Alameda County Board of Supervisors Meeting - March 17, 2026
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Good morning, everyone.
I'd like to call the meeting to order today is St.
Patrick's Day, Tuesday, March 17th.
This is our regularly scheduled board of supervisors meetings.
I would ask that you all rise if you can and join me in the Pledge of Allegiance.
Congratulations to the flag, United States to the Republic.
Under Indivisible Justice Foral.
Will the clerk please call the role to establish our quorum?
Supervisor Marquez present.
Supervisor Tam present.
Supervisor Miley, excused.
Supervisor Cortinato Baz.
President Howard.
We have a quorum.
Thank you very much.
The first item is supervisors' remarks.
Any of my colleagues wishing to speak should press their button and be recognized.
I'll recognize Supervisor Mark as then Tam.
Yes.
Thank you so much, Chair Halbert.
Good morning and welcome everyone.
Just wanted to ask our HR director.
Since I serve as the chair of public protection, just wanted to note for the community that we passed a first reading of the Sheriff Oversight AB 1185 ordinance back in September of 2024.
And I now would like to ask Ms.
Margarita Zamora if she could please provide an update to the community in terms of the status of AB 1185.
Thank you.
Good morning, Supervisors Margarita Samora, Human Resource Services Director.
We have been mean conferring with the impacted employee organizations.
We are mean conferring in good faith.
We're exchanging ideas, proposals, concepts, and uh we will continue to do so until we reach agreement.
Thank you for that, Dave.
Supervisor Tam.
Thank you, President Halbert.
Uh just wanted to highlight that we had a Board of Supervisors Budget Workroute special meeting yesterday.
Um we had the uh executive director of the um of CSAC, the California State Association of Counties, and many of you, I think were part of that uh meeting along with um uh some of our associations on public hospitals and also uh behavioral health and also healthcare executives and um basically the bottom line is everything's pretty grim because of HR1.
And what we are also hearing is other counties are facing this weird dilemma where like Santa Clara County in particular, uh their hospital is looking at reductions in force while they're increasing their sales tax um to try to uh close some of the gaps that will be created with HR1.
If we the example that they gave was um Santa Clara County was closing uh and consolidating their labor and delivery, and um similarly uh we heard an uh updates from all the other um counties that are also experiencing difficulties with proposition one and the shifting and funding from prevention and early intervention.
So uh I think uh we are going to need some relief from the state.
Um, as we saw yesterday, almost uh 60% of our budget comes from the state and federal government.
So we don't have that relief.
Uh we we may be facing some serious challenges.
Thank you for that update, Supervisor Fortunatabath.
Anything to remark about?
No, okay, thank you very much.
Um, well, I would like to say that the City of Dublin was able to host its sister city from Bray, Ireland, to come and join us for St.
Patrick's Day weekend.
If you had a chance to visit the city of Dublin this weekend, you would have seen 80,000 people come to celebrate St.
Patrick's Day.
It was really kind of fun and interesting.
I also want to thank my staff and Supervisor Marquez, who helped to sponsor a um celebration of uh women's month and a women's luncheon in Fremont, located at the Niles um Veterans Hall.
It was a great event, and uh everyone was um in the spirit.
Uh along those lines, I also would like to recognize we have a guest today, and during my remarks, I would like to ask Rupali uh Raj Banshi to come and say just a few words about our cause.
Thank you.
Again, as we celebrated you at women's day.
Yes, thank you so much.
That was a beautiful lunch.
And uh Elisa Supervisor Marquez was there.
Thank you for hosting all of us.
Kathy, thank you for doing it.
So good morning, everybody.
I heard there's a lot of funding that is changing for preventative mental health.
Um, I'm here today to talk about my organization, our cause, our cause.
Us basically, we provide mental health um uh acceptance and awareness for the South Asian community.
We do it through community dialogue with experts from lived experience stories, from uh youth workshops.
We we have a very strong arm of youth.
And you know, we're doing really great.
Thank you for all the support uh to the supervisors that have you know helped us fund it a little bit, but we're looking for more.
I just wanted to share one of our wins, which is you know, just recently what we faced is a person who came to uh one of our sessions called Chalubate Kareen, loosely translated like just let's just talk.
Mental health is such a big stigma in the South Asian society.
We don't talk about it because we don't have the words, we haven't been taught how to talk about it.
So this person who I'm just going to call her Shakti, which means strength in uh Indian language.
She came to one of the sessions.
She had been diagnosed with bipolar uh disorder, and she heard some of the stories that were being shared along with the experts.
And so she when she got diagnosed, she was in her 20s.
But when she came, when she came for our session, she was in her like early 40s.
So it took her almost 20 years to reach that point where she wanted to get the right help.
She was in so much denial.
Studies have shown it takes up to 11 years from the onset of a mental disorder to the time you get help.
But in South Asian community, it's much, much longer.
So after the session, she went back and got the diagnosis and she was on medication, getting the right treatment.
She's a good member of the society now, and she's actually coming back to our support groups, which we hold in New York Library.
You know, we have women's support groups.
She wants to help other members of the society.
So thank you so much for you know taking our program forward and me making a lot of difference in the society.
Another thing that I just wanted to highlight is you know, we talk about um prevention services going away.
We recently lost about four youth from December to now because of suicide.
After then, three of them were South Asians and in our county.
So basically, our youth programs in which we provide workshops, unwind hours, talking to peers.
How do you like talk to a friend who's you know having suicidal thoughts or self-harm?
You know, we can give them these tools through communication, through dialogues, you know, just telling them they're not alone.
So we're building these tools, and I'm just looking for all of you to support us more so we can help more youth.
Prevention actually is better than coming before its crisis.
So thank you so much for helping, and we're looking forward to taking our program forward.
Thank you so much for taking your time to come here today.
With that said, um, we have exhausted supervisors' remarks.
We'll move to public comment on closed session items.
These are only items on closed session.
The mass motion and uh other items will be taken up later.
If anybody has a comment on closed session items, now would be the time to do that.
Uh, in person first and then online.
We have no speakers.
We have no speakers.
So before we move into closed session, I would like to let everyone know that we have uh set matter um listed at 1.30, which is really our mass motion, our general items, uh listed at 1:30.
Um, we don't always list uh the the mass motion uh uh as a set matter, but we do this time at 1.30.
So the regular meeting will we're gonna move into closed session and come back at 1.30.
Again, I know that sometimes it's confusing how long it might take us to come back and do the mass motion, but it will be at 1.30 today.
Um God willing at 1.30.
But Donna, any comments on that?
Yeah, just for clarity.
Um, the open session um the regular calendar, which is the open session of the agenda is set for 1.30.
It doesn't necessarily mean that the mass motion will occur at 1.30 because they're a multitude of things on the regular count calendar, not just the mass motion.
So I just wanted to clarify the regular calendar is set for one to begin at 1:30.
Regular calendar at 130.
With that, we're going to recess in the closed session.
Thank you, everyone.
Good afternoon, everyone.
I'd like to reconvene the board of supervisors uh open session.
Um I'll start by asking the clerk to call the roll and establish our quorum.
Supervisor Marquez, present Supervisor Tam.
Present Supervisor Miley, Supervisor Fortunato Bass, President Halbert.
Present.
We have a quorum.
I'll ask your county council.
Is there anything to report out from closed session?
Um, we'll be returning to closed session later, and I'll defer my report out at that time to that after that meeting.
Thank you very much.
Our next item is the public comment on all items except closed session, which we've already had.
