►
From YouTube: Board of Health Meeting Recording for January 9
A
This
is
the
regular
meeting
of
the
Boulder
County
Board
of
Health
date
is
Monday
January
9,
2023,
Happy,
New,
Year
and
without
further
Ado
we
will
go
ahead
and
get
started.
As
you
can
see,
the
board
is
all
in
person
today
and
so,
but
we're
still
doing
hybrid
options
and
according
to
statute
and
bylaws,
so
happy
New,
Year
item
one
public
comments.
A
E
Okay
and
good
evening,
everyone
I'm
not
sure
if
somebody
has
a
hand,
would
always
introduce
this
or
not.
E
B
Yeah
is
there
is
that
Ryan?
Yes,
that
request
to
speak.
A
I
Did
is,
does
that
request
have
to
be
in
by
noon.
I
I'm,
sorry
about
that
yeah
thanks
much
anyways,
just
circling
back
I
saw
the
Boulder
County
Public
Health,
pushing
out
more
Meetup
for
the
Meetup
to
get
vaccinated,
yada
yada.
I
I
find
I
find
the
voice
coming
from
Boulder
County
Public
Health,
to
be
just
very
intellectually
lazy
and
very
one-sided.
All
throughout
covid,
now
I
find
that
very
unfortunate
I.
Don't
think
three-minute
comments
from
the
public
really
accomplish
anything,
but
you
do
have
a
large
contingent
of
the
community.
I
That's
dissatisfied
with
your
decision
making
for
the
past
two
years,
myself
included.
The
covet
vaccine
is
dangerous,
causing
severe
adverse
effects
left
and
right.
The
whole
narrative,
completely
unraveling,
and
yet
there's
no
mention.
There's
no
oh
pause.
There's
no
consideration
of
this
other
perspective
internally
at
Boulder,
County,
Public
Health.
You
guys
just
continue
down
the
same
road.
Everyone
needs
to
be
vaccinated
regardless
of
age.
There's,
never
any
adverse
effects.
I
I
just
I
just
find
it
to
be
true.
Just
unfortunate,
very
unfortunate.
You
can't
take
pause
or
try
and
Engage
The
Other
Side
I
was
vilified
during
this
time.
Due
to
all
the
restrictions
you
threw
around
left
and
right,
local
business
owner
I
spoke
with
plenty
of
others,
and
your
actions
were
very
predatory.
I,
don't
think
they
did
a
single
thing
as
reference
now,
if
you
were
to
drag
back
on
data,
lockdowns
did
not
help
at
all.
So
that's
just
an
example.
I
I
would
say,
try
and
expand
your
view.
Children's
Health
defense,
Steve
Kirsch,
lots
of
folks
that
are
challenging
the
CDC
on
their
official
narrative,
and
you
know,
quite
frankly
the
that
Steve
Kirsch
is
putting
up
data
that
the
CDC
is
publishing,
saying
your
own
safety
signal
for
death
was
triggered
by
this
vaccine.
Why
are
you
ignoring
it?
I
just
think.
I
That's
so
egregious
that
one
thing
anyways,
the
the
ongoing
Trump
charge
forward,
just
pushing
vaccines
endlessly
is,
is
very
tiring
to
the
community
at
large
I
think
you're
you're
well
past,
being
able
to
try
and
back
up
the
efficacy
of
them
and
they're
having
severe
adverse
effects
across
multiple
age
groups.
So
you
don't
have
to
look
worldwide
to
see
multiple
countries
rolling
it
back
so
again,
I
I,
don't
see
the
end
point
for
you.
I've
got
it
out
here
on
my
shirt.
Maybe
that's
a
better
one.
I
The
booster
game
will
never
end
and
I
think
the
efficacy
has
totally
Fallen
apart.
If
you
actually
look
at
the
Raw
underliners,
so
that's
been
really
unfortunate
as
long
as
you
continue
to
charge
down
to
your
lane
here
with
just
the
vaccine,
everyone
has
to
get
vaccinated
still
I
it
just
just
underlies
the
idiocy
and
clearly
we
can
see
where
your
dollars
are
coming
from,
but
it's
really
unfortunate
for
anyone.
I
That's
paying
attention
to
the
actual
notes
in
the
background,
so
so
to
that
or
anyone
that
listens
to
this,
please
do
not
listen
to
the
sole
guidance
of
this
group.
They've
been
very
one-sided.
All
in
all,
so
thanks
much
for
letting
me
get
on
I
hope
you
guys
change
your
view
or
get
some
opposing
viewpoints
in
there.
H
All
right,
I
am
very
happy
to
introduce
our
our
colleagues
in
the
commissioner's
office.
The
policy
team
led
by
Mark
resin.
Some
are
laws
our
former
colleague
of
Public
Health,
so
very
instrumental
in
a
lot
of
the
continued
Public
Health
work
and
another
colleague
from
public
health
Nick
Robles.
H
So
we
are
well
stacked
with
expertise
in
their
team,
so
they've
been
instrumental
in
helping
us
move
so
much
legislation
forward
for
many
many
years,
and
we
look
forward
to
an
incredibly
successful
year
this
year
as
you're
going
to
hear
things
are
definitely
lined
up
for
for
Success.
So
Mark
I'm,
not
sure
if
you're
kicking
things
off
for
your
team
but
happy
to
pass
it
to
you.
E
E
E
The
agenda
was
adopted
by
the
Commissioners
just
last
week
and
summer
Nick
and
I
are
going
to
talk
through
some
of
the
high
level
priorities
that
the
board
approved
last
week
and
some
of
you've
heard
this
presentation
before
you
know
that
this
document
provides
a
high
level
and
a
blueprint
guiding
the
efficacy
and
lobbying
efforts
of
the
county
team
down
at
the
Colorado
general
assembly,
both
the
work
of
the
staff
team,
as
well
as
our
fiscal
lobbyists
who
also
help
us
on
the
state
budget
side.
E
So
we
look
forward
to
talking
with
you
a
little
bit
more
about
the
agenda.
We
okay,
we
could.
Thank
you
Jordan
appreciate
that
the
State
Legislative
agenda
itself
is
a
tool
that
we've
been
utilizing
in
the
commissioner's
office
going
back
to
2010
and
it
identifies
a
diverse
set
of
core
County
legislative
and
state
budget
priorities
that
need
some
support
from
our
State
Legislative
delegation.
