DECIDED TO TAKE ON A DIFFERENT EFFORT AND THAT, THAT HAS BEEN VERY SPECIAL.

UH, IT'S BEEN VERY STRATEGIC AND SPECIALIZED IN BRINGING STAKEHOLDERS TOGETHER, CITY AND COUNTY, BUT ALSO FOLKS LIKE BSOS IAN ISD, UH, LAW ENFORCEMENT AND OTHER KEY COMMUNITY STAKEHOLDERS THAT YOU GATHER AROUND THE TABLE IN OUR SERVICE TERRITORY, RURAL CAMPUS, UH, TO TALK ABOUT WHAT THEY'VE BEEN SEEING AND EXPERIENCING AS WE'RE COMING OUT OF THE PANDEMIC, BUT THE NEEDS ARE, ARE THERE ANY GAPS CAN BE SERVED AND FILL THOSE GAPS BETTER? UM, BUT ALSO BEING PREPARED TO BE INSECURE BECAUSE AS WE ALL KNOW, WE'VE SEEN THE PANDEMIC OF HURRICANE FIRE FLOODS, UM, HANDMADE DISASTERS, TRAGEDIES, LIKE A NEW VALLEY.

UM, HOW COULD WE COME TOGETHER AND PULL OUR RESOURCES TOGETHER, OPEN LINES OF COMMUNICATION TO BE IN FRONT OF THINGS THAT ARE COMING OUR WAY.

AND SO OUR RURAL COMMUNITY COALITION WORK, UH, AS, UH, AS OUT AND ABOUT RURAL COUNTIES, THERE ARE SEVERAL COUNTY DEPUTIES HERE.

UH, WE WANT TO RECOGNIZE JUDGE, JUDGE CURLY, SHERMAN, UH, CHRIS, AND I'D BE WANTING TO, UH, TO RECOGNIZE JUDGE, JUDGE JACKSON AND KYLE AT THAT POSTED US IN SOME OF THESE MEETINGS.

AND SO WE BROUGHT FOLKS TOGETHER.

WHAT WE WERE DOING IS GETTING A FEEDBACK, CONTINUE TO MOVE INTO A PROGRAMMATIC STAFF, TO SEE IF WE COULD START PLUGGING IN AND HELPING THESE COUNTIES AND COMMUNITIES IN A MORE, UH, EXPANSIVE WAY OR A BIGGER, BETTER WAY FOR THEIR FAMILIES, FOOD VENDORS THAT WE ALL REPRESENT.

AND SO, UM, ALONG THE WAITLIST OR SOME COUNTIES THAT, SO IT'LL REAL BRACES.

SO YEAH.

UM, BECAUSE OF THE MIDDLE RIO GRANDE AND HUB, UH, WHEN YOU TALK ABOUT SABALA YOU TALK ABOUT LASALLE AND YOU TALK ABOUT THREE OUTCOME, UH, BRINGING THOSE FOLKS TOGETHER, ALONG WITH THE RIDE.

AND SO DIANE, YOUR STAFF HAS BEEN VERY INSTRUMENTAL.

THEY'VE BEEN AT THOSE MEETINGS, WSA, THE BLOOD BANK HAS.

UH, AND SO, UH, I CAN TELL YOU THAT THE INFORMATION THAT WE GATHERED JUST COMING TOGETHER FOR A CONFERENCE IN NOVEMBER, THAT WE WANT TO MAKE YOU ALL AWARE OF.

AND SO ON NOVEMBER 5TH AND THE INFORMATION TO SAY TODAY, UP ON THE SCREEN, WE'RE GOING TO, THAT WE'RE GOING TO BE HOSTED AT THE FOOD BANK AND WE HAVE A GREAT , WHO'S AGREED TO DO IT.

UH, WE HAVE A GREAT GROUP OF FOLKS, UH, GOVERNMENT FOLKS FROM CITY COUNTY, STATE, AND FEDERAL THEY'RE GOING TO BE PARTICIPATING.

SO WE HAVE FOLKS FROM USDA'S OFFICE, REGION STAFF.

UM, WE ALSO HAVE TA HHSC.

UM, WE HAVE, UH, OTHER HOSTS, UH, REPRESENTATIVE ANDY MERCK AND CONGRESSMAN PRETTY QUICK, BUT WE HAVE A GREAT, UH, UH, SECOND OF ANIMALS, UH, TALKING ABOUT THE TEXAS ECONOMY, TALKING ABOUT BEING PREPARED, UH, TALKING ABOUT ISSUES THAT ARE IMPACTING, UH, FAMILIES AND INDIVIDUALS THAT YOU ALL SERVE.

