►
From YouTube: April 26, 2022 Public Health Advisory Committee
Description
Additional information at:
https://lims.minneapolismn.gov
C
A
Ready.
Thank
you.
Thank
you
for
my
cue
good
evening.
Everyone,
my
name,
is
jerome
evans
and
I'm
one
of
the
co-chairs
of
the
public
health
advisory
committee.
Before
we
begin
I'd
like
to
note
that
this
meeting
includes
the
remote
participation
of
members
is
authorized
under
minnesota
statute,
section
13d.021
due
to
the
declared
local
health
pandemic.
D
F
A
C
B
A
And
approved,
moved
and
approved.
That's
what
I
like
to
hear
all
right.
We
are
gonna
move
into
our
presentation,
but
just
before
I
introduce
our
presenter,
who
I'm
very
excited
about
I'm
gonna,
let
you
know,
as
you
receive
by
email
from
margaret
today
after
the
presentation,
we're
gonna
go
around
we're
gonna,
ask
three
questions,
probably
one
at
a
time
question
one:
what
was
your
gut
level
reaction
to
this
presentation
in
one
or
two
words,
preferably
question
two?
A
What
new
insight
did
you
get
from
this
presentation
and
then
finally,
does
this
report
resonate
with
p
hacks
priorities?
Now
I'm
really
excited
to
introduce
dr
nathan
chomolo.
Hey
there
how
you
doing
yeah,
okay,
you
are
to
unmute
and
I'm
going
to
read
the
bio.
Once
again,
sir.
I
am
reading
your
bio,
dr
nathan.
A
Chobolo
is
medical
medical
director
for
the
state
of
minnesota's,
medicaid
and
minnesota
care
programs,
senior
equity
advisor
to
the
commissioner
of
the
minnesota
department
of
health
and
a
general
pediatrician,
and
an
internal
health
medicine
hospitalist
with
park,
nicolette
health
services
and
health
partners,
and
I
may
have
missed
some
items
on
your
resume
and
I
apologize
for
that.
Welcome.
A
I
I
From
the
perspective
of
the
state
of
minnesota,
the
department
of
human
services
really
recognizing
that
trauma.
Medical
abuse
and
discrimination
have
happened
to
our
black
native
and
american
indian
communities,
other
communities
of
color,
those
who
live
with
disabilities
or
identify
as
lgbtq
plus
now
that's
led
to
distrust
in
medicine
and
social
service
providers
and
contributed
to
the
inequities
we're
going
to
talk
about
here
today,
and
so
the
work
of
equity
and
anti-racism
really
requiring.
That
would
be
actively
committed
to
rebuilding
that
trust.
I
And
then,
since
we're
talking
about
policy
good
to
think
about
what
anti-racist
policy
looks
like,
and
so
it's
dr
ewa
max
kendy
has
coined
it
any
measure
that
produces
or
sustains
racial
equity
between
racial
groups
and
then,
where
does
equity
fit
into
this
well.
Health
equity
is
defined
as
the
absence
of
unfair
and
avoidable
or
remediable.
Differences
in
health
among
population
groups
defined
socially,
economically,
demographically
or
geographically,
as
defined
by
the
world
health
organization.
I
I
think
it's
important
to
remember
that
you
know
focusing
on
racial
equity
is
not
a
zero-sum
tactic.
It
really
actually
improves
policies
and
programs
for
all
and
really
is
an
alignment
with
our
stated
goals,
as
we
see
in
governor
tim
walls,
very
first
executive
order
on
establishing
the
one
minnesota
council
on
diversity,
inclusion
and
equity,
which
stated
that
all
medicines
should
be
provided
the
opportunity
to
lead
healthy
fulfilled
lives.
I
Dr
martin
luther
king
jr
noted
that
of
all
the
forms
of
inequality
and
justice
and
health
is
the
most
shocking
and
the
most
inhuman
while
dr
evelyn
hammons,
the
historian
at
harvard
has
noted,
there's
never
been
any
period
in
american
history
where
the
health
of
blacks
was
equal
to
that
of
whites.
Disparity
is
built
into
the
system,
and
that
is
how
we
want
to
set
the
frame
for
a
report,
because
this
is,
of
course
not
news
to
many
in
our
communities
in
minnesota.
I
Dr
samuel
myers
from
the
university
of
minnesota
coined
the
term
minnesota
paradox
to
describe
how
minnesota
can
have
one
of
the
highest
qualities
of
life
for
white
misons,
as
depicted
by
this
famous
time.
Cover
of
governor
wendell
anderson
well,
african-americans
are
worse
off
in
minnesota
than
they
are
virtually
every
other
state
in
the
nation.
As
we
look
at
high
rankings
for
education
and
health,
we
often
see
different
rankings
when
we
look
by
communities
along
lines
of
race
in
minnesota.
I
So
this
report
makes
the
case
that,
for
black
minnesotans
in
particular,
this
inequity
stems
from
a
system
that
has
been
built
over
hundreds
of
years
in
large
part
by
policies
that,
while
they
often
didn't
explicitly
use
the
words
race
or
target
black
or
american,
indian
or
other
marginalized
groups,
when
they
were
carried
out
and
put
into
practice,
were
explicitly
racist,
for
example,
the
redlining
of
neighborhoods
and
so
for
black
minnesotans.
The
consistent
denial
to
the
same
opportunity
for
housing,
education,
nutrition,
healthy
neighborhoods
and
justice
under
the
law
is
contributed
to
the
disparities
we
see.
I
And
so,
when
examining
how
we
got
here,
it's
really
important
to
internalize
the
distinction
between
an
inequity,
which
is
an
instance
of
injustice
or
in
fairness,
and
a
disparity
which
is
the
noticeable
and
usually
significant
difference
or
dissimilarity.
So
structural
racism
is
therefore
the
inequity
that
leads
to
racial
disparities.
I
And
given
the
inequities
that
black
minnesotans
face,
it's
not
so
surprising
that
we
see
worse
health
outcomes
for
both
adults
and
children
as
depicted
on
the
left
and
on
the
right
in
the
report.
We
note
that
u.s
born
black
communities
are
predominantly
descended
from
individuals
subjected
to
child
slavery,
jim
crow
segregation,
mass
incarceration
and
police
violence,
disadvantaged
neighborhoods,
less
wealth
and
less
opportunity,
which
has
all
been
shown
to
lead
to
chronic
intergenerational
stress,
and
these
features
of
structural
racism
have
contributed
to
the
racial
health
disparities.
We
see
today.
I
And
so
the
report
looks
to
build
off
of
great
work
already
done
around
equity
in
dhs.
More
broadly
much
of
it
started
by
our
committee's
leadership
council,
which
emphasizes
our
commitment
to
advancing
equity,
reducing
disparities
in
dhs
program
outcomes
and
improving
access
to
human
services
for
all
communities
experiencing
inequities
and
its
foundation
was
the
health
and
all
policies
approach
with
the
goal
of
having
a
human
centered
design
framework
that
considers
health
beyond
the
absence
of
disease,
but
to
a
complete
state
of
physical,
mental
and
social
well-being.
I
And
so
this
really
compels
dhs
staff.
That
committees
experiencing
inequities
be
consulted
when
programs
are
designed,
implemented
and
evaluated,
and
one
step
that
we've
been
doing
within
minnesota
medicaid
has
been
trying
to
operationalize
a
racial
equity
assessment.
When
we
look
at
policies
and
budgets
and
and
really
re-examining,
you
know
how
we
engage
community
as
we
put
forth
policy
and
budget
proposals.
I
But
to
really
re
really
utilize
racial
equity
assessments
to
really
be
led
by
the
community.
We
had
to
have
a
different
understanding
of
how
investments
in
and
cuts
to
our
programs
and
policies
impacted
communities
differently
in
minnesota,
and
so
we
worked
with
lynne
blewett
and
her
shop
at
shade
act
to
look
at
how
minnesotans
get
access
to
health
care
and
how
that
is
different,
based
off
of
your
racial
identity
and
so
on.