For
us
to
move
forward
and
or
achieve.
This
version
of
the
agenda
was
updated
over
the
course
of
the
some
fall
of
2022
included.
E
So,
as
I
said,
we
meet
with
all
departments
and
many
other
important
stakeholders
for
the
Commissioners
to
develop
the
agenda
itself
and
I
should
just
quickly
say
that
we
are
going
to
ping
pong
between
the
three
of
us
for
the
presentation,
so
I
believe
Nick
is
next
and.
J
Next
life
next
slide.
Thank
you
good
evening.
Board
of
Health
Nick
Robles
policy
advisor
just
real
quickly
about
the
legislative
delegation.
We
want
to
start
off
thanking
Boulder
County's
outgoing
delegation
members.
We
thank
Edie
Hooten
for
her
close
partnership
with
Boulder
County
and
especially
Boulder
County,
Public,
Health,
I.
J
Think
for
her
work
addressing
many
issues,
including
the
challenges
affecting
people
living
in
manufactured
housing
communities,
and
we
thank
Matt
Gray
for
his
leadership
on
transportation
funding
legislation
and
for
keeping
a
watchful
eye
on
the
impacts
of
legislation
on
local
governments
and
as
a
team.
J
We
look
forward
to
continuing
to
work
with
Tammy's
story
now
that
she
is
the
state
representative
elect
for
house
district
25
and
no
longer
represents
Boulder,
County
and
then
below
is
the
list
of
the
sworn
in
at
least
the
new
elect
newly
elected
sworn
in
today,
members
of
the
County's
State
Legislative
delegation,
who
will
be
representing
constituents
within
Boulder
County.
We
are
excited
to
have
the
opportunity
to
work
with
them
all
when,
for
you
know,
starting
today
and
for
the
next
120
days.
Thank
you
next.
D
J
D
They
will
just
note
that
resigned
yesterday,
there'll
be
a
vacancy
committee
working
to
fill
her
seat.
You
may
have
heard
so
I'm
at
summer
laws,
I'm
also
a
policy
advisor
in
the
commissioner's
office,
and
it's
great
to
see
you
this
evening.
We
wanted
to
talk
a
little
bit
about
our
legislative
principles.
D
D
We
turn
to
the
principles
and
occasions
where
it
feels
like
it's
important
for
us
to
engage
with
a
bill,
but
we
do
but
the
legislative
agenda
policies
themselves
provide
either
insufficient
or
no
guidance
on
a
particular
issue
or
what
policy
position
the
county
should
take.
So
these
serve
as
a
guidepost
also
for
examining
what
potential
outcome
could
be
of
any
potential
legislation.
The
next
slide.
D
Please-
and
this
examination
of
the
outcome
of
any
piece
of
legislation,
is
particularly
critical
as
it
comes
in
as
we
look
at
the
County's
commitment
to
racial
Equity,
with
the
board
of
County,
Commissioners
Direction
and
through
their
process
of
identifying
their
strategic
priorities.
We've
updated
our
legislative
principles
to
Center
racial
equity,
racial
equity
and
Equity
are
part
of,
as
I
mentioned,
the
county
strategic
priorities
and
we
hold
this
principle
Primary
in
a
review
of
each
piece
of
legislation
and
consideration
of
a
position.
D
The
next
Sky
please
and
then
I'm
gonna
talk
about
a
few
legislative
parties
and
then
I'll
pass
it
over
to
to
discuss
it,
both
others.
So
here's
we're
highly
being
a
few
of
our
legislative
priorities.
This
doesn't
address
everything
that
we
have
prioritized
for
this
next
session,
we've
passed
out
a
handout
that
will
also
make
available
I
think
we
can
developed
through
the
packet,
but
I'll
touch
on
housing
and
child
welfare.
D
As
you
well
know,
affordable,
housing
and
housing
is
a
critical
issue
in
our
community
and
across
the
state,
and
we've
long
taken
positions
on
legislation
that
help
support
increasing
the
stocks
of
permanently
affordable
housing,
making
housing
more
accessible,
addressing
renters
in
shoes,
especially
as
it
relates
to
vulnerable
renters
rights,
and
also
working
on
Manufacturing
Housing
legislation.
Though
quite
a
bit
of
funding
was
there
was
a
quite
a
bit
of
ARCA
funding
or
American
Rescue
plan
act,
funding
invested
in
affordable
housing
last
session.
D
We
still
expect
to
see
quite
a
bit
of
movement
in
this
area
and
then
also
child
welfare
is
an
area
where
the
county
is
particularly
engaged.
As
you
know,
the
Child
Protection
Services
are
within
our
County
government
services,
housing
and
human
services
department,
and
we
feel
that
all
children
deserve
a
safe
and
permanent
and
loving
home,
and
so
quite
a
bit
of
legislation
will
be
seen
this
year
related
to
child
welfare,
and
we
expect
to
engage
and
with
that
I
would
pass
it
over
to
Nick.
J
Yes,
thank
you
summer.
So
speaking,
oh,
if
we
can
go
back
to
the
sorry,
yeah
yeah.
Thank
you
so
we're
gonna
jump
a
little
bit
deeper
to
environment
and
oil
and
gas
and
the
insurance
reform.
J
So
the
top
environmental
legislative
priorities
for
this
year
include
legislation
to
address
ongoing
ozone
non-attainment
in
the
Denver
metro
region
and
greenhouse
gas
emissions
from
various
sources
across
the
state.
We
know
that
a
number
of
bills
will
speak
to
the
climate
crisis
and
air
quality
and
we're
engaging
on
that
legislation.
J
We're
particularly
supportive
of
legislation
that
will
bring
much
needed
near-term
emission
reductions
to
help
resolve
our
ozone
problem,
reduce
greenhouse
gas
emissions,
sequester
carbon
and
support
collaborative
efforts
between
the
state
and
local
governments
to
link
Transportation
Planning
with
land
use
and
housing
in
terms
of
oil
and
gas.
Boulder
County
was
heavily
engaged
with
the
effort
to
that
led
to
the
passage
of
Senate
Bill
181
in
2019
that
brought
much
needed
reforms
to
how
Colorado
regulates
the
oil
and
gas
industry
for
the
2023
account
session.