SO, UH, PLEASE REMEMBER TO SAVE THE NAMES, UH, VERY IMPORTANT, UM, AS, AS A WRAP UP HERE, UM, I CAN TELL YOU THE LAST TWO AND A HALF YEARS OBVIOUSLY, BUT, UH, BUT THERE'S BEEN SO MANY CASES OF CALLS FOLKS NEEDING HELP IN SITUATIONS LIKE THE CITY OCCURRING RECENTLY, A MAYOR THAT YOU ACKNOWLEDGED EARLIER, UM, THAT NEEDED WATER, THE WILDWOOD DOWN HERE, DOESN'T MOBILIZE IT, DELIBERATE WATER, UH, RHEA COUNTY.

YOU DON'T CALL A MEETING WATER, SIT DOWN TO A LADY AND, AND CAMP WOULD, UH, ALSO FOR YOU ALL LIKE RECENTLY FOR WATER, FOR GARBAGE.

UM, AND THEN THE FIRES IN MEDINA.

AND ALSO ALSO

[00:50:01]

AND WE'RE AVAILABLE TO YOU ALL.

IF YOU EVER HAVE A NEED TO CALL TEXT TWENTY FOUR SEVEN MOBILIZE EITHER.

SO THE WAY THAT JUST WOULDN'T OPEN UP OR ANY QUESTIONS THAT YOU MIGHT HAVE, BUT LOOK FORWARD TO SEEING YOU ALL DAY ON NOVEMBER 9TH FOR OUR RURAL AND URBAN COALITION CONFERENCE.

MARIO, THANK YOU VERY MUCH.

ARE THERE ANY QUESTIONS? YES, SIR.

I JUST HAVE A COMMENT AND I'D LIKE TO SAY THAT, UH, UH, WHEN THE DECADE SORTS OUT SAN ANTONIO FOOD BANK IS GOING TO BE ONE OF OUR BIGGEST HEROES AND WE APPRECIATE EVERYTHING YOU'VE DONE FOR, TO HELP PEOPLE AT FIRST, COVID NOW IN THIS PERIOD OF INFLATION PEOPLE THAT ARE, THERE'S ALWAYS GOING TO BE PEOPLE THAT ARE HURTING AND THESE GUYS DO AN AMAZING JOB.

THEY'VE DONE A GREAT JOB FOR OUR COUNTY AND OTHERS AND DEEPLY APPRECIATE IT.

YEAH.

I'D LIKE TO ECHO THAT THE KERRVILLE.

YEAH, I, I JUST GOTTA SAY I, I WAS OVER THERE NOT TOO LONG AGO AND TOOK A TOUR OF THE FACILITY AND TELL YOU THE TRUTH.

I WAS, I WAS ACTUALLY SHOCKED, UH, ABOUT ALL THE EMPTY SHELVES WITHIN THAT FACILITY.

THEY GOT HUGE STORAGE FACILITIES AND THESE HUGE, UH, STORAGE BINS, BUT THEY WERE EMPTY.

AND, UM, I KNOW THAT WITHIN MY DISTRICT, WE HOLD FOOD DRIVES TO RE YOU KNOW, RAISE FOOD STOCKS AND THAT KIND OF THING TO SEND TO THE FOOD BANK.

BUT DO YOU, I DON'T KNOW.

I'M JUST ASKING THE QUESTION, DO THE OTHER COUNTIES DO THAT KIND OF THING TOO, FOR FOOD DRIVES THAT Y'ALL COME IN, COLLECT IT AND THEN BRING IT BACK TO THE FOOD BANK FOR DISTRIBUTION.

, WE'LL TELL YOU, GIVE US SEVEN COUNTIES, UM, SUPPORT US, UH, ON THE FRONT LINES AT THOSE DISTRIBUTIONS IN THEIR COMMUNITIES, UH, BRINGING VOLUNTEERS WITHOUT TO DO WHAT WE DO.

SO THAT'S A BIG INGREDIENT IN HELPING, UH, YOU KNOW, FIGHTING HUNGER, FEEDING HOPE TO THE RESIDENTS OUT IN SOUTHWEST TEXAS.

