All right, so good morning.

I like to call to order the order supervisors health committee for May 11th.

Clerk take the roll.

Supervisor Cam.

Present.

Supervisor Miley.

Present.

We have a quorum.

Alrighty.

Would the clerk like to provide any instructions for public participation?

Sure, thanks.

For all participants, please state your name for the record prior to your presentation.

If you wish to speak on an item not on the agenda, please wait until Chair Miley calls for public input on non-agendized items.

Only matters, but then the committee's jurisdiction may be addressed to notify the clerk you wish to speak for in-person participants.

Please fill out a speaker card and hand it to the clerk.

The speaker cards are at the back of the room, and I am the clerk for online participants.

Please use the raise hand function when we are on item that you wish to comment on.

For dialed in participants, please dial star nine to use the raise hand function.

Dialing it again allows you to lower your hand.

The clerk will call your name when it is time for public comment.

If you are in person, please come to the podium to speak.

If you are online or dialed in, the clerk will call your name and allow you to unmute.

That concludes the clerk instructions for public comment.

Thank you.

All right, thank you.

So those who um can will you please join me in the Pledge of Allegiance?

Yes.

Pledge allegiance to the flag.

One nation under God, invisible, liberty, justice for all.

All right.

This morning, all right.

We've got two action items.

We'll be taking public comment after we complete both items one A and one B.

Um good morning, Chair Miley and Supervisor Tam.

Thank you for the opportunity to present our proposition one VHSA plan.

My name is Dr.

Karen Tribble.

I'm the behavioral health director on Alameda County, and there's a couple of context that I'd like to present to you for your consideration and understand as we walk through the process.

I'm joined today by uh Vanessa Baker, Deputy Director, Plan Administrator, and our uh image or BHSA Division Director Tracy Hazleton.

So there's a lot of information which we hope to give you and very important context is this is the first three-year plan where Prop One has transitioned from MHSA to BHSA.

What is also important to note, and this is something we've already gotten lots of uh public comment on is there is an error in the state's template statewide for calculations.

So it doubles the amount that is in our carryover.

So for example, it shows a 40 million dollar addition and in our template as well as a 18 million dollar in some other components.

Now, what we are trying to show you, and the state is working with everyone.

But they have notified counties and they have asked us to use another feedback.

So essentially for those uh constituents who I believe you also probably have heard of, is that there's more calculation that would be true if the actual calculations were correct.

So what we think is going to be about a between 20 to 25 million dollar reduction in our carryover, nevertheless, because we've been planning on actual like extrapolated numbers and we've been working with our finance and our team and our leadership as well as state uh consultants.

So we are more on track and more aligned with what that will actually be.

So we'll provide more information when we get to that section, but I wanted to call that out to you.

Um and the other piece to acknowledge is although the state is revising the template and will require that all counties resubmit um by or um in a few weeks, June 14th.

Actually, this week, everyone will have to resubmit with the actual corrected numbers.

Um, we'll be coming back to your board, we hope, barring any issue back on June 16th.

So it will have to go through the process again once we survive uh provide the revised information, make the programmatic adjustments that the state as well as correct the numbers in our carryover.

Um typically, even if the state is now correcting that number, what we typically will see is the increased revenues that we may look for if, quite frankly, if more millionaires um provide more funding into it, is that typically the state is still slightly behind in the distribution of funds.

At one year, for example, in 2020, we got 40 million dollars in the last quarter.

That in and uh we couldn't spend it in time or our providers.

So I say that to say what we're what we'll talk about when we get to that section is our time and our approach to hold steady our providers despite some of the fluctuations that the state is now wrestling with.

And so we're very pleased with that.

So more information to follow, but I would acknowledge this is our first three year plan, and we hope to hear any questions or comments from you or members of the public.

So for now I will defer to uh Deputy Director uh Vanessa Baker.