J
We
looked
to
see
revisions
to
Colorado's
Force,
pooling
regulations
to
increase
protections
for
publicly
held
mineral
rights,
and
we
expect
to
see
legislation
introduced
in
2023
to
address
this
need
in
terms
of
the
homeowners,
insurance
reform
and
Bolton
County
Public
Health
knows
this
well,
just
as
the
Four
Mile
and
cowboy
Fighters
did.
The
Marshall
fire
again
revealed
the
need
for
homeowners
insurance
reforms
to
ensure
that
coloradans
have
access
to
homeowners,
insurance
and
importantly,
appropriate
fire
coverage.
That
accurately
reflects
the
cost
to
rebuild.
J
J
Oftentimes,
these
changes
cannot
be
effectively
implemented
without
adequate
and
sustainable
funding.
Secondly,
we
have
seen
many
attempts
to
save
coloradans
money
by
reducing
fees.
We
support
free
relief
as
it
relates
to
career
opportunities
or
economic
relief
for
those
economically
disadvantaged.
We,
but
we
feel
that
fees
should
be
maintained
or
increased
to,
where
appropriate,
to
address,
State,
Staffing
or
other
program
needs
and
to
ensure
that
regulated
Industries
pay,
the
fees
that
allow
regulatory
programs
to
reach
cost
recovery
next
slide.
Please.
D
I
think
we've
we've
expressed
here
previously
that
we
work
closely
with
budget
lobbyists
from
policy
matters
for
a
lot
of
our
lobbying
efforts
at
the
Joint
budget
committee
and
down
at
the
legislature,
and
that's
just
to
ensure
just
as
Nick
mentioned,
that
the
county
has
adequate
funding
for
many
of
the
programs
that
we
administer
for
the
state.
D
Our
our
team's
engagement
starts
with
that
process
in
the
year
prior
to
any
legislative
session.
We
work
with
many
partners
to
share
our
County
priorities
with
the
state
departments,
key
stakeholders
and
the
joint
budget
committee,
and
then
we
continue
our
advocacy
efforts
through
the
development
of
the
governor's
budget.
The
budget
supplemental
process
which
has
started
this
month
and
also
the
development
and
passage
of
the
long
bill.
D
So
I'll
just
highlight,
as
I
mentioned,
a
few
of
those
priorities
as
you're
probably
well
aware
of
County
Human
Services
Department
helps
administer
programs
like
Medicaid
snap,
also
known
as
food
stamps,
TANF
and
other
programs
that
are
critical
to
supporting
people
with
lower
incomes,
especially
which
has
been
especially
important
during
this
time
of
inflation
and
increased
cost
of
living
recently,
there's
both
the
nine
news
and
CPR
reports
of
severe
delays
in
receiving
SNAP
benefits
in
some
parts
of
Colorado
due
to
Staffing
shortages
and
even
though
Boulder
County
is
currently
understaffed.
D
We
are
not
experiencing
delays,
but
our
staff
and
Human
Services
are
working
nights
weekends
over
time
to
try
to
make
sure
that
people
are
receiving
their
much-needed
benefits
and
time
on
time.
So
we
believe
in
providing
that
prompt
and
effective
public
service
is
critical.
So
we're
going
to
be
pursuing
a
budget
supplemental
to
address
counties,
what's
called
a
County
Administration
to
help
cover
those
costs
so
that
we
can
continue
to
retain
and
recruit
Workforce
in
that
area.
D
Additionally,
there's
a
priority
for
local
public
health
agents
agency
funding
this
session
with
the
with
the
joint
budget
committee
and
just
ensuring
that
we
continue
to
receive
much
of
the
unable
work
closely
with
Jennifer
miles
on
that
effort,
because
we
know
similarly
that
public
health
has
been
challenged
with
retaining
and
recruiting
staff,
just
like
many
other
Employers
in
Colorado
and
then
finally,
we'll
continue
to
lobby
for
funding
that
supports
Wildfire
mitigation
to
prevent
catastrophic
wildfires
in
our
communities.
As
we
know,
investments
in
in
mitigation
or
prevention
saves
lives,
property
and
firefighting
resources.
E
Next,
thank
you.
So
the
County's
advocacy
work
at
the
Capitol
is
built
on
a
foundation
of
collaboration
and
coalitions,
as
you
saw
on
the
previous
slide.
We
have
eight
members
of
the
general
assemb
of
the
100
members
total
that
represents
some
portion
of
Boulder
County
in
the
house
and
five
I'm.
Sorry,
five
in
the
house
and
three
in
the
Senate.
E
We're
actually
excited
to
see
Tammy's
story
having
moved
over
to
the
house.
So
now
it
feels
like
we
have
even
one
more
member
in
the
house
because
she
spent
so
many
years
representing
Boulder
County
on
this
on
the
senate
in
the
Senate
and
now
we'll
be
in
the
house
for
the
next
two
years
over
the
course
of
the
legislative
session,
we'll
Lobby,
probably
150
bills
or
so
of
the
600
or
so
that
are
introduced,
and
then
we'll
be
working
with
our
fiscal
lobbyists
to
Lobby
the
full
but
state
budget
package.
E
E
Undoubtedly,
you
saw
calfo
on
that
list
as
a
partner
Organization
for
the
county.
Our
commissioners
and
staff
play
a
key
role
in
leading
the
work
of
counties
and
Commissioners
acting
together,
ccat
as
well
as
Colorado
communities
for
climate
action
cc4ca.
So
those
two
organizations
and
the
organizations
listed
below
are
great
opportunities
for
the
county
to
leverage
its
influence
at
the
Capitol
and
and
move
policy
and
bills
in
the
direction
that
we'd
like
to
see.
So
we're
excited
to
work
with
calfo.
E
We
have
worked
with
Jennifer
miles
in
a
variety
of
ways
over
the
years
and
it's
just
a
real
pleasure
to
work
with
Lane
and
Joe
and
the
entire
Public
Health
Team
on
issues
that
overlap
and
are
supported
by
the
Commissioners
and
meet
goals
and
priorities
with
Commissioners
as
well
as
public
health.
So
we
have
a
great
working
relationship
have
had
for
years
and
look
forward
to
continuing
that
in
the
next
session.
