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[00:03:14]

>> GOOD MORNING EVERYONE AND WELCOME TO THE DECEMBER 5TH,

[1. Call to Order, Pledge and prayer]

CAROLINE COUNTY COMMISSIONERS MEETING, WHICH IS NOW ON ORDER.

[NOISE] THIS MORNING WE HAVE OUR INVOCATION BY PASTOR TOM FISHER OF ABRAMS MEMORIAL CHURCH OF DENTON, AND THAT WILL BE FOLLOWED BY THE PLEDGE OF ALLEGIANCE.

IF EVERYONE COULD RISE. [NOISE] MORNING, REVEREND.

>> GOOD MORNING, SIR.

>> LET'S BOW OUR HEADS. MOST PRECIOUS GOD, OUR FATHER, WE COME BEFORE YOU AS HUMBLY AS WE KNOW HOW.

FIRST OF ALL, JUST THANKING YOU FOR LETTING US LIVE AND SEE ANOTHER DAY.

WE THANK YOU BECAUSE WE DIDN'T GET THAT DREADED PHONE CALL LAST NIGHT THAT SOMEONE WE KNEW MAY HAVE BEEN IN AN ACCIDENT OR MAY HAVE PASSED, THEY'RE ON FIRE, OR SOME CALAMITY CAME THEIR WAY.

YOU STAYED AHEAD OF THE ENEMY, AND WE ARE FINE.

WE THANK YOU BECAUSE YOU ARE OUR PROTECTOR, YOU ARE OUR PROVIDER AND YOU ARE OUR WAY-MAKER.

LORD, TO THE BUSINESS AT HAND, I PRAY THAT YOU WOULD BLESS THE COMMISSIONERS OF CAROLINE COUNTY AS THEY STAND HERE TO REPRESENT THESE 37,000 PEOPLE IN CAROLINE COUNTY, MARYLAND AND I PRAY THAT THEY WILL DO SO EQUITABLY AND WITH EMPATHY FOR ALL CONCERNED FROM THE NORTH TO THE EAST TO THE SOUTH AND WEST, AND THE CENTER.

LOOK DOWN AT THIS WHOLE AREA AS A PLACE WHERE PEOPLE CAN BE SAFE, COME TOGETHER WHEN THERE'S TIME TO LAUGH AND SUPPORT EACH OTHER WHEN IT'S TIME TO CRY.

BLESS THEIR DECISIONS AND BLESS THE STATE, THAT THEY WILL FIND MORE FUNDS FOR CAROLINE COUNTY AND WE WILL CONTINUE TO THRIVE.

I PRAY FOR EVERYONE THAT'S HERE AND ALL THE FAMILIES THAT ARE REPRESENTED, AND I JUST ASK THAT YOU BLESS THIS MEETING AND YOU LOOK OVER IT AND YOU BE THE PERSON THAT THEY CALL ON WHEN THEY NEED WISE COUNSEL IN THE DECISIONS THAT THEY MAKE.

I PRAY THESE AND ALL OTHER BLESSINGS IN JESUS NAME, AMEN.

[00:05:02]

>> AMEN.

>>

>> THANK YOU, REVEREND FISHER.

[NOISE] THE COMMISSIONERS MET IN CLOSED SESSION DURING THEIR NOVEMBER 21ST,

[2. Closed Session Report Out]

2023 MEETING FOR THE FOLLOWING REASONS.

TO DISCUSS THE APPOINTMENT, EMPLOYMENT, OR RESIGNATION OF COUNTY EMPLOYEES UNDER AUTHORITY: 2014 MARYLAND CODE, STATE GOVERNMENT 3-305 (B).

STAFF WAS DIRECTED TO FINALIZE DOCUMENTS FOR APPROVAL DURING AN UPCOMING MEETING.

ATTENDEES WERE COMMISSIONERS BREEDING, BARTZ AND PORTER, COUNTY ADMINISTRATOR KATHLEEN FREEMAN AND DEPUTY ADMINISTRATOR DANIEL FOX, COUNTY ATTORNEY STEWART BARROLL, PUBLIC INFORMATION OFFICER JENNIFER REIBLY, PARALEGAL MARY BERNESKI AND ROBERT ZIMBEROFF.

[NOISE] IS THERE ANY PUBLIC COMMENT THIS MORNING? NONE BEING SEEN, WE WILL MOVE ON TO OUR FIRST AGENDA ITEM, WHICH IS A SPECIAL RECOGNITION TO DR. GARDNER AND STAFF OF TUCKAHOE ANIMAL CLINIC.

COMMISSIONER PORTER HAS THE CERTIFICATE.

[4.Special Recognition: Dr. Gardner and Staff, Tuckahoe Animal Clinic]

>> GOOD MORNING. WE HAVE THE PRIVILEGE EVER SO OFTEN TO RECOGNIZE ORGANIZATIONS AND BUSINESSES IN OUR AREA.

IT'S MY HONOR AND PLEASURE THIS MORNING TO PRESENT A CERTIFICATE IN RECOGNITION TO DR. HILLIARD GARDNER AND HIS STAFF, AND I WILL READ THE PROCLAMATION OR CERTIFICATE OF RECOGNITION AND THEN WE'LL ASK YOU IF YOU WANT TO COME UP AND GET A PICTURE TAKEN AND THEN WE HAVE SOMETHING TO GIVE YOU.

FOR 45 YEARS OF OUTSTANDING SERVICE AS A VETERINARIAN IN CAROLINE COUNTY, THIS CERTIFICATE OF RECOGNITION IS PRESENTED TO DR. HILLIARD GARDNER.

YOUR DEDICATION TO WELFARE OF ANIMALS REFLECTS A LIFELONG COMMITMENT TO THEIR CARE AND WELL-BEING.

YOUR COMPREHENSIVE CONTRIBUTIONS TO THE COMMUNITY EXTEND BEYOND THE OFFICE, EMBRACING VARIOUS CAUSES AND ORGANIZATIONS.

YOUR SUPPORT OF CAROLINE DORCHESTER 4-H AND VIRTUAL ASSISTANCE AT THE CAROLINE RABIES CLINIC FOR OVER 35 YEARS ARE EXAMPLES OF YOUR DEDICATION TO YOUR COMMUNITY.

WE WOULD LIKE TO ACKNOWLEDGE THE IMPORTANT MEMBERS OF YOUR STAFF, KAREN KAY WRIGHT, KEITH DARRELL ASHLEY, AND HAILEY VOGE.

THEIR COMMITMENT AND SUPPORT HAVE BEEN INSTRUMENTAL IN UPHOLDING THE STANDARDS OF EXCELLENCE IN VETERINARY PRACTICE.

THEIR COMPASSION FOR ANIMALS AND THEIR PEOPLE, COUPLED WITH THEIR DEDICATION TO ENSURING THE SMOOTH OPERATION OF THE CLINIC HAVE PROFOUNDLY ENRICHED THE QUALITY OF CARE PROVIDED.

THIS CERTIFICATE HONORS DR. GARDNER AND STAFF AND IS PRESENTED WITH THE UTMOST RESPECT AND HEARTFELT GRATITUDE FOR YOUR INVALUABLE CONTRIBUTIONS TO ANIMAL WELFARE, COMMUNITY SERVICE, AND THE BETTERMENT OF CAROLINE COUNTY.

PRESENTED THIS TUESDAY, DECEMBER 5TH, 2023, BY THE COUNTY COMMISSIONERS OF CAROLINE COUNTY, MARYLAND.

J. TRAVIS BREEDING, PRESIDENT, LARRY PORTER, VICE-PRESIDENT, AND FRANKLIN BARTZ, COMMISSIONER.

[NOISE] DR. GARDNER, THANK YOU VERY MUCH.

I SEE KAY, [LAUGHTER] KAY AND I SPENT A LOT OF TIME DURING SOCCER GAMES, ARGUING WITH REFEREES AND PEOPLE, SO IT'S GOOD TO SEE YOU.

IT'S AN HONOR TO HAVE YOU HERE TODAY, AND WE JUST WANT TO THANK YOU SO MUCH FOR ALL OF THE SERVICE YOU'VE PROVIDED TO THE PEOPLE AND ANIMALS IN THIS COUNTY.

IF YOU WOULD LIKE TO COME FORWARD, WE'LL GET A PICTURE AND PRESENT YOU WITH THIS.

>> [BACKGROUND]

>> CONGRATULATIONS, DR. GARDNER.

I DON'T THINK WE'VE EVER MET,

[00:10:01]

BUT YOU MEET MY GRANDFATHER. [LAUGHTER]

>> WE HAD THESE FOR YOU AS WELL.

>> THANK YOU.

>> THANKS FOR COMING IN.

>> OUR NEXT AGENDA ITEM IS MARK SHERIDAN, DIRECTOR OF DEPARTMENT OF EMERGENCY SERVICES, AND KATHY JO MARVEL, DIVISION CHIEF, WITH ROBIN CAHALL, OUR HEALTH OFFICER, HOLLY TRICE, DIRECTOR OF NURSING FOR THE HEALTH DEPARTMENT,

[5.Presentation of Caroline County Mobile Integrated Health Program]

WITH A PRESENTATION OF CAROLINE COUNTY MOBILE INTEGRATED HEALTH PROGRAM. GOOD MORNING.

>> MORNING.

>> GOOD MORNING.

>> IS THERE ANYBODY I MISSED?

>> I THINK YOU'RE DONE, PAUL. [LAUGHTER]

>> I JUST WANT TO DO A LITTLE BIT OF INTRODUCTION AND STUFF HERE.

I'M A LITTLE UNDER THE WEATHER, SO I APOLOGIZE.

>> I KNOW.

>> LORD, [INAUDIBLE]. GOOD MORNING.

AS ALWAYS, I WANT TO EXTEND OUR GRATITUDE TO THIS BOARD FOR THEIR SUPPORT IN ANYTHING THAT WE'VE USUALLY COME FORWARD TO YOU WITH.

I THINK IT WAS BACK IN MARCH OR FEBRUARY, WE CAME TO YOU WITH THIS IDEA OF MOBILE INTEGRATED HEALTHCARE IN CAROLINE COUNTY.

WE WANT TO DO THIS NEEDS ASSESSMENT TO REALLY LOOK AT THE HEALTH OF OUR COMMUNITY, WHAT OUR NEEDS WOULD BE, HOW THAT WOULD GO.

I WANT TO FIRST INTRODUCE, I KNOW THEY REALLY DON'T NEED INTRODUCTION BUT, KATHY JO IS OUR EMS CHIEF.

THIS IS OUR EXECUTIVE BOARD.

WE'VE DECIDED OUR EXECUTIVE BOARD OF MOBILE INTEGRATED HEALTHCARE IN CAROLINE COUNTY.

ROBIN CAHALL, WHO'S OUR AWESOME HEALTH OFFICER, AND HOLLY TRICE WHO I'VE RECENTLY BECOME ACQUAINTANCES WITH [LAUGHTER], OUR DIRECTOR OF NURSING AT THE HEALTH DEPARTMENT, SHE'LL TALK A LITTLE BIT LATER ABOUT A GRANT THAT WE HAVE THE OPPORTUNITY TO LOOK AT.

SHE HAS REALLY SPEARHEADED THAT, AND CHRISSY BARTZ, WHO'S IN THE WARM DISNEY WORLD. [LAUGHTER]

>> SHE'S HAVING [INAUDIBLE] IN THE MOST MAGICAL PLACE ON EARTH.

[LAUGHTER].

>> SHE'S AT MOST CROWDED PLACE ON EARTH.

>> BUT SHE'S LISTENING. [LAUGHTER]

>> YES. SHE REPRESENTS OUR BLS COMMITTEE, AND CHRISSY IS A BIG HELP TO DES AND ANYTHING CAROLINE COUNTY WHENEVER NEEDED.

OF COURSE, OUR MEDICAL DIRECTOR, DR. URIBE.

AGAIN, THANK YOU FOR YOUR CONTINUED SUPPORT.

WHEN WE CAME TO YOU, WE JUST DIDN'T WANT TO DO MOBILE INTEGRATED HEALTHCARE WITHOUT LOOKING AT OUR WHOLE COMMUNITY.

WE DON'T WANT TO JUST FOCUS ON REOCCURRING AMBULANCE CALLS BECAUSE THAT IS A SMALL PART OF IT, BUT WE WANT TO LOOK AT THE HEALTH OF ALL THE PEOPLE IN CAROLINE COUNTY, AND HOW CAN WE PROVIDE THAT POINT OF CARE THAT THEY MAY NEED.

MY WIFE DID MIH IN SUSSEX COUNTY WHERE I CAME FROM, SHE IS SO JEALOUS RIGHT NOW BECAUSE WE HAVE THE PARTNERSHIP WITH THE HEALTH DEPARTMENT AND CHOPTANK COMMUNITY, AND SURE.

THIS IS A HUGE PARTNERSHIP WITH ALL OF US COMING TOGETHER TO BASICALLY TAKE CARE OF PEOPLE, THAT'S THE GOAL OF THIS PROGRAM.

KATHY JO IS GOING TO GO THROUGH AN AGENDA OF SHORT POWERPOINT JUST SO TO GIVE YOU THE MEATS AND POTATOES OF THE 77, I THINK, OR PLUS PAGE DOCUMENT THAT YOU WERE PROVIDED PRIOR TO TODAY.

THEN WE'LL LET THE HEALTH PEOPLE TALK, WE'LL LET ROBIN AND HOLLY TELL YOU ABOUT A POSSIBLE GRANT OPPORTUNITY.

WITHOUT THAT, I'LL LET THEM TALK AND OFFSHORE TO JUST BE QUIET.

[LAUGHTER]

>> WE'VE PUT THIS POWERPOINT TOGETHER WITH THE HELP OF TETRA TECH WHO DID THE INITIAL NEEDS STUDY.

WHAT WE DID WAS, WE PULLED OUT THE HIGHLIGHTS OF THE 77 PAGES THAT WE FELT WERE REALLY IMPORTANT THAT SEGUED INTO THE GRANT THAT THE HEALTH DEPARTMENT HAD TO OFFER.