I
However,
if
we
look
at
communities
by
race,
we
see
a
different
picture,
and
so
in
2019
41
and
a
half
percent
of
black
minnesotans
got
their
coverage
through
medicaid
or
minnesota
care,
39
of
american,
indian
and
alaska
native
minnesotans,
29.5
of
hispanic
or
latino
minnesotans,
20
of
asian
minnesotans
and
9
of
white
minnesotans,
and
so
really,
if
we're
trying
to
address
health
equity,
we
can
try
to
address
racial
equity.
Medicaid
is
a
really
crucial
part
and
it's
even
more
notable
for
children
in
minnesota.
I
I
Boxes
are
the
boxes
where
that
condition
had
the
highest
prevalence
amongst
groups
and
then
light
gray
is
either
the
second
or
third
highest
prevalence,
and
what
we
see
quite
clearly
is
when
we
looked
at
african
americans,
even
though
the
average
age
of
enrollees
that
we
looked
at
here
was
the
same.
Roughly
35
u.s
born
black
african-americans
had
higher
rates
in
every
adverse
outcome
than
those
who
immigrated
to
the
u.s,
in
particular
between
the
groups.
I
Rates
of
things
like
asthma,
heart
disease
and
depression
were
three
times
higher
for
u.s
foreign
african-americans
and
overall
they
had
some
of
the
highest
rates
of
all
conditions
in
the
group,
and
so
given
the
distinct
current
and
historical
contexts
that
have
contributed
to
the
health
of
black
communities
in
the
us
and
in
order
to
focus
on
specific
community
strengths
and
the
opportunities
to
build
racial
equity.
From
their
perspective,
we
chose
to
focus
this
report
on
u.s
born
black
communities.
I
Then
we
also
note
in
the
report
that
neither
black
immigrant
nor
u.s,
born
black
communities
are
monolithic.
The
experiences
of
black
minnesotans
can
and
do
vary
by
their
geography,
income,
sexual
orientation
and
gender
identity
and
the
other
communities
and
beliefs
they
identify
with.
However,
the
impact
of
structural
racism
is
felt
by
all
to
varying
degrees,
and
so
this
is
what
guided
the
focus
of
this
report.
I
So,
to
start
to
meet
that
at
the
onset
we
had
conversations
with
black
minnesota
community
leaders,
members
of
the
black
minnesota
community
and
those
who
are
working
to
improve
racial
health
equity
in
health
care,
about
the
scope
and
goals
of
the
report.
And
we
framed
it
through
four
levers
that
you
see
there
on
the
left
and
we'll
go
through
in
just
a
bit
here,
but
eligibility
enrollment
access,
quality
and
early
opportunities,
and
so
from
there.
I
So
we'll
talk
a
little
bit
about
these
levers
and
what
are
some
of
the
pieces
that
we
found
looking
both
in
talking
to
community,
but
also
looking
at
the
literature
about
these
levers
and
how
they
impact
racial
equity
in
medicaid?
First
is
eligibility
enrollment
so
who
is
eligible
for
medicaid?
What
is
the
process
for
enrollment
for
re-enrollment?
I
But
we
know
that
folks
who
go
on
and
off
medicaid
that's
not
distributed
equally,
and
so
we
cited
two
different
surveys:
one
that
looked
at
income
volatility,
and
so
your
income
from
week
to
week
or
month
to
month
goes
up
and
down.
And
that
impacts
your
eligibility.
Because
if
you
make
a
certain
amount
of
money,
then
you'll
be
asked
to
verify
that
and
and
potentially
lose
your
medicaid
coverage
or
have
to
be
switched
to
a
more
costly
coverage.
I
And
this
really
echoed
with
community
when
we
talk
to
them.
There's
a
lot
of
examples
of
how
the
process
for
enrolling
and
finding
out
if
you're
eligible
can
be
confusing
or
complicated.
How?
Even
if
you
enter
into
that
process,
that
communication
on
your
status
could
is
often
poor
and
not
knowing
where
your
application
is
impacted.
I
Whether
or
not
you
could
go
get
care
and
then
a
real
desire
to
understand
how
we
can
keep
people
enrolled
who
are
eligible
and
that
that
not
letting
red
tape
be
the
reason
that
folks
lose
coverage
and
lose
access
to
health
care.
And
we
did
hear
about
some
solutions
so
of
a
former
work
back
in
2016
interviewing
committee
members,
who
told
us
that
working
with
navigators
really
helped
and
was
really
valuable,
particularly
for
people
who
didn't
have
a
computer.
I
The
second
lever
is
access,
and
so
you
have
your
insurance
card,
but
can
you
actually
access
the
care
you
need?
Do
you
have
geographic
access
or
physical
access?
Do
you
have
transportation
to
to
a
provider?
Do
you
have
providers
that
have
your
shared
lived
experience
or
shared
culture
and
you
feel
safe
and
getting
cared
there?
I
Do
you
have
access
to
specialty
care
like
behavioral,
health,
mental
health
or
dentistry,
and
we
know
from
data
stemming
back
now
well
over
a
decade
that
folks
served
by
our
programs
have
had
barriers
to
access?
As
you
see
here,
55
reported
just
general
access
barriers
and
49
reporting
feeling
barriers
due
to
discrimination.
So
this
that
was
described
as
unfair
treatment
due
to
gender
ability
to
pay
enrollment
in
medicaid
or
race,
ethnicity
or
nationality.
I
And
we've
tried
to
further
understand
what
some
of
those
barriers
might
be
by
including
different
questions
in
our
patient
satisfaction
surveys,
and
so
these
are
the
surveys
that
go
out
to
our
medicaid
enrollees
every
year,
and
this
is
from
2021,
where
we
added
a
question
about
in
the
last
six
months.
How
often
were
you
informed?
You
showed
up
too
late
to
an
appointment
to
still
be
seen,
and
this
is
to
kind
of
get
at.
I
I
I
You
can
see
some
of
the
quotes
there
from
participants
in
our
community
conversations
about
not
feeling
hurt
or
not
feeling
treated
the
same
as
other
patients,
and
so
there's
a
lot
of
ideas
that
they
also
provided
as
ways
that
we
could
look
at
things
like
our
data
to
identify
the
number
of
providers
that
are
practicing
culturally
relevant
care
or
who
identify
by
race
or
ethnicity,
with
the
communities
that
they
serve
and
think
about
solutions.
That
way.
I
I
I
That's
been
done
for
over
a
decade
now,
minnesota
community
measurements
looks
at
our
data
and
looks
at
different
quality
metrics
to
see
how
our
enrollees,
who
are
served
by
match
care
organizations
and
on
medicaid,
do
versus
minnesotans,
who
are
served
by
managed
characterizations
that
aren't
on
medicaid,
and
what
you
see
here
is
just
one
example
of
a
pattern
we
see
across
the
board,
and
that
is
the
yellow
bar.
There
is
those
who
get
their
insurance
through
private
insurers
versus
the
blue
or
green
bar
there.
I
I
And
so
this
again
camp
touches
on
what
has
actually
been
described
in
literature
is
a
healthy
immigrant
effect.
It's
seen
in
the
u.s,
it's
been
seen
in
canada.
It's
been
seen
in
europe
where
there
is
some
thought
to
be
some
selection
bias
for
folks
who
are
healthier
end
up
making
the
trek
over
here,
but
there's
also
a
real
impact
of
generations
of
structural
and
equity
and
structural
racism,
and
that
is
what
we
believe
is
being
captured
here
and
again.
I
And
so
you
can
see
on
the
box
there
that
that
was
the
results
from
one
of
the
surveys
from
our
community
conversations
about
which
calls
to
action.
