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Record of Proceedings

Summary: San Antonio Community Health Committee Meeting - October 22, 2026

Council Committees — Thursday, October 22, 2026
BodySan Antonio, Texas
SessionCouncil Committees
DateThursday, October 22, 2026
StatusFILED
Video Record
0:00 / 1:37:44

Original source
Transcript — VerbatimClick a timed line to jump · ⧉ to share it

Speaker numbers apply only to this recording. Names come from transcript evidence. “Possibly” marks uncertain attribution.

Speaker 1

0:03

All right.

0:04

It is 1001 a.m.

0:05

on October 22nd, 2026, and we will officially get the community health committee meeting started.

Unassigned speaker

0:10

Madam

Speaker 1

0:10

Clickley, please call the roll.

Speaker 2

0:15

Councilmember Aldarete Gavito.

0:18

Councilmember Mesa Gonzalez.

0:21

Councilmember White.

0:23

Councilmember Castillo.

0:26

Chair Galvan.

Speaker 1

0:27

Here.

Speaker 2

0:28

Sir, we have a quorum.

Speaker 1

0:29

Thank you so much.

0:30

Can I get a motion a second for the approval of the minutes from the last meeting?

0:36

All is in favor.

0:37

You say aye.

0:38

Aye.

0:38

Any opposed?

0:39

Any abstentions?

0:41

Great.

0:42

We have a couple folks on it for public comment here.

0:45

Each person will get three minutes to speak.

0:47

We'll start off with Tyler Ferguson.

Unassigned speaker

0:54

All

Speaker 3

0:54

right, good morning.

0:56

My name is Tyler Ferguson, and I'm the executive director of Blueprint Ministries.

1:00

I also chair Metro Health's Health Equity Network Housing Work Group.

1:05

I'm here this morning to share with you from my perspective the immense good that the network is doing to holistically address food insecurity.

1:14

It might seem odd that someone working in the housing space is intimately involved in Metro Health's efforts to address food insecurity.

1:23

That's because housing, as well as other social determinants of health, are all interconnected.

1:29

Your constituents who face food insecurity do not do so in a vacuum.

1:35

Instead, they must make decisions in the face of impossible trade-offs.

1:40

Deciding to remedy mold in their house means there's no money left for food.

1:45

Buying lunches for their kids in the summer might mean mom skipping her medication refill.

1:51

Those needs are all connected, even when the organizations helping with them aren't.

1:57

That's where the health equity network has really helped us.

2:01

Metro Health brings organizations addressing all of these concerns and more together so we can collaborate in a way that allows people to receive support, not just in receiving food for the weak, but more importantly, in removing the barriers that keep them in the food insecurity cycle in the first place.

2:19

In January, we brought a homeowner situation to our health equity network partners.

2:25

We could help with the repairs, but there were other needs too that kept this family struggling to put food on the table.

2:31

Relationships formed through the network helped us identify resources and make referrals for clothing, transportation, and mental health supports.

2:40

We didn't have to figure it all out ourselves.

2:42

We had people we could turn to.

2:44

And that meant we could offer the homeowner more uh more help than we could on our own.

2:49

I want to close with a thought about the budget conversations that we're sure to keep having in the coming years about the city's role in funding nonprofit organizations.

3:00

I'm not here today to argue for or against funding going to individual organizations, but rather I want to encourage the city to keep supporting collaborative efforts like the health equity network and to look at how we can replicate that model across different areas of city government.

3:19

When the city helps organizations work together, its investment can reach beyond what any one organization can do alone.

3:27

We can draw on each other's knowledge and resources to help the same families in a more holistic way.

3:34

That's a meaningful way to make the city's investment go even further.

3:39

And for the people we serve, it means we have more to offer when they come to us for help.

3:44

Thank

Unassigned speaker

3:45

you.

Speaker 1

3:46

Thank you.

Unassigned speaker

3:47

Next

Speaker 1

3:47

we have Chelly Fernandez.