E
E
It's
going
to
be
kind
of
crazy
for
the
next
120
days
it
it
will
lots
of
big
questions
being
asked
by
legislators
down
there
it'll
be
interesting
to
see
the
interplay
between
the
general
assembly
and
the
governor
it'll
be
interesting
to
see
if
the
governor
changes,
this
approach
to
governance.
Now
that
he's
in
a
second
term
and
not
longer
in
this
first
term,
theoretically
anyway,
not
running
for
office
in
Colorado,
but
maybe
elsewhere,
I,
don't
know.
So
it's
just
going
to
be
really
interesting
to
watch.
E
We
have
a
clear
set
of
priorities,
which
is
what
the
ledge
agenda
gives
us.
That's
what
we'll
be
focusing
our
time
and
energy
on.
We
look
forward
to
working
with
public
health
in
that
Journey
over
the
next
120
days,
and
we
look
forward
to
continuing
to
report
back
to
you
all
on
that
work.
E
In
addition
to
just
the
accessibility
of
the
public
health
staff,
because
we'll
be
emailing
in
some
cases,
probably
daily
on
things
that
are
happening,
Down
Under,
the
gold
dump
so
happy
to
answer
any
questions
about
the
agenda
itself,
the
work
that
we
do
in
each
part
of
the
county
and
the
Commissioners
and
happy
to
be
here
this
evening.
Thank
you.
C
So
two
questions
mentioned
in
this
legislative
priority
list.
It
mentions
anticipated,
like
legislation
around
air
quality.
Do
you
know
what
that's
going
to
look
like
like
how
they're
going
to
try
to
address
air
quality
or,
if
I'm,
not
economic,.
D
Is
because
Cindy
Copeland
is
our
expert
in
air
quality.
Who
is
our
expert
now
who
is
currently
at
a
conference
in
DC,
and
she
would
normally
answer
the
details
behind
that
legislation,
but.
E
In,
in
short,
we're
working
to
buttress
them,
work
of
the
air
quality
control
commission
and
the
state
implementation
plan
that
they
adopted
in
December,
which
we
know
is
woefully
inadequate.
So
you'll
see
legislative
efforts
to
add
some
more
teeth
to
the
SIP.
There's
an
interesting
Nuance
here
in
Colorado
in
respect
to
the
state
implementation
plan
for
ozone,
that's
different
than
many
other
states.
E
The
general
assembly
actually
has
to
approve
that
zip
that
was
adopted
by
the
aqcc
and
might
provide
some
opportunities,
at
the
very
least
for
legislators
to
weigh
in
on
the
quality
of
the
Sip
that
was
adopted
to
buy
the
aqcc
and
plans
for
moving
forward,
and
we
know
there's
a
lot
of
work
happening
in
2023,
Greg
you're
very
familiar
with.
E
What's
going
to
be
happening
in
that
space,
so
we'll
see
maybe
two
or
three
or
four
bills:
that'll
speak
to
directly
to
air
quality
that
relate
to
the
ozone
non-attainment
and
Emissions
reduction
in
general
and
Cindy's,
been
at
the
table
and
all
those
bills
helping
draft
those
bills.
E
Ironically
enough,
representative
Burnett
was
leading
much
of
that
work,
and
so,
where
that
will
go
from
now
is
a
bit
unknown.
Although
tour
credit,
rep
Burnett
was
setting
the
table
for
other
legislators
to
take
up
her
bills,
knowing
that
it
was
likely,
she
wouldn't
be
able
to
continue
so
so
I
wouldn't
say.
Perhaps
there's
a
little
bump
in
the
road
there,
but
I
think
we'll
be
okay
and
that
legislation
will
move
forward.
But
it's
primarily
going
to
be
focused
on
bringing
some
teeth
to
the
SIP
that
was
adopted
by
the
eqcc.
C
That's
one
other
question:
just
you
know,
usually
you
can
anticipate
one
or
two
sort
of
big
pieces
of
legislation.
They're
going
to
be
battled
out.
What
do
you?
What
do
you
think
those
are
going
to
be
on?
What
do
you,
anticipating
that's
going
to
be
on
this
year?.
D
D
I
think
that
what
we
did
for
the
movie,
we
talked
about
housing
that
we
know
that
there's
going
to
be
legislation
that
speaks
to
the
inner
section
of
land,
use,
housing,
Transit
climate,
but
also
local
governance,
and
how
how
that
plays
out
at
the
local
level
and
there's
several
conversations
being
led
by
the
executive
branch.
D
That
topic
and
so
I
think
that
may
be
one
of
the
biggest
pieces
of
packages
that
comes
forward
currently
we're
hearing.
That
would
be
three
bills
and
we're
hearing
about
different
components,
but
we
really
feel
strongly
that
local
government
should
be
at
the
table
just
because
we're
in
the
business
of
implementing
and
have
kind
of
the
general
idea
of
obviously
what
works
and
what
doesn't,
but
also.
D
A
So
it's
a
it's
is
it
would
I,
be
correct
in
saying
that
the
state
is
trying
to
push
for
a
more
expansive
involvement,
not
just
relying
on
local
control
or
hearing
locals.
Go
no.
No,
don't
tell
us
what
to
do,
especially
if
you're
not
giving
us
money,
because
otherwise,
you've
got
a
smattering
of
locals
who
are
moving
the
needle
and
then
you've
got
others
who
said
we
don't
want
anything
to
do
with
it.
K
E
As
you
all
know,
Colorado
is
built
on
the
foundation
of
local
control
and,
if
the
state's
going
to
step
into
a
policy
space,
it's
got
to
feel
really
compelled
to
do
that.
And
there
are
many
people
from
the
governor
on
down
who
feel
that
the
situation
around
housing
around
Transportation
has
reached
a
point
where
the
state
needs
to
step
in
and
engage
rather
than
just
setting
goals
and
priorities
and
hopes
that
the
locals
will
Implement.
E
Some
local
governments
will
be
much
more
open
to
that
message
than
others
and
it'll
be
very
interesting
to
see
how
that
conversation
plays
out
at
the
Capitol.
But
you
put
your
finger
on
it.
Greg.
That's
generally
going
to
be
the
discussion.