You
know
they
were
most
excited
about
and
it
really
was
proposals
around
continuous
enrollment
or
addressing
eligibility
and
enrollment,
and
so
those
are
all
the
these
are
the
three
different
reports
of
call
sorry
reports
calls
to
action
and
we'll
kind
of
go
through
them
a
little
bit
more
here,
but
we
do
want
to
note
that
you
know.
I
None
of
these
calls
to
action,
seek
to
create
medicaid
funded
services
that
are
racially
exclusive.
Really.
What
we're
looking
to
do
is
recognize
the
long
overdue
need
to
ensure
policies,
programs
and
the
administration
of
each
are
done
with
awareness
and
action
towards
racial
equity,
and
when
you
look
through
the
report,
you
saw
that
we
also
tried
to
frame
it
around.
Why
does
the
problem
exist
and
what
has
medicaid
done
to
address
it
and
then
provide
the
calls
to
action
to
continue
to
improve.
I
So
you
know
to
really
try
to
address
that
and
to
really
hold
ourselves
more
accountable.
We
did
include
these
accountability
call
out
boxes
after
each
call
to
action
in
the
report-
and
you
know,
medicaid
policy
is
really
complex
because
it
is
a
federal
program
and
there's
federal
rules
and
regulations
that
get
set
by
the
u.s
congress
and
the
u.s
federal
agencies.
It's
a
state
program,
so
there's
pieces
of
it
that
gets
set
by
the
state
legislature
and
then
our
state
dhs
agency.
I
And
then
it's
really
carried
out
in
cooperation
with
many
different
partners
right
and
so
what
we
really
try
to
do
is
land
on
things
that
we,
as
dhs
in
that
scheme
can
really
be
held
accountable
to.
You
know
recognizing
that
there's
many
different
ways
to
get
to
racial
equity.
It's
not
you
know
which
tool
we're
using,
but
it's
the
outcome
that
matters
and
so
to
put
forward
outcomes
that
we
thought
would
help
us
reflect
the
calls
to
action
and
the
work
here.
I
So
our
first
call
to
action
is
around
simplifying
and
supporting
enrollment
and
renewal,
and
so
we
provided
some
examples
of
what
minnesota
dhs
has
done.
Support
for
navigators,
particularly
during
the
pandemic,
where
the
legislature
did
change
some
incentive
monies
that
the
navigators
couldn't
get
because
of
some
of
the
broad
policy
changes
in
response
to
the
pandemic,
to
grant
funds
so
that
they
could
continue
to
operate
and
serve
minnesotans
and
we're
continuing
to
work
on.
How
do
we
inc
prove
accessibility
to
medicaid
application
in
line
with
other
dhs
programs?
I
And
so,
if
you
hadn't
heard,
there's
a
new
portal
called
minnesota
benefits,
and
that
is
a
way
to
sign
up
for
a
number
of
different
dhs
supports
and
services,
and
so
we're
working
to
try
to
get
medicaid
to
be
one
of
those.
So
essentially,
you
can
really
have
a
one-stop
shop
for
all
of
your
dhs
programs
and
and
having
medicaid
part
of
that
would
be
really
critical
and
then
maintaining
enrollment
during
incarceration.
I
I
These
are
also
also
sometimes
referred
to
as
continuous
enrollment
policies,
and
this
allows
that
once
someone
is
signed
up
and
deemed
eligible
that
they
remain
eligible,
regardless
of
any
changes
in
circumstances
for
up
to
12
months
at
a
time,
and
so
this
is
actually
available
for
children
on
medicaid
and
32
states
already
offer
this
for
their
children
on
medicaid.
So
minnesota
is
behind
on
that,
and
so
our
first
recommendation
is
that
minnesota
catches
up
and
implements
that
as
soon
as
possible.
I
We
talked
a
little
about
here:
the
importance
of
access
to
health
care
resources
and
other
resources
and
supports
in
early
childhood
and
so
really
making
a
case
that
in
those
first
critical
years
of
life,
we
want
all
our
children
to
have
the
best
opportunity,
and
so
we
should
they
should
all
be
kind
of
universally
covered.
Essentially
and
then
we've
basically
had
continuous
eligibility
for
more
than
24
months.
I
During
the
coped
pandemic,
we
had
continuous
eligibility
in
place
since
the
cares
act
was
passed
in
the
spring
of
last
year
and
that
really
saves
on
administrative
costs
and
keeps
people
connected
to
care.
And
so
again
this
would
be
open
to
everyone.
But
we
know
from
the
data
that
likely
would
be
disproportionately
beneficial
to
our
u.s
born
black
minnesotans.
I
Second
was
supporting
navigators
and
helping
them,
simplify
the
enrollment
and
renewal
process,
and
so
putting
forth
funds
to
continue
to
support
the
work
that
navigators
do
and
actually
thinking
about
a
plan
that
would
ensure
eligible
black
minnesotans
gain
or
maintain
medicaid
coverage,
particularly
as
we
come
out
of
the
public
health
emergency
and
we're
going
to
have
to
go
back
to
some
normal
processes.
How
do
we
make
sure
that
we
don't
see
a
disproportionate
impact
in
who
gets?
Who
loses
access
to
the
health
care
coverage
because
of
administrative
barriers.
I
Our
second
call
to
action
was
around
access
to
culturally
relevant
care,
and
so
a
couple
examples
of
things
we
have
done.
We've
attempted
to
foster
more
culturally
relevant
care
via
non-licensed
paraprofessionals,
who
are
more
likely
to
reflect
the
diversity
of
their
patients,
and
so
things
like
doulas
and
community
health
workers,
and
so
we've
also
tried
to
launch
several
grants.
I
So
to
address
generations
of
structural
inequity
is
really
going
to
require
sustained
intention,
which
is
why
our
second
call
to
action.
The
first
part
of
it
is
investing
in
an
internal
structure
that
has
a
specific
focus
on
u.s
bored,
black
minnesotans,
and
so
this
dedicated
internal
structure
could
provide
a
direct
connection
to
u.s
born
black
medicaid
enrollees
community-based
organizations
and
other
institutions
to
inform
and
co-create
policies
and
programs
that
really
tried
to
elevate
strengths
and
address
inequities.
I
They
could
work
to
make
sure
that
our
efforts
at
dhs,
as
well
as
other
c
agencies,
like
the
department
of
health,
are
really
leveraging
all
available
funding
sources
to
close
gaps,
engaging
physicians
and
other
providers
on
their
own
cultural,
humility
and
training
to
make
sure
that
they're,
providing
culturally
appropriate
care
and
even
looking
at
certain
benefits
and
really
interrogating
whether
they're
reaching
communities
the
same
way.
And
so
one
thing
we
talked
about
is
our
recent
housing
stabilization
services
benefit
and
maybe
taking
a
look?
Is
the
community
aware
of
it?
I
Is
it
being
utilized
and
accessed
by
the
u.s
barn
black
community
the
same
and
so
there's
some
precedent
for
this
approach
in
april?
2020
dhs
launched
the
african-american
child
well-being
unit
to
help
address
structural
racism
in
the
child
welfare
system,
by
providing
oversight
and
assistance
to
county
agencies,
as
well
as
grants
to
community-based
organizations
working
with
african-american
families
and
so
envisioning.
A
similar
structure
within
medicaid.
I
You
know
really
recognizing
that
it's
an
incomplete
and
imperfect
proxy
for
culture,
but
that
data
can
really
serve
as
an
important
initial
signal
and
then
inform
conversation
and
collaboration
with
communities
and
really
using
that
so
many
of
the
solutions
that
communities
brought
forth
as
ideas
of
you
know
putting
accountability
on
our
managed
care
organizations
or
measuring
quality
metrics
by
more
disaggregated
data.
You
know
requires
that
that
be
reliable
and
standardized
so
that
we're
coming
to
the
correct
conclusions
and
not
thinking
that
we're
actually
helping
address
the
problem
when
we
might
be
missing
it
all
together.