If anybody would like to make comment on any of the items on our regular agenda, now would be the time to do so.
If you're in person, please fill out a speaker slip.
If you're online now would be the time to raise your hand.
I'll ask the clerk to call the first three in-person speakers.
Samuel Raimi for items nine and eleven.
We have a crisis.
And it's social workers, she gotta work and she sits in our car and cry.
Why?
She have people, there's good people where they stay in a hotels for month to month.
They don't know where you're gonna be at next week next month.
And this is wrong.
It's been going on for about 15, 20 years.
I know for a person.
I'm just doing the same program competing like you guys.
We got students go to Lane College sleeping in their car.
Lady in Chicago, she was sleeping in her car, poorly knocked in the window, she raised up.
They killed her.
Found out the next day, she had classes there.
Did you city college?
Come on now.
These are some people trying to get their life again.
Yeah, my brother people who America is wrong.
This is getting more gym.
I'm tired of this, man.
You can move everybody with the people in the deal.
It may fight your voice.
No, I'm coming here to get social gestures for the people.
I'll fight from who I'll ask for the mic.
I want you to do some for the people, man.
You take care of everybody else, take care of us.
It's wrong.
Affordable housing is not gonna work.
They can't push the beating everything on people.
You think the poor people pay for?
How do you take people then got nothing?
Better than this, man.
So we people better come together and do what we've got to do.
Yeah, power coming up here telling y'all the same thing over there.
So I need it, so I'm gonna be a senior citizen facility.
And I'm gonna help.
Y'all ain't got to pay for nothing.
Just say you gotta go.
Mr.
Ranger did it done.
I got two development right now.
I got a national program.
I'm doing fast things right now.
I can't do where I started.
I have to get it on.
I haven't got it to see right yet.
So I know I'm doing I can eat people say, come on.
So tax your need mice.
Um, yeah, thank y'all.
Anthony Fuentes.
Hi, can you hear me?
Yes, Tony Fuentes, acne a director for AHS.
I want to thank the board for the grit that you folks have um done for the past few weeks.
You folks demonstrated in leaders what we often don't see, and that's you listened with intent.
Your direction has aligned the board of supervisors, the board of trustees, and uh AHS leadership to move in the right direction.
Um, I hope that with the advent of our ad hoc meetings, we can find some true consensus to helping AHS moving forward.
Thank you very much for your time.
Alison, go ahead.
Hello, Alison Monroe here with FASME speaking on item.
I believe it's 38, the report by the ad hoc committee on hopefully saving the jobs at Alameda Health Systems.
I'm hoping the report will be posted today that we are going to talk about.
There's a great deal of interest in this issue and how it's gonna work.
And people would like to start reading.
Um the agenda just says uh oral report.
So I'm hoping y'all can post the report about the ad hoc committee's findings right away.
Thank you.
No more speakers.
All right, thank you very much.
With that said, um, our next item is for the approval of minutes.
Tuesday, March 3rd.
Is there a motion to do so?
Mr.
President, I'll move approval with the minutes.
Motion's been made by Supervisor TAM, second by Supervisor Marquez to approve minutes of Tuesday, March 3rd's regular meeting.
Roll call vote, please.
Supervisor Marquez, aye, supervisor Tam, aye.
Supervisor Miley, Supervisor Fortunato Bass.
Aye, President Halbert.
Aye.
Our next item of business is a consent calendar, items 50 through 57.
Is there a motion to approve?
Mr.
President, I'll move the consent calendar.
I'll second.
Motion's been made by Supervisor Tam, seconded by Supervisor Marquez to approve the consent calendar, items 50 through 57.
Roll call vote, please.
Supervisor Marquez.
Hi, Supervisor Tam.
Aye.
Supervisor Miley.
Supervisor Fortunato Bass.
President Halbert.
I vote yes.
Our next item will be the regular agenda mass motion.
Uh President Halbert, before you entertain a motion, I want to make two announcements.
Um item seven will be continued for two weeks at the request of Supervisor Miley, and there was a request to pull item 45 from the public works agency.
Did you say item seven or thirty-seven?
37.
37.
Yes.
Item 37 is continued for two weeks.
Actually, can we continue it for one week?
One week.
Does it do that, Supervisor Miley?
I won't be here on the week it comes back.
So would you is that what you want to do?
Pull it for one week.
For now, yes.
For now, okay.
So if I call in and uh continue it for another week, that'd be all right with you.
Okay.
It's been continued till the March 24th.
Okay.
Correct.
So item 37 is continued for one week to March 24th.
And then what else was the other item is item 45, which is a board letter that was pulled by the requesting agency, the public works agency.
So just pulled, not continued, but pulled.
Correct at this time.
All right.
Very good.
Then is there um motion to be made?
Mr.
President, I will move items two, three.
Comments on three, four, five, six, seven, eight, nine, ten.
Comments on ten, eleven, twelve, thirteen, fourteen, fifteen, sixteen, seventeen, eighteen, nineteen, twenty, twenty-one, twenty-two, twenty three, twenty four, twenty five, twenty-six, twenty-seven, twenty eight, twenty nine, thirty, thirty-two, thirty-three, thirty-four, thirty-five, thirty-six, thirty-seven has been pulled, thirty-eight is an update.
Continue to continue to March 24th.
38 is the report out on Almea Health Systems.
39, 40, 41, 42, 43, 44, 45 has been pulled, 46 is an ordinance, 47, 48, and 49.
Is there a second?
Uh comments from our county council.
And just for clarity, the items that you just named are not part of your motion, correct?
Okay.
Motion's been made by Supervisor Temp, second by Supervisor Marquez.
We'll go to our first question item with questions.
And that's item three.
Supervisor Marquez.
Comments, questions?
Just comments.
Uh, thank you, President Howard.
Um, item number three is a memorandum of understanding between the county of Alameda, the San Francisco Foundation, and the Zellerbach Family Foundation.
Uh, just to note for the public record, um, one in three residents in Alameda County are immigrants in our community.
And I just want to thank our social services agency for working in partnership with philanthropy for this public-private partnership, along with our deputy CAO Lori Cox, as well as my chief of staff, Alex Boskowitz.
I want to thank all of my colleagues for advancing names of individuals to serve on the community advisory body as well as nominee individuals to participate in the focus group.
We will have an update at the ACT committee on the work of this study on uh April 30th.
But this is uh instrumental work in terms of being able to raise over 120,000 for this study with the goal of designing and seeing what an office of immigrant and refugee affairs will look like here in Alameda County.
This is infrastructure we've needed for a very long time.
Also want to acknowledge the work of late supervisors Wilma Chan and Supervisor Viet, who uh Supervisor Viad led the efforts to author report back in 2021, where it was recommended that the county stand in office and we're still working on that implementation phase.
Want to also acknowledge social services for the interim positions that they've been able to identify to help launch this work.
But this is uh truly what our community needs, especially um with all the challenges and hits we've been facing from the federal administration.
So I'm just really excited about the collaboration and the work ahead and look forward and invite everybody to attend our act committee on April 30th, where we will uh provide more details.
But for now, I'm just really happy to sign this memorandum of understanding and thank you, Director Ford for your assistance as well as HANA and Charles in your office with advancing the work.
Thank you.
Thank you, thank you.
Really appreciate your comments, very much appreciated.
Thank you.
Next item is item 10.
Again, comments, uh questions, Supervisor Marquez.
Okay, bear with me because this one um really pivotal and important to our county.