And
yes,
if
you
hear
yeah,
it's
going
to
be
really
that's
one
of
those
pieces
that
will
be
really
interesting
and
former
Board
of
Health
member
Sonya
Hawkins
Lewis
is
in
the
mix
in
these
conversations,
it's
quite
possible
that
she
will
be
running
one
of
the
bills
that
may
emerge
from
these.
E
G
D
I
do
work
closely
with
mental
health
Colorado,
but
I
would
say
that
mental
health
Colorado
this
and
they're,
probably
one
of
the
largest
Statewide
organizations,
especially
that's
engaged
in
legislative
work.
This
session
they're
running
a
bill
that
I
I'm
not
sure
how
I
think
there
will
be
challenges,
given
the
fiscal
note
of
the
bill,
but
they
want
to
really
expand
access
to
Behavioral
Health
Services
for
children,
youth
on
Medicaid,
for
issues
that
kind
of
Encompass
the
whole
social
determinants
of
Health
Spectrum.
D
So
it
would
be
less
difficult
for
that
for
folks
to
be
able
to
access
Behavioral
Health.
So
that
would
be
something
that
we're
supporting
they're,
also
trying
to
address
stigma
around
mental
and
Behavioral
Health,
Access
and
also
Eating
Disorders,
but
in
terms
of
big
work,
around
Behavioral
Health
with
the
behavioral
health
administration
still
going
through
all
their
rulemaking
and
structuring
or
finding
that
most
people
are
engaging
at
that
level
and
so
with
other
counties.
D
We're
we're
meeting
with
the
PHA
director
monthly
just
to
kind
of
weigh
in
on
what
we're
seeing
at
the
local
level
in
terms
of
access,
because
there's
still
so
many
challenges
and
how
is
that
going
to
play
out
in
their
process
of
developing
the
BHA
I?
Think
one
criticism
was
it
created
a
lot
of
administration,
but
really?
How
are
we
going
to
see
the
access
addressed
so
I'd
say
that
those
are
kind
of
the
two
places
were
most
engaged
right
now
did.
D
Health
bills
she
will
probably
be
bringing
through
she
I
know
that
she's
bringing
several
pieces
of
legislation
for
that.
We
were
engaging
with
almost
every
single
one
of
those
bills
because
of
her
work
on
the
interim
Committee
of
treatment
of
persons
within
the
criminal
justice
system
of
those
with
Behavioral
Health,
mental
health
or
substance
abuse
disorders,
she's,
bringing
a
couple
of
bills
for
that
way.
Around
competency,
juvenile
competency,
we're
engaging
on
a
bill,
that's
more
related
to
child
welfare,
that
she's
running
and
there's.
M
D
A
D
And
for
the
state
to
address
lph
funding
and
what
account
I
think
is
trying
to
attain
is
basically
to
double
that
that
was
a
smaller
amount,
but
just
to
ensure
that
the
increase
kind
of
covers
I
I,
think
it
was
a
provider
rate
increase
but
also
covers
all
the
funding
that
lphas
received,
not
just
a
portion
of
it.
So
that's
what
she's
Pursuit
that
helpful
is
pursuing
now
and
then
another
thing,
that's
kind
of
interesting
with
the
state
budget
this
year
is
that
the
provider
rate
increase
is
really
variant
across
departments.
D
Usually
you
see
a
provider
rate
increase,
that's
the
same
across
all
departments,
and
so
there's
a
lot
of
this
disparity
I
would
say,
and
that
provider
rate
increase
just
covers
anything
the
state
might
be
paying
for
outside
of
what
the
state
service
is
and
so
like
for
hick
puff,
we
saw
0.5
percent
increase
for
a
lot
of
providers
and
in
Department
of
Human
Services
on
the
two
percent.
With
you
know,
keeping
in
mind
that
we
had
approximately
seven
percent
inflation
last
year.
E
So
it's
just
leave
potentially
the
leaner
times,
not
to
mention
that
we
have
the
impending
end
of
the
public
health
emergency
right.
So
there's
going
to
be
a
lot
of
pressure
put
on
locals
and
government
in
general
and
if
we
see
an
economic
downturn
and
an
increase
in
demand
for
State
Services,
while
of
course
the
revenues
are
going
in
the
opposite
direction,
it
makes
for
a
really
difficult
space
to
work
in
and.
E
Are
the
voters
shoot
ourselves
on
the
foot
all
the
time
it
seems
like,
but
so
those
are,
those
will
be
some
of
the
Dynamics,
but
with
the
significant
majorities
in
the
Democratic
caucus
in
both
Chambers,
it's
like
it's
possible.
You
may
see
some
serious
conversations
around
Tabor
and
trying
to
get
out
from
under
some
of
the
some
of
the
hamstrings
that
have
been
put
on
the
state
budget
and
the
state
budgeting
process.
E
We'll
see,
though
right
I
mean
those
are
big,
big
issues
to
deal
with
and
but
but
perhaps
now,
with
those
sizable
majorities
there's
space
to
have
those
conversations
in
a
serious
way.
We're
thankful
that
Steve
fenberg
is
still
the
Senate
President
he's
a
great
Ally
for
the
county
and
does
a
great
job
managing
the
Senate
and
through
CCAD
and
other
relationships.
We
have
good
working
relationships
with
the
speaker
and
leadership
in
the
house,
so
I
think
we're
well
positioned
to
be
part
of
conversations,
and
hopefully
influential
in
conversations
staff.
E
But
but
our
commissioners
as
well
and
I
should
add.
Ashley
stoltzman,
who
will
be
sworn
in
tomorrow,
is
very
active
as
on
the
local
level
and
in
the
local
government
sphere,
of
course,
being
on
the
Lewisville
City
Council
on
Lewisville
mayor
for
the
last
number
of
years.
So
all
three
of
our
commissioners
are
taking
leadership
roles
in
the
legislative
space
and
we're
looking
forward
to
having
working
with
them
and
moving
having
them
engage
with
some
of
these
conversations
that
are
moving
forward
at
the
state
level.
E
A
Morning
other
questions,
thank
you,
yeah,
it
should
be
should
be
a
good
time
this
session.
The
the
other
thing
to
remember
right
is
sometimes
you
have
to
introduce
the
ideas.