I
Apart
from
some
specific
conversations
that
happened
in
response
to
george
floyd's
murder
and
police,
violence
in
2020
and
2021,
and
so
community
members
shared
a
need
for
that
community
consultation
in
general,
but
really
for
culturally
specific
consultation
with
communities,
and
that
needs
to
be
ongoing.
Longitudinal,
I'm
not
just
coming
for
saying.
We
want
to
get
better
diabetes
control
and
diabetes
rates.
I
So,
let's
just
talk
about
diabetes,
we're
really
kind
of
talking
on
an
ongoing
matter
that
allows
folks
to
really
kind
of
share
their
true
lived
experience
and
provide
solutions
on
a
number
of
things
and
really
continue
to
look
for.
Where
can
power
be
shared
between
the
state
agency
and
communities
who
are
engaging
us.
I
And
so
our
third
call
to
action
is
funding
those
community
conversations,
those
longitudinal
community
conversations
and
really
finding
ways
to
embed
it
into
our
routine
policy
budget
and
administrative
activities.
And
you
know
community
members
noted
repeatedly
that
you
know
the
copa.
19
pandemic
has
clearly
demonstrated
the
impact
of
a
fractured
trust
between
state
agencies
and
the
u.s
born
black
community,
and
so
this
requires
relationships
be
built
or
rebuilt
over
years
and
really
gives
the
community
the
opportunity,
as
one
member
stated
to
start
a
journey
of
trusting
larger
agencies
that
provide
resources
and
services.
I
And
so
we
talked
about
these
called
action
boxes
and
where
we
are
trying
to
build
an
accountability
into
the
report,
and
so
you
can
see
here
for
each
of
the
calls
to
action.
There's
an
outcome
so
for
the
first
one,
I'm
looking
at
enrollment
and
coverage
renewals.
Our
outcome
is
that
we'd
see
a
minimal
disparity
in
the
percent
of
u.s
born
black
minnesotans
who
maintain
coverage
at
the
end
of
the
federal
public
health
emergency
compared
to
average
medicaid
enrollees
accountability
around
access
to
culturally
relevant
care.
I
So
we
wrap
up
the
report
by
kind
of
reflecting
on
the
moment
we
are
in
for
change
and
we
looked
at
what
was
happening
across
the
country
and
and
found
some
interesting
similarities,
and
so
on
his
first
full
day
in
office,
president
biden
issued
an
executive
order
which
established
the
presidential
copa,
19
health
equity
task
force,
and
they
met
with
hundreds
of
subject
matter
experts.
They
had
extensive
literature
reviews
of
what
is
being
done
to
address
health
equity.
They
had
eight.
I
You
know
four
hour
long
public
meetings
with
comment
and
came
forth
with
a
report.
Last
fall
that
had
55
recommendations
and
five
overarching
priorities
that
you
can
see
here
and
we
found
it
quite
notable
that
you
know
the
result
of
all
that
really
intentional
resource.
Intensive
work
was
very
similar
to
our
conversations
in
the
work
we've
been
doing
with
the
u.s
bar
and
black
community
over
the
last
year.
I
And
so
really,
the
hope
is.
This
momentum
leads
to
some
immediate
changes
that
come
out
of
the
report
and
the
changes
you
see
here
are
all
in
the
current
house,
health
and
human
services
omnibus
bill
right
now,
so
there
we
did
get
the
simplified
enrollment
and
renewal
processes,
as
well
as
the
continuous
coverage
for
children
12
months
at
a
time,
funding
for
community
engagement,
making
access
to
doulas
easier,
as
well
as
support
for
navigators.
That's
all
included
in
the
health
and
human
services
omnibus
bill
on
the
house
side.
I
I
And
so
we've
had,
you
know
again
part
of
our
desire
to
have
meet
that
involve
on
the
international
association
of
public
participation.
Spectrum
is
to
come
back
to
community
and
say
here.
Is
you
know
what
your
help
and
input
in
the
report
resulted
in
and
we've
had
one
community
conversation
last
week
we
have
another
one
next
month
in
a
couple
of
weeks
where
we're
sharing
the
report,
we're
continuing
to
hear
you
know
what
resonates,
what
did
we
miss?
I
Really.
You
know
folks
have
been
talking
about
the
structural,
the
impact
of
structural
racism
on
health
for
over
a
hundred
years,
w
b
du
bois
was
talking
about
it
back
in
the
early
1900s,
and
so
we
reflected
on
you
know.
What
we
hope
is
different
is
that
there's
urgency
that
sustains
us
this
time,
and
so
we
leave
with
a
quote
from
w
e
b
du
bois.
That
now
is
the
accepted
time
not
tomorrow.
I
Not
some
more
convenient
season
is
today
that
our
best
work
can
be
done
and
not
some
future
day
or
future
year,
but
big
thanks.
This
was
a
you
know,
I'm
here
representing
a
team
effort
both
within
the
reports
within
all
the
community
members
and
organizations
that
contributed
as
well
as
the
folks
who
helped
the
community
conversations
come
to
life.
I
I
want
to
thank
you
for
your
time
this
evening.
Listening
really
really
interested
and
excited
to
hear
folks
reactions
to
it.
We
do
have
this
upcoming
community
conversation.
If
you
want
kind
of
want
to
hear
me,
go
through
that
report
again,
but
then
have
a
chance
to
talk
and
share
and
hear
from
others.
So
please
do
register
there.
If
you're
interested
in
joining
any
of
our
action
teams,
we
have
an
email
set
up,
dot,
brewmedicaid.dhs.state.mn.u
and
we'd
love
to
hear
from
you.
A
Well,
I
mean
yeah.
Thank
you
very
much.
I
know
one
how
difficult
it
is
just
to
speak
for
an
hour
that
was
that
was
very
impressive.
Thank
you
us
we're
also
after
hours,
I
believe
I
saw
in
an
email
chain,
so
I
appreciate
you
taking
some
extra
time
and
really
dropping
some
knowledge
on
the
committee
that
we,
I
think,
we've
all
been
asking
for
for
a
while.
G
A
Indeed,
indeed,
okay,
one
small
point
of
order-
I
do
want
to-
I
guess:
aaron
hurley
would
like
to
have
the
first
comment
or
second
comment
now
for
it.
If
you
don't
mind,
raising
your
hand
in
the
chat
I'll
I'll
call
on
you,
just
as
we
get
through
there
is,
there
was
a
slide
nathan
where
that
said,
20
of
people
eligible
for
employer-sponsored
insurance
don't
take
it.
A
C
B
But
you
know
at
the
policy
making
level
and
when
you're
proposing
things
to
legislatures,
you
know
they
want
to
see
dollars
and
cents
and
and
really
for
some
people.
You
know
who
aren't
so
social
justice
minded
that's
a
way
to
bridge
a
conversation
you
have
have
you
looked
into.
You
know
how
much
you
know
having
people
enrolled
in
in
medicaid
and
and
engaging
in
preventative
care.
B
B
I
Yeah,
so
there
is
data
out
there
about.
You
know:
children
in
particular
on
medicaid,
grow
up
more
likely
to
stay
in
school,
less
missed
days
from
school,
more
likely
to
graduate
more
likely
to
go
to
college
more
likely
to
have
a
job
and
more
likely
to
pay
more
in
taxes
right.
So
there's
kind
of
long-term
benefits
that
we
know
in
children
who
are
enrolled
in
medicaid.
I
Do
that,
look
and
and
kick
someone
off,
and
so
so
there
aren't.
There
are
kind
of
fits
from
there.
It's
harder
to.
You
know,
tease
out
the
the
long
term,
because
so
so
many
different
factors
that
go
into
so
like
for
us
to
do
a
fiscal
note
analysis
that
we
when
we
present,
we
have
to
show
savings
in
like
two
years,
and
so
you
know
that's,
that's
the
that's
the
difficult
part.