So um, this is uh enhancing vision 2036 fund allocation from district two.
This is a million dollars going towards specifically St.
Rose Hospital.
St.
Rose Hospital is one of two hospitals within Alameda County that benefits from SB 1100, being able to draw down federal dollars.
And I am gonna go through a timeline because for me personally, especially with the other item on the agenda today, specific to Alameda Health System.
It is critical now more than ever that we strengthen and protect the entire health care ecosystem.
And this item it's gonna bring in revenue of over 34 million dollars.
Um, I want to also acknowledge Eden Health District for their partnership, but I think it's important that we flag how we got here because these challenges um and these fights have not been easy, and this is years in the making.
This has been my number one priority, making sure that St.
Rose Hospital did not close.
So here is a quick timeline.
In April of 2023, there was a regional steering committee compromise comprised of Alameda Health System, Eden Health District, Hospital Council of Northern and Central California, Kaiser Permanente, St.
Rose Hospital, and the Foundation.
In June of 2923, Alameda County Board of Supervisors approved a joint letter that myself and Supervisor Miley authored for one-time budget augmentation to provide up to $7 million to St.
Rose Hospital.
In August of 2023, the Alameda County Board of Supervisors approved $75,000 award to commission art beautification project in the lobby at St.
Rose Hospital in memory and honor of Supervisor Baya for his vision and his championing health care access in southern Alameda County.
In September 19, 2023, Alameda County Board of Supervisors approved $5 million one-time disbursement to race hospital to St.
Rose Hospital to support the hospital's current fiscal year operations.
We also granted 150,000 from Measure A funding to La Familia to remodel the adult behavioral health clinic on the campus of St.
Rose.
We approved $300,000 in October of 23 from District 2 EV funding to help support a 30-bed subacute unit for providing services to patients requiring this level of care in southern Alameda County.
We also presented the sustainability group presented their findings to Alameda County Board of Supervisors in February of 2024 in partnership with St.
Rose Hospital Foundation.
We hosted community gathering events in the main lobby to showcase the artwork in March of March 5th of 2024.
AC Health presented its update to St.
Rose Hospital entitled St.
Rose Hospital Intergovernmental Transfer Program Partnership Progress and Updates.
And on March 12th, 2024, Alameda County Board of Supervisors and Hayward City Council collectively leveraged over 11 million dollars in federal match dollars, resulting in a combined 22.7 million dollars of IGT funding for the continued delivery of vital regional health care services.
This was also partnership with Eden Health District.
July 9th of 2024, Alameda County Board of Supervisors voted to officially endorse AB 2271, authored by Assemblymember Liz Ortega, the community advocate.
I personally personally drove a van to Sacramento with local leaders from throughout District 2 to advocate for the passage of 2271.
And on September 30th, 2024, Attorney General Bonta approved the waiver of notice and consent requirements to transfer control of St.
Rose Hospital and St.
Rose Medical Building to Alameda Health System.
October 8th, 2024, the CAO and auditor controller submitted a joint letter to Alameda Health System CEO confirming the auditor may authorize withdrawals by Alameda Health System.
That is our net negative balance, being able to access those funding.
And on October 29th, 2024, Alameda Health System Board of Trustees approved acquisition of St.
Rose Hospital.
So obviously you've been talking for a long time.
So this demonstrates this has been all hands on deck.
So as I said, with uh related to Alameda Health System, this is a moment where we have to build community and work in partnership.
If we did it for St.
Rose, we could do it and figure out a path forward with Alameda Health System.
Want to acknowledge the Board of Trustees.
This was a risk and very courageous.
But again, this is about maintaining the entire health care system.
It's about patients having access to an emergency room.
And it's about being able to hopefully in the near future have more babies be born at St.
Rose Hospital in Hayward.
So I just want to thank everyone, as well as my colleagues, because this has been a fight, I think, for 10, 15 years.
And I'm just really proud to lead these efforts.
And I want to acknowledge my team who has been instrumental.
I only read a third of what's on this page.
So that just gives you a glimpse of what it takes to actually protect and preserve a hospital here in Alameda County.
And just want to thank everyone and glad that we have the opportunity to maintain a private hospital so that way we could draw down those federal dollars.
Also want to acknowledge our interim ACL director, Anika Chandri for your leadership as well as Colleen Challa in the past.
So this has been an all-hands on deck moment and really excited to invest District 2's money in these efforts.
Thank you, everyone.
I'll recognize Supervisor.
Deep breath.
Supervisor Miley.
Yes, I just want to thank Supervisor Marquez and her staff for their leadership on this issue.
Because you know, I've been on the board for a while.
And St.
Rose has always been a concern.
The county's always felt we needed St.
Rose Hospital.
And we would always try to step up and provide resources for St.
Rose Hospital so that it could have the financial resources necessary to continue to provide safety net services to Southern Alameda County.
But it wasn't until Supervisor Marquez got here that we really stepped it up.
It took, you know, it's sort of like getting close to the thing of football.
You get close to the end zone, you get to the red zone, you can't score.
Some of you understand football, you know, you get to the red zone and you can't score.
So we could never score until Supervisor Marquez became the quarterback.
So finally we scored.
We scored big time.
Alameda Health Systems took over.
And so you are to be commended.
This is one of your major accomplishments.
Thank you for the partnership.
Indeed.
All South County recognizes and commends you for doing this.
I have had numerous calls.
And this is indeed a shining feather in your cap.
Shining feather.
It's a feather in your cap.
Okay.
So um before we actually vote on the motion, just to avoid any confusion about item 37.
Supervisor Miley's continued it for a meeting.
I would like to continue it for a second meeting.
So that I can be there.
So two of us can continue an item for a week at a time.
So we can or I'll continue it for two meetings till the 7th of whatever, but April, yeah.
Is that clear?
Is that okay?
All right.
So um that's the motion that we're going to make.
Uh so the motion's on the floor.
I don't know if you want to vote.
He it's not within the motion.
So do you want to vote on the mass motion and then we'll come back to this issue?
Whether it's continued or not?
I mean, who's continuing it and for how long?
It's not in the motion.
Yeah.
So do you you have a motion on the floor?
So I'm saying, do you want to vote on the motion on the floor?
And then we'll I'll address the continuance issue.
All right.
We can do proper procedure.
Yeah.
Okay.
Item 37 is not part of the motion.
The announcement was that it was going to be continued to March 24th.
If you want to change that, we can do that separately.
Well, we can do it separately before or after we actually make the motion because we don't vote on anything, right?
You have a motion pending on the floor now, do you not?
I do, and I can delay that till we make another announcement, or do we have to actually vote on it right away?
I mean, generally, while you have a motion pending, you don't take another item.
Okay.
Let's have the roll call vote.
Supervisor Marcus.
Aye.
Supervisor Tam.
Aye.
Supervisor Miley.
Aye.
Supervisor Fortunato Bass.
Aye.
President Howard.
Aye.
That motion passes.
I will now make the announcement that 37 will be continued an extra week until April 7th, as per my rights to do so as a board member.
Okay.
That's an announcement.
It's not a motion made.
It's and so what where I am having difficulty is we're now interpreting your operating procedures.
Your operating procedures that say that any um any board member can continue an item for up to a maximum of two weeks.
Um sorry, two meetings.
You are correct for up to the maximum of two meetings.
Supervisor Miley said he wanted to exercise his right to continue and continue it for one week.
Yes.
But now you want it continued for two weeks.