A
So
if,
if
the
groundwork
gets
laid
this
time,
then
the
refinements
can
happen,
and
hopefully
next
session
will
have
a
better
handle,
hopefully
on
the
revenues
and
the
willingness
to
be
even
more
Progressive
So
yeah.
Thank
you.
H
And
Greg
our
our
ask
of
staff,
is
the
the
Board
of
Health
also
adopt
those
legislative
priorities
which
helps
the
staff
in
public
health,
be
nimble
and
react
and
and
move
forward
on
legislation,
and
it
also
keeps
us
pretty
consistent
policy
wise
with
our
commissioners
and
again,
I.
Think
that
legislative
document
is
very
encompassing
and
has
has
really
the
the
key
areas.
Public
health
is
focused
on
as
well.
C
The
other
thing
I
just
want
to
add,
because
this
came
up
last
year
and
Lane
you
had
sent
some
communication
to
the
board.
It
was
really
helpful,
but
if
there
are
opportunities
for
the
board
to
support
the
work
that
you're
doing
at
the
Capitol,
either
by
emailing
or
testifying
or
whatever
those
are
it's
great
for
us
to
know
about
this.
So.
G
A
J
A
All
righty
I
think
this
next
item.
Kate.
Can
you
help
us
with
this
next
item?
So
is
this
to
be
what
remind
me
Kate
what
was
Lexi's
appointment
timeline?
It
sounds
like
we
need
to
extend
that
when
did
it
expire
or
does
it
expand?
Has
it
expired
yet.
N
I
I
would
need
to
take
a
look.
Can
we
maybe
like
Circle
back
to
me
or.
C
B
C
C
A
Well,
just
just
to
recap
in
case
folks,
don't
know
so
this
is
my
last
eight
months.
Seven
months
on
the
board
I
am
termed
out.
This
is
my
11th
year:
I
actually
got
to
serve
an
extra
year
because
I
filled
somebody's
vacancy
so
and
with
the
important
business
of
hiring
a
new
executive
director
to
able
to
lead
this
organization
forward.
A
A
Foreign
ly.
Morgan
McMillan
is
our
vice
president.
That
doesn't
mean
that
she
has
to
move
up
if
she
doesn't
want
to.
But
you
know,
I'll
leave
it
up
to
you
folks
to
discuss.
C
Right,
I
I
do
think
you
think
well,
if
whoever's
serving
in
the
president
role
is
in
that
role
when
the
new
Ed
starts,
so
that
we
don't
like,
if
they
start
in
may
yeah
and
you're
still
president,
and
then
that
transitions
a
couple
months
later,
that
doesn't
feel
like.
That
makes
a
lot
of
sense
right,
but.
B
I'm
thinking,
okay,
you
can
chime
in
too
much
if
I
don't
think,
there's
any
like
legislation
or
like
limits
or
bylaws
yeah
Kate.
Is
there
anything.
A
Down
no
but
I
mean
if
I
transitioned
out
in
June
I
mean
I
could
do
that
anyway,
it's
happened
before
so.
Okay.
Well,
that's
that's
an
interesting
concept.
You
know.
I
would
just
say
that
I,
like
Lexi,
serving
as
an
interim
until
the
position
is
filled
I
would
be
willing
to
serve
as
president
until
the
position
is
filled,
but
once
that
person
starts
then
I
want
to
transition.
A
C
O
K
N
So
we
do
actually
have
some
detailed
bylaws
in
this
area,
not
to
say
that
can't
have
a
discussion
reach
a
consensus
at
this
meeting,
but
the
bylaws
do
provide
that
board
officers
will
be
elected
annually
at
the
October
meeting
or
at
the
first
board.
Meeting
after
the
occurrence
of
a
vacancy
involving
a
board
officer,
newly
elected
officers
shall
assume
office
at
the
conclusion
of
the
meeting
at
which
elected,
so
the
official
election
would
take
place
at
the
meeting
after
Greg
vacates
the
office
and
Greg.
You
can
step
down
from
president.
G
K
A
A
And
then
you
would
officially
do
the
next
president
at
that
time,
but
it's
also
possible
that
you
know
you
would
get
somebody
in
here.
Let's
say
August
right,
because
they'll
have
to
recruit
for
my
position
in
advance
with
them.
You
may
have
a
new
board
member
in
the
mix
and
depending
on
their
expertise
and
experience,
they
might
yeah.
O
A
A
But
now
I'm
fine
to
keep
things
going
the
way
they
are
for
the
foreseeable
future.
A
A
Status
quo.
Well
that
was
an
interesting
agenda
item.
Okay
and
then
we
are
on
to
item
six
on
the
director's
report.
A
We
haven't
ever
discussed
the
director's
report
in
a
couple
months,
mainly
due
to
time
constraints
but
feel
free.
We
do
have
a
little
bit
of
time
now.
F
Sure,
just
that
baby
up
and
remind
myself,
so
we
did
talk
a
little
bit
about
some
of
the
experiences
of
the
holidays,
which
were
you
know,
Lively.
As
for
the
usual
in
Boulder
County,
since
I've
been
here,
I'm
happy
to
answer
any
questions
we
Joe
malinowski
and
Bill
Hayes
we're
representing
bcph
at
the
Boulder
City
council
meeting
last
Thursday
to
answer
questions.
F
So,
let's
start
to
answer
to
answer
questions
about
the
interpretation
of
the
findings
of
Mets
residue
in
the
library
we
are
currently
working
on
some
risk
communication
for
the
public
that
will
help
them
better
understand
what
level
of
risk
this
presents.
F
F
F
I
have
been
working
hard
on
having
conversations
with
the
County
Commissioners
I've
had
I've
been
able
to
have
someone
on
one
conversations
with
them
about
what
some
of
our
priorities
are,
and
we
are
looking
at
how
we
can
continue
to
build
relationships
between
the
Board
of
Health
and
the
Commissioners
in
the
coming
year.
We've
got
some
ideas
that
you'll
be
hearing
about
soon.
F
The
Regional
opioids
Council
did
pass
a
first
round
of
funding
with
some
very
appreciated
asks
that
were
approved
from
Boulder
County
Public
Health,
and
we
should
be
able
to
share
those
soon
and
you'll,
hear
more
soon
from
Lane
and
Heather
about
how
we
are
also
kind
of
taking
the
list,
not
just
the
County's
priority
list,
but
breaking
it
down
into
a
little
bit
more
detail
of
what
Boulder
County
public
Health's
own
legislative
interests
are
how
we're
going
to
track
that
and
bring
it
back
to
you
all
with
specifics,
going
forward,
I'm
happy
to
answer
any
other
questions,
or
we
have
our
our
teams
online.