I
I
That's
you
know
multiples
higher
than
most
rates
of
return,
but
for
anything
that
we
put
forward
if
we're
going
to
try
to
claim
a
fiscal
benefit,
we
have
to
like
show
it
within
two
years
and
that
that's
just
the
kind
of
tricky
part
at
the
legislature.
So
so
we
could
we,
but
that's
a
good
point
just
to
kind
of
try
to
fight.
Even
if
it's
not
going
to
be
maybe
germain
to
this
legislative
session,
the
long-term
cost
might
moves.
The
needle
for
some
folks.
B
B
The
thing
they
want
to
talk
about
is
how
much
these
programs
cost.
You
know
they
want
to
lower
taxes
at
all
times.
They're,
not
looking
at
you
know
the
health
of
the
community
and-
and
you
know
to
me-
I
mean
a
more
healthy
community-
is
more
economically
productive.
It's
in
the
interest
of
the
state
that
type
of
thing,
so
you
know
there's
arguments
there
for
the
economics
of
it
and
I
loved
your
presentation
and
I'm
not
trying
to
critique
it
in
any
way.
So
please.
J
J
I
had
two
points
of
questions
and
the
first
one
is
around,
and
I
know
that
you
have
a
particular
role
and
everyone
has
a
role
to
play
at
dhs,
but
around
the
enrollment
files
and
specifically
the
information
and
the
wording,
the
language
around
offering
up
race
and
ethnicity
data.
I
work
for
a
health
plan.
I
work
for
ucare
I'll,
be
completely
upfront
about
that,
and
we
get
a
lot
of
dhs
data
every
single
month
every
single
year
and
some
of
it's
great
and
some
of
it's
not.
J
I
We
had
about
27
of
our
folks
who
didn't
have
any
race
right,
ethnicity,
data
and
we
were
able
to
kind
of
impuge
from
those
other
programs
and
get
it
down
to
roughly,
like
only
about
seven
to
ten
percent
right,
and
so
that's
one
way
that
we've
tried
to
do
that
and
then
we
have
to
work
on
cover.
I
think
our
mechanisms
of
sharing
that
with
partners
we
have
looked
at
the
application
and
you're
right,
there's
rules
that
we
can't
require
it
on
the
application.
I
J
H
Thank
you
so
much
for
that
presentation.
Really
terrific.
I
learned
a
lot,
but
my
question
might
be
kind
of
basic
here,
I'm
afraid
what
is
the
eligibility
criteria
for
enrolling
in
medicaid,
and
we
know
it's
a
federal
program,
it's
a
state
program
and
how
does
it
all
tie
in
with
being
eligible
for
medicaid
versus
mnsure?
Are
they
the
same?
You
sort
of
touched
on
it
a
little
bit.
I
was
wondering
if
you
could
just
enlighten
me
a
little
bit
on
that.
You
know
we
all
know.
H
Medicare
is
largely
age-based
and-
and
one
thing
I
learned
from
your
thing-
was
that
people
go
on
and
off
medicaid
with
an
alarming
irregularity
and
people
don't
go
off
medicare
because
once
you're
60,
some
you
stay
on
it.
So
just
was
wondering
if
you
could
flush
that
out
for
me
a
little
bit.
Thank
you
so
much
yeah.
I
I
I
You
know
blue
plus,
or
ucare
or
whatnot,
but
then
the
federal
government
pays
them
for
some
of
it
and
you
pay
for
a
little
bit
and
so
that
helps
kind
of
subsidize
right,
your
care,
so
that
you
can
find
a
plan,
that's
affordable.
And
then,
if
you
don't
make
enough,
if
you
make
enough
that
you
don't
qualify
for
any
of
those,
then
you
you
go
on
to
make
sure
you
find
a
a
plan
for
just
your
yourself
or
your
family
through
the
through
the
exchange
there.
I
K
Yeah,
just
to
echo
what
others
have
said,
thank
you
so
much
for
the
presentation
and
the
family,
health
manager
at
hennepin,
county,
public
health,
and
so
it's
been,
was
really
exciting
to
hear
you
talk
about
the
early
opportunities
and
the
policy
suggestions
and
recommendations
around
maternal
health
care,
as
well
as
early
childhood
systems
work
and
the
continuous
eligibility
recommendations.
So
that
was
really
great.
K
My
question
is
well
at
hennepin
county.
We
have
some
pandemic
response,
funding
that
we
are
using
to
improve
maternal
health
outcomes
for
black
and
indigenous
birthing
individuals
and
part
of
what
we're
hearing
at
the
local
level
among
birth
workers
is
that
covid
has
just
kind
of
decimated
the
the
entire
workforce,
and
so,
even
though
I
know
that
those
services
already
have
a
way
to
be
to
be
billed
to
mhcp.
K
What
we're
seeing
now
is
just
that,
even
with
this,
this
arpa
funding
and
then
some
of
the
policies
really
being
put
into
place
at
the
state
level.
They
are
still
really
struggling,
even
just
to
be
in
in
the
industry,
in
the
service
area,
and
so
I
guess
my
question
is:
do
you
have
any
thoughts
on
that
and
do
you
is
there
anything
that
the
state
or
dhs
could
do
to
help
support
that
just
knowing
the
impact
of
covet
has
really
hit?
K
I
Yeah,
thanks
for
sharing
that
that
reflects
a
lot
of
my
experience.
One
of
the
programs
that
I've
worked
really
closely
with
at
dhs
since
coming
here
is
the
integrated
care
for
hyzer
x,
high
risk
pregnancies
program
and
we've
seen
kind
of
that
same
issue
with
the
paraprofessionals
that
have
been
working
in
that
program.
And,
and
so
there
are,
I
think,
levers
we
have.
I
Folks
getting
into
the
workforce
helps
support
them
and
how
do
they
build
on
their
own
and
kind
of
you
know?
Take
it
out,
take
it
from
there
with
the
intent
that
they
likely
then
be
serving
all
minnesotans,
but
particularly
minnesotans
on
medicaid,
and
so
so.
Grant
programs
and
grant
funding
from
the
state
is
usually
would
be
kind
of
like
the
most
immediate
response
you
know.
I
Certainly
if
there's
other
ways,
I've
heard
for
doulas
that
the
200
certification
to
be
on
the
the
list
for
the
state
can
sometimes
be
a
barrier
so
looking
at
ways
to
take
away
that
as
well
but
but
yeah.
I
I
think
that
workforce
piece
and
what
we
can
do
to
kind
of
really
help
support
that
through
grant
funding
would
probably
be
the
most
immediate
step
and
so
would
be
happy
if
there's
interest
in
there.
You
know
working
with
folks
to
put
something
together.
A
L
I'm
a
pharmacist
who
now
my
career
is
in
health
equity
as
well,
but
I
used
to
work
in
federally
qualified
healthcare
centers,
and
I
wanted
to
just
echo
what
you
said
about
the
navigators
they
are
so
helpful
and
many
of
my
patients
were
able
to
enroll
with
the
help
of
a
navigator.
So
I
just
wanted
to
speak
to
the
crucial
nature
of
that
and,
second,
that
one
thing
I
also
recognize
in
your
presentation
was
so
you
called
out
the
us-born
black
population
and
starting
there
and
addressing
those
disparities.
L
You
also
mentioned
looking
at
some
other
populations.
I
was
recently
reading
about
a
concept
when
addressing
disparities
is
so
important
to
start
where
the
largest
disparities
are.
Some
people
try
to
start
where
they
see
smaller
disparities
because
they're
like
oh,
I
can
do
that
a
little
bit,
maybe
a
little
bit
more
easily
but-
and
you
know,
take
some
smaller
steps.
L
L
I
also
some
questions
about
the
real
framework
that
you
mentioned:
the
race,
ethnicity
and
language
framework,
and
you
mentioned
some
limitations
in
data.
I
wonder
if
you
could
speak
more
to
us.
We
have
a
subcommittee
called
the
racism
of
the
public
public
health
care
crisis
committee,
and
we
are
wondering
we're
looking
to
learn
more
about
what
some
of
the
limitations
and
data
are
when
it
comes
to
identifying
healthcare
disparities.