UM, BUT WE'VE HAD EFFORTS AND WE'VE BEEN LOOKING AT DOING, THEY ALWAYS INVITE, UH, IF THOSE ARE INTERESTED IN DOING A FOOD DRIVE OR GETTING INVOLVED, ROLLING UP YOUR SLEEVES, JUST CALL OR TEXT OR LET US KNOW.

AND WE'LL CERTAINLY COLUMBIA MAYOR OF KERRVILLE.

I KNOW YOU ATTEND OUR DISTRIBUTIONS OUT THERE AND YOU DELIVER FOOD TO HOUSEHOLDS THAT MAYBE HAVE A SENIORS OR DISABLED.

PHONE'S FINE.

SO THANK YOU FOR DOING THAT.

UM, I KNOW THAT PART OF YOUR EFFORT AS A FOOD, UH, THE FOOD BANK, I KNOW Y'ALL WERE TRYING TO GET AHEAD OF THE CURVE YEARS AGO BY GROWING SOME OF YOUR OWN FOOD.

HOW IS THAT EFFORT, UH, PLAYING INTO WHAT YOU'RE DOING RIGHT NOW? RIGHT.

SO WE DO FARM ABOUT 20, 30 PLUS ACRES ON OUR 40 ACRE CAMPUS AT THE SAN ANTONIO FOOD BANK.

UM, WE'RE GOING THROUGH A PROCESS WHERE OUR FARM TEAM IS STRUGGLING UNTIL THAT WORKED OUT, BUT WE DO A FARM ABOUT 50 PLUS ACRES DOWN ON THE EMISSION REACH STAFF AND STAFF THAT ALSO US AS WELL, WE DOING THAT, WE GET OUT, USE IT FOR NUTRITION, EDUCATION DEMOS, BUT ALSO GETTING THAT OUT TO CLIENTS.

UM, SO, BUT AS WE ALL KNOW, WEATHER CONDITIONS HAVE IMPACTED US IN MANNER.

UM, AND SO WE'RE, WE'RE, UH, TRYING TO GET THAT GOING AND TRY TO KEEP IT UP.

BUT, UH, YOU KNOW, VOLUNTEERS, WE RELY ON THE COMMUNITY TO COME HELP US, UH, GLEAN OR PLANT GOLD STUFF.

SO YOUR BOSS, I THINK THAT THEY'RE NOT.

YEAH.

AND I, I, AGAIN, I WOULD REALLY ENCOURAGE EVERYBODY TO SEE ABOUT DOING FOOD DRIVES BECAUSE AGAIN, I WAS JUST SHOCKED SEEING THOSE EMPTY SHELVES OVER THERE AND, AND REALLY, I MEAN, PEOPLE REALLY CONTRIBUTE WHEN YOU'RE ASKING FOR, UH, FOOD FOR THE FOOD BANK.

I MEAN, WE GET, WE GET LITERALLY TONS OF, UH, FOOD THAT ARE DONATED FROM, UH, PEOPLE THAT JUST WANT TO HELP, AND THIS IS ONE WAY TO DO IT.

SO WE HAVE GREAT COMMUNITY COUNSELING.

AND SO IN TIMES OF NEED, WHEN OUR SHELVES ARE EMPTY AND WE'RE TRYING TO FILL THOSE SHELVES AND FILL THE SHELVES, THAT'S OUR PANTRY PARTNERS THAT ARE OUT THERE HELPING WITH TIMES OUR CLIENTS WANT AT THE SAME COMMUNITY, ALWAYS FINDS A WAY TO STEP, STEP UP AND TO DONATE FOOD.

SO THERE'S A LOT OF ADVERTS ON THE WAY TO GET COMMUNITY INVOLVED AND GET THE FOOD INTO OUR INVENTORY.

THAT'S OUT IN THE COMMUNITY.

AND NOW SOUTHWEST, TEXAS, IT'S ALL, IT'S A BIG ENDEAVOR, BUT BIG UNDERTAKING, BUT IT MAKES A BIG DIFFERENCE.

SO WE REALLY APPRECIATE YOU BEING HERE TODAY.

AND WE LOOK FORWARD TO SEEING YOU ON THE 9TH OF NOVEMBER.

YES, SIR.

WELL, AT LEAST I'M CONTACTING PROBATION IN THE BACK OF THE GAIL AND TEAM.

IF Y'ALL HAVE ANY INTEREST IN VIRGINIA, JUST LET US KNOW.

WE'RE ALMOST, WE'RE ALMOST OUT.