F
F
Right,
that's
right.
There
were
a
couple
of
spots
where
there
were
readings
that
were
above
the
threshold
or
doing
something
the
highest
ones
were
75
micrograms,
but
you
know
we
get
regular
readings
in
houses
that
are
in
2000.
So
it's
all
relative,
there's
some
interesting
challenges
with
the
way
that
the
regulations
are
written,
that
we're
starting
to
take
a
closer
look
at
in
terms
of
you
know.
What's
the
evidence
base
for
human
harm?
That's
what
that's!
What.
E
K
G
Don't
think
this
was
specific
to
Joe's
presentation,
but
just
to
be
cautious
as
a
community
health
department,
as
we
just
talked
about
image
and
things
like
that
with
that
right,
not
to
minimize
the
community
concern
that,
regardless
of
the
amount
of
meth
that
was
smoked,
there
is
an
issue
that
meth
was
to
move
to
the
library.
I.
Just
think
people
sometimes
feel
like
it's
being
minimized
and
that's
what
I
yeah.
K
I
mean
I,
don't
want
to
minimize
the
myth
issues
in
the
community,
but
it's
sort
of
like
it's
akin
to
the
the
accusations
or
the
allegations
that
police
officers
are,
are
getting
high
and
and
not
breathing
because
they
touched
a
patient
who
had
used
fentanyl
that
pretty
much
have
been
disproven
and
I
and
I.
Just
worry
about
you
know,
there's
more
fear.
Around
substance
use
I
mean
not
saying
that
we
shouldn't
be
addressing
substance
use,
but
it's
if
you're
not
using
directly.
It's
really
not
I.
F
F
So
there
are
some
interesting
questions
about
where
the
standards
came
from
and
who
developed
them.
We
are
currently
collecting
a
lot
of
the
evidence
base
as
much
as
we
can
find,
including
how
to
effectively
communicate.
It
I
think
I
think
Brooke
that
your
points
are
very
well
taken.
It
doesn't
feel
good
to
be
told.
Oh
yeah,
we
found
that,
but
don't
worry
about.
L
It
well
that's
everywhere:
I
mean,
if
you
go
to
the
bathroom
in
McDonald's,
you're,
probably
exposed
to
more
less
than
the
public
library,
but
they're
not
checking
for
it.
C
F
O
F
I
think
it.
You
know
this
incident
made
some
national
news
and
there
is
quite
a
response.
That's
happening
nationally.
That
I
think
is
going
to
drive
a
spotlight
onto
the
issue
and
onto
a
re-examination
of
the
standards,
maybe
with
a
finer
tooth,
comb
and
they've
had
before
yeah,
okay,.
C
If
there's
and
again
I
like
can
I
throw
this
out
only
if
it's
helpful,
if
there's
an
opportunity
for
the
board
to
support
a
communication,
also
like
a
guest
piece
in
the
camera
or
something
that
goes
out
on
next
door,
that
sort
of
also
offers
some
follow-up
to
these
are
the
actual
health
risks
versus
you
know,
and
these
are.
This
is
a
larger
problem
in
our
community.
That
needs
to
be
addressed.
A
B
A
Went
through
that
with
fentanyl
and
the
Transit
Police
and
the
police
on
and
the
bus
drivers-
and
it's
just
like
you
know-
I'm,
not
the
expert
on
that,
but
you
know
just
talking
to
various
people.
It
seems
like
that's.
Where
we
came
out
in
the
end.
Was
the
level
of
risk
was
low?
It
wasn't
that
it's
an
issue,
it's
not
an
issue.
It's
the
level
of
risk
was
low.
K
G
Exposure
I
I
agree,
like
I,
agree
with
all
of
this,
and
you
definitely
want
to
let
people
know
what
their
actual
level
of
risk
is,
but
again
I'd
be
very
careful.
It
has.
There
has
been
a
perception
that
it
has
been
presented
as
at
the
meth
smoking
in
the
bathroom
is
not
an
issue
and
that
testing
did
occur
after
meth.
Smoking
was
observed
in
that
restroom
now
I
understand
now
it's
spiraling
out
of
control
where
everybody
wants
to
test
everything,
but
just
I
think
it's
a
very
fine
line.
K
Used
the
library
with
kids
I:
don't
want
people
smoking
in
the
bathrooms
and
maybe
having
a
key
like
some
sort
of
process
to
get
into
the
bathrooms.
That's
what
we
need,
but
I,
think
the
absolute
risk
to
the
community
in
entering
the
bathrooms
is
exceptionally
low.
I
understand
that
one
and
I
think,
but
but
I
think
those
are
two
separate
issues.
Yeah.
O
Read
Lexie:
would
this
be
an
opportunity
to
maybe
get
a
future
board
meeting,
bring
the
work
that
public
health
is
doing
around
when
I'm
trying
to
say
addiction
and
substance,
use
drugs,
yeah
and
just
maybe,
as
a
reminder
of
the
things
we're
doing
that
that
you
know
and
tangentially
are
addressing
some
of
the
concerns
that
this
race
raises,
because
it's
not
just
about
a
specific
incidents.
Of
course
athletes
in
general
right
so.
F
Yes,
and
certainly
middle
Behavioral
Health
is
a
top
priority
for
bcph
this
year.
We
have
programs
that
work
in
that
space.
What
we
don't
have
is
a
unified
strategic
plan
nor
one
that
is,
you
know,
really
kind
of
beautifully
connected
to
the
work
of
our
partners
and
that's
what
we're
trying
to
get
towards
this
year.
The
other
challenge
is
that
almost
all
of
our
funding
in
this
space
is
Grant
funded,
and
it's
not
enough
to
even
begin
to
touch
the
need.
F
F
So
we're
trying
to
think
carefully
about
how
we
resource
this
suddenly
urgent
needed
need
that
you
know.
Has
you
know
it's
not
it?
Doesn't
it's
not
Beyond
us
to
recognize
that
Colorado
has
you
know
we
know.