I
I
So
if
we
looked
at
it
and
said,
oh
well,
this
group
has
a
disparity
but
we're
missing
27
of
the
data
like
do.
We
really
know
that
the
disparity
is
true
yeah
or
to
what
degree
and
then
particularly
as
we
disaggregate
right
and
get
kind
of
more
closer
to
the
truth.
You
know
that
is
really
important,
that
their
reliability
be
there.
One
other
example
from
a
local
community
is
around.
I
If
we
don't
have
disaggregation,
we
can
kind
of
think
we're
doing
better
so
that
co,
vaccination
among
asian
pacific
islanders,
they've
led
the
way
you
know,
basically
since
about
may
or
so
of
last
year,
but
cal.
The
coalition
on
asian
american
leaders
actually
worked
at
the
university
of
minnesota
to
do
analysis
by
zip
code
and
then
doing
that
they
were
able
to
actually
look
at
different
communities
where
they
knew
they
were
predominantly
hmong
and
current
and
saw
that
their
vaccination
rates
were
much
lower.
G
G
So
they
are
likely
facing
more
of
a
carceral
response
in
the
jails
or
we've
been
noticing
that
there
is
a
disparity
with
our
civil
commitments
at
the
hospital
when
you
talked
about
the
chws
and
the
mnsure
navigators
and
the
doulas
with
paying
getting
the
grants
to
pay?
For
that,
that's
an
awesome
idea,
especially
like
I'm,
a
drug
counselor,
and
I
work
at
hennepin
healthcare,
and
I
work
with
the
hiv
clinic
there
and
the
workforce
for
ladcs
is
well
over
90
white
folks
and
the
folks
that
we
serve
are
definitely
not
that
demographic.
G
We
work
with
a
lot
more
bypass
folks,
especially
in
the
urban
areas,
and
there's
been
the
desire
and
the
discussion
to
find
ways
to
make
it
less
of
a
hassle
to
make
it
more
realistic
and
affordable
for
us
to
diversify
our
own
workforce
and
then
the
final
kind
of
question.
I
was
more
just
kind
of
like
figuring
out
where
that
cutoff
point
is
for
people
who
are
on
medicaid
and
or
medicare
some
point
during
incarceration.
G
They
do
lose
it
and
I'm
just
wondering
if
that's
something
that
happens
when
they
go
into
like
a
one
plus
year
setting.
Or
is
this
a
matter
of
months,
because
I
think
that
they
keep
it
in
the
downtown
jail
because
they
are
able
to
get
started
on
like
meth
around
suboxone
and
get
their
methadone
continued
there.
G
I
That
I'm
aware
of
at
this
point.
But
there
is
a
federal
you
know,
inclusion
where
they
won't,
and
so
then
our
policy
says
we
won't
over
a
year
to
your
first
question,
so
we
were
actually
trying
to
talk
more
about
like
a
lack
of
engagement
from
our
standpoint
and
wanted
to
improve
that.
But
what
you're
talking
about
and
observing
is
has
been
seen.
I
In
fact,
dr
hart,
rachel
hardeman
at
the
u
of
m,
has
have
shown
how
women
who've
witnessed
police
violence
right
are
less
likely
to
go,
get
prenatal
care,
and
so
we
think
of
things
in
all
these
silos.
But
people
think
about
institutions
and
how
they've
been
treated
right
and
so,
if
you've
been
treated
poorly
in
the
school
and
you've
been
treated
poorly
by
the
police
and
you've
been
treated
poorly.
I
When
you
go
to
apply
for
social
services,
then
you're
not
going
to
want
to
go
the
doctor
either,
because
it's
all
connected
right
and
so,
and
so
we
we
definitely
recognize
that.
That's
you
know
a
piece
of
it
and
and
how
you
know
I,
when
we
do
community
engagement,
we're
really
hoping
to
be
intentional.
I
In
fact,
we
cited
the
cultural
wellness
center's
year
of
learning,
where
they
not
only
have
folks
engaged-
and
you
know,
do
things
like
meals
and
child
care
and
support
and-
and
you
know
paying
them
for
their
time,
but
they
actually
have
navigators
there
to
help
people.
So
when
you're
talking
about
your
experiences
on
medicaid
and
you
bring
up
that
you
might
be
kicked
out
of
your
house,
you
know
because
of
an
issue
with
your
landlord
there.
You
have
someone
there
that
can
help.
You
navigate
the
services.
You
need
to
kind
of
help.
I
You
know
with
that
issue
as
well
and
and
that's
the
type
of
community
engagement.
We
hope
to
be
able
to
you
know,
fund
and
and
that
type
of
relationship,
so
that
you
really
come
to
here
to
kind
of
share,
and
you
know
you're
learning,
we're
learning
it's
kind
of
bi-directional
right
and
then
I,
the
second
or
third
one
was
about,
I
think
workforce.
But
I
forgot.
G
You
were
mentioning
like
the
200
healthcare
being
on
like
the
dual
registry
and
like
for
the
chws,
getting
them
certified
and
it's
definitely.
I
was
just
giving
a
comment
about
that
being
a
great
great
policy
and
idea,
because
my
own
workforce
definitely
needs
to
get
a
heck
of
a
lot
more
diversified
itself.
A
A
We
are
very,
very
grateful
in
the
interest
of
time
I
am
going
to
move
forward
with
three
questions
to
the
committee.
We
may
not
get
to
all
three
but
nathan.
These
are.
This
is
a
public
setting.
This
is
recorded
and
so
in
your
work
with
community
outreach.
This
is
a
community
committee,
and
so
you
can
feel
free
to
take
back
whatever
insights
that
we
glean
from
these
questions.
I
A
A
Wonderful,
thank
you,
okay,
so
those
three
questions
again
and
I
am
keeping
an
eye
on
the
clock,
so
we
may
have
to
consolidate
those
last
two
or
something
because
we
do
still
have
to
hear
a
report
from
the
interim
commissioner
and
then
there's
news,
big
news
to
share
that.
We'll
also
need
to
discuss
those
three
questions
were
one:
what
was
your
gut
level
reaction
to
this
presentation?
A
A
A
And
then
the
third
is:
does
this
report
resonate
with
any
of
the
committee's
priorities?
Is
there
an
action
for
the
committee
or
does
this
report
inform
our
our
work
and
you're
allowed
to
elaborate
a
little
bit
on
the
question
number
three?
If
you're
able
to
so,
I
will
go
first
with
gut
level
response
and
then
alicia
and
anjali,
and
then
anna
and
you
know
my
gut
level-
is
whoa.
A
Simultaneously,
a
lot
of
data,
but
something
I
know
the
committee
has
been
hungry
for
certainly
a
report.
A
well-delivered
well
executed
report
that
delivered
a
lot
of
that
deuce,
but
we
have
a
really
great
place
to
start.
In
my
mind,
that
was,
do
not
follow
my
example,
one
or
two
words
for
this
one.
J
J
So
my
first
one
or
two
words
were
unfortunately
duh
was
the
first
word
that,
like
kept
coming
up
before,
I
was
like.
I
know
this
duh.
I
know
this
duh
I've
seen
this
still
and
strive
was.
The
other
word
that
came
up
is
that
I
think
that
people
try
really
hard
to
be
as
well
as
they
can
be,
and
life
gets
in
the
way
and
systemic
barriers
get
in
the
way,
and
sometimes
it's
really
really
hard
to
see
those
systemic
barriers,
because
they
feel
invisible
to
some
people
right.
J
L
L
You
know
how
to
structure
our
recommendations
to
city
council,
and
I
think
we
several
ideas
from
this
presentation
and
just
that
making
that
sense
of
urgency
about
these
issues
apparent
and
what
what
is
the
action
going
to
be
at
the
end
of
the
day?
How
are
we
accountable
to
that
so
I'll
I'll
pause
there
and
we
can
go
to
the
next
person.