Unassigned speaker

3:52

Oh, I'm going to see the system for them.

Speaker 1

3:56

Thank you.

3:59

Next we have uh forgive me if I miss uh mistake this.

4:03

Gudelia Ramon.

Unassigned speaker

4:05

That was very good.

Speaker 1

4:06

Oh, thank God.

Discussion Breakdown — Share of Meeting
Poverty Analysis████████████████████20%
Public Health█████████████████17%
Food Security███████████████15%
Financial Empowerment███████████████15%
Food Insecurity███████7%
Community Engagement██████6%
Poverty██████6%
Public Housing███3%
Budget██2%
Summary of Proceedings

Community Health Committee Meeting Summary - October 22, 2026\n\nThe Community Health Committee convened on October 22, 2026, to receive presentations and discuss the city's food security strategies, the 2026 Status of Poverty Report, and the Financial Empowerment Center program. The meeting featured extensive public testimony supporting the Health Equity Network (HEN) and deliberations on how city policies and external economic factors intersect to drive poverty and food insecurity.\n\n### Public Comments & Testimony\n- Tyler Ferguson (Blueprint Ministries/HEN Housing Work Group): Expressed support for HEN's collaborative model, urging the city to invest in collaborative efforts over individual organizations, stating that coordinated investments achieve more than individual organizations working alone.\n- Gudelia Ramon (Family Service/HEN): Described the HEN as a vital resource for partnerships, highlighting a pop-up market initiative serving 167 zip codes. Argued everyone deserves access to nutritious and affordable food.\n- Jenny Castro (Empower House/HEN): Stated the HEN expands her organization's reach, connecting clients to resources like the Food Bank and YWCA, helping families avoid impossible trade-offs between food and rent.\n- Mario Boledo Jr. (San Antonio Food Bank): Acknowledged rising food insecurity and demand, thanking city staff and committing to partnering with the HEN.\n- Mercedes Bristol (Texas Grandparents Raising Grandchildren): Emphasized the HEN breaks down silos for kinship caregivers, supporting advocacy and addressing harsh trade-offs like cutting medications to afford grandchildren's needs.\n\n### Discussion Items\n\nFood Security Public Health Strategies\n- Presentation: Dr. June DeWu (Metro Health) presented a roadmap showing food insecurity rose from 14% (2021) to 20.6% (2024). Key data included 1 in 4 Texas children and 1 in 3 Black Texans being food insecure, a 16% decline in SNAP participation in Bexar County, and 44% of households living under the ALICE threshold. The USDA stopped its national food security tracking in September 2025. The response relies on collective impact via the HEN and Phase 4 data collection.\n- Deliberation: Councilmember Adorata Gavito asked why local metrics worsened despite efforts. Dr. DeWu cited national economic instability and SNAP erosion outweighing local interventions. Councilmember Castillo connected food insecurity to stagnant wages and SNAP barriers, suggesting exploring community benefit agreements for micro food hubs. Councilmember White linked long-term solutions to economic development and financial empowerment. Chair Galvan inquired about local data collection to fill the federal gap and requested comprehensive tracking for budget decision impacts.\n\nStatus of the Poverty Report\n- Presentation: Laura Serrano (DHS) reported a 17.1% poverty rate (~250,000 residents). 32% of census tracts have high, persistent poverty (30 years). Unlike other major Texas cities, San Antonio has no statistically significant poverty reduction. Housing costs (buying) rose 24.5% compared to 0.4% income growth (2019-2024). 51% of renters are cost-burdened. Older adult poverty is rising; children's poverty is falling but remains high. Single mothers represent 86% of single families in poverty.\n- Deliberation: Councilmember Adorata Gavito requested the report be presented to the full Council. Councilmember Castillo asked how the elimination of public housing by Opportunity Home is factored into projections, arguing it will increase cost-burdened renters. DHS committed to exploring the impact. Councilmember White questioned service duplication across departments; DHS cited partnerships and holistic funding reviews. Chair Galvan requested ALICE data be disaggregated further if possible.\n\nFinancial Empowerment Center Program\n- Presentation: Jessica Dovalina (DHS) detailed the evidence-based model (local since 2013). Since inception, over 20,000 clients have reduced debt by $45.9M and built $8.7M in savings. In FY26, nearly 600 residents were served, reducing over $767,000 in debt. New legacy planning (wills, healthcare) was added. Future strategies focus on older adults, college students, and social program clients.\n- Deliberation: Councilmember Castillo shared an example of a local employer (Ramon Demolition) providing financial education to employees, suggesting a partnership model. She connected the program to the need for living wages in city contracts. Chair Galvan requested client data broken down by council district and asked about the "Bank On" partnership with River City Federal Credit Union. Richard Keith confirmed the partnership guides residents away from predatory lending.\n\n### Key Outcomes\n- Minutes Approved: Unanimous approval of prior meeting minutes.\n- Staff Directives:\n - Provide district-level breakdown of Financial Empowerment Center clients.\n - Explore the impact of Opportunity Home redevelopment on poverty metrics.\n - Provide granular ALICE data if available.\n- Policy & Next Steps:\n - Councilmember Adorata Gavito will work with the IGR committee to advocate for reducing SNAP delays at the state level.\n - Committee recommends presenting the Status of Poverty Report to the full City Council in a B Session.\n - Continued emphasis on aligning direct services (Financial Empowerment Center, food programs) with long-term economic mobility strategies and coordinating across departments to maximize impact in a constrained budget environment.

