The Health Committee met on Monday, December 8, 2025, at approximately 9:45 AM. The meeting covered three agenda items: the fourth annual report on Measure A1 (action item), an update on HUD’s Notice of Funding Opportunity (NOFO) for the Continuum of Care (informational), and a discussion of Alameda Health System (AHS) governance options (informational). A brief recess was taken when quorum was lost, but the meeting reconvened. The committee approved the Measure A1 report and directed that the AHS governance legislation be sent to the Policy, Administration, and Legislation (PAL) committee for sponsorship consideration.
Progress. All right, so good morning, everyone. It's a bright Monday morning, December 8th, Health Committee. Take the role. Supervisor Town. Present. Supervisor Miley. Present. Right. We have a three items on today's agenda. Item number two has been pulled. I guess we'll take that up next year, first part of next year, item two has been pulled. We have items one, three, and four. So let's start with item one. Measure A1 fourth annual report. Thank you, supervisors. I appreciate the time on this committee's agenda. We are presenting today for your consideration and hopeful that you will be forwarding it to the full board for adoption, the fourth measure A1 annual report. This covers the period of July 2020 through June 2022. Next slide. As you know, and I'll just remind you that the Measure A1 passed with 73% of voter approval. It requires an oversight committee and regular performance reports. The fourth report covers this two-year progress period in our attempt to catch up on our annual reporting. I will also let you know that we do have a website that has full up-to-date data, including uh financials and project performance. Next slide. The report covers an executive summary. We continue to have our chapter called Bay Area Housing History, which looks at specific issues around housing in the Bay in Oakland and Alameda County. And then we look at the two main programs, the rental program and the homeownership program, we do a deeper dive into accomplishments in each of those program areas. And then the final chapter is generally the administration and financial expenditures to show what funds were spent and what staff accomplishments happened during that time period. Next slide. We wanted to just highlight that for the board to let you know that we took a look at everything that he did for the county as well as his commitment to housing and affordable housing and homeless issues. Next slide, please. During this reporting process, there were several delays, and I want to highlight that our current bylaws for the measure A1 oversight say that if a quorum is not met, the meeting must be canceled rather than turned into an informational meeting. And because of that, over the last two years, we've had a very difficult time having a full committee meeting. So we're gonna be proposing some bylaw changes to first this committee and then to the full board, actually, first to the oversight committee, then to this committee, and then to the full board that will allow us to meet even if we don't have a quorum. That way information can be passed on to the members that are present, and we can continue to post things on the website and get the meeting out to the public, the information out to the public. Next slide. So during this period, we had 54 rental projects. 15 were in pre-development, 14 were under construction, and 25 were completed. It was a total of over 3,900 affordable rental units. And you know, we continue to highlight that the Measure A1 program generates $6 for from other funding sources for every one dollar of Measure A1 funding. The other big thing that happened during this period was the launch of the doorway housing portal for Alameda County that allowed the single application period. So that was a single application site for all residents that were interested in applying. So that was exciting. Next slide. Under the two homeownership programs that we had up and running during this time period, we saw 173 homeowners assisted. And you can see here some of the work that we did. We had over 800 workshop attendees and 222 completed applications. Our process was to work with first-time homebuyer organizations across the Bay Area. Of course, we were looking for residents that lived or worked in Alameda County.