THANK YOU AGAIN, SIR.

ALL RIGHT.

[8. Monthly Report - Diane Rath A. Staffing Updates B. Program Status and Operational Updates Area Agencies on Aging (AAA) Alamo Regional Transit (ART) External Affairs & Communications Intellectual & Developmental Disability Services (IDDS) Military and Veterans Affairs Natural Resources Public Safety Regional Services Environmental Conservation Weatherization Assistance Program C. Organizational Updates Building Update General Administration Policy Review Chief Financial Officer General Counsel]

[00:55:04]

I HAVE TO SAY MY BREACH DID NOT REALIZE WHAT SNEAKERS HE HAS COMING ON.

SO I WAS A LITTLE BIT, ALL OF WHOM WERE GOING TO BE MODERATING THAT DAY.

I'LL BE SURE TO PUT IT ON CALENDAR, VERY BUSY MATH AS WE USUALLY DO.

AND I'VE GOT TWO STAFF TO LIKE COMPLETE REPORTS.

I DO WANT TO MAKE SURE THAT YOU MEET OUR NEW MANAGER MILITARY TO THERAPIST.

JUDY IS SHE RETIRED CHIEF MASTER SERGEANT AT ATC, AND SHE HAS JOINED HER TEAM.

SO, AND THEN LIKE WORDS, THERE'S MY FOOT.

AND HE HAS JOINED HER INTO THE APARTMENT.

UM, WE HAD POSTED REALLY GOOD AT DANCING YOUR EDUCATION THERE FOR, I ALSO WANT TO BRING TO YOUR ATTENTION THAT YOU MIGHT SEE ON MY CPR AT SEVENTH AND NUMBER TWO CHANGE.

UH, WE LEARNED THAT SOME OF THE NUMBERS THAT PERIOD IN THE CPR THIS MONTH, UH, WE ALSO GOT FAR INTO JAIL LAST WEEK, UH, RAIN NEXT WEEK, ALL THE WAY UP, OR IT WOULD BE SEPARATE.

AND WE'RE REALLY TRYING TO CAPITALIZE ON THE ADDITIONAL TIME AVAILABLE TO, TO RELEASE A NEW CLUSTER THAT SEPTEMBER STARTED AGAIN.

SO TO KIND OF BUILD UP BOTH OF THOSE TWO WEEKENDS AND START RUNNING OUR AD CAMPAIGNS ONCE AGAIN.

AND CAN YOU GO ONTO OUR WEBSITE? YOU'LL NOTICE THAT IT IS REFRESH OUR NEW LIVES UP IT'S Y VERY WELL.

UM, AND THE LAST ITEM IS A REASONABLE WORK PAGE.

SO WE ARE WATCHING IT AGAIN, SOME VISUALS ORGANIZATIONS OR PROJECTS THAT SHOULDN'T BE HOLIDAYS FOR THIS YEAR'S AWARDS, UH, FACE TO FACE RIGHT HERE.

UM, THEY PRESENTED THEIR PERSON CENTER TRAINING TO THE BOOK IN HER ACCOUNT ON AUGUST 9TH.

AND I'M REALLY PLEASED THAT JACOB PRESENTED TO THE TEXT PROBATION OFFICERS ASSOCIATION, UM, OUR, OUR TRAINING PROGRAM FOR LAW ENFORCEMENT HAD FOR THOSE THAT ARE IN DETENTION.

YEAH.

UH, I HAD TO REALLY THINK AND ACKNOWLEDGED AND CQ ON.

THEN HE, WE HAD A GREAT TECHNICAL ASSISTANCE.

WE'RE A SHOP WE'RE REALLY TALKING ABOUT WHAT IS COMING TO THEIR COUNTIES, UH, WHEN WE ARE RECLASSIFIED TO MODEL FOR OZONE.

AND THEN, SO THE RISKS THAT WE'RE FACING THE PARTICULAR PATTERN.

SO THERE WILL BE SOME VERY LARGE CHALLENGES.

IT IS JUST, UH, TALKING ABOUT THE IMPACT ON INDIVIDUALS AND IN SMALLER BUSINESSES.

SO PHENOMENAL PRESENTATION.

UH, ALTHOUGH BUILDING, I HAVE TO SAY THAT CPA RA AGENT HAS LEASED OUT 6,000 SQUARE FEET, UM, AN INTENT IN THE AUGUST, SEPTEMBER.