I I don't view that as uh you extending his.
I view that as you canceling his continuance and now saying you want to exercise your right to continue it for two weeks.
It's and so two meetings.
I'm sorry, I keep saying weeks.
Um, and so what that means to me is he retains his right to continue it because it's one agenda item.
So he's can retaining his right to continue it in the future, and your right to continue it for two weeks is sort of overriding his one-week continuance.
Okay, that's how I'm interpreting it.
We have not dealt with this situation before.
I accept your interpretation.
And unless anyone objects to that interpretation, that's and I would hope that he retains his rights.
That that is my understanding is that because you are overriding it with the longer continuance.
Okay.
I accept that.
So we have an ordinance to come, which is uh or or we have oral presentation or ordinance.
Oh, I just want to make sure the record is clear so it's reflected in the clerks are looking at me.
Um that it's reflected correctly in your minutes.
So Miley essentially withdraws his motion to continue it.
I mean, his not a motion, but it withdraws his request to continue it for a week, and it instead supervisor Halbert is for a meeting.
Supervisor Howard is continuing it for two meetings, and so the record should reflect that Supervisor Howard Halbert has continued item 37 for two meetings, and then supervisor as to this item, item 37.
Supervisor Miley retains his right to continue.
Can we include the word overrides?
No, it's okay.
I'm good with that.
I'm I'm sure the clerk will be reaching out to make sure that this is captured correctly in the minutes.
It's more of just clarification of everything.
Thank you for um clarifying.
Yeah, they'll probably be reaching out to Andrea.
That was really good.
Okay, we have um item 38 is an oral presentation, and then we also have an ordinance as um well where was item 31?
You have two ordinances.
Item 31, you could do quickly is uh human resource services is adoption of a side letter and first reading of a salary ordinance amendment.
Would we like to get those out of the way before we do the item 38 oral presentation?
Let's do item 31 and then item 46, and then we'll come to the oral presentation item 38.
So the clerk is going to read the ordinance for item 31.
An ordinance amending certain provisions of the 2025 through 2026 County of Alameda salary ordinance.
Um, Mr.
President, I will move to adopt the side letter agreement between the county and acne under item 31A, and I will move to waive the full first meeting and introduce the salary ordinance amendment to update the articles as listed in item 31B, Roman I enrollment two.
Motion has been made by Supervisor TAM, seconded by Supervisor Miley.
Roll call vote.
Supervisor Marquez.
Hi, Supervisor Tam.
Hi.
Supervisor Miley.
Supervisor Fortunato Bass.
President Hauber.
I vote yes.
Item 46 is the first reading of a traffic and vehicle code ordinance amendment in the unincorporated area.
An ordinance amending chapter one relating to traffic regulations, county highways of Title Six relating to vehicles and traffic of the Alameda County Public Works, ACPW traffic code.
Mr.
President, I will move to wait the full first reading and introduce the ordinance amending chapter one relating to traffic regulations and the vehicle and traffic of the Alameda County Public Works Traffic Code.
Motion's been made by Supervisor TAM, seconded by Supervisor Miley.
Roll call vote, please.
Supervisor Marquez.
Hi, Supervisor Tam.
Supervisor Miley.
Supervisor Fortunato Bass.
Aye.
President Halbert.
Yes.
We are now to item 38, which is an oral presentation.
Is there a staff report to announce this?
There's an oral update on your board's agenda at your board's direction.
There was a request that the county administrator provide today, a status update regarding the CAO's work with Alameda Health System leadership to determine the fiscal impacts of AHS, deferring through June 30, 26, any program closures and all reductions in force, including all patient and nonpatient facing positions and proposed options to address the impact of the deferment.
So I'm going to provide an oral update, starting with some background just to put this into perspective and remind the board how we got to today.
So on January 6th, AHS notified your board of proposed reductions to achieve savings during the current fiscal year and in future years to address a structural imbalance in preparation for upcoming federal policy changes and funding reductions.
On February 11th, the county and AHS posted notice of Belance and hearings for February 25th, 2026.
And on February 25th, your board conducted BLANC and hearings and after extensive public comment, you closed public comment and continued the hearing to March 3rd for board discussion and deliberations.
On March 3rd, after your discussion and deliberation, the board unanimously supported AHS's decision to defer the March 9 layoffs and identify alternate non non-patient facing position reductions to address its structural imbalance.
You directed the county administrator, auditor controller, and AC Health Interim Director to continue working with AHS leadership to refine options to amend the behavioral health contract payments, adjust the line of credit, and discuss alternate service models related to the IOP program and to report back to your board today, March 17.
Your board also designated an ad hoc committee comprised of supervisors Miley and Fortunato Bass to interface with AHS leadership and labor representatives to review options to address AHS's fiscal imbalance for this and next fiscal year.
And then on March 10th, your board scheduled a special meeting to consider recommendations advanced by Supervisors Miley and Fortunato Bass to reaffirm the board's March 3rd motion at the conclusion of the B.
Linson hearing to request that the AHS Board of Trustees defer through June 30, 2026, any program closures and all reductions in force, including all patient and nonpatient facing positions that were approved on November 19, 2025, and that you direct this county administrator to work with AHS leadership to determine the fiscal impact of the deferments and return to the board on March 17 for possible action.
So uh county staff and AHS CEO and staff are here to update the board today on key strategies we had committed to explore on March 3rd related to the specialty mental health contract for services at John George and AHS's line of credit with the consolidated county treasury as well as alternatives to the intensive outpatient program.
So uh county staff and AHS CEO and staff are here to update the board today on key strategies we had committed to explore on March 3rd related to the specialty mental health contract for services at John George and AHS's line of credit with the consolidated county treasury as well as alternatives to the intensive outpatient program with respect to the fiscal impact of deferment to AHS on March 10th.
As I indicated, your board directed me to work with AHS to identify the fiscal impacts of the deferment of program closures and all reductions in force that had previously been approved by the Board of Trustees.
The CEO has reported that on March 11th, the AHS Board of Trustees announced its its action to delay all reductions in force until June 30, 2026.
And the CEO is present today to update your board on AHS's current estimate of the fiscal impact of the deferment, which is 14.1 million dollars.
So I would ask him to come forward and just in terms of context, AHS leadership has provided updates to your board and staff over the last few months and weeks regarding its proposed reductions to right size the current year budget, achieve savings for the last quarter of this year, and reduce its budget deficit and structural deficit in 26 and beyond in anticipation of HR1 impacts.
The estimated annual cost savings resulting from the proposed elimination of now 211 full-time equivalents was estimated at 41.9 million during the B.
Linson hearing and was recently reduced to an estimate of 36.1 million.
Thank you.
Thank you very much, uh administrator Marnici.
Um supervisors, thanks for the opportunity to present today.
And I didn't want to walk through the math, if you will, behind that 14.1 million dollar number.
And so this is based on average um compensation, if you will, at 171,000.
Um that what we're calling the base on that, there is about $59.8,000 in benefits.
And so that puts the cost of an FTE at approximately 230 um 850 fully loaded.
So then if you multiply that by 211 FTEs, that is where we get to 48.7 million dollars.
We then essentially took a quarter of that because we're talking about the balance of the fiscal year.
And so when you multiply that 47, 48.7 by you know, four twelfths the the remaining period of the year, that's how we got to the number of 12.1 million, and then on top of that, there is the administrative cost.
And uh at the risk of reading to you, the administrative cost reflects the concentrated operational effort required over an implementation period to safely and effectively restore the workforce capacity.