M
My
word
is
impressed
with
the
presentation
someone
who
works
on
health
disparities
in
commercial
tobacco,
use,
thinking
a
lot
about
this
data
and
my
own
work
and
impressed
with
the
way
you
were
able
to
disaggregate
some
data.
That's
often
clumped
together,
like
on
u.s
versus
foreign-born,
black
residents,.
M
Also,
as
someone
who
works
on
a
government
program
at
mdh
impressed
with
the
the
way
you're
looking
at
changing
processes,
which
I
know
can
be
really
difficult
with
these
programs,
especially
those
that
are
really
ingrained.
And
so
I
like
to
see
some
of
your
recommendations,
around
improvement
and,
yes,
very.
G
A
H
I'm
gonna
go
in
the
doom
and
gloom
category
here,
with
wow
with
hurdles
and
barriers
to
access.
That
was
a
gut
reaction
to
me
just
just
sort
of
what
what
one
has
to
overcome
to
access
the
system
was.
Oh,
I
might
get
reaction
and
my
new
insight
I'll
let
go
of
burt
said
the
healthy
immigrant.
I
thought
that
was
kind
of
fascinating
that
and
he
sort
of
said.
Maybe
it
is
self-selection.
Maybe
it
is.
H
K
Yeah
for
my
gap
reaction.
I
think
it
was
just
you
know:
we've
seen
the
data
before,
but
it
was
grounding
to
see
it
again
and
to
see
it
so
clearly
broken
out
and
disaggregated,
and
so
what
I
appreciated
about
the
presentation
is
really
using
data
driven
information,
but
then,
following
that
thread,
all
the
way
through
to
here's,
how
we,
you
know,
engage
the
community
and
here's
what
our
call
to
action
and
what
our
recommendations
are.
K
So
it
was
really
nice
just
to
have
that
whole
kind
of
piece
laid
out
for
us,
so
it
makes
it
very
you
know
very
palatable
to
think
about
how
we
can
have
a
role
in
this
work.
So
I
appreciated
that
and
then
just
an
insight
was
really
looking
at
the
quality
and
the
access
levers
and
just
thinking
about
the
nuances
there.
K
I
guess
I
had
not
thought
about
all
of
those
things
where,
like,
even
if
we're
implementing
policies
and
the
state
has
implemented
policies
to
try
to
improve
outcomes
and
reduce
disparities
and
promote
racial
and
health
equity,
but
there
even
with
those
policies
in
place.
There
are
still
things
like
you
know:
even
if
you
have
access
to
employer
insurance,
it
may
not
be
affordable
or
is
the
care
like
the?
K
G
F
Sorry,
everybody
that
was
a
few
minutes
late
to
the
meeting
tonight.
This
was
yeah.
I
just
agree
with
what
everybody
else
said.
It's
just
you
know
it's
like
on
the
one
line
you
feel
like
you
know
this
already,
but
then
to
see
that
data
is
really
helpful
and
I
think
you
know,
even
just
as
we
talk
to
our
neighbors
and
people
in
our
community
who
aren't
on
this
board.
F
You
know
we
know
we
are
in
a
better
state
in
terms
of
access
and
yet
look
at
all
the
barriers
that
are
here
and
just
this
assumption
that,
just
because
something
is
available,
why
don't
people
take
advantage
of
it
right?
Because
it's
just
super
complicated
and
then
that
whole,
you
know
being
able
to
stay
on
it
and
keeping
people
retained,
so
they
can
build
relationships
with
providers
and
like
yeah,
I
known
all
that
but
to
see,
like
you
said,
meredith
this
disaggregated
data
and
to
really
just
kind
of
look
at
all
these
pieces.
F
F
N
N
Not
only
you
know,
between
racial
categories
or
groups,
but
even
within
as
an
immigrant
myself,
I
can
attest
to
being
lumped
into
that
asian
monolith
kind
of
category
and
realizing
that
even
within
you
know
that
category
there
are
needs
that
are,
you
know,
are
there
and
need
to
be
addressed
that
aren't
you
know
just
being
glazed
over.
So
I
really
appreciated
that
aspect.
A
Their
fault
great
insights,
committee
members,
we
have
about
26
minutes
left
and
so,
instead
of
going
through
and
asking
you
each
one
by
one
on
the
third
question,
I'm
going
to
pose
the
third
question
to
the
entire
committee,
then
I'm
going
to
give
you
the
chance
to
raise
your
hand.
We
will
hear
from
at
least
three
people,
or
else
I
will
call
on
you
I'll.
Do
it
I'm
in
orlando
and
I'm
on
this
meeting.
So
if
I'm
going
to
participate,
so
is
everybody
else?
A
The
final
question
is:
does
this
relate
to
px
priorities?
We
know
that
it
does,
but
is
there
an
action
for
the
committee
or
just
this
report
inform
our
work
and,
if
you're
thinking
of
an
action?
What
is
that
action
and,
if
informational,
to
our
priorities,
how
so
and
the
bit
of
information
that
seems
to
be
really
sticking
with
me,
I'm
happy
to
go
first
is
the
chart
that
showed
the
disparity
related
to
asthma,
and
you
know
we
are
not.
Just
we've
received
an
excellent
presentation.
A
You
know
this
could
be
an
issue
similar
to
lead
ingestion,
where
you
know,
maybe
all
the
kids
in
a
particular
zip
code
have
the
same
old
carpet
that
they've
had
from
who
knows
how
long
and
so,
if
they're,
if
we're
able
to
identify
and
kind
of
break
apart,
a
good
question
like
identify
a
good
question,
see
if
there's
a
possible
solution
there,
then
I
would
love
to
use
that
data.
To
do
so.
A
N
A
E
I
was
just
gonna
say
kudos
to
brit,
because
that
is
exactly
what
the
mental
health
environment,
environment
and
mental
health
subcommittee
has
talked
about
is
about
the
difficulty
of
increasing
or
yeah
of
increasing
a
mental
health
workforce
because
of
the
strict
kind
of
licensure
rules
of
who
can
and
who
cannot.
You
know,
be
a
therapist,
so
you
you
perfectly
summarized
everything
that
the
subcommittee
had
had
talked
about
and
really
felt
like.
That
was
an
actionable
item.
You
know
and
thank.
G
You
here's
why?
I
think
it's
an
actual
item,
because,
a
few
years
ago,
when
I
was
on
the
merrell
task
force
around
opioids,
the
name
of
it
was
escaping
me
was
a
really
long
name.
That
was
one
of
the
items
that
we
had
on.
Our
list
of
things
of
recommendations
from
the
entire
task
force
is
having
finding
funding
for
being
able
to
diversify
our
workforce
and
have
more
culturally
relevant
people
like
care
provided
by
people
who
share
culture.
K
So
if
that
is
something
that
the
city
of
minneapolis
decides
to
take
on,
is
it
perhaps
something
where,
if
we're
already
working
in
that
space
in
other
areas
within
the
county-
and
it
seems
to
be
like
a
pretty
large
effort-
is
that
something
that
we
could
build
or
partner
on
as
well
with
minneapolis?
Just
because
I
think,
there's
already
some
momentum
and
some
resources
that
could
be
put
into
that.
So.
E
Yeah,
definitely
that
could
be
in
the
mix.
You
know
and
that's
another
thing
that
the
subcommittee
talked
about
is
that
it's
sort
of
like
we
have
this
impression
within
the
city
that,
like
mental
health,
belongs
over
there.
You
know
in
the
county
services,
and
you
know
that
that
is
detrimental.
You
know
to
the
city
of
minneapolis.
K
E
G
Think
a
great
resource
for
learning
about
resources
and
ways
to
build
on
this
would
be
looking
at
minnesota
care
partner
because
they
do
prioritize
hiring
by
practitioners,
therapists,
arms
workers,
child
therapy
workers,
and
I
think
they
also
have
a
partnership
with
hennepin
cps
as
a
diversion
program.