Colorado
has
not
done
a
good
job
of
funding
the
space,
we're
51st,
but
it
is
absolutely
at
the
top
of
our
list
of
priorities
for.
O
K
I
think
it's
really
challenging
because
there's
not
a
suboxone
for
meth
and
the
debate
in
the
in
the
addiction
world.
Around
harm
reduction
for
Mass
often
involves
prescription
of
other
stimulants,
because
almost
half
of
people
who
use
math
chronically
are
diagnosed
with
ADHD.
So
there's
a
lot
of
overlap
there
and
a
lot
of
debate,
but
there's
a
lot
of
discomfort
in
the
medical
community.
Pickens
that
tell
you
around
prescription
stimulants
to
help
right.
That's
and
there's
no
I,
don't
think.
There's
a
public
health
department
level.
K
F
Highlighting
yeah
and
I
I,
you
know
that
is
what
we
are
working
on:
we're
hoping
to
have
a
public
health
Improvement
plan
to
share
with
you
all
in
the
spring.
F
We
certainly
do
have
programs
now
that
work
on
prevention,
particularly
with
youth
as
well
as
harm
reduction,
but
but
it
is
feeling
like
the
current
conversation,
is
getting
a
little
outside
of
the
work
that
we
have
been
resourcing
and
committing
to,
but
I
think
it
yeah
I
think
as
we
as
we
get
a
little
bit
further
along
it'll,
be
great
to
share
with
you
kind
of
what
our
our
established
programs
are,
as
well
as
where
we're
trying
to
deepen
and
connect
some
of
the
work.
K
O
O
I
just
want
to
just
want
to
publicly
thank
the
staff
during
the
holidays.
We
got
a
astounding
email
about
all
of
the
things
that
were
going
on
during
a
time
when
many
people
are
off
work
and
enjoying
time
with
their
families
and
the
staff
clearly
is
working
very
hard
on
a
lot
of
really
critical
issues
for
the
community.
So
I
just
wanted
to
personally
say
thank
you
to
the
staff
for
everything
you
guys
did
during
that
time.
Always
thank
you,
but
that's
a
particularly
difficult
time
to
be
working
that
hard.
C
I
have
one
other
question
about
that
healthy
kids,
Colorado
survey,
I
think
I,
don't
know
if
you
work
on
that,
but
or
if
there's
two
Elise
is
on
there.
Okay,
great
well,
so
and
because
years
ago,
same
brand,
Valley
Schools
opted
out
of
the
survey
great.
What's
the
status,
they
still
do.
They
do
their
own
survey.
They.
M
Still
conduct
their
own
internal
survey,
we
have
tried
for
many
years
to
see
the
survey
to
get
results
from
the
survey.
Some
of
it
is
shared
at
their
school
board
meetings,
but
it's
not
shared
out
publicly
and
they
don't
coordinate.
C
M
Cooperate
with
Public
Health
on
that
it's
not
shared
out
with
any
Partners
outside
of
the
district.
As
far
as
I'm
aware,
just
what
we've
been
able
to
glean
through
specific
projects
that
we've
worked
put
them
on.
One
of
our
managers.
Jax
Gonzalez
with
the
Oasis
program,
is
now
on
the
St
brain
Equity
committee
that
they
have
so
we're
hopeful
that
some
information
will
be
shared
through
through
that
space.
C
M
The
way
the
day
was
presented
and
shared
out
and
there
had
historically
been
some
comparisons
between
the
two
districts,
so
I
have
not
seen
any
movement
around
change.
I
know,
Lexi
was
maybe
gonna
approach.
District
leadership
to
just
have
a
renewed
conversation.
F
M
A
M
You
a
questionnaire,
and
they
share
out
parts
of
it
usually
each
year
and.
M
F
But
advancing
MBH
through
our
Partnerships
with
the
schools
is
obviously
you
know
it's
a
really
important
part
of
the
way
that
we
do
the
work
and
so
I
think,
insofar
as
pcph
is
hoping
to
take
a
deeper
dive,
hoping
to
capture
some
additional
resources
to
develop
in
that
space
there
may
be.
You
know
there
could
be
some
new
opportunities
for
us
to
collaborate,
Sanford.
M
Has
been
really
interested
in
discussions
around
student,
mental
health
and
we've
had
some
monthly
meetings
with
our
district
leadership
that
some
of
our
Mental
Health
related
non-profits
are
also
a
part
of
just
just
to
talk
about
how
to
support
students
and
staff,
and
they
last
year
was
the
first
time
in
several
years,
they'd
hosted
one
and
they're
hosting
again
in
March
a
resource
fair
for
all
of
their
counselors
and
interventionists
to
learn
about
what,
like
mental
health
type
resources
that
exist,
so
we're
still
furthering
the
work.
Yeah.
C
D
A
Other
question
on
directors
report
all
right:
let's
see
old
and
new
business,
so
speaking
of
surveys,
I
was
curious.
A
Does
the
colony
or
the
department
do
like
I,
don't
know
what
you
call
them
pulse
surveys,
engagement,
surveys,
surveys
of
the
staff
to
feel
like
you
know,
get
a
sense
for
what
things
are
going
well
and
what
things
aren't?
Yes,.
F
And
in
fact,
the
county
just
finished,
not
only
the
analysis
of
the
staff
engagement
survey
from
a
number
of
months
ago,
but
the
group's
recommendations
that
could
include
16
recommendations
on
what
we
can
do
to
strengthen
staff
engagement,
which
I
was
planning
to
include
in
our
next
director's
report.
Meeting.
If
that's
of
interest,
if
you'd
like
some
time
on
the
agenda
to
talk
about
it
too,
we
can
do
that.
It's
up
to
you,
I've
been
trying
to
keep
the
agendas
pretty
light
for
you
right
now,
knowing
how
way
leads
on
to
way.
F
A
A
O
O
A
F
F
M
Just
thought
about
that
today,
with
our
Public
Health
Associates,
rcdc,
behavs
and
they're
gonna
work
on
taking
that
data
and
putting
it
in
a
more
digestible
format
and
I
think
we
talked
about
having
it
done,
February
2nd.
So
that
would
be
spring
time
just
in
time
and
I
apologize,
I
have
a
soccer
game.