Some of the elements of that are the workforce re-onboarding and training programs.
So these folks have been out of work on paid administrative leave for a couple of months, and so we will have to essentially re-integrate them into the workforce pretty pretty rapidly.
Um, leadership and operational management time required to do this reintegration, the opportunity cost of leadership focus diverted from efficiency and cost reduction initiatives.
So they'll be refocusing, if you will, on doing this work or bringing these staff back versus some of the other, well, frankly, their day jobs, the things that they would normally be doing, and then finally current and anticipated legal expenses related to workforce reinstatement, labor compliance, and risk mitigation.
So those are the elements that comprise the 14.1 million that the administrator referred to.
Any questions or comments, Supervisor Tam?
Um, thank you, President Habert, and thank you for uh the clarity on how the funding um impact came to be.
I I wanted to get some clarification.
You said that uh the individuals that are on paid administrative leave were also um transferred to other positions.
Is that right?
No, ma'am.
I'm sorry, I did not mean to suggest that.
So I'm sorry.
So you you said something about uh that to retrain them back with their old positions away from their day jobs.
So do they apologize?
I was talking about two different things and I was not clear.
So their work has been redistributed.
Um, when they stepped away from their roles a couple of months ago, that work was redistributed.
And so we will have to go through the process of essentially reintegrating them in the workforce.
When I talked about um the folks in their day jobs, that's the frankly the management staff who are working on the cost-saving initiatives who have their day-to-day roles, which they will be refocusing away from in order to do this reintegration.
So I apologize that those two ran together.
I hope that clarifies.
Certainly.
Supervisor Miley and then Supervisor Fortunato Bass.
So uh thank you.
Um Jackson.
I also want to thank the Board of Trustees for taking the action that they took on March 11th.
Uh and for you outlining the 14 million.
Can we get that in writing?
Because I couldn't write it all down.
Of course.
Happy to provide that.
Okay, thanks.
And then I need to understand from the county administrator now with the 14 million, and we understand it's 14 million.
And we also understand that Supervisor Bass and I are going to be convening the working group in October, April, May, and June to look at the fiscal year coming up and maybe beyond, but definitely the next fiscal year.
I need to hear from the county administrator.
14 million.
How are we going to address that?
So I'm prepared to update the board on two or three strategies.
So you're you're you will hear that.
Are you going to do that today?
Okay.
So I'm surprised that the county ministry hasn't finished giving us her report on how we're going to address the 14 million dollars to cover the everything the board wanted to have happen.
And I want to thank Labor for their support as well.
And I do anticipate that with Supervisor Bass and I working together that the county, AHS and Labor, we're all going to be able to come of one accord for the next fiscal year.
When we're done asking questions, would you rather take it out of turn and go back to administrator Maranichi?
If we could, if she could tell us how we're going to cover that 14 million.
Okay.
Thank you, CEO Jackson.
So I'm prepared to update, as I indicated, on some specific areas that we had focused on.
And I just want to say this was done with a lot of uh collaboration and discussion with the AC Health Interim Director as well as the auditor controller and the AHS leadership.
So the first area I want to update you on is the specialty mental health contract for services at John George.
This is you've heard about that in terms of the 20% withhold on payments.
So just to give you some background, in 2023, Alameda County's behavioral health services department adjusted the payment withhold for potential state audit disallowances from 10% to 20% due to increased denials and billing challenges.
AC Health has been working with Alameda Health System to assist them with maximizing the full contract each year.
That contract is currently at 81 million dollars, and also has negotiated rate increases with the state to provide higher levels of reimbursement.
While Alameda County's behavioral health department can adjust the withhold from 20% to 10% as requested to help address the short-term cash flow, there are other issues related to the contract that we believe require further research and discussion between AHS and the county.
Key factors include a state required transition to a fee for service model, ongoing technology challenges, and funding limitations.
Further discussion regarding these longer term issues could result in a contract renegotiation.
So it's something that we are willing to consider, but wanted your board to have that background, and AHS recognized as does behavioral health care that there are many other issues to pursue that could provide a different level or a different structure in terms of the contract.
So that's the specialty mental health.
I want to address intensive the intensive outpatient program and uh interim director Chaud Ree is here to also provide further clarification.
But with regard to the IOP program, AC Health has explored options to support the sustainability of AHS's behavioral health intensive outpatient program based on conversations with the IOP team and AHS leadership.
Our understanding is that high program costs result from a combination of low patient volume and throughput, a limited payer mix reliant on Medicare and high overhead costs.
They anticipate that this will be a lengthy and complex process requiring at least six to twelve months, and behavioral health care will is not willing to take on this program as is, nor are they able to commit at this time to additional funding.
And finally, I want to comment on the permanent agreement on repayment of Alameda Health Systems debt to the county's consolidated treasury, the line of credit, which is also sometimes referred to as the net negative balance.
And again, this was done in collaboration and support with the uh auditor controller.
So since 2020, the board has approved a series of agreements related to repayment of AHS's debt to the county's consolidated treasury.
The current permanent agreement on repayment of debt was executed in March 2016 and extends through June 30 of 2034.
The agreement provides for a review of the payment schedule every five years or as needed.
I should note that AHS also contributes $7 million annually to a capital designation for projects.
This funding has been redirected with your board's support to pay for AHS's costs for its EPIC system.
Per the permanent agreement, the net negative balance was required to be 100 million or below at June 30, 2025, and it's scheduled to be reduced by 5 million each fiscal year.
By June 30, 2026, the net negative balance is expected to be at or below 95 million.
In addition, during each fiscal year, the flexible maximum can be increased by up to 50 million.
Alameda Health System has been in compliance with the net negative balance each fiscal year end and currently projects it may not meet the year-end net negative balance in two years on June 30, 2028.
In response to AHS's request for more flexibility, the auditor recommends that the net negative balance remain at 100 million dollars through June 30, 2027, and we would achieve that by not decreasing the balance by 5 million for each of the next two fiscal years, as is reflected in the current agreement.
And also we would recommend increasing the intra-year flexible maximum from $50 million to $100 million for this year and next.
Further adjustments can be considered after the impact of state and federal policy changes and funding impacts are known.
Also, just to note that the current net negative balance as of March 16 is 83.6 million.
So this would increase or maintain the 100 million dollar net negative balance for an additional two years as opposed to reducing it by 5 million.
So it would be it's scheduled now to go down to 95 and to 90 million by June of 2027.
And this would also provide increased flexibility during the year as opposed to having flexibility to go above the net negative balance or the 100 million by 50 million.
It would allow AHS to go into a year up to another 100 million or up to 200 million during the year.
So county staff and AHS leadership, as I indicated, um, have met and spent many hours uh considering options and doing research to look at uh opportunities to help address AHS's budget imbalance.
And again, we focused on the specialty mental health contract and the permanent agreement as well as IOP.
With your board's support, staff is prepared to finalize discussions on these items and seek formal board approval of adjustments to the specialty mental health contract to reduce the withhold from 20% to 10% and make modifications to the permanent agreement as I indicated as soon as your next regular meeting on March 24th.
I guess because I wanted to make sure the county administrator kind of explained to us how we would cover the 14 million, and so as I understand it, there'll be a board letter, board action next week addressing the withholding 10% and the net negative balance.
We're going to suspend that until June 2027, and we're going to increase the line of credit.
Increase increase the mid-year flexibility and hold the net negative balance to 100 million dollars as opposed to having it reduced by 5 million dollars in each of the next two years.
