All right, so good morning, everybody.

Happy Monday morning, October 27th, 2025.

Clerk called the role for the health committee.

Supervisor Tam.

Present.

Supervisor Miley.

Present.

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All right, thank you.

So our first item this morning is an action item, Measure C, Children's Health and Childcare Initiative, Pediatric Health Care, Account Safety Netflix update.

Quite a title.

Good morning.

So I am back to present some updates on our safety net recommendations for Measure C.

Next slide.

I don't, do I have the slides?

Oh, okay.

So this is what we're going to be covering today.

We're going to do a review of the proposed allocation plan for the Measure C safety net fund.

And we're going to do some follow-ups.

Some additional health committee guidance from the September 8th meeting.

And focusing on two areas: the additional revenue allocation for the violence prevention strategy and the stipends for the oversight committee participation participation.

And then a requested action to bring the recommendations to the board in November.

And then just a reminder that all of the presentations from our last two health committee meetings are in the appendix in the back of the of this deck for reference.

So as a follow-up from the September 8th Health Committee meeting, you requested information on allocating annual revenue beyond the projected annual revenue to the violence prevention strategy.

And you also wanted to see a plan for providing stipends of up to 150 per meeting for members of the Measure A, C and W Citizen Oversight Committee.

Slide.

And before I get into those information about those recommendations, wanted to just recap how we came up with our recommendations.

So we're uh proposing allocating the accrued and the annual revenue to maximize the impact.

So that's that six million annual projected and as well as the 30 million in the reserve or the accrued revenue.

And we want to establish a proven reserve and a three-year funding cycle starting this fiscal year, 25-26.

And this would be this would be allow us to you know support that regular review of strategies and also align with the measure A cycle.

And we want to support our strategies that leverage existing infrastructure within our system and build on existing assessments and plans.

And we're supporting we're providing a mix of in the recommendations of county and CBO contracted programs, and we're prioritizing strategies that support cross-sectional and holistic support for our priority populations.

And so this is the budget that you've seen before, but there's one change to this proposed three-year allocation, and you'll see it highlighted in yellow, which is the violence prevention strategy.

We've increased that line item again by approximately one million from approximately two million to three million.

And everything else, all the other um allocations on the right remain the same, and then you'll see that the reserve fund has gone down a bit after that increase to violence prevention.

So now we're at about six million.

Oh, that's fine.

I was just gonna say that the year one spending would be approximately 17 million and year two and three about 13 million.

Next slide.

So now we're going into the recommendations regarding the use of annual revenue beyond that project, the projected $6 million for the violence prevention strategy.

So uh we are we are recommending um that to allocate measure C the sales tax revenue received in the safety net fund in the excess of six million for the annual projection to the violence prevention strategy at year end, up to an additional one million per year.

Um and that's recommended for the full three-year cycle, but it will be reevaluated for the next cycle.

And anything that's above that additional one million would go into the reserve.

So it's up to one million per year.

And this is consistent with the September 8th Health Committee recommendation.

And this is this is regarding the stipends.

So Supervisor Miley proposed a stipend of up to $150 per member per meeting for all the committee members.

We did a bit of research around how we would do this and just considering this recommendation.

And we found that the measure A, C and W committee members do not currently receive stipends, and we're recommending not to provide stipends at this time.

And lastly, our requested health committee action would be to improve.

And this is just the timeline here that we're anticipating.

If that uh approval goes forward, um today is the you know, the follow-up presentation to the Board of Super Supervisors Health Committee, and then November 18th would be the request for approval for the expenditure plan.

And then in fiscal year 2627 is when the Citizen Oversight Committee would begin to review both measures A, C and W expenditures for fiscal year 2526.

And lastly, our plan is to have the Citizen Oversight Committee provide updates to the Board of Supervisors Health Committee on all these measures annually.

And then these are this is just the appendix.