And
they
can
provide
like
for
free
to
the
clients.
A
A
D
Wonderful,
oh
my
gosh.
This
discussion
has
been
amazing
and
I'm
so
happy
to
have
been
a
part
of
it,
and
I
have
so
many
thoughts.
I've
been
emailing
margaret
and
thinking
about
how
luisa
can
come
and
present
on
data
and
how
pow
can
come
and
talk
about
health
equity
about
how
we
should
really
think
about
then
refreshing
those
opioid
recommendations,
because
the
environment
has
changed.
D
That
being
said,
we
do
have
a
lot
of
new
kind
of
transitions
in
our
staff
and
it's
really
exciting,
and
so
I
wanted
to
share
some
of
those
with
you.
So
we
have
new
staff
members.
We
have
the
assistant,
school-based
clinic
manager,
holly
yang,
and
she
started.
I
believe,
a
week
ago
from
monday,
cecilia
hardacker
mental
health
counselor
in
the
school-based
clinics
and
then
teresa
hogan,
immunization
and
vaccine
coordinator.
D
They
are
taking
on
the
body
of
work
that
noyah
woodrich,
our
former
deputy
commissioner,
leaves
behind
as
she
goes
to
the
department
of
health
for
the
state
and
is
the
director
of
the
maternal
and
child
health
division.
So
we're
you
know
happy
for
her
thrilled
for
her
we're
also
super
thrilled
that
josh
and
louisa
are
able
to
step
up
and
so
we're
looking
forward
to
to
them,
leading
in
those
spaces.
D
We
also
have
tiana
cervantes,
a
senior
public
health
specialist
in
maternal
child
health.
She
was
previously
in
the
environmental
programs
area
as
an
inspector
and
then
marcia
anderson
promoted
to
a
project
coordinator.
Also
stephanie
graves
has
been
promoted
to
the
manager
of
maternal
child
health.
So
those
are
some
staff
updates,
wow.
A
D
A
lot
right
so,
let's
see
government
structure.
Actually
I
really
just
like
to
skip
over
that,
and
we
can
come
back
to
that.
The
mayor
made
a
presentation
today
at
committee
of
the
whole,
and
I
can
share
that
in
a
link
with
you
all,
but
I
don't
really
have
any
more
insight
to
that
other
than
what
the
mayor
and
the
council
talked
about
during
that
meeting.
So
I'll
share
that
link
with
you.
D
C
E
E
E
E
E
I
know
I
shared
the
flyer
with
all
of
you
and
with
our
community
mental
well-being,
team
from
the
chip
initiative
with
hennepin
county
and
bloomington
edina
richfield,
and
so
this
just
gives
you
an
idea
of
some
of
the
activities
that
we
suggested
monday
april.
11Th
actually
was
the
theme
of
racism
as
a
public
health
emergency,
and
so
we
had
suggested
some
resources
for
people
to
be
able
to
just
watch
and
learn
and
increase
their
own
understanding
on
how
that
impacts.
E
We
had
a
week-long
activity
about
taking
a
15-minute
walk
and
then,
while
you
were
taking
that
walk
to
ask
yourself
some
questions
like
what
was
the
weather
like
what
neighborhood
or
environmental
changes?
Did
you
notice,
as
you
walked?
Did
you
see
others
out
walking,
and
will
you
walk
the
same
route
tomorrow,
just
as
a
way
of
getting
people
to
be
thinking
about
public
health
and
public
health
being
wherever
it
is
that
they
are?
E
So
when
she
passed
away
last
year,
we
wanted
to
really
embed
an
honor
to
her
in
this
particular
goal
area,
and
so
this
was
the
first
time
that
she
was
named
in
this
particular
goal
of
a
strong
urban
public
health
infrastructure
and
eureka's
recycling
was
the
award
winner
there
khadijah
cooper
from
the
annex,
teen
clinic
and
her
work
with
a
young
adult
advisory
council,
one
in
thriving
youth
and
young
adults
and
in
memoriam
of
mark
john
again.
He
won
an
award
for
thriving
youth
and
young
adults
and
violence
prevention.
E
I
wanted
to
just
share
a
picture
of
the
artist
marlena
miles,
who
is
a
local
artist,
a
native
woman.
She
created,
we
contacted
her
and
she
created
a
unique
design
for
the
local
public
health
hero
awards
and
she
happened
to
come
on
the
day
of
our
celebration
to
give
to
deliver
the
awards
to
us,
and
then
I
had
a
chance
to
meet
her
and
snapped
this
photo.
E
So
I
was
just
so
pleased
to
have
a
chance
to
see
her
and
meet
her
and
thank
her
for
the
beauty
and
the
uniqueness
of
the
art
that
she
brought.
She
actually
has
art
on
display
in
the
new
public
service
building.
She
has
six
large
panels
on
the
skyway
level
and
then
there's
also
artwork
in
a
sixth
floor
conference.
Room
here
is
a
picture
of
our
own
craig
hedberg
and
heidi
was
the
emcee
of
the
day
and
cindy
weckworth
is
the
other
person
in
this
photo
and
she
is
the
director
of
food
lodging
and
pools.
E
Here's
the
picture
of
the
folks
from
eureka
recycling
again
heidi's
in
the
picture
and
the
two
folks
that
are
on
the
right
are
health
department
staff.
The
woman
with
the
rainbow
colored
scarf
is
tony
hauser,
the
current
emergency
preparedness
manager.
She
worked
under
pam
blixt,
so
it
was
quite
fitting
that
she
gave
this
award
and
then
housto
garcia.
Who
was
one
of
the
people
who
helped
nominate
eureka?
Recycling.
E
E
E
There
are
several
health
department
staff
in
this
particular
photo,
but
barb
is
the
one
who
is
holding
the
award
and
some
of
the
other
council
members
are
there
with
her
and
then,
of
course,
I
couldn't
pass
up
an
opportunity
to
take
some
pictures
of
our
staff
because
we
had
a
resource
fair
that
day.
So
it's
always
fun
to
be
able
to
highlight
the
people
who
are
literally
the
boots
on
the
ground,
doing
the
work
and
showcase
some
of
their
work
to
the
public.
E
It
was
really
a
celebratory
day.
You
can
see
the
smiles
on
so
many
people's
faces.
I
think
everyone
was
just
honored
to
be
there
to
have
an
opportunity
to
have
an
in-person
event.
You
can
see
the
white
chairs
that
were
set
up
and
the
presentations
were
given
in
front
of
the
father
of
waters.
Statue.
E
I
I
love
that
picture
of
jose
in
the
bottom
left
with
the
father
of
waters,
giving
his
own
presentation
and
then
we
all
had
a
chance
to
meet
pow
who
is
standing
in
the
photo.
Looking
at
the
beverage
rethink
your
drink
with
the
blue
mask
on,
and
so
we'll
have
to
have
pow
at
a
future
meeting
again
and
that's
the
end.
A
A
A
I
know
that
the
racism
as
a
public
health
subcommittee
event
yesterday,
and
so
I
would
love
just
to
hear
a
minute
and
a
half
to
two
minutes
of
how
that
went
and
any
insights
that
you
have
and
then,
if
the
any
of
the
of
the
other
two
committees
have
a
report,
we'll
hear
it.
If
not,
we
will
adjourn
and
julie
and
the
universal
sign
of
I
have
something
to
say:
you
are
unmuted
and
your
camera
is
on
so
go
for
it.
L
L
A
A
K
Jerome,
can
I
just
say
thank
you
for
bringing
him
in
as
a
speaker
like,
I
think
you
were
the
one
who
made
that
connection,
and
I
just
what
I
really
appreciate
that
you
reached
out
and
did
that,
because
I
think
that
was
really
helpful
for
the
group
yeah.
I
just
found
it
to
be
a
really
good,
a
really
good
presentation.
So
thanks
for
doing
that,.