And plus increase the and to uh reduce the withhold on behavioral health from 20% to 10%.
But I thought you said we're also going to increase the how much they basically the line of credit that can be.
Oh, so on the line of credit, it's currently 100 million dollars.
It's scheduled to go down to 95 and 90 million.
What we're proposing is to not decrease it and keep it at 100 million for the next two years until June of 2027.
And in addition, we would increase the intra-year flexibility from 50 million to 100 million for the next two years.
Okay, got it.
Um let me see here.
Uh and the auditor, she's here, so um you good with that auditor.
Can you come to the mic?
Because I always like to see our auditor, you know.
She always likes to likes to be in the background, but she's the next official and we want to give our auditor a chance to speak.
Uh yes, I work closely with uh uh James Jackson as well as Kim Miranda and uh Susan Marnichi to discuss these options, and at this point, we feel those are the best options to support EHS through this the end of this fiscal year.
Okay, and uh Mr.
Jackson, can you come back to the mic?
So, based on what you've heard, because I want to make sure the trustees they took action.
Um based on what you heard, does this accommodate the need to fulfill the action that the trustees took?
I think it does.
Okay, yes, okay, good, good.
And then we'll we'll convene our our working group.
Okay, thank you.
That's it.
Thank you.
And then we'll have an action next Tuesday.
Okay, very good.
Thank you.
Supervisor Fortunato Bass and then Supervisor Marques.
Thank you.
Well, I do want to thank everyone who participated in the B.
Linson hearing as well as um our board for taking action and the board of trustees, as well as the work um Mr.
Jackson of you and your team.
I think I heard what I needed to hear in terms of uh the rationale around the 14 million, although there might be more detail.
I would like to hear maybe one question while you're here um at the mic, Mr.
Jackson.
The average of 171 in terms of salary and then the 59,000 and benefits.
Did you look specifically at the 211 positions, or is that an average for the totality of the positions at AHS?
That was for the totality, as I understand that I will confirm that, but that was my understanding of the elements of what went into what I shared this afternoon.
Right.
Okay.
I'm just asking because based on um you know what I what I read regarding the proposed positions that would be reduced.
I don't know that on average they were that at that level of salary, so I wanted to make sure that was relatively accurate.
But that said, I appreciate the work that our county administrator, auditor, and you have done around how to be flexible.
And I think uh Supervisor Miley asked the main question I had, which is making sure that what was described by our county administrator would provide the flexibility to ensure that the reduction in force does not happen until next fiscal year, July 1st at the earliest, so that our work group really does have a clean state, a clean slate, so to speak, um, and has an opportunity to you know just really bring people together, look at where things are and start planning ahead.
You know, we want to be able to do that without the reductions in force looming um in front of us, and so as long as what's described in our board action next week allows that to happen.
I think we can begin those work group meetings um with the um you know, sort of the approach and the intent that we are hoping to have.
Yes, indeed.
I appreciate the clarity, and I do believe that that does give us the the runway, if you will, to have those ad hoc meetings, which I'm optimistic about.
Thank you.
Supervisor Marquez.
Thank you everybody for your commitment to um coming together to problem solve.
I really appreciate um the all hands-on deck approach and satisfied with the information, the updates we've received today, but just a couple of clarifying questions.
Um, Mr.
Jackson, do you know how many people were placed on administrative leave?
And do you know how soon they'll be able to return to work?
Supervisor, I don't have that exact number.
I apologize.
I can certainly get that and provide that to the supervisors, but I do not have that exact number.
Um our intent is to bring them back as soon as possible.
And so we're certainly talking about next week.
Um the HR team is doing that work right now.
And so again, I can get back with a specific date, but it's my understanding that we believe it can be as soon as next week.
Okay, thank you so much.
Um, and then with respect to the additional $50 million towards the flexible maximum.
Um how frequently does Alameda Health System draw down from that funds.
I understand it's currently 50 million and we're gonna double that up to 100 million.
Um, but help me understand when those funds are actually drawn down.
We actually have a projection um that we believe accurately depicts when we would need that extra space, if you will.
And so that's something that I would be happy to share with the supervisors.
And ideally, we won't need the question because if we're successful via the ad hoc committee and the other work that's already underway, we will decrease our cost structures so it would not require us to avail ourselves of that extra room.
So it's really a precautionary measure, if you will, but my hope is that we won't need it.
But I'm happy to share that projection that at our current run rate, we do have a depiction of when we believe we would need that extra room.
Okay.
And then did I understand correctly with respect to next steps, County Administrator, that next week what we'll be voting on is a renegotiated terms of the net negative balance agreement.
Is that what that's our goal is to bring something forward to the board next week to formalize both the reduction and the withhold as well as the change in terms for the permanent agreement.
Okay.
And I just really appreciate everyone, uh, my colleagues for their willingness to take on additional work um serving on this ad hoc committee.
And just um I think the conversation will be productive once we get everybody in the room and focused on the goal of um serving our patients and maintaining the workforce in this county.
Thank you.
Mr.
Jackson, I just have a follow-up.
Uh what so what was the difference between the previous number, I think that was floated around of 11 million versus the 14 point something million.
Why did it change?
So, one, it didn't, we hadn't factored in the administrative component.
And so the change, I believe, is really from 11, which was uh a somewhat rough estimate, and then we did the math.
And so I appreciate Supervisor Fortunately calling the question on was that based on the salaries of only the impact employees, or was it in the aggregate of the organization?
So I've got to go back and clarify that.
But I I believe that the answer to your question is we sharpened our pencils and we really went in and dug deeper as opposed to a fairly high-level estimate that was offered at a point in time.
So I I mean I don't know how much it would take, but it just feels to me that since these are people's salaries, just look get all 200 of them figured out.
Because if it's more, we have to go back.
If it's less, then let's just get the actual number if possible.
But I I also thought I heard you say we're gonna actually put people back in the jobs they were in.
Yes, others that took over some of those responsibilities are gonna go back to the jobs they did.
I I fail to see how much needs to be uh allotted for the reintegration.
We're just getting back to work.
I don't, I'm not gonna say anything other than that because I trust that it's money spent wisely.
If that's what you need, that's what you need.
But I just feel it's simple.
Go back to the things you were doing.
And if we get the exact salaries of 200 people instead of dealing with averages, we'll know more precisely.
But that said, we're on the right track.
I agree, supervisor.
And and I would just offer that it's it's mechanical things and mechanical, it means just kind of work like all of their laptops and all of their phones were reclaimed.
They will have to be reissued the tools of their job.
And so there will be people hours that are required to do that.
That goes into that administrative overhead.
Um I don't know that a lot of retraining will be necessary, but they will have to be we'll have to verify that they are able to do their jobs, and so there will be time invested in doing that.
And so those are the kind of things that I would offer go into that administrative oversight number, knowing that that's not an inclusive answer, but those are the types of minutia that will have to happen to make sure that they are prepared and ready to do their jobs.
I'm going to bet that our auditor controller will be watching those expenses very closely.
And if it's anything like an expense report, you're gonna make sure we get all the costs right.
That sounds like a threat.
You know who you're promised.
Okay.
It's a promise, yeah.
Yes.
Very good.
With that said, I think we've exhausted all comments except for our wise elder, Supervisor Miley.
One more chance at the apple.
Yeah, yes, thank you, President Howard.
Uh two things.