Meeting Transcript

All right. It is 1001 a.m. on October 22nd, 2026, and we will officially get the community health committee meeting started. Madam Clickley, please call the roll. Councilmember Aldarete Gavito. Councilmember Mesa Gonzalez. Councilmember White. Councilmember Castillo. Chair Galvan. Here. Sir, we have a quorum. Thank you so much. Can I get a motion a second for the approval of the minutes from the last meeting? All is in favor. You say aye. Aye. Any opposed? Any abstentions? Great. We have a couple folks on it for public comment here. Each person will get three minutes to speak. We'll start off with Tyler Ferguson. All right, good morning. My name is Tyler Ferguson, and I'm the executive director of Blueprint Ministries. I also chair Metro Health's Health Equity Network Housing Work Group. I'm here this morning to share with you from my perspective the immense good that the network is doing to holistically address food insecurity. It might seem odd that someone working in the housing space is intimately involved in Metro Health's efforts to address food insecurity. That's because housing, as well as other social determinants of health, are all interconnected. Your constituents who face food insecurity do not do so in a vacuum. Instead, they must make decisions in the face of impossible trade-offs. Deciding to remedy mold in their house means there's no money left for food. Buying lunches for their kids in the summer might mean mom skipping her medication refill. Those needs are all connected, even when the organizations helping with them aren't. That's where the health equity network has really helped us. Metro Health brings organizations addressing all of these concerns and more together so we can collaborate in a way that allows people to receive support, not just in receiving food for the weak, but more importantly, in removing the barriers that keep them in the food insecurity cycle in the first place. In January, we brought a homeowner situation to our health equity network partners. We could help with the repairs, but there were other needs too that kept this family struggling to put food on the table. Relationships formed through the network helped us identify resources and make referrals for clothing, transportation, and mental health supports. We didn't have to figure it all out ourselves. We had people we could turn to. And that meant we could offer the homeowner more uh more help than we could on our own. I want to close with a thought about the budget conversations that we're sure to keep having in the coming years about the city's role in funding nonprofit organizations. I'm not here today to argue for or against funding going to individual organizations, but rather I want to encourage the city to keep supporting collaborative efforts like the health equity network and to look at how we can replicate that model across different areas of city government. When the city helps organizations work together, its investment can reach beyond what any one organization can do alone. We can draw on each other's knowledge and resources to help the same families in a more holistic way. That's a meaningful way to make the city's investment go even further. And for the people we serve, it means we have more to offer when they come to us for help. Thank

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