WE'RE JUST GOING TO GIVE YOU A LITTLE BACKGROUND ON THE PROJECT.

WE HAVE A CASE EXAMPLE OF HOW EMS IS ACTUALLY DEALING WITH SOME OF THIS RIGHT NOW.

THEN WE'RE GOING TO THROUGH SOME OF THE FINDINGS THAT WE FOUND THAT WERE PRETTY INTERESTING, AND THEN WE'LL TALK ABOUT THE NEXT STEPS, WHICH IS WHERE ROBIN AND HOLLY WILL COME IN.

AS MARK SAID, WE INITIATED THIS IN THE SPRING.

THIS IS SOMETHING THAT DES WENT TO THE BLS COMMITTEE AND ASKED THEM TO FUND.

WE KNEW THE NEEDS OF WHAT WE THOUGHT CAROLINE COUNTY MOBILE INTEGRATED HEALTH PROGRAM WOULD LOOK LIKE, HOWEVER, WE REALLY NEEDED SOMEONE TO TELL US THAT.

TETRA TECH WAS HIRED AND THAT'S WHERE THE 71-PAGE DOCUMENT CAME IN,

[00:15:05]

WHERE THEY DID THE ANALYSIS IN THE BACKGROUND ON WHAT THE NEEDS ARE OF THE COUNTIES.

MOST OF THE STATES HAVE REALIZED THAT 911 CALLS ARE GETTING MORE AND MORE PRIMARY CARE RELATED AND LESS EMERGENCY.

A LOT OF THE CALLS THAT WE'RE FINDING THESE PEOPLE, THEY'VE LACK OF CARE, AND THEY DON'T REALLY NEED TO GO TO THE ER, WHICH NOW HAS COMPOUNDED INTO LONG ER WAIT TIMES BECAUSE THEY'RE USING THE AMBULANCE AND THE ERS TO TREAT WHAT COULD BE TREATED WITH PRIMARY CARE.

THAT'S WHY MOBILE INTEGRATED HEALTH PROGRAMS WILL REALLY TAILOR IN APPROACH TO EACH COUNTY'S NEEDS.

ONE OF THE EXAMPLES THAT CAROLINE REALLY DOES AND OUR PROVIDERS ARE REALLY GOOD AT IS, WHEN THEY'RE OUT AND THEY'RE TAKING CARE OF THESE PEOPLE, THEY'RE COMING BACK TO ME AND SAYING, "HEY, THIS PERSON AT SUCH AND SUCH ADDRESS REALLY DOESN'T NEED AN ER, THEY NEED MEALS ON WHEELS, THE REFRIGERATOR IS EMPTY, THEY NEED SHOWER HANDLES PUT UP IN THEIR UNITS, THEY ARE FALLING BECAUSE THEIR HOUSE IS AT RISK." WE THEN TAKE THAT INFORMATION AND MYSELF AND MARIE USUALLY REACH OUT TO THE HEALTH DEPARTMENT AND TO SOCIAL SERVICES AND WE START TO FACILITATE THE ADDITIONAL CARE THAT THESE PEOPLE NEED.

THIS WAS ONE EXAMPLE THAT WE HAD.

BETWEEN AUGUST THE 25TH AND OCTOBER THE 2ND, WE RESPONDED TO A RESIDENCE AT [NOISE] SOUTHERN CAROLINE COUNTY AND FOR 39 DAYS, 11 DIFFERENT TIMES.

THE INDIVIDUAL THERE HAD A MEDICAL EMERGENCY, SHE WAS SENT HOME, SHE SUFFERED A MASSIVE STROKE.

HER FAMILY HAD TO QUIT TO TAKE CARE OF HER, SO THEY HAD NO INCOME COMING INTO THEIR HOUSE ANYMORE, AND THEY WERE GETTING FRUSTRATED.

SHE WAS WHEELCHAIR-BOUND, AND SO SHE STARTED CALLING WITHOUT THEM KNOWING.

SHE WOULD CALL IN AND SAY THAT SHE COULDN'T BREATHE.

ONE TIME SHE CALLED IN AND SAID HER HUSBAND WAS IN CARDIAC ARREST, THEY GET THERE AND HE'S ASLEEP UPSTAIRS.

>> SHE WAS THE SAME PLACE.

>> SAME PLACE.

>> 11 CALLS.

>> 11 CALLS. [OVERLAPPING].

>> FOR 39 DAYS.

>> YES, AND 39 DAYS.

WE REACHED OUT TO CHOPTANK COMMUNITY HEALTH, SHE WASN'T A PATIENT THERE, SO THEY WEREN'T ABLE TO REALLY HELP US.

WE REACHED OUT TO THE HEALTH DEPARTMENT, SHE HAD CALLED IN SOME FALSE STATEMENTS.

IT WAS JUST MORE LIKE JUST TRYING TO FACILITATE HELP, AND A LOT OF THE COMPLAINTS WERE UNFOUNDED.

ON OCTOBER THE 2ND, HER FINAL CALL, THEY WERE ABLE TO CONVINCE HER TO ACCEPT TRANSPORT.

WE GOT HER TO THE HOSPITAL, WE ASKED THEM TO TAKE HER TO EASTERN BECAUSE A LOT OF TIMES DOWN SOUTH, THEY GO OUT OF STATE AND IT MAKES IT A LOT HARDER FOR US TO FACILITATE CARE WHEN THEY'RE IN ANOTHER STATE.

I REACHED OUT TO TERRY SATCHELL WHO HANDLES POPULATION HEALTH AT SHORE HEALTH.

HE WAS ABLE TO GO DOWN THERE, THEY GOT THE FAMILY IN AND WE WERE FINALLY ABLE TO GET THIS LADY PLACED IN A REHAB CENTER WHERE SHE CURRENTLY STILL IS GETTING REHABILITATED SO THAT EVENTUALLY SHE'LL BE ABLE TO COME HOME.

BUT IT TOOK THREE MONTHS, ALMOST, OF TIME FOR OUR OFFICE TO BE ABLE TO DO THIS.

THIS LADY WOULD HAVE BEEN A PRIME EXAMPLE AFTER THE FIRST CALL IF WE COULD'VE ENROLLED HER INTO THE MICH PROGRAM, THAT WE COULD HAVE STARTED THE BALL AND POSSIBLY GOT HER HELP SOONER RATHER THAN 39, 40 DAYS LATER.

THESE ARE THE TYPE OF CALLS THAT WE WANTED TO BE ABLE TO FOCUS ON, AND I WANTED TO BE ABLE TO EXPLAIN THAT WE'RE ALREADY DOING THIS IN A NON-PROFESSIONAL MANNER AND PROGRAM.

TETRA TECH, REALLY THOUGHT THAT WAS INTERESTING, SO THEY WERE LIKE, "WE NEED TO START LOOKING AT THIS DATA." THEY INTERVIEWED SIX GROUPS OF PEOPLE WITHIN CAROLINE COUNTY, AND THEN THEY ALSO REACHED OUT TO DIFFERENT PEER PROGRAMS AROUND MARYLAND AND ACROSS THE UNITED STATES.

THE ONE PLACE THAT THEY REALLY LIKED AND WE HAVE ACTUALLY CONTACT NOW WITH THEM IS DEER ISLE IN MAINE.

THEIR COMMUNITY IS A LOT LIKE OURS, IT'S RURAL AND THEIR AMBULANCE LAYOUT IS A LOT LIKE OURS.

THE PROGRAM THAT THEY HAVE STRUCTURED MEETS WHAT WE DECIDED AS A BOARD IS REALLY HOW WE WANT TO STRUCTURE OUR PROGRAM AT CAROLINE COUNTY SHOULD WE BE ABLE TO DO THAT.

WHAT TETRA TECH DID WAS THEY TOOK ALL OF THE CALL DATA FOR 21 AND 22.

NOW MIND YOU, THIS WAS ALSO DURING COVID, SO WE HAD TO TAKE OUT SOME OF THAT COVID FACTOR, BUT IT WAS STILL VERY INTERESTING WHAT THEY ENDED UP FINDING OUT.

THEY FOUND OUT THAT THERE WERE 69 UNIQUE ADDRESSES THAT GENERATED THE BULK OF CALLS,

[00:20:03]

558 REPEAT CALLS TO BE EXACT, TO JUST 69 DIFFERENT ADDRESSES.

IT WAS A TOTAL OF 70 INDIVIDUALS WITHIN THOSE ADDRESSES THAT WE COULD IDENTIFY RIGHT NOW, JUST OUT OF EMS THAT ARE PRIME CANDIDATES FOR MOBILE INTEGRATED HEALTH PROGRAM.

WE DON'T WANT YOU TO THINK WE DON'T WANT TO DO 911 CALLS, BUT 911 IS BUILT FOR THE EMERGENCY CALLS.

THEY'RE NOT BUILT FOR US TO REALLY BE GOING OUT INTO THE PUBLIC AND TAKING CARE OF THESE PEOPLE, THESE PEOPLE NEED OTHER RESOURCES.

THE ER ISN'T GOOD FOR THEM EITHER, BECAUSE YOU'D SEE A DOCTOR ONCE FOR BLOOD PRESSURE MEDICINE, AND THEN 30 DAYS LATER YOU'RE OUT OF THAT PRESCRIPTION AND THEN YOU'RE GOING BACK TO THE ER FOR ANOTHER 30 DAYS FOR BLOOD PRESSURE MEDICINE.

THE FACT THAT WE HAVE 70 INDIVIDUALS ALREADY THAT WE COULD BE HELPING IS HUGE.

IT'S A LACK ON THE HEALTH CARE SYSTEM AS A WHOLE, IT'S NOT A HEALTH DEPARTMENT THING, IT'S NOT EVEN EMS THING, IT'S A HEALTHCARE THING.

SO MARK PASSED YOU ON A MAP AND THOSE CALLS ARE HIGHLIGHTED WITHIN THAT MAP, AND I REALLY FELT THAT MAP WAS KIND OF IMPORTANT.

THESE ARE ALL THE PLACES THAT WE SORT OF IDENTIFIED, MARK AND I, WHEN WE TOOK THIS JOB.

WE KNEW THAT THESE WERE SORT OF PROBLEM AREAS, AND IT ALL TIES BACK TO LACK OF TRANSPORTATION, LACK OF HEALTH CARE WITHIN DIFFERENT EQUITY AND INEQUALITY OF PERSONS.

THOSE ARE HIGH POPULATED AREAS OF FOREIGN DESCENT THAT CAME HERE AND DON'T KNOW HOW TO ASK FOR HELP OR DON'T KNOW HOW TO GET HELP.

SO IT WAS REALLY INTERESTING TO SEE THAT STOOD OUT IN A MAP.

SO BASICALLY WHAT WE FOUND THROUGH THE STUDY WAS 63% OF THE CONTACTS THAT WE DO ANNUALLY OR OF A BLS FOR A LOW ACUITY NATURE, WHICH MEANS THEY DON'T NEED A PARAMEDIC AT ALL.

SO THAT'S A BIG NUMBER IN THIS COUNTY, THAT 63%.

WE HAVE NO HOSPITAL, WE HAVE LIMITED ACCESS TO HEALTH CARE.

IF YOU'RE NOT A TOP TEN PATIENT, YOU GO TO URGENT CARE.

BUT AGAIN, WHAT'S THAT HELPING YOU DO? THEY'RE GIVING YOU THE MEDICINE TO TREAT YOUR ACUTE SYMPTOM AND THEN THEY'RE SENDING YOU ON YOUR WAY, AND IF YOU DON'T HAVE THE RESOURCES FOR SOMEONE TO BE ABLE TO SAY 'NOW, LET'S HOOK YOU UP WITH A DOCTOR', WE'RE LACKING IN THAT DEPARTMENT.

WE HAVE LONG TRANSPORT TIMES BECAUSE WE DON'T HAVE A HOSPITAL.

WE HAVE LACK OF FOLLOW UP WITH PRIMARY CARE AND THEN THE BIG ONE IS ALWAYS THAT TRANSPORTATION PIECE.

TRAVIS IS ALREADY STARTING TO HEAD UP THAT CONVERSATION AND WE'RE LOOKING AT THAT.

SO, WHAT'S OUR PURPOSE AND GOAL? WE WANT TO REDUCE THOSE HIGH-FREQUENCY EMS REPEAT CALLERS, IMPROVE ACCESS TO REMITTENT HEALTH CARE IN CAROLINE COUNTY.

PEOPLE NEED THE RIGHT CARE WHEN IT'S NEEDED.

WE WANT WHOLE COMMUNITY INPUT.

THIS IS NOT AN EMS THING AND IT'S NOT A HEALTH DEPARTMENT THING.

THIS IS A PARTNERSHIP AND WE'RE GOING TO HAVE TO BRING ON MORE PEOPLE.

THERE'S GOING TO BE THE DEPARTMENT OF AGING, SOCIAL SERVICES.

THIS IS GONNA BE A WHOLE COMMUNITY EFFORT AS WELL AS THE SUPPORT FROM YOU GUYS.

BECAUSE WE'RE GOING TO HAVE TO INTEGRATE.

ALL THE RESOURCES HAVE TO BE ON THE SAME PAGE AND WE'RE GOING TO HAVE TO HAVE AN ADMIN, SOMEBODY IS GOING TO HAVE TO MANAGE THIS DATA, AND THEN WE HAVE TO FIGURE OUT WHAT THAT SUSTAINABLE FUNDING IS GOING TO LOOK LIKE BECAUSE WE CAN'T DO IT ON OUR OWN.

SO, THAT KIND OF BRINGS ME TO THE NEXT STEPS AND, HOW DO WE START THIS? WHAT ARE WE GOING TO DO, AND HOW DO WE THINK THIS IS GOING TO PLAN OUT? SO, I'M GOING TO TURN IT OVER TO ROBIN.

>> SO, AT THE VERY INITIAL CREATION ON THE NEEDS ANALYSIS, WE WERE ON BOARD.

MARK REACHED OUT TO ME.

WE HAD A FEW MEETINGS.