One, just once again, I want to reiterate that AHS will be bringing its fiscal year 26, 27 budget to the health committee prior to the trustees adopting that budget.
We're we're gonna make sure that happens, right?
Yes.
And I just to clarify, we are ending fiscal year 26.
So it will be the fiscal year 27 budget, but yes, we will be bringing 26, 27.
Oh, okay.
Yeah, we're literally finishing the fiscal year.
And so I just want to be clear that it's projecting forward.
Yes, yes, not present.
And then um I talked to David saying, uh, David said that according to the agreement between the county and the um AHS, we should have three meetings annually.
So I would really press upon you as the hospital administrator and the county administrator.
Um get with David Halbert, David Sain, and set those three meetings up so we can be assured that they're happening.
Because I do think if we calendar them and we don't need it, then we can always cancel it.
Um, but at least it's calendared, because I know everybody's schedules are extremely busy.
Um, and we want to continue this level of collaboration, producing a win-win.
Once again, you know, I do value everyone who's on the board of trustees.
Uh, and I appreciate their, you know, their um their concern and their interest and their desires to to work in a cooperative manner.
So let's get those meetings scheduled.
Yeah.
Happy to do so.
Thank you.
Very good.
Seeing no other comments, uh, this item it was an oral presentation.
We'll see you next week, uh, Mr.
Jackson.
And with that, we've exhausted the regular calendar mass motion items, but we do have one more item.
Public input for items not on today's agenda.
Do we have any speakers for this item?
We have speakers.
Samuel Raimi, Harold Bryant.
Hello.
Hi.
Thank you very much.
Um, my name's Harold Bryant.
Um, I've been a homeowner in Alameda County for the last um 27 years.
I love Oakland.
Oakland is one of the most beautiful cities, in my opinion, in the world.
And I love this place.
But what's really makes me so mad is when I see people, Oakland is ground zero for illegal dumping, and I'm so sick of it.
And I just want the Alameda County Board of Supervisors to take some policies that will prevent or at least cut down on this practice um of being ground zero for illegal dumping.
Uh the one policy I wish that you could consider is having every uh hauling uh business, people that pick up trash and they come and they dump it on our street.
They should be um, first of all, they should have a business license.
They should have a business license and they should be tracked.
Also, we have many businesses in Oakland that are not required to get uh trash.
Like if you have a home, you're required to have a trash service.
Meaning these businesses, they don't, they're not required.
So a lot of them save money by just dumping on our street.
We have uh a lot of illegal vendors that are putting uh the health of Oaklanders at risk because they do not have a uh a washing station, they don't have uh a health certificate from the county, and when I reported it to environmental services in Alameda County, they told me that they are understaffed, that they do not have the manpower.
So I don't care, ma'am.
I need to I need to say this, okay.
Just let me finish.
Thank you, Harold.
We do have so we do have a time with people, these people are allowed to operate without putting putting the risk of citizens at risk.
And then they've worked all day and they dumped their trash.
Thank thank you for your comments.
We've heard we've heard you speak.
I just need to finish, sir.
Let me just finish.
Well, if we let you finish, then everybody else speaks for longer.
But you know, I can sense that this is something that's very important, and I agree with you.
So I would like to hear what you have to say.
Would you continue?
Go ahead.
Thank you.
Go ahead.
So first of all, um, I just would like the environmental services to get the resources that they need so we could get more health inspectors to uh give some of these cards.
Uh make the follow the law.
You have to have a hand washing station.
Yeah, and you have to have some type of trash for adding that to pick up your trash.
I appreciate you adding that on.
I we've heard it.
We understand you, and we will um take this under advice.
I'm so tired of picking up people's trash kids and it's just not on the agenda today, so we can't really comment.
But I appreciate you coming down here.
We really do.
Thank you.
Our last uh comment is the fortunate.
I like to say I voted for Trump.
That was my vote and I have the right to vote for Trump.
Thank you.
But your time is up.
And making these comments about our president is just wrong.
Okay, because he well won by last slide.
Thank you for your comments.
You won by less.
So you know, respect our democracy.
Thank you.
We're talking against our president.
Thank you.
Thank you for your comments.
Next speaker.
Laura, you are you have two minutes.
Thank you.
Um, supervisors, I want to start by acknowledging the high vacancy rates that were discussed during your March 10th special meeting um in item one.
Uh, as the leader of only 50 staff, I know how even a single vacancy can put a tremendous pressure on our staff who are working hard to keep things moving.
And I empathize with the county staff in dealing with high vacancy rates.
Vacancies also have consequences for the residents that we serve.
Your budget reflects how many positions that you believe are necessary to accomplish your goals.
But when these positions remain unfilled, decisions take longer, services slow down, and ultimately the Alameda County residents miss opportunities for the support that they need.
During that time that there are openings, the work doesn't disappear.
It just shifts onto already stretched staff and the residents you serve end up waiting longer for services.
I encourage the county to modernize and streamline the hiring process so departments can become fully staffed.
When teams are understaffed, everyone ends up running from fire to fire, responding to urgent issues as they arise.
If we have the time to constantly fight fires, we're missing the opportunities to plan well and build strong processes on the front end.
Doing that allows county staff and community providers to focus on delivering high quality services to Alameda County residents really deserve.
I urge you to make some reforms and get these positions filled.
Hi, can you hear me?
Yes, go ahead.
Okay, great.
Thank you.
No, I just really want to thank the board of supervisors sincerely for just paying attention, asking questions, being curious, holding people and entities accountable, and just truly showing leadership that's congruent to your values that's very clear and just clearly demonstrates your commitment to our community and the people who live here.
Um everyone deserves um the basic rights that um they're not able to advocate for.
So just thank you so much.
Um you are um really seen and your clarity is very appreciated.
That's all last speaker is Jane Kramer, Jane Kramer, excuse me.
The first speaker has raised um a perplexity for me.
It's ongoing, and the issue is graffiti.
I mean, it detracts from any building, any streetscape that you go through in this county.
Now I realize um there's logistics to probably solving it.
I mean, whoever does this stuff have become very uh adept at being trappees out this, but I mean it somebody invests in a property and it gets defaced, somebody builds a building and it gets defaced.
The county repairs and builds streets and highways, they get defaced, and I have to look at it.
I agree that some of it is really ingenious, it can even be funny, but not at being a sore point and at public expense.
I could go on, but I won't.
Thank you.
No more speakers.
With that said, we're going to uh recess into closed session.
We have several items to take up before we can be finished for the day.
We are now recessed.
Good afternoon, everyone.
We are now going to reconvene to open session.
The last group to call the roll.
Supervisor Marquez, excuse, supervisor Tam, excuse Supervisor Miley.
Here, Supervisor Fortunato Bass, President Hauber.
Present.
We have a quorum.
Thank you very much.
All right, Oscar County Council.
Is there anything that we need to report out from closed session?
Yes, the um only thing that I have to report for closed session is on items C, D, E, and F of your closed session agenda under conference with legal counsel, existing litigation.
Your board authorized the county council to enter into a tolling agreement in exchange for the dismissal of those cases and authorize the county to enter into tolling agreements in um similar circumstances in the future.
And um that's it.
Thank you very much.
I'm sorry, it was on a vote of five.
Oh five.
Oh if I'm not mistaken, is that the last time you will be reporting out closed session?
Have one meeting left.
I have one meeting left.
With that said, we are adjourned.
Thank you all.
Alameda County Board of Supervisors Meeting - March 17, 2026
The Alameda County Board of Supervisors met on Tuesday, March 17, 2026 (St. Patrick's Day) in a regularly scheduled meeting. The meeting included supervisors' remarks, public comments, approval of minutes and consent calendar, a mass motion covering multiple agenda items, and a detailed oral presentation on the fiscal challenges facing Alameda Health System (AHS). The board also addressed a continuance request and received public input on non-agenda items.
Consent Calendar
- Items 50 through 57 were approved unanimously on a roll call vote with all present supervisors voting aye.
Public Comments & Testimony
- Samuel Raimi spoke on items 9 and 11, expressing frustration about the lack of affordable housing and the plight of social workers and students sleeping in cars. He urged the board to take action for the poor.
- Anthony Fuentes, ACNE director, thanked the board for their recent leadership and intent listening, expressing hope for consensus moving forward.
- Alison Monroe (FASME) requested that the report from the ad hoc committee on AHS (item 38) be posted promptly.
- Harold Bryant, a 27-year homeowner, complained about illegal dumping in Oakland, asking the board to require hauling businesses to have licenses and to provide resources for environmental services.
- Laura (speaker name not given) urged the county to streamline hiring to fill high vacancy rates, noting the impact on services.
- Jane Kramer raised concerns about graffiti as a countywide problem.
- One speaker expressed support for former President Trump and criticized comments against him.
Discussion Items
- Supervisors' Remarks: Supervisor Marquez asked HR Director Margarita Zamora for an update on Sheriff Oversight AB 1185, noting ongoing meet-and-confer with employee organizations. Supervisor Tam reported on a budget work session, warning of grim financial outlook due to HR1, with 60% of the budget from state/federal sources and citing Santa Clara County's challenges.
- Item 3 – MOU on Immigrant and Refugee Affairs: Supervisor Marquez highlighted a public-private partnership with the San Francisco Foundation and Zellerbach Family Foundation to design an Office of Immigrant and Refugee Affairs, with over $120,000 raised and an update scheduled for April 30.
- Item 10 – St. Rose Hospital Funding: Supervisor Marquez provided a detailed timeline of county efforts to support St. Rose Hospital, culminating in its acquisition by Alameda Health System. She emphasized the importance of preserving the healthcare ecosystem. Supervisor Miley commended her leadership.
- Item 37 Continuance: Originally continued one week by Supervisor Miley, President Halbert exercised his right to continue the item for two meetings until April 7, 2026, overriding the earlier request.
- Item 31 – Salary Ordinance Amendment: Adopted a side letter with ACNE and introduced a salary ordinance amendment (unanimous vote).
- Item 46 – Traffic Code Amendment: Introduced an ordinance amending traffic regulations in unincorporated areas (unanimous vote).
- Item 38 – Oral Presentation on AHS Fiscal Status: County Administrator Susan Marnichi reviewed the background leading to the board's March 3 directive to defer layoffs. AHS CEO James Jackson reported that the Board of Trustees delayed all reductions in force until June 30, 2026, at an estimated fiscal impact of $14.1 million (based on average compensation of $171,000 per FTE, benefits, and administrative costs for reintegration). County staff proposed two strategies to cover the cost: (1) reducing the specialty mental health contract withhold from 20% to 10% to improve cash flow, and (2) adjusting AHS's line of credit with the county treasury by keeping the net negative balance at $100 million through June 2027 (instead of reducing it by $5 million per year) and increasing intra-year flexibility from $50 million to $100 million. The Intensive Outpatient Program (IOP) was discussed but not taken on by the county. Supervisors Miley, Fortunato Bass, and Marquez asked clarifying questions and expressed support for the approach, with formal board action scheduled for March 24.
Key Outcomes
- Minutes from March 3, 2026 approved unanimously.
- Consent calendar (items 50-57) approved unanimously.
- Mass motion (items 2-6, 8-36, 38-44, 46-49) approved unanimously, with item 37 continued to April 7, 2026 and item 45 pulled.
- Item 31 (side letter and salary ordinance) and Item 46 (traffic code) both adopted on first reading unanimously.
- Item 38 – AHS Oral Update: The board will consider formal action at the March 24, 2026 meeting to (a) reduce the behavioral health payment withhold from 20% to 10% and (b) amend the permanent line of credit agreement to maintain a $100 million net negative balance through June 2027 and increase intra-year flexibility to $100 million. An ad hoc committee (Supervisors Miley and Fortunato Bass) will continue working with AHS and labor to address the fiscal year 2026-27 budget.
- Item 37 continued to the April 7, 2026 meeting per President Halbert's exercise of his continuance right (two meetings).
Meeting Transcript
Good morning, everyone. I'd like to call the meeting to order today is St. Patrick's Day, Tuesday, March 17th. This is our regularly scheduled board of supervisors meetings. I would ask that you all rise if you can and join me in the Pledge of Allegiance. Congratulations to the flag, United States to the Republic. Under Indivisible Justice Foral. Will the clerk please call the role to establish our quorum? Supervisor Marquez present. Supervisor Tam present. Supervisor Miley, excused. Supervisor Cortinato Baz. President Howard. We have a quorum. Thank you very much. The first item is supervisors' remarks. Any of my colleagues wishing to speak should press their button and be recognized. I'll recognize Supervisor Mark as then Tam. Yes. Thank you so much, Chair Halbert. Good morning and welcome everyone. Just wanted to ask our HR director. Since I serve as the chair of public protection, just wanted to note for the community that we passed a first reading of the Sheriff Oversight AB 1185 ordinance back in September of 2024. And I now would like to ask Ms. Margarita Zamora if she could please provide an update to the community in terms of the status of AB 1185. Thank you. Good morning, Supervisors Margarita Samora, Human Resource Services Director. We have been mean conferring with the impacted employee organizations. We are mean conferring in good faith. We're exchanging ideas, proposals, concepts, and uh we will continue to do so until we reach agreement. Thank you for that, Dave. Supervisor Tam. Thank you, President Halbert. Uh just wanted to highlight that we had a Board of Supervisors Budget Workroute special meeting yesterday. Um we had the uh executive director of the um of CSAC, the California State Association of Counties, and many of you, I think were part of that uh meeting along with um uh some of our associations on public hospitals and also uh behavioral health and also healthcare executives and um basically the bottom line is everything's pretty grim because of HR1. And what we are also hearing is other counties are facing this weird dilemma where like Santa Clara County in particular, uh their hospital is looking at reductions in force while they're increasing their sales tax um to try to uh close some of the gaps that will be created with HR1. If we the example that they gave was um Santa Clara County was closing uh and consolidating their labor and delivery, and um similarly uh we heard an uh updates from all the other um counties that are also experiencing difficulties with proposition one and the shifting and funding from prevention and early intervention. So uh I think uh we are going to need some relief from the state. Um, as we saw yesterday, almost uh 60% of our budget comes from the state and federal government. So we don't have that relief. Uh we we may be facing some serious challenges. Thank you for that update, Supervisor Fortunatabath. Anything to remark about? No, okay, thank you very much. Um, well, I would like to say that the City of Dublin was able to host its sister city from Bray, Ireland, to come and join us for St. Patrick's Day weekend. If you had a chance to visit the city of Dublin this weekend, you would have seen 80,000 people come to celebrate St. Patrick's Day. It was really kind of fun and interesting. I also want to thank my staff and Supervisor Marquez, who helped to sponsor a um celebration of uh women's month and a women's luncheon in Fremont, located at the Niles um Veterans Hall.
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