WE KNEW THAT THE NEEDS ANALYSIS HAD BEEN COMPLETED OR WAS ACTUALLY GETTING READY TO BE COMPLETE.

A GRANT CAME IN MY E-MAIL.

HOLLY AND I, WE SAT DOWN.

WE STARTED TALKING ABOUT THE GRANT BECAUSE IT SEEMED TO BE, IT WAS PRETTY COMPLEX AND IT RANGED OVER FIVE YEARS.

SO WE'RE SITTING THERE AND WE'RE THINKING ABOUT IT, AND HOLLY SAID, 'YOU KNOW, I'M A LITTLE CONCERNED ABOUT THE FACT THAT WE'RE GOING TO NEED UNIQUE PATIENTS'.

AS SOON AS SHE'S HITTING UNIQUE PATIENTS, I WAS LIKE, 'THIS IS MOBILE INTEGRATED HEALTH.

THIS IS IT. SO WE STARTED DIGGING A LITTLE DEEPER, GOT EVERYBODY ON BOARD.

WE MET AGAIN. THINGS JUST HAVE JUST TAKEN OFF FROM THERE.

THIS GRANT OPPORTUNITY IS ACTUALLY COMING FROM THE STATE OF MARYLAND'S COMMUNITY HEALTH RESOURCE COMMISSION, AND IT'S THE RFP.

THE REQUEST FOR PROPOSAL IS THE HEALTH EQUITY RESOURCE COMMUNITIES REQUESTS FOR PROPOSALS.

IT FUNDS $1 BILLION A YEAR, OR UP TO $1 MILLION A YEAR FOR FIVE YEARS.

[00:25:03]

HOLLY AND I HAVE BEEN WORKING FEVERISHLY OVER THE LAST COUPLE OF WEEKS BECAUSE THE GRANT APPLICATION ITSELF IS A PRETTY HEAVY LIFT.

BUT, I AM ABSOLUTELY BLOWN AWAY BY THE AMOUNT OF WORK THAT WE'VE BEEN ABLE TO COMPLETE AND THE AMOUNT OF SUPPORT.

SO WE ACTUALLY HAVE OUR GRANT APPLICATION.

WE SAID THAT IT WAS FINAL ON FRIDAY, AND WE HAVE ACTUALLY SENT DRAFTS TO THE ENTIRE EXECUTIVE COMMITTEE.

HOWEVER, THEY EXTENDED THE DEADLINE SO NOW WE'RE JUST LETTING IT SIT THERE FOR JUST A LITTLE WHILE LONGER UNTIL WE NEED TO PUT OUR OTHER THINGS IN.

SO WHAT WE'RE LOOKING AT, CAROLINE COUNTY HEALTH DEPARTMENT WOULD BE CONSIDERED THE COORDINATING ORGANIZATION FOR THIS GRANT FUNDING PURPOSE.

SO WHILE THE HEALTH DEPARTMENT HAS THE FUNDING PIECE OF IT, IT'S EXTREMELY IMPORTANT FOR THE COUNTY AS A WHOLE TO ESSENTIALLY LEAD THIS ENDEAVOR.

WHAT WE'RE LOOKING AT IN THIS GRANT APPLICATION IS A LITTLE OVER $2.7 MILLION FOR A FIVE YEAR PERIOD.

OUR FIRST YEAR IS THE BLOCK OF THE FUNDING AT $589,000.

THAT ACTUALLY INCLUDES THE PURCHASE OF A VEHICLE ALONG WITH MAINTENANCE.

OF COURSE, OUR FOCUS IS TO ADDRESS ACCESS TO HEALTH CARE AND IMPROVE HEALTH OUTCOMES DURING ONGOING PARTNERSHIP.

I BELIEVE THAT THE SITUATION WITH COVID REALLY BUILT THE FOUNDATION FOR A STRONG PARTNERSHIP.

NOT ONLY WITH DES, BUT WITH SEVERAL OF OUR COMMUNITY PARTNERS THAT WE'VE JUST CONTINUED TO MAINTAIN THAT PARTNERSHIP.

WE NEED TO REDUCE HOSPITAL ADMISSION RATES, INCREASE ACCESS TO PRIMARY CARE, IMPROVE HEALTH LITERACY, AND IMPROVE HEALTHCARE OUTCOMES FOR THOSE WITH CHRONIC LONG-TERM CONDITIONS.

LET'S SEE. WHAT WE'RE LOOKING AT IN TERMS OF THE GRANT FUNDING, THEY WOULD PROVIDE FOR FIVE YEARS WORTH OF PERSONNEL AND TRAINING, VEHICLE PURCHASE AND MAINTENANCE, COMMUNITY OUTREACH EDUCATION, TECHNOLOGY UPGRADES, AND QUALITY ASSURANCE AND PROGRAM EVALUATION.

A REALLY IMPORTANT ASPECT OF THIS OPPORTUNITY IS PROGRAM EVALUATION BECAUSE WE WANT TO BE ABLE TO PROVE THE SUSTAINABILITY.

I DON'T THINK THAT WE MENTIONED THAT OUR NEXT STEP WITH TETRA TECH IS THE STRATEGIC PLAN PIECE OF THINGS, SO THEY'RE CURRENTLY WORKING ON THAT.

WHAT WE WOULD LIKE TO SEE WITHIN THAT FIVE, NOT AFTER, BUT WITHIN THAT FIVE YEAR PERIOD IS HOW THIS CAN BE SUSTAINED.

WHETHER IT BE THROUGH BILLING, WHETHER CONTINUED GRANT FUNDING OPPORTUNITIES THAT THE HEALTH DEPARTMENT SEEKS OUT, BUILDING THAT STRATEGIC PLAN IN REFERENCE TO THAT.

IN TERMS OF PERSONNEL AND TRAINING THAT WE BUILT INTO THIS GRANT, THIS WILL PROVIDE FOR HEALTH DEPARTMENT STAFF, ONE COMMUNITY HEALTH NURSE TOO, AND ONE COMMUNITY HEALTH OUTREACH WORKER.

FOR DES SPECIFICALLY, IT WILL PROVIDE FOR TWO EMS CLINICIANS, ONE EMS COORDINATOR, AND 10% OF THE EMS MEDICAL DIRECTOR SALARY DURING THAT FIVE YEAR PERIOD OF TIME.

WHEN I SAY THAT WE HAD AN ASTRONOMICAL AMOUNT OF SUPPORT, I WAS BLOWN AWAY.

WHEN I ASKED FOR LETTERS OF SUPPORT, ORGANIZATIONS WERE EXTREMELY EXCITED ABOUT WHAT WE WERE DOING.

WE HAVE A LETTER OF SUPPORT TO GO WITH OUR GRANT APPLICATION FROM UNIVERSITY OF MARYLAND SHORE REGIONAL HEALTH, CHOPTANK, THE MID SHORE LHIC, LOCAL MANAGEMENT BOARD, BLS COMMITTEE, CAROLINE COUNTY BEHAVIORAL HEALTH, AND OF COURSE DES, DR. [INAUDIBLE].

I THINK THAT THERE'S PROBABLY A FEW MORE THAN I HAVE IN MY COLLECTING TO MENTION BUT YEAH, THIS IS A VERY EXCITING OPPORTUNITY FOR US.

WHAT THE HEALTH DEPARTMENT HAS AN INFRASTRUCTURE IS WE'RE ABLE TO SUPPORT AND ADMINISTER THE GRANT FUNDING, AND THROUGH THE PARTNERSHIPS THAT WE CREATED, LIKE I SAID, IN TERMS OF YOUR FINANCE DEPARTMENT, WE WORKED VERY CLOSELY WITH THEM ON SOME OF THE COVID EFFORTS.

NOT JUST COVID EFFORTS, BUT ALSO THE DETENTION CENTER EFFORT WITH MATT.

SO WE HAVE REALLY GOOD EXAMPLES IN INFRASTRUCTURE OF US PARTNERING TOGETHER AND HOW THAT LOOKS IN TERMS OF FINANCE.

I THINK THAT, ACTUALLY HOLLY, YOU WANT TO TALK A LITTLE BIT ABOUT WHAT WE'RE LOOKING AT IN TERMS OF OUR TARGET POPULATION, WHICH I THINK IS REALLY IMPORTANT.

>> SO WE TALKED A LITTLE BIT ABOUT THE REPEAT 911 CALLS, AND SO THAT'S GOING TO BE THE BASIS OF A LOT OF THE REFERRALS THAT WE'RE GOING TO BE RECEIVING.

WE ARE LOOKING AT THIS SPECIFICALLY FOR INDIVIDUALS AGES 18 AND OVER, AND THEN WE'RE ALSO LOOKING AT THE CHRONIC HEALTH CARE CONDITIONS.

SO THOSE WHO HAVE MULTIPLE COMORBIDITIES,

[00:30:01]

LONG-TERM CHRONIC HEALTH CONDITIONS, BUT CAN'T SOMETIMES GET OUT OF THEIR HOUSE.

WE'RE GOING TO BE ABLE TO GO THERE WITH OUR MIH TEAM, ADMINISTER THE CARE, MAKE SURE THEY'RE LINKED TO RESOURCES SO THAT WAY, WE'RE DECREASING THOSE 911 CALLS AND HOSPITAL ADMISSION RATES.

>> THE ACTUAL MEDICAL CARE WILL BE DIRECTED BY DR. [INAUDIBLE] AND THE EMS CLINICIANS.

OUR STAFF ESSENTIALLY WILL BE RESPONSIBLE FOR THE COMMUNITY OUTREACH PIECE OF THINGS.

ALSO, THE CHRONIC DISEASE EDUCATION, DATA MANAGEMENT PIECES, WHICH IS GOING TO BE HUGE.

WE ALREADY BUILT IN SOME FUNDING FOR TECHNOLOGY UPDATES, SOFTWARE UPDATES, THINGS LIKE THAT, BUT DES ALREADY HAS A VERY ROBUST SYSTEM FOR DATA COLLECTION, AND WE ALSO HAVE BUILT SOME THINGS AS WELL, BUT WHAT THEY HAVE AVAILABLE IN TERMS OF BEING ABLE TO PULL DATA OUT IS PRETTY IMPRESSIVE SO, KATIE'S ALREADY BEEN IN TALKS WITH THE DEVELOPERS IN TERMS OF THE MOBILE INTEGRATED HEALTH MODULE THAT ALREADY EXISTS.

IT'S JUST A SENSE OF BUILDING IT INTO WHAT THEY ALREADY HAVE.

WE'RE EXTREMELY EXCITED.

WE EVEN HAVE SPACE FOR STAFF.

>> WHICH IS GOOD. WE DON'T.

>> WE'RE EXCITED TO MOVE FORWARD.

WE'RE KEEPING OUR EXECUTIVE COMMITTEE RATHER SMALL SO THAT WE CAN GET THESE TYPES OF THINGS DONE QUICKLY.

BUT OUR INTENTION IS TO BUILD AN ADVISORY BOARD OR ADVISORY COMMITTEE, NOT BOARD. ADVISORY COMMITTEE.

THAT CONSISTS OF ALL OF OUR VERY STRONG PARTNERSHIPS THROUGHOUT THE COMMUNITY.

WE'RE REALLY LOOKING FORWARD TO THIS.

I THINK THE ONE ASK THAT I HAVE OF THE COMMISSIONERS WOULD BE A LETTER OF SUPPORT FOR THE PROJECT.

WE HAVE A DEADLINE OF DECEMBER.

LIKE I SAID, THEY EXTENDED IT TO DECEMBER 14TH, BUT WE'RE GOING TO GET THIS BAD BOY OUT OF HERE HOPEFULLY BY THE END OF THE WEEK.

IT'S PRETTY BIG. WHAT HAVE WE GOT? ALMOST 30 PAGES OF JUST THE PROPOSAL ITSELF.

>> THESE LADIES DID A WONDERFUL JOB.

>> IT HAS BEEN A GREAT PARTNERSHIP.

I CAN TELL YOU, AS A FORMER DIRECTOR IN SUSSEX COUNTY EMS, THEY MADE AN ATTEMPT TO DO MORE INTEGRATED HEALTH CARE THERE AND IT FAILED MISERABLY.

IT FAILED MISERABLY BECAUSE THEY IDENTIFIED ONE SUBSET, THEY LOOKED AT RESPIRATORY PATIENTS ONLY, THEY NEVER LOOKED AT THE WHOLE COMMUNITY, THEY DIDN'T HAVE AN AWESOME HEALTH DEPARTMENT.

THIS TO ME, I GOT UP.

I DIDN'T EVEN SLEEP LAST NIGHT.

I WAS SO EXCITED ABOUT THIS.

THIS IS A GAME CHANGER FOR CAROLINE COUNTY. I'M TELLING YOU.

>> I DON'T USUALLY GET EXCITED, MARK.

I AM ACTUALLY EXCITED HERE.

>> I'M EXCITED.

>> SERIOUSLY.

WHEN THEY CAME, HONESTLY OUR BIGGEST FEAR WAS AND I THINK I TOLD THIS BOARD WHEN WE CAME HERE ABOUT TETRA TECH DOING THE NEEDS ANALYSIS, WE HAVE TO FIND A WAY TO SUSTAIN THIS FUNDING-WISE.

BECAUSE IF NOT, WE GO OUT AND WE PROVIDE A PROGRAM FOR FIVE YEARS AND THEN THESE PEOPLE STILL NEEDED US, AND THEN WHAT DO WE DO? WE JUST CUT TIES WITH THEM? [OVERLAPPING].

>> LUCKILY, RIGHT NOW WE CAN CURRENTLY BILL, WE ARE ABLE TO BILL FOR MOBILE INTEGRATED HEALTH VISITS AS LONG AS THEY'RE MEDICAID PATIENTS.

LUCKILY, I DON'T KNOW IF WE'RE LUCKY OR UNLUCKY, BUT WE HAVE A HIGH POPULATION OF MEDICAID PATIENTS HERE, THE BULK OF WHICH ARE PROBABLY THESE MOBILE INTEGRATED HEALTH PEOPLE.

THEN THAT WILL ALSO BACK INTO THE TRANSPONDER GRANT THAT WE BILL OUT EVERY YEAR AND WE WILL BE ABLE TO INCLUDE THOSE IN THAT GRANT TO GET ADDITIONAL FUNDING.

BUT LIKE ROBIN SAID, I HAVE A MEETING ON THURSDAY WITH QUEEN ANNE'S BECAUSE THEY USE THE MOBILE INTEGRATED HEALTH MODULE FOR THEIR VISITS, BUT THEY DON'T HAVE A HIGH POPULATION OF MEDICAID, SO THEY DON'T BILL.

MOST OF THOSE ARE PRIVATE PAY INTERN THAT ARE ENROLLED IN THEIR MOBILE INTEGRATED HEALTH PROGRAM, BUT HE'S GOING TO COME OVER AND WE'RE GOING TO SIT DOWN AND I'M GOING TO GO THROUGH THE PROCESS AND UNDERSTAND WHAT THAT MODULE LOOKS LIKE BECAUSE WE DON'T HAVE ACCESS RIGHT NOW BECAUSE WE DON'T HAVE A MOBILE INTEGRATED HEALTH PROGRAM, BUT HE'S GOING TO GO THROUGH THAT.

STACY HAS BEEN TALKING TO LEAH, AT MEDICAL CLINIC SO WE'RE TRYING TO FIGURE OUT WHAT IT IS WE NEED TO DO, WHAT CHANGES WE MAY NEED TO MAKE TO BE ABLE TO BILL, AND WE'LL BE ABLE TO GO GET SOME FUNDING BACK TO BE ABLE TO BILL FOR SOME OF THIS

>> ONE OF THE OTHER THINGS, WE TALK ABOUT THIS GRANT, AND IF WE GET IT, THIS IS GOING TO BE ABSOLUTELY WONDERFUL.

HOWEVER, IF WE DON'T, IF WE ARE NOT AWARDED THIS FUNDING, THIS IS NOT FOR [OVERLAPPING].

>> IT'S NOT GOING TO GO AWAY.

>> YEAH, IT'S NOT GOING TO GO AWAY.

[00:35:02]

HAVING ALL OF THIS ALREADY IS NOT A NEGATIVE.

IT JUST MEANS THAT THE HEALTH DEPARTMENT WILL KEEP SEEKING OUT FUNDING, WE'LL KEEP LOOKING, AND THEN WHEN THE NEXT TIME ROLLS AROUND, WE HAVE ALL OF THIS ALREADY TOGETHER.

I AM EXTREMELY EXCITED ABOUT THE FACT THAT IT'S A POSSIBILITY THAT WE MIGHT EVEN BE AWARDED.

IF NOT, WE'RE GOING TO KEEP GOING, WE'RE STILL DOING A STRATEGIC PLAN.

WE ALREADY HAVE ALL OF THIS INFORMATION.

WE'RE JUST GOING TO KEEP MOVING AND FIGURE OUT A WAY TO DO IT.

>> WE NEEDED THIS STUDY IN ORDER TO APPLY FOR THE GRANT.

>> ABSOLUTELY, THEY NEEDED THE DATA, IT HELPS. [OVERLAPPING].

>> IT IS VERY BENEFICIAL. WHEN WE TALK ABOUT DOING NEEDS ANALYSIS, THIS IS WHY YOU DO THOSE THINGS, SO THAT YOU HAVE THE PROOF.

WE'RE NOT GOING THROUGH SO MANY DIFFERENT AVENUES TO TRY TO FIND DATA.

WE HAD IT RIGHT HERE BUILT-IN.

>> I DON'T THINK WITHOUT THIS, I'M NOT SURE YOU WOULD HAVE BEEN ABLE TO PUT THE GRANT UP TOGETHER, IT WOULD'VE BEEN TOUGH.

>> IT WOULD HAVE BEEN HARDER TO ENTER.

>> IT WOULD'VE BEEN A LOT OF WORK. [OVERLAPPING].

>> SEEK OUT SOMEONE TO DO IT BECAUSE IT WOULD'VE BEEN A LOT OF PULLING.

WE CAN DO IT, BUT IT WOULD HAVE CONSUMED US GREATLY.

>> A LOT OF TIME. THE MOBILE INTEGRATED HEALTH, WE'RE ESSENTIALLY BRINGING THE HEALTH CARE PROVIDER TO THE PATIENT AT THEIR HOME.

THAT'S ESSENTIALLY WHAT WE'RE DOING AND THAT'S WHAT THE VEHICLE AND THE STAFF WILL BE FOR IS TO ACTUALLY BRING THEIR PRIMARY CARE PHYSICIAN TO OR.

>> IT WON'T BE THE PRIMARY CARE PHYSICIAN, IT'LL BE A NURSE AND THEN THE EMS CLINICIAN THAT WILL BE GOING.

THEY WILL BE IDENTIFYING WHAT NEEDS THAT CLIENT HAS.

IF THEY NEED A PRIMARY CARE, WE CAN HELP THEM, WE HAVE TELEHEALTH.

WE CAN MAKE SURE THAT THEY GET AN INITIAL VISIT VIA TELEHEALTH AND THEN WE CAN MAKE SURE THAT THEY THEN HAVE SUBSEQUENT VISITS.

WE'RE GOING TO BE PARTNERING WITH A PHARMD WHO CAN DO MEDICATION RECONCILIATION TO MAKE SURE THAT THE MEDICATIONS THAT THEY HAVE ARE ADEQUATE AND TREATING [OVERLAPPING].

>> WE ALREADY HAVE THAT PROGRAM TO BE ABLE TO RECONCILE THEIR MEDICINES ON EMS ALREADY, THAT THEY USE AS A RESOURCE.

YOU COULD SCAN THE DRIVER'S LICENSE AND MEDICATIONS POP UP AND IMPORT RIGHT INTO OUR REPORTS.

>> PLUS PART OF THE REASON I LIKE THE EMS CLINICIAN IN A RESIDENCE IS BECAUSE WE'RE USED TO GOING INTO PEOPLE'S HOUSES DAILY FOR CALLS.

THE OTHER RESPONSIBILITY WILL FALL ON THE EMS CLINICIAN, IS TO MAKE SURE THAT THEY WILL ALSO DO AN EVALUATION OF THE HOME AND LOOK AT THINGS LIKE, DO THEY HAVE SMOKE DETECTORS OR WORKING? DID IT TRIP HAZARDS? IS THERE A HOLE IN THE FLOOR? DO THEY NEED A RAMP? DO WE NEED TO REACH OUT TO SOME ORGANIZATIONS TRYING TO GET THEM A RAMP TO GET IN.

LIKE I SAID, IT'S A WHOLE COMMUNITY.

WE'RE JUST NOT IDENTIFYING SOMEBODY WITH SHORTNESS OF BREATH AND LIKE THEY DID IN [INAUDIBLE] EXHIBIT.

IT FAILED MISERABLY, AND THEN WHEN THE GRANT MONEY RAN OUT THERE, THE COUNTY COUNCIL NEVER BOUGHT INTO IT FOR THE SUSTAIN OF FUNDING, SO IT ENDED.

I DON'T WANT THAT. ONCE WE START TAKING CARE OF PEOPLE, I WANT TO BE ABLE TO CONTINUE THAT.

>> THERE'S AN ARTICLE, AND IT'S RELATED TO A STUDY THAT THEY PUBLISHED IN 2021 IN REFERENCE TO HOW THE ACTUAL IMPORTANCE OF MOBILE INTEGRATED HEALTH, HAVING EMS AS THE CLINICIAN OR AS THAT PIECE THERE.

JUST AS MARK STATED, THOSE ARE THE REASONS WHY, THESE ARE PEOPLE WHO, THEY'RE FRONTLINE, THEY ARE IDENTIFYING, THEY HAVE THE SKILL.

THE ONE THING THAT WE DID TALK ABOUT WAS PROVIDING SOME TRAINING, LIKE POSSIBLY THE COMMUNITY HEALTH OUTREACH WORKER TRAINING.

THE HEALTH DEPARTMENT FUNDED SOME SCHOLARSHIPS FOR THAT.

THAT'S DEFINITELY SOMETHING WE CAN HOOK UP WITH, WITH THE ADULT HEALTH EDUCATION CENTER AT CHESAPEAKE TO BE ABLE TO GET THOSE EMS CLINICIANS THAT TYPE OF TRAINING.

THE OTHER THING THAT WAS REALLY INTERESTING IN THAT ARTICLE THAT I READ WAS THAT, THEY LOOKED AT ONE AREA AND I CANNOT EXACTLY REMEMBER WHERE IT WAS, BUT MIH HAD THE POTENTIAL TO REDUCE COST AND MEDICARE BY THE WAY I THINK IT SAID THAT 60%, WHICH IS FUNNY.

THAT'S LIKE HOSPITALIZATION COST, WHICH IS HUGE.

WE MIGHT NOT BE ABLE TO TRACK THE EXACT AMOUNT OF COST THAT IT REDUCED IN THAT CERTAIN POPULATION, BUT WE CAN CERTAINLY TRACK AND EVALUATE THE REDUCTION IN COST AND EMS SERVICE AND THINGS LIKE THAT.

>> I THINK FOR YEARS, THOSE WHO HAVE BEEN INVOLVED IN THE EMERGENCY SERVICES, HAVE TALKED ABOUT THE FREQUENT FLYERS.

THIS GIVES US AN OPPORTUNITY TO INSTEAD OF COMPLAIN ABOUT IT, DO SOMETHING ABOUT IT. [OVERLAPPING].

>> TAKE ACTION.

>> I THINK THE OTHER PART OF THIS IS,

[00:40:04]

MY GUESS IS A LOT OF THE PEOPLE WHO ARE CITED IN THIS STUDY, WHEN WE TALK ABOUT RESIDENCES, PROBABLY LIVE IN MULTI-FAMILY HOUSING.

IF THEY DON'T, THEN WE HAVE TALKED ABOUT HOUSING INITIATIVES HERE WHERE I BELIEVE IT'S IMPORTANT FOR US TO BE ABLE TO GO IN AND SAY, IF SOMEONE NEEDS GRAB BARS, IF SOMEONE NEEDS RETROFITTING OF THEIR HOUSE, WE SHOULD BE ABLE TO COME UP WITH THAT BEING PART OF OUR HOUSING PROGRAM.

IF IT IS A RENTAL PROPERTY, WE SHOULD BE ABLE TO PUT SOME COOPERATIVE RECOMMENDATIONS TO LANDLORDS AND SAY, "THIS IS PART OF YOUR JOB TO MAKE SURE THAT THE PERSON LIVING IN THIS UNIT HAS WHAT THEY NEED AS FAR AS BEING ABLE TO REMAIN LIVING IN THAT UNIT." BECAUSE THEN YOU GET INTO A WHOLE OTHER THING ABOUT PEOPLE BEING ABLE TO STAY AT HOME INSTEAD OF GOING IN NURSING HOMES OR NURSING FACILITIES.

[NOISE] I'M EXCITED ABOUT THIS TOO.

I THINK THIS IS A LOT, AND I THINK IT'S PART OF THE COOPERATION, IT'S PART OF WHAT WE SEE UP HERE.

AS FAR AS AGENCY IS WORKING TOGETHER AND PEOPLE NOT SAYING, WELL, I'M NOT GOING DO THIS, THAT'S NOT MY JOB.

THAT'S NOT WHAT WE DO HERE, AND I REALLY APPRECIATE THE COOPERATION BETWEEN THE AGENCIES.

TODAY, WE'RE GETTING READY TO GO TO THE MARYLAND ASSOCIATION OF COUNTIES CONVENTION, SO WHO IS IT THAT WE CAN TALK TO AND TACKLE DOWN THERE TO TALK TO ABOUT THIS? I DON'T KNOW IF YOU HAVE THAT ANSWER NOW, BUT IF YOU CAN LET US KNOW, WE WILL BE ROAMING THE HALLS WITH A LOT OF DIFFERENT PEOPLE DOWN THERE, AND I DON'T THINK ANY OF US MIND GRABBING SOMEBODY AND SAY, "HEY, COME HERE WE NEED TO TALK TO YOU ABOUT THIS." IF YOU CAN TELL US WHO IN THOSE AGENCIES WE NEED TO TALK TO, I'M SURE WE'RE ALL MORE THAN HAPPY TO DO THAT.

>> QUEEN ANNE'S COUNTY AND CHARLES COUNTY WERE TWO OF THE AGENCIES IN OUR STATE THAT WE SPECIFICALLY SPOKE WITH.

>> OKAY.

>> WHO IS THE GRANT COMING THROUGH?

>> MARYLAND. IT'S ACTUALLY COMMUNITY HEALTH RESOURCE COMMISSION, IT'S THE CHRC.

>> SURE THAT WAS AN ACRONYM.

[LAUGHTER].

>> [INAUDIBLE]?

>> WE CAN GET EVEN [INAUDIBLE].

WE'LL SEND YOU SOME INFORMATION IN REFERENCE TO THE COMMISSIONER.

>> BECAUSE WE CAN REACH OUT DIRECTLY TO HIM AND JUST SAY, WE NEED TO DO THIS, AND ANYTHING THAT WE CAN DO CERTAINLY TO HELP IN THAT MATTER.

IN ADDITION TO A LETTER, [OVERLAPPING].

>> IT SAYS THAT THROUGH THE MARYLAND DEPARTMENT OF HEALTH.

>> THEY ARE THERE THROUGH THE MARYLAND DEPARTMENT OF HEALTH AND NELLIE WASHINGTON IS ACTUALLY THE LEAD PERSON THERE FOR THIS PARTICULAR GRANT OPPORTUNITY.

WE WILL BE FINDING OUT MID-FEBRUARY IF WE RECEIVE THIS FUNDING OPPORTUNITY.

>> GET US THAT INFORMATION AND I DON'T THINK ANY OF US MIND MAKING A PHONE CALL OR MAYBE THEY'LL BE DOWN THERE.

THEY'LL DEFINITELY BE AT THE SUMMER MAY GO.

[LAUGHTER]

>> YOU'LL BE HAPPY TO KNOW THAT KEN CUZ NOW SIGNED A LETTER OF SUPPORT FROM.

>> OKAY, GOOD.

>> EVERYTHING WAS VERY QUICK.

[LAUGHTER]

>> [BACKGROUND]

>> BACK IN MARCH, ACTUALLY I DIDN'T REALIZE IT WAS THAT LONG AGO THAT WE SIGNED OFF ON THIS BUT I RECALL, I WAS LIKE, 'MAN, WE'RE DOING ANOTHER STUDY'.

[LAUGHTER] BUT I'VE GOT TO SAY, THIS IS PROBABLY SOME OF THE BEST MONEY BEING SPENT ON A STUDY.

>> IT WAS GRANT-FUNDED, WASN'T IT? THE STUDY?

>> THE BLS COMMITTEE THROUGH THE ESP [OVERLAPPING] GOT EXTRA FUNDING.

>> THE COMMUNITY COLLABORATION HERE IS REAL.

I JUST THINK THIS IS FANTASTIC.

ANYTHING YOU NEED FROM ME, I MEAN, AS FAR AS SUPPORT OR WHATEVER, I THINK I SPEAK FOR EVERYBODY HERE TOO, THEY'VE ALREADY MENTIONED IT, BUT I TEXT YOU.

[INAUDIBLE] HAS HE SIGNED OFF ON THIS?

>> I SENT A REQUEST TO HIM.

I HAVE NOT HEARD BACK YET.

>> I'LL CALL HIM TODAY. [INAUDIBLE] I JUST SENT IT TO YOU. I'LL REACH OUT TO HIM.

>> I SENT IT I THINK LAST WEEK OR SOMETHING LIKE THAT.

I SENT A REQUEST AND I HAVEN'T HEARD BACK FROM THEM.

I THINK THAT THEY MIGHT BE ONLY ONE THAT I REACHED OUT TO THAT DIDN'T RESPOND.

>> I CAN TALK TO HIM ABOUT SOMETHING ELSE. [INAUDIBLE]

>> ONE THING THAT I WILL NOT DO IS STUDY SOMETHING JUST TO STUDY.

I DON'T LIKE TO SPEND MONEY ON THINGS THAT WAY,

[00:45:04]

IF THERE'S NOT A PURPOSE FOR US MOVING FORWARD, YOU KNOW, TO USE IT IN SOME SORT OF ASPECT.

>> I THINK THIS INFORMATION AND THIS CONCEPT HAS BEEN OUT THERE FOR A WHILE.

IT'S JUST WE REALLY HAVE NEVER BEEN ABLE TO PULL IT TOGETHER.

>> THE OTHER THING IS THAT CAROLINE COUNTY; AND I TALKED TO DR. [INAUDIBLE] RATHER FREQUENTLY, AND THE ONE THING THAT HE TOLD ME WAS THAT: 'BUILD WHAT YOU NEED'.

HE SAID, 'YOU DON'T HAVE TO COPY WHAT SOMEONE ELSE HAS DONE, BUILD WHAT YOUR COMMUNITY NEEDS, AND REALLY LOOK INTO HOW THAT WILL LOOK'.

THAT WAS GREAT ADVICE TO HAVE FROM HIM, SO YEAH.

>> [INAUDIBLE] HAS BEEN A GREAT PARTNER FOR A LONG TIME.

[LAUGHTER] I MEAN, IT DOESN'T SURPRISE ME THAT HE GOT ON THIS RIGHT AWAY.

I THINK WE REALLY APPRECIATE HIS HELP.

>> BUT THIS ASSESSMENT ALSO STRENGTHENS THE ARGUMENT THAT OUR TRANSPORTATION SYSTEM IS NOT SERVING THE NEEDS OF THE COMMUNITY.

>> VERY MUCH SO.

>> THERE'S A MISSING LINK HERE.

>> WE HAVE GOT TO FIND A WAY TO MOVE TO SOME SORT OF MOBILITY ON DEMAND.

I THINK YESTERDAY I READ AN ARTICLE THAT GOVERNOR MOORE IS PULLING BACK, OR POTENTIALLY GOING TO PULL BACK FUNDING TO TRANSPORTATION SYSTEMS THAT ARE NOT WORKING OR ARE NOT BEING UTILIZED, WHICH IS PROBABLY OURS AND MAY CAUSE US SOME ISSUES IN TRYING TO BUILD OR CORRECT WHAT WE HAVE BEEN OPERATING UNDER THE STATUS QUO PER SE.

WE'VE REALLY GOT TO FIND A WAY TO PROVIDE SOME SORT OF MOBILITY ON DEMAND TO EITHER CARRY PATIENTS TO PRIMARY CARE PHYSICIANS, TO DO THE PREVENTIVE CARE, TO PREVENT THE EMERGENCY CALLS AND THE EMERGENCY ROOM STAYS.

I'M ASSUMING THAT'S KIND OF WHAT YOU WERE ALLUDING TO.

ALONG WITH THE OTHER TRANSPORTATION ISSUES; WITH YOUTH AND OTHER COMMUNITY MEMBERS THAT WE HAVE, WITHOUT BREAKING THE BANK.

IF THE MOORE ADMINISTRATION IS GOING TO PULL BACK HIGHWAY USER FUNDS, POTENTIALLY; OR SOME OF THE OTHER THINGS THAT I'M ALSO READING THAT MAY BE ON THE CHOPPING BLOCK, IT'S JUST GOING TO PUT MORE BURDEN ON OUR BUDGET TO TRY TO FILL THOSE NEEDS.

HOW WE ADDRESS ALL THIS IS GOING TO HAVE TO BE VERY THOUGHTFUL ABOUT SOLUTIONS TO OUR TRANSPORTATION ISSUES.

>> THE MODEL THAT WE'RE TRYING TO FOLLOW IS THAT WE'RE GOING TO SEE THESE PEOPLE THREE TIMES.

WE SORT OF SET UP AND SAID, 'YOU KNOW, WE'LL DO THE INITIAL VISIT, WE'LL GET THEM THROUGH THE HUMP.

AND THEN BY THAT TIME WE SHOULD BE ABLE TO FIGURE OUT THEIR LONG TERM CARE.

NOW, OBVIOUSLY, IF SOMEONE IS NOT READY TO BE GONE IN THREE VISITS, WE'RE NOT JUST GOING TO KICK THEM TO THE CURB AND MOVE ON, BUT OUR GOAL IS THAT WE WILL DO THREE VISITS AND THEN BY THAT TIME, WE SHOULD HAVE BEEN ABLE TO FIGURE OUT WHAT ARE ALL THE RESOURCES; HOW THIS PERSON IS GOING TO BE MORE MANAGEABLE.

>> BUT IF WE DON'T HAVE A WAY TO TRANSPORT THEM TO CHOPTANK COMMUNITY HEALTH OR TO SHORE WE'RE JUST IN A CYCLE.

WE'RE JUST IN A SITUATION WHERE WE KNOW WHAT THE SOLUTION IS, BUT WE DON'T HAVE THE RESOURCES TO SOLVE THE PROBLEM.

>> IS THERE A POSSIBILITY OF SETTING THIS UP PRIOR TO THOSE VISITS? IF WE HAVE, FOR EXAMPLE, A FAMILY WHO REACHES OUT AND SAYS, 'WE'RE IN THIS SITUATION.

WE'VE GOT A MOTHER, WE'VE GOT A GRANDMOTHER'; ARE WE GOING TO BE ABLE TO SAY TO THEM, 'OKAY, WE'RE GOING TO HAVE OUR TEAM LOOK INTO THAT'?

>> WE'RE DOING THAT NOW. WE HAVE TWO ADDRESS NOW THAT JUST CAME ACROSS MY DESK THIS MORNING THAT MY CLINICIANS HAVE SAID, 'WE NEED TO REACH OUT.

THESE PEOPLE NEED MORE THAN NONE. WE'RE GOING'.

THEN I RAN THE CADNOTES AND I SEE THAT IN THE LAST THREE WEEKS, WE'VE BEEN THERE 17 TIMES.

WE'RE ALREADY USING EACH OTHER FOR RESOURCES AND DOING THIS, IT'S JUST NOW WE'LL BE ABLE TO DO THIS IN A MORE FORMAL, ORGANIZED WAY.

>> SOMEBODY IS ACTUALLY MANAGING.

>> YOU ACTUALLY HAVE A COMMUNITY HEALTH OUTREACH COORDINATOR IN THERE.

IS THAT THEIR JOB?

>> THAT WILL BE THEIR JOB.

>> LIKE A SOCIAL WORKER TO CONNECT THEM.

>> THE HEALTH DEPARTMENT HAS SEVERAL DIFFERENT PROGRAMS, RIGHT? THE KEY IS FOR ALL OF THOSE PROGRAMS TO BE AWARE OF THE SITUATION, RIGHT? WE'RE GOING TO BE ABLE TO TAKE REFERRALS, NOT JUST FROM EMS. WE'LL BE ABLE TO TAKE REFERRALS.

WE DID BUILD IN SOME ADVERTISEMENT AND PROVIDER EDUCATION SO

[00:50:02]

THAT OUR LOCAL PROVIDERS ARE AWARE OF WHAT WE'RE GOING TO BE DOING SO THAT THEY CAN MAKE REFERRALS.

ALL OF THAT HAS TO BE BUILT.

HOWEVER, WE ALREADY HAVE OUR EARS PROGRAMMED THAT WE WORK OFF THE REFERRALS.

SAME WITH [INAUDIBLE] REFERRALS, RIGHT? WE'RE FAMILIAR WITH HOW THAT PROCESS WORKS.

WE JUST WANT TO MAKE SURE THAT WE'RE GETTING THE INFORMATION ABOUT REFERRALS OUT TO THE CORRECT PEOPLE.

INCLUDING OUR COMMUNITY-BASED PARTNERS, LIKE OUR SHELTERS AND PLACES LIKE THAT.

IN TERMS OF KNOWING IN ADVANCE OR WORKING WITH THESE INDIVIDUALS IN ADVANCE OF A 911 CALL, THAT'S WHERE THAT COMES IN, AS A REFERRAL.

>> BUT WE'RE STILL MISSING THE TRANSPORTATION PIECE.

>> WE'LL CONTINUE TO FOCUS ON THAT BECAUSE ESSENTIALLY THAT REALLY IS THE NEXT PIECE IF WE'RE REWARDED.

THAT'S THE NEXT PIECE. WE'VE DONE THIS, SO NOW HOW DO WE GET THEM TO THE PRIMARY CARE. HOW DOES THAT HAPPEN?

>> THEY DON'T CALL THE AMBULANCE.

>> YES.

>> DOES THE TEAMING AGREEMENT THAT I RECEIVED, I GUESS, NOVEMBER 27TH, HOW DOES THAT PLAY IN? DOES THAT FACTOR INTO THIS AT ALL BETWEEN CAROLINE COUNTY AND THE UNIVERSITY OF MARYLAND?

>> THIS INITIATIVE WAS STARTED PRIOR TO ME BECOMING CHIEF.

BUT SHORE DECIDED THAT THEY REALIZED WHEN THE WAIT TIMES GOT A LITTLE LONG THAT SOME OF THESE PEOPLE CAN PROBABLY BE LEFT AT HOME AND NOT BE TRANSPORTED TO THE ER.

THEY DECIDED THEY WERE GOING TO IMPLEMENT THIS TELEHEALTH PROGRAM.

THEY GOT DR. RUGGIO, HE DID THIS WHOLE BIG STUDY, HE HAD ALL OF THESE MEETINGS AND I SORT OF CAME IN ON THE TAIL END OF IT, BUT IT SOUNDS LIKE WHAT THEY'RE GOING TO DO IS THEY ARE GOING TO HIRE A DOCTOR THAT IS GOING TO BE SOLELY FOR THESE TELEHEALTH APPOINTMENTS, AND WHEN OUR CLINICIANS ARE OUT IN THE FIELD AND THEY GET THERE AND THE PATIENT MAY NOT NEED TO BE TRANSPORTED TO THE ED BUT DOES HAVE A LEGITIMATE CONCERN THAT CAN BE ADDRESSED BY DOCTOR, THEY WILL BE ABLE TO SET THIS TABLET IN FRONT OF THEM, THEY WILL CONNECT WITH THE DOCTOR, THEY WILL DO WHATEVER THEY NEED TO DO AND THEN EITHER TELL THEM THAT THEY'LL SET UP AN APPOINTMENT WITH SOMEONE IN SHORE FOR A FOLLOW-UP OR SOMETHING, AND THAT'S WHAT THIS IS.

THE HOLDUP IS THAT NONE OF US REALLY WANTED TO PUT ANOTHER PIECE OF TECHNOLOGY ON OUR AMBULANCE.

WE ALREADY HAVE IPADS, WE ALREADY HAVE COMPUTERS, BUT SHORE WOULDN'T ALLOW THEIR SOFTWARE TO BE PUT ON OUR NETWORKS.

THEN THEY HAD TO GO BACK AND REGROUP AND THEN PURCHASE EQUIPMENT FOR EVERY ORGANIZATION.

DORCHESTER, CAROLINE, QUEEN ANNE AND KENT AND TALBOT ALL SAID, 'OKAY, WE'LL TRY ON THIS FOR YOU'.

NOW THEY HAD TO GO BUY IPADS FOR EVERY PIECE OF EQUIPMENT.

IT'S ONLY GOING TO BE ON THE CAREER UNITS.

WE DIDN'T PUT IT ON THE VOLUNTEER UNITS.

>> THE EQUIPMENT WOULD JUST SIT.

IT WOULD BE A LOSS.

>> YEAH. THAT'S WHAT THAT'S ABOUT.

NOW, DO I THINK IT'S GOING TO BE? I DON'T KNOW.

>> [OVERLAPPING].

>> I'M SKEPTICAL BUT YOU KNOW, IT DOESN'T COST US ANYTHING.

IT'S ANOTHER TOOL OUT THERE FOR OUR CLINICIANS TO USE AND IF IT KEEPS OUR UNIT AND COUNTY TO BE ABLE TO HANDLE AN EMERGENCY AND NOT TRANSPORT SOMEBODY WHO NECESSARILY DOESN'T NEED TO MAKE THE ER THEN I'M ALL ABOUT IT.

WE'LL GIVE IT A TRY. BUT YOU GUYS BARELY CAN GET A DOCTOR TO STAFF THE ED AND NOW YOU'RE GOING TO HAVE ONE DEDICATED THAT'S GOING TO BE THERE AND THAT'S ON THEM.

WE'LL JUST HOLD YOUR EQUIPMENT AND WE'LL TRY THAT OUT.

>> ALL RIGHT.

>> [LAUGHTER] I'M CAUTIOUSLY OPTIMISTIC.

>> WHEN WE TALK ABOUT TRANSPORTS FROM NURSING HOMES, RIGHT, MY QUESTION OR MY FAULT HAS ALWAYS BEEN: YOU CALL A DOCTOR IN THE MIDDLE OF THE NIGHT, FROM A LIABILITY STANDPOINT THAT DOCTOR'S GOING TO SAY 'TRANSPORT'.

BECAUSE THEY'RE NOT GOING TO SIT IN THEIR LIVING ROOM AND SAY 'AH, THEY'RE OKAY'.

BECAUSE IF THEY TURN OUT NOT BEING OKAY, THAT'S GOING TO FALL BACK.

SO I MEAN, THAT'S ALWAYS BEEN MY CONCERN WHEN THEY TELL ME 'OH, YEAH.

WE CALLED THE DOCTOR AND THEY SAID TRANSPORT'.

THAT DOESN'T STRIKE ME THAT THEY DID. I KIND OF AGREE.

>> BARBARA HAS JUST RECEIVED A FOLLOW-UP EMAIL, I THINK IT WAS YESTERDAY MORNING, ABOUT THAT TEAMING AGREEMENT AND WHERE WE WERE WITH IT.

THAT'S SOMETHING THAT NEEDS TO BE ON THE AGENDA FOR NEXT WEEK. ARE WE MEETING NEXT WEEK?

>> I THINK IT IS. I THINK STUART'S OFFICE HAD ALREADY REVIEWED IT.

[00:55:02]

>> OKAY.

>> I HAVE ONE MINUTE.

>> GO ON.

>> AS YOU GET INTO THIS IN THE FUTURE, HOPEFULLY, FIND IT THESE PEOPLE WOULD THEY PAY.

THEY DON'T HAVE A PRIMARY AND YOU GET A BALL BUT DON'T TRY TO GET THEM SETUP WITH A PRIMARY DOCTOR, I GUESS THE SHORTAGE OF PRIMARY DOCTORS AND PEOPLE BEING ABLE TO GET INTO A PRIMARY DOCTOR.

IS THAT YOU PRESENT THAT AS AN ISSUE LIKE MAYBE SOMETHING? I GUESS YOU HAVE TO THINK ABOUT THAT.

HOW DOES YOU KNOW TO DOCTOR PHASE? GOING TO GET A DOC'S APPOINTMENT IT'S UNREAL, 2, 3 MONTHS OUT.

>> WE ACTUALLY DISCUSSED THAT WHEN WE WERE MEETING AS THE EXECUTIVE COMMITTEE.

WHEN WE WERE TALKING ABOUT THE THREE VISITS, IT MAY BE THAT WE HAVE TO EXTEND THAT BECAUSE IT MAY TAKE LONGER FOR THAT LINE TO GET INTO [OVERLAPPING]

>> WE ALREADY HAVE AN ESTABLISHED RELATIONSHIP WITH TOP TANK THROUGH OUR ALTERNATIVE DESTINATION PROGRAM.

WE ARE GETTING PEOPLE APPOINTMENTS EITHER SAME-DAY OR THE VERY NEXT DAY OR WITHIN THAT WEEK.

WE ALREADY HAVE SOMETHING WORKED OUT WITH TOP TANK THROUGH OUR TURN AND DESTINATION THAT I THINK WE JUST WE WOULD EXTEND THE MOU TO BE THROUGH THE NIH PROGRAMS.

>> THAT'S HOW IT SHALL BE, THIS IS GREAT.

I'M EXCITED FOR YOU GUYS. I BELIEVE IT'S AWESOME, IT'S BEEN A GREAT PARTNERSHIP.

>> I CAN SAY IT HAS.

>> AGAIN, YOU'RE NOT YOU'RE NOT LOOKING TO NOT TRANSPORT PEOPLE IF THEY NEED TO BE TRANSPORTED.

>> ABSOLUTELY NOT.

>> NO.

>> THAT'S NOT THE ISSUE AT ALL.

BUT WE NEED TO BE HERE FOR THE PEOPLE THAT TRULY NEED.

>> IF THOSE RESOURCES CAN BE USED FOR THE PEOPLE WHO REALLY NEED THEM.

THAT'S WHAT WE'RE SHOOTING FOR HERE AND SERVE THE PEOPLE.

>> SERVE THE REST OF THE COMMUNITY WITH THEIR NEEDS TO WIN THEM.

>> THANK YOU EVERYONE FOR WORKING FOR YOUR WORK ON THIS.

>> THANK YOU.

>> GOOD. LET'S TAKE A FIVE-MINUTE BREAK HERE.

[01:04:05]

VERY GOOD. MEETINGS BACK IN ORDER.

OUR NEXT AGENDA ITEM IS DANNY [INAUDIBLE],

[6.Update on Maryland Environmental Services Landfill Project]

DEPUTY ADMINISTRATOR WITH AN UPDATE ON MARYLAND ENVIRONMENTAL SERVICE LANDFILL PROJECTS.

[LAUGHTER] LAY IT ON US DANNY.

GOOD MORNING, COMMISSIONERS. I HAVE TWO THINGS THAT I WANT TO GO OVER TODAY INVOLVING MES IN THE LANDFILL EXTENSION.

THE FIRST THING IS ON NOVEMBER 15TH.

WE GATHERED AT THE LANDFILL TO DO OUR QUARTERLY ADMINISTRATORS MEETING.

I ATTENDED ON BEHALF OF THE COUNTY.

THE BULK OF THE MEETING WAS A REVIEW OF CURRENT OPERATIONS, WHAT'S GOING ON, UPDATED FINANCIALS DURING THIS QUARTER AND REALLY STRESSING AND GOING OVER THE CHANGES THAT ARE COMING DOWN FROM THE FEDERAL LEVEL AS FAR AS MONITORING AND ESSENTIALLY COMPLIANCE FOR CURRENT AND KEPT LANDFILLS.

[01:05:03]

THE REASON I MENTIONED THIS IS THE NEXT SUBJECT YOU'LL SEE THAT BUILT INTO SOME OF THE COSTS THAT WE'RE SEEING INCREASE.

INSTEAD OF BORING YOU THROUGH THE 60 SLIDE POWERPOINT THAT THEY GAVE US SOME PROVIDERS TO YOU IN THE EMAIL THAT YOU CAN LOOK THROUGH.

BUT WE DID HAVE THAT.

THE BULK OF THE DISCUSSION TODAY, I WANTED TO GO OVER SOME OF THE QUESTIONS AND RESPONSES WE'VE RECEIVED RECENTLY FROM MES.

AS YOU KNOW, MES STARTED TO GO THROUGH A POST FEED PROPOSAL THAT THEY THOUGHT WAS VIABLE BASED ON THE CURRENT FINANCIAL DATA THAT THEY WERE GOING ON.

WITH THAT WHEN WE STARTED TO LOOK AT THE FINANCIAL DATA AND I'VE INCLUDED THIS IN THE SLIDE AND THAT'S THE HISTORICAL FIVE-YEAR INFORMATION FOR YOU.

WE STARTED TO SEE SOME CALL ANOMALIES OR CHANGES IN NORMAL OPERATING EXPENSES.

THAT LED TO SOME QUESTIONING THAT WE HAD AS A KID, SAY SEVERAL MONTHS AGO SO IT'S BEEN A LITTLE WHILE.

WITH THAT, WE HAD SOME DIALOGUE WITH MES AND WHAT IT'S COME TO IS THEY'VE PROVIDED US WITH ESSENTIALLY A TWO-PAGE LIST OF RESPONSES TO SOME OVERARCHING QUESTIONS WE HAD.

SO I'D LIKE TO TOUCH ON SOME OF THESE THAT ARE TOPICS THAT WE'VE BROUGHT UP MULTIPLE TIMES IN THIS TYPE OF MEETING AND ONE-ON-ONE.

IF YOU REFER TO THE BLACK AND RED TWO-PAGE, ALMOST LIKE A WORD DOCUMENT.

IN THE BLACK, YOU HAVE THE QUESTIONS THAT WE'VE BEEN REFERRING TO MES AND TRYING TO UNDERSTAND SOME OF THE CHANGES THAT THEY HAVE AND THEIR FINANCIALS.. ONE OF THE FIRST ONES IN FIRST LINE ITEMS THAT WE KEEP BRINGING UP AS CHANGES TO SALARIES.

IF WE LOOK AT THE FIVE-YEAR HISTORICAL, WE SEE AN 18.3% INCREASE IN SALARY AND BENEFITS.

WE QUESTION WHY THIS HAPPENED OR OCCURRED.

LOOKING TO UNDERSTAND..

THEY ANSWERED IT IN A COUPLE OF PARTS.

BUT THE BULK OF THE INCREASE THERE BASED OFF THE EXPLANATION IS THE CHANGE IN HOURS WORKED FOR THE LANDFILL.

SO THE SECOND READ RESPONSE.

THE MAIN REASON FOR THE INCREASE OF 18.3% AS THE INCREASE IN LABOR AND HOURS AND SALARIES.

FY22 OF THE TOTAL LABOR HOURS WERE 39,715, COMPARED TO 44,899 HOURS IN FY23.

THIS INCREASE OF 13.03% IS CONSIDERED JUST IN LABOR HOURS.

AGAIN, GOING BACK TO THE COMPLIANCE ASPECT OF THE LANDFILL AND SOME OF THE THINGS THAT THEY'RE STARTING TO HAVE TO DO NOW THEY'RE SEEING INCREASED HOURS, NEED IT TO WORK AND COMPLY.

TO GO ALONG WITH THAT, THEY ALSO ISSUED A 9% COLA, WHICH WAS GIVEN TO THE EMPLOYEES.

BETWEEN THE HOURS WORKED AND THE INCREASE IN COAL UP, YOU'RE ESSENTIALLY SEEING THAT 18.30% INCREASE.

WHAT ARE THE BIG QUESTIONS WE HAD WITH THE SALARIES? WAS THE MAKEUP OF THE SALARIES AND TRYING TO FIGURE OUT WHAT PART OF MANAGEMENT MADE UP.. OF COURSE WE HAVE THE EMPLOYEES THAT WORK THE [INAUDIBLE] WITH EMPLOYEES THAT WORK FOR THE ACTUAL LANDFILL.

BUT THEY DO HAVE SOME OF THE HIGHER RANKING OFFICIALS IN THE DEPARTMENT THAT WE TAKE ON A PORTION OF THEIR SALARIES.

INSIDE OF THE PACKET THAT I GAVE YOU, I BELIEVE IT'S THE THIRD ATTACHMENT IN THAT YOU HAVE THE THREE EMPLOYEES THAT HAVE COSTS THAT GO TOWARDS THE LANDFILL OPERATION.

IF YOU LOOK AT THE COMPARISON BETWEEN FY 22 AND FY 23, WE DO HAVE ONE EMPLOYEE BEING REMOVED FROM THAT.

IN 23 ON FROM 3-2, AND ESSENTIALLY THE LONGEST SHORT AT THE BOTTOM, THEY'VE COMPARED AT AS FAR AS FAR AS PERCENT GOES THIS YEAR OR FY23, MANAGEMENT SALARIES MAKES UP ABOUT 10.6% OF THE TOTAL SALARY NUMBER INSIDE OF THE LANDFILL BUDGET.

BEFORE WE WERE UNSURE WHETHER THERE WERE 5-10 EMPLOYEES AS FAR AS MANAGEMENT GOALS THAT WERE BEING CONSIDERED IN THIS.

BUT FOR 23, IT LOOKS LIKE IT IS TWO EMPLOYEES AND IT HAS THEIR COST AND BREAKDOWN IN THAT SHEET AS WELL.

DOES ANYBODY HAVE ANY QUESTIONS WHERE I CONTINUE TO GO THROUGH THIS? A LOT OF INFORMATION AND I WANT TO BREAK IT INTO PIECES.

>> GO AHEAD AND YOU'VE RUN IT THROUGH.

>>JUST STOP ME IF ANYTHING COMES UP.

[01:10:03]

CONTINUING TO GO THROUGH THE QUESTIONING, ANOTHER LINE ITEM THAT THEY RESPONDED BACK TO THAT WE SAW A MAJOR INCREASE IN WAS DEPRECIATION AND DEPRECIATION AS A WHOLE, IF WE LOOK BACK ALL THE WAY TO 2019, WAS $722,000 OF WHAT THEY'RE CONSIDERING OPERATING EXPENSES.

AS YOU GO THROUGH TO 2023, WE'VE JUMPED TO JUST SHY OF 2.3 MILLION AND THE RESPONSE SHEET THAT THEY'VE PROVIDED IN RED HERE, THEY BREAK DOWN ESSENTIALLY THE CHANGE FROM YEAR TO YEAR, WHAT THEIR DEPRECIATION IS, AND WHAT TYPE OF EQUIPMENT THEY'VE PURCHASED THAT IS INCREASED THAT NUMBER.

GIVE YOU THE CLIFF NOTES VERSION.

A LOT OF IT IS EQUIPMENT.

BUT THE BULK OF THE DEPRECIATION AND THE REASON FOR THE INCREASE IS THE EXPANSION CREATION OF SELF THREE THAT THEY HAVE AT THE LANDFILL.

YOU SEE A PARTIAL INCREASE OF THAT WHEN WE GO INTO YEAR 2020.

BUT AS YOU GET INTO YOUR 2021 22 AND FURTHER IN YOU HAVE THE FULL APPRECIATION OF CELL AUTHORITY.

I KNOW WE'VE HAD THIS DISCUSSION BEFORE ABOUT DEPRECIATION.

DEPRECIATION SHOWS UP AS AN EXPENSE, BUT IT DOES NOT HIT YOUR CASH LEDGER.

THIS NUMBER IS NOT THEM SHELLING OUT CASH OF 2.2 MILLION.

TYPICALLY DEPRECIATION IS SHOWN ON YOUR BOOKS.

SHOWING THE USEFUL LIFE OF THAT ITEM DEPRECIATING NOW.

A LOT OF TIMES IT'S USED FOR TAX PURPOSES FOR COMPANIES THAT FILE TAXES.

>>THIS IS WHAT I DON'T UNDERSTAND.

DEPRECIATION HAS BEEN A LITTLE OVER 1 MILLION?

>>YES, SIR.

>> THE YEAR THAT WE'RE NEGOTIATING CONTINUING THE LANDFILL AND CAROLINE COUNTY, IT JUMPS TO 3.6 MILLION.

IT DOESN'T MAKE SENSE TO ME.

LAST YEAR IT WAS 1.5 THAT POINTING 2021 WAS A MILLION 2020, IT WAS 1.3. 22?

>> YES.

>> SO POST CLOSURE, CLOSURE LINE IS THE ONE THAT JUMPS, RIGHT?

>> YES. SO THAT IS MY ESSENTIALLY NEXT BULLET POINT.

DO YOU WANT ME TO GO INTO ONE? THE BIG NUMBER THAT'S CHANGED AS COMMISSIONER BREEDING HAS ALLUDED TO IS THE CLOSURE SLASH POST CLOSURE.

LET'S TALK ABOUT THIS HOLISTICALLY AND WHAT THAT NUMBER REPRESENTS.

THEN WE'LL GET INTO THE DETAILS AND WHAT THEY'VE RESPONDED ABOUT WITH THE LANDFILLS AND WE'VE TALKED ABOUT THIS BEFORE.

THEY HAVE CLOSURE COSTS AND MONETARY COST.

SO WHEN THEY'RE CLOSE, THAT HAS TO BE ESSENTIALLY CONSIDERED WHEN RUNNING THE LANDFILL.

SO THEY HAVE A LIABILITY TO SATISFY WHEN THE LANDFILL WILL CLOSE.

ESSENTIALLY EACH YEAR, MES HAS AN OUTSIDE FIRM PUT TOGETHER THAT WHAT THAT ESTIMATED NUMBER WOULD BE AND THEY START TO SET ASIDE MONEY EACH YEAR INTO A FUND TO ESSENTIALLY ACCUMULATE OVER THE YEARS TO POTENTIALLY HAVE THE CASH ON HAND TO SATISFY THAT LIABILITY WHEN THE LANDFILL CLOSES, WE DO THE SAME THING.

PENSION [INAUDIBLE] WE'RE DOING IT FOR LOW SAT, VERY COMMON OCCURRENCE.

BUT TO COMMISSIONER BREEDINGS POINT, WE LOOK AT THE POST CLOSURE NUMBER AS IT GOES OVER THE YEARS, 1.21, 0.3, JUST OVER ONE MILLION 1.57.

NOW WE GET TO THIS YEAR AND IT GOES TO 3.6 MILLION.

THIS HAS BEEN ONE OF THE BIGGEST IMPACTS TO THEIR OPERATION AND CURRENT TERMS. AS WE GO THROUGH AND TRY TO WORK THROUGH THIS UNDERSTANDING WITH MES AND THAT CHANGE, THEY'VE PROVIDED A BREAKDOWN ON THE SECOND PAGE OF THE READ, ESSENTIALLY EXPLAINING ONGOING OBLIGATIONS AND CHANGES TO CLOSURE OPERATIONS OF LANDFILLS THAT ARE INCREASING THIS COST.

BACK TO THE ADMINISTRATORS MEETING THIS IS SOMETHING WE TALKED ABOUT A LITTLE BIT AND HAVE TRIED TO WRAP OUR HEADS AROUND WHAT THIS TECHNICALLY MEANS AND HOW DO WE GO FROM 1.5 MILLION TO THE 3.6.

THE ONLY WAY THAT MATHEMATICALLY WE CAN EXPLAIN THIS OR TRY TO UNDERSTAND IS TO LOOK AT THEIR CLOSURE/POST-CLOSURE WORKSHEET.

ESSENTIALLY EACH YEAR THEY HAVE AN ENGINEER AND AN OUTSIDE COMPANY GO THROUGH AND SAY, THIS IS WHAT IT'S GOING TO COST TO MAINTAIN THIS LANDFILL.

[01:15:03]

WHAT THEY'VE PROVIDED IN THE SHEET HERE IS WHAT THAT LOOKS LIKE FOR FY22 TO FY23 AND THEN SHOWS THE DIFFERENCE IN BETWEEN.

AS WE GO THROUGH THIS, YOU'LL SEE THEY'VE HAD SOME LINE ITEMS THEY'VE ADJUSTED DOWN, SOME LINE ITEMS THEY'VE ADJUSTED UP.

BUT THE BULK OF THE CHANGE COMES ON PAGE 2 OF THIS DOCUMENT WHERE IT SAYS 30-YEAR POST-CLOSURE CARE.

AGAIN, I DON'T CLAIM TO BE AN ENGINEER OR SOMEBODY THAT IS DEEP INTO LANDFILL UNDERSTANDINGS BUT WE CAN READ THE NUMBERS AND SEE WHERE THE BULK OF THE CHANGES ARE COMING FROM.

WE HAVE SOME LINE ITEMS THAT HAVE GONE UP 1.4 MILLION, 2.3 MILLION AND A LOT OF IT, TO MY UNDERSTANDING AND DISCUSSION WITH MES, IS CONSIDERED WITH THE MONITORING OF LEACHATE TREATMENT, WHICH THEY HAVE GOING FROM AN OBLIGATION OF 2.7 TO ABOUT 5.1 MILLION.

THEN ALSO WHAT THEY CALL THE LFG SCM MONITORING.

BACK AGAIN, TO THE ADMINISTRATOR'S MEETING, THIS IS A LOT TO DO WITH THE GASES AND METHANE THAT ARE BEING EMITTED FROM THE LANDFILL AND WHAT THE FEDERAL GOVERNMENT IS REQUIRING THEM TO MONITOR AND DO AS FAR AS BURN-OFF.

THEY'RE STARTING TO MAKE CHANGES TO THAT NOW, BUT OBVIOUSLY 30 YEARS FROM NOW, IT'S GOING TO CHANGE AND THEY'RE CONTINUING TO FORESEE ADDITIONAL COST AND ESTIMATED CHANGES TO THIS.

I'LL GIVE ME A MINUTE TO.

>> THIS IS ALL RELATED TO HOBBS?

>> THIS IS ALL RELATED TO ANY OF THE MID-SHORE LANDFILLS.

THIS WOULD BE THE HOBBS, THE ONE THAT WAS CONSTRUCTED IN TALBOT COUNTY, THINK THAT'S CONSIDERED MID-SHORE 1, ALL OF THE MID-SHORE 2 OPERATIONS.

IT'S ALL OF THEM THAT FALL UNDER THE UMBRELLA OF THE MID-SHORE LANDFILLS.

>> BUT ARE THEY ANTICIPATING IF THEY CLOSE THIS LANDFILL, OURS? ARE ANY COSTS INVOLVED IN THIS?

>> THIS MODEL IS AS IF THEY WERE GOING TO CLOSE IN.

>> 2030.

>> YES, IN SEVEN YEARS, IN 2030.

TO WRAP THIS ALL INTO THE BIG PICTURE OF THIS OUR/MY ARGUMENT TO THIS IS IF WE DECIDE TO EXTEND THE LIFE OF THE LANDFILL, YOU WENT FROM SEVEN YEARS TO SAVE THIS MONEY TO ESSENTIALLY POSSIBLY 17-20 YEARS TO SAVE THE MONEY.

WHEN WE GO BACK TO LOOK AT RSM AND WHAT THEY'VE PUT TOGETHER AS FAR AS WHAT THEY FEEL IS AFFORDABLE FOR MES AND WHAT THEY CAN AFFORD TO PAY US TO DO THIS, MY ARGUMENT AND WHICH I FEEL IT SHOULD BE YOUR ARGUMENT IS THAT SAVINGS IS WHAT WE WANT TO CAPTURE.

WE WANT TO CAPTURE THE SAVINGS AND THE TIME THAT THIS IS EXTENDING FROM THE 7-17 OR 20.

IT'S HARD BECAUSE THIS KEEPS CHANGING EVERY YEAR.

WE'VE GONE ONE MILLION TO 1.5, NOW TO 3.6, ALL ON THEIR WHAT I CALL EDUCATED ESTIMATIONS OF WHAT THEY FEEL IT'S GOING TO COST TO KEEP OPEN AND CLOSE THE DIFFERENT LANDFILLS.

IT MAKES IT EXTREMELY HARD BECAUSE THE FIRST TIME WE HAD THIS MEETING DOWN AT BAYCO, WE DIDN'T HAVE THIS INFORMATION.

THEY DIDN'T HAVE THE 3.6 MILLION.

IT'S CONSTANTLY A MOVING TARGET OR BRACKET.

>> LET ME JUMP BACK AND ASK YOU A QUESTION ABOUT THE DEPRECIATION.

>> YES SIR.

>> SHOULDN'T THE LAND STRUCTURES AND EQUIPMENT LINE COINCIDE WITH THE DEPRECIATION? SHOULDN'T ANYTHING YOU'RE PURCHASING IN STRUCTURES AND EQUIPMENT? THAT'S WHAT CAN BE DEPRECIATED.

>> TYPICALLY SO.

>> WHY IS THE LAND STRUCTURES AND EQUIPMENT LINE ITEM SO MUCH LOWER? I'M ASSUMING CELL 3 WAS CONSTRUCTED IN 2020 BECAUSE THERE'S 1.5 MILLION INLAND STRUCTURES AND EQUIPMENT IF I'M LOOKING AT THIS RIGHT.

THAT'S WHAT YOU'RE DEPRECIATING.

IT'S STRUCTURES AND EQUIPMENT, IF THEY'RE DEPRECIATING, I DON'T KNOW.

[01:20:04]

>> NOT KNOWING EVERY LINE ITEM ON THEIR BOOKS, I'M GOING TO SPEAK TO WHAT I KNOW WITH IT AND HOW WE DO THIS.

FOR OUR OWN OPERATING BUDGET WE SHOW EQUIPMENT, WE SHOW DIFFERENT PURCHASES, BUT IF THEY'RE NOT CAPITALIZING THOSE PURCHASES, THEY SHOW THEM ON HERE.

WE RUN A SEPARATE FUND FOR OUR CAPITAL WHERE THAT'S BEING CAPTURED AND THEN DEPRECIATED THERE.

I'M NOT SURE IF THEY'RE RUNNING A SIMILAR MECHANISM WHERE I GOT FIRST CELL 3 CONSTRUCTION, I WOULD NOT GUARANTEE IT WAS MORE THAN THE 1.4 MILLION THERE, THAT IT'S SHOWN IN A CAPITAL FUND THAT'S NOT SHOWN ON THIS.

I THINK TO YOUR POINT OF QUESTION, ARE YOU DOUBLED SHOWING EXPENSES? I WOULD ARGUE, AGAIN, NOT KNOWING EVERY DETAIL OF THEIRS THAT THIS IS A TYPICAL FUNCTION OF ACCOUNTING LIKE THIS, OF WHERE THEY KEEP THAT CAPITAL PURCHASE OUTSIDE OF OPERATING FUND AND THEN THE DEPRECIATION WILL EXPENSE IT OUT FROM THERE.

>> DAVID, DO HAVE THE SETTLEMENT AGREEMENT THAT SAYS THIS IS TAXED?

>> THAT'S A GREAT QUESTION. THE LAST DOCUMENT IN THE PACKET THAT I HAVE HERE IS THE ACTUAL SETTLEMENT AGREEMENT AND RELEASE THAT MES HAS PROVIDED.

ESSENTIALLY GOING THROUGH THE AGREEMENT OF WHAT THEY'VE SETTLED TO PAY OUT AND WHAT THAT LOOKS LIKE.

AGAIN, I HAVE ALL OF THIS IN THE EMAIL THAT I CERTAINLY SHARE IT WITH YOU, STUART, IF YOU WANT TO GO THROUGH AND THAT WILL GIVE TO THE BOARD.

BUT YES, WE DID RECEIVE THAT JUST THE OTHER DAY.

>> AT THE VERY END THEY HAVE A STATEMENT HERE THAT MAKES NO SENSE TO ME BECAUSE THEY HAVE TOLD US TO OUR FACE THAT THEY WERE REPRESENTED BY THE ATTORNEY GENERAL'S OFFICE.

THEY MADE THIS PAYMENT OF $675,000, CODED IT AS LEGAL FEES, AND WERE ASKED BY, "LEGAL" TO PREPARE A CHECK FOR 675 AND GIVE IT TO THEM.

A CHECK PAYABLE TO WHO, LEGAL? THE ATTORNEY GENERAL'S OFFICE?

>> IT'S A VERY BLANKET STATEMENT.

>> I'M ASSUMING TO THE CONTRACTOR, PROBABLY.

>> I'D ASSUME TO THE CONTRACTOR.

WITH THAT WHEN WE LOOK AT THE FIVE-PAGE HISTORICAL, YOU SEE THE LARGE JUMP IN 2022 WHEN IT COMES TO TECHNICAL FEES.

THAT'S WHERE WE'RE SEEING THAT PAYMENT COME OUT.

YOU HAVE 780,000 IN '22 AND THEN IT DROPPED TO 78 IN '23.

THAT'S WHERE THEY MADE THAT.

TO A STATEMENT THAT WE HAD OR DISCUSSION WITH THEM, THE LANDFILL DID PAY FOR THAT SETTLEMENT.

>> IT WASN'T TRUE WHEN THEY SAID THE COUNTY IS [OVERLAPPING]

>> THEY PAID FOR IT. WHEN THEY SAID THAT MES PAID FOR IT.

THE FUNDS CAME OUT OF?

>> THE FUNDS CAME OUT OF THE MID-SHORE LANDFILL.

>> I THOUGHT IT WAS A LITTLE HARSH IN THAT MEETING WITH THEM, BUT TURNS OUT IT WASN'T.

>> I CAN'T WRAP MY HEAD AROUND HOW CHARGES FOR SERVICES, REVENUES ARE UP 10%.

REVENUES ARE UP ALMOST $1 MILLION.

BUT THEIR BOTTOM LINE, EXPENSES ARE UP TWO MILLION.

[LAUGHTER]

>> DEPRECIATION IS NOT AN EXPENSE.

I'M SORRY, IT'S NOT.

IT'S A PAPER ENTRY THAT YOU DO WHEN YOU ARE FILING A TAX RETURN, WHICH A NON-PROFIT.

>> THERE'S NO REASON FOR THEM TO BE REPORTING DEPRECIATION AS AN EXPENSE, SO IT DOESN'T MAKE [OVERLAPPING]

>> AS A COUNTY, WE REPORT OUR DEPRECIATION.

WE GO THROUGH THE EXERCISES TOO, BUT OURS DOES NOT [OVERLAPPING] LEAN IN TO OUR BOTTOM LINE BUDGET.

WE SEE THIS WITH OTHER ORGANIZATIONS THAT PUT FORWARD THEIR BUDGET AND AUDITS TO US.

I FIND IT A LITTLE MISLEADING.

I FEEL WE ALL DO WITH THE WAY IT SHOWS NOW.

>> OR ARE THEY MAKING THE ARGUMENT THAT SHOULD NOT BE SHOULD WE RE-CATEGORIZE DEPRECIATION TO CAPITAL EXPENSES? IS THAT WHAT YOU'RE SAYING? IT SHOULD READ AS OPPOSED? NO.

>> NO. IT'S TRULY DEPRECIATION.

>> WHERE ARE THE CAPITAL EXPENSES? WHICH ONE OF THESE LINE ITEMS WOULD THAT CONSTRUCTION OF CELL 3 HAVE FALLEN UNDER?

[01:25:01]

>> WELL, AND THAT'S I GUESS A QUESTION WE WOULD HAVE TO ASK THEM TO POINT OUT, BUT FOR US, WE WOULDN'T SHOW IT IN THIS TYPE OF OPERATING IN AND OUT.

CERTAINLY SOMETHING WE CAN FOLLOW UP AND ASK.

>> WELL, THIS ALL IS SO COMPLICATED.

IT'S HARD TO FOLLOW THROUGH.

>> IT IS.

>> BUT I THINK ONE OF THE FIRST THINGS THAT WE WANTED TO DETERMINE WAS, IF THAT LANDFILL DID NOT CLOSE, WHAT WAS GOING TO BE THE BENEFIT TO MES [OVERLAPPING] AND THE FOUR COUNTIES? WE WANTED TO BE COMPENSATED IN THAT AMOUNT.

>> CORRECT.

>> IF THE CLOSURE COSTS ARE IN HERE AND THEY ARE NOT GOING TO HAVE TO CLOSE THAT LANDFILL, TO ME WE'RE ENTITLED TO THE SAVINGS OF THAT MONEY.

>> THEY WERE SAYING THAT'S THE 2 AND 4.

THEIR CLAIM IS THAT 2 AND 4 IS THE VALUE OF US EXTENDING IT.

>> CORRECT. WHEN I ATTENDED THE ADMINISTRATORS MEETING, THAT WAS THEIR OPINION OF THE INFORMATION AS, WE'RE GOING TO PROVIDE THIS TO YOU, WE HAVE HIRED A THIRD PARTY, THEY HAVE PUT TOGETHER WHAT THEY FEEL IS THE ACCURATE NUMBER THAT CAPTURES CLOSURE AS WELL AS DEBT SAVINGS BECAUSE YOU'RE NOT HAVING TO TAKE OUT DEBT TO BUILD A NEW CELL.

THEY WOULD HAVE TO TAKE SOME DEBT TO BUILD, I THINK THEY CALL IT CELL 4, ONE OF THE ADDITIONAL CELLS ON THE SITE.

>> THEY WERE UP IN THE AIR.

[OVERLAPPING] ON WHETHER CELL 4 WOULD RUN THROUGH 2030.

HERE'S ANOTHER THING THAT'S NOT FACTORED INTO THAT 2 AND 4, IS IF THEY HAVE TO BUILD CELL 5, THERE'S A FIFTH CELL THERE.

THEY ARE NOT CLEAR AS TO WHETHER CELL 4 WILL GET US THROUGH TO 2030.

THERE IS A POTENTIAL THEY MAY HAVE TO BUILD A CELL 5 AND THEN ONLY PUT UP A LITTLE BIT OF TRASH.

THEY HAD NO IDEA HOW MUCH TRASH WE WILL END UP IN CELL 5.

THE FOUR COUNTIES MAY SPEND ALL THE MONEY TO BUILD THIS FIFTH CELL AND PUT VERY LITTLE TRASH IN IT.

THAT SAVINGS HAS NOT BEEN CALCULATED INTO THE 2 AND 4.

THE OFFER OF TWO DOLLARS PER TON THAT GOES IN NOW THROUGH 2030, AND FOUR DOLLARS A TON FROM 2030 UNTIL THE CLOSURE, THAT IS SOLELY BASED ON RESTRUCTURING OF DEBT AND DEFERRED COSTS FOR CLOSURE OR POST CLOSURE.

THAT'S IT. NONE OF THE OTHER PHYSICAL SAVING FACTORS ARE CALCULATED INTO THAT NUMBER.

IF YOU GUYS WANT TO, I'M CERTAINLY WILLING TO TAKE IT TO A PUBLIC HEARING WITH THE 2 AND 4 AND EXPLAINING IT TO THE PUBLIC THAT WAY.

BUT TO ME, 280,000 NOW AND 400 OR 500 AND SOME AFTER IS NOT WORTH THE HEADACHE.

I THINK WE'RE BEING LOW-BALLED WITH ALL DUE RESPECT TO MES.

I THINK THERE IS MORE SAVINGS THERE AND WE'RE NOT GETTING THE WHOLE PICTURE.

FRANKLY, WE'RE THE ONLY COUNTY THAT'S DIGGING.

IF WE'RE ONE OUT OF FOUR, IT'S NO BIG DEAL.

>> WE'RE STILL WAITING FOR OUR OWN ACCOUNTING.

>> SIR, WHEN WE HAD THE CONVERSATION WITH THEM, THEIR COMMENT AT THE BEGINNING WAS THAT THEY WOULD HELP FACILITATE THE CONVERSATION AND GATHERING THIS INFORMATION AND WOULD LOOK THROUGH IT, IT WOULD NOT PROVIDE ESSENTIALLY AN OPINION OF YOU NEED TO GO AFTER 4 AND 6, YOU NEED TO GO AFTER 4 AND 7, WHATEVER. [OVERLAPPING]

>> RUN AN ACTUARIAL ON WHAT THE ACTUAL SAVINGS ARE.

>> CORRECT. THEY WOULD GO THROUGH AND SAY, HEY, THAT EXPLAINS THE SALARY CHANGES.

HEY, THAT EXPLAINS THE CLOSURE, WHICH 2-3 WEEKS.

>> THIS IS DEFINITELY CLEAR THAT IT HAS BEEN WITH SOME OF THE CHANGES.

>> BUT IT'S OBJECTIVE. IT'S A FORECAST, IT'S NOT BASED.

I GUESS IT'S BASED IN FACTS, BUT IT'S THE BEST GUESS.

IT'S A HYPOTHESIS ON WHAT THE CLOSURE OR POST CLOSURE COSTS ARE GOING TO BE.

[01:30:03]

>> IT'S THEIR ENGINEER SITTING DOWN GOING, WE THINK IT'S GOING TO CAUSE THIS TO DO LEACHATE IN 30 YEARS.

IT'S A LOT OF IT IS [OVERLAPPING]

>> OBVIOUSLY, BECAUSE IT JUMPED.

>> VERY MUCH SO.

>> WHICH I'M SURE REGULATIONS, AS THEY DO, TEND TO COST MORE MONEY.

[LAUGHTER]

>> I THINK TO ME, I WOULD JUST MAKE A SUGGESTION HERE, BASED ON THE INFORMATION THAT THEY'VE GIVEN US, I WOULD SUGGEST THAT WE LOOK AT THESE NUMBERS AND COME UP WITH OUR NUMBERS ON WHAT WE WANT TO RETAIN THAT LANDFILL.

IF THEY'RE NOT WILLING OR ABLE TO MEET THOSE NUMBERS, THEN THEY PUT ONE IN CAROLINE COUNTY.

WE CAN GO BACK AND FORTH ON THIS FOR YEARS, BUT WE'RE UNDER SOME TIME DEADLINES HERE.

WE HAVE TO PRESENT THIS TO THE TAXPAYERS OF THIS COUNTY.

WE HAVE TO MAKE A CASE TO THE PEOPLE WHO LIVE IN THAT AREA.

WHAT I HEARD AT THAT FIRST MEETING WAS THAT IF IT'S WORTHWHILE TO US FROM A FINANCIAL STANDPOINT TO KEEP IT OPEN, I THINK THAT THE PUBLIC WOULD BE IN FAVOR.

IF IT'S NOT, THEN IT GOES.

I JUST THINK WE'RE GOING TO HAVE TO COME UP WITH WHAT WE THINK IT'S WORTH TO US.

I THINK WE'VE PROBABLY GOT ENOUGH INFORMATION HERE TO SIFT THROUGH IT AND COME UP WITH THAT.

TELL ME WHAT ELSE TO DO.

WE CAN ARGUE ABOUT 2 AND 4 AND 3 AND 6 [OVERLAPPING]

>> GOING BACK TO THE ADMINISTRATORS MEETING, EVERYBODY SEEMED TO BE ABOUT THAT SAME PLACE.

MES WAS LIKE, WE'VE GIVEN YOU WHAT WE FEEL IS ALL THE INFORMATION TO MAKE AN INFORMED DECISION, YOU GUYS NEED TO COME UP WITH YOUR OPINION, AND LET'S FIGURE SOMETHING OUT.

AGAIN, ULTIMATELY, IT'S GOING TO BE THE THREE COUNTIES THAT ARE GOING TO HAVE TO VOTE AND DECIDE WHETHER THEY FEEL IT'S FAIR OR NOT.

ONE THING THAT WE DO HAVE TO FOLLOW UP WITH AND THAT I'LL MAKE MYSELF A NOTE ON IS A MAJORITY VOTE DOESN'T HAVE TO BE UNANIMOUS.

IF TWO COUNTIES SAY, HEY, THREE AND FOUR FEEL IT'S FAIR, IT DOESN'T HAVE TO BE ALL FOUR.

THEY WERE HAVING THEIR LEGAL TEAM LOOK AT THAT IN THE ORIGINAL AGREEMENT TO SEE WHAT THAT NEEDED TO BE.

I HAVEN'T HEARD ANYTHING SINCE, LIKE SAY THE MEETING ON THE 15TH.

BUT I AGREE. I THINK WE'RE TO THE POINT WE COME UP WITH A NUMBER.

>> WELL, HOW DO WE DO THAT?

>> IT'S A GOOD QUESTION. [LAUGHTER] THE MILLION DOLLAR QUESTION IN THE END.

I THINK WE TAKE A LITTLE TIME WHETHER IT'S JUST MYSELF AND MAYBE ONE OF YOU TO GO THROUGH TAKE THE UPDATED POST CLOSURE INFORMATION, ADD 13 YEARS TO IT OR WHATEVER WE FEEL THE APPROPRIATE LIFE IS, COME UP WITH THE DELTA, THE DIFFERENCE, DO THE SAME THING WITH THE DEBT THAT THEY'VE ALREADY PUT OUT, COME UP WITH A DELTA, ADD IT TOGETHER, AND IF WE FEEL THAT THE SAVINGS AS FAR AS THAT ENCLOSURE EQUAL TO THIS, AND THEN RELATE THAT TO A SET.

WE CALL IT A DAY.

[OVERLAPPING] WE DO THE SAME THING.

>> GIVE THEM THOSE NUMBERS. [OVERLAPPING]

>> CORRECT.

>> BUT I WILL GUARANTEE YOU THAT SOMETIME IN THE NEXT THREE DAYS, WE'RE GOING TO BE APPROACHED ABOUT THIS HERE.

WE'VE GOT NUMBERS THAT WE'RE LOOKING FOR.

THEY'VE GOT NUMBERS. [LAUGHTER] TOTALLY NEGOTIATION.

>> I THINK WE DO THIS AT THE PUBLIC HEARING AND WE ALSO INCLUDE THE SAVINGS THAT WE WOULD EXPECT TO RETAIN FOR NOT HAVING TO HAUL TRASH, NOT HAVING TO OPERATE SOME TYPE OF DROP-OFF HERE.

WE HAVE SOME PRELIMINARY INFORMATION ON THAT THAT WE CAN WORK ON AND BE A TWO-PHASE MONEY IN SAVINGS FOR THE COUNTY AS FAR AS EXPENSES AND WE MAKE AN OFFER.

>> BECAUSE I DON'T THINK WE'RE GOING TO GET ANY MORE INFORMATION FROM THEM.

>> NO, I THINK WE'RE TO THE POINT THEY'VE GIVEN US ALL.

>> YOU WOULD HAVE THE PUBLIC HEARING FIRST BEFORE YOU WOULD NEGOTIATE FOR OR PRESENT IT TO THE OTHER COUNTIES RIGHT? YOU WANT THE INPUT FROM THE PUBLIC BEFORE YOU DECIDE.

THE UNDERSTANDING I HAD FROM THE LAST ONE WAS PEOPLE BASICALLY SAID,

[01:35:06]

"IF IT'S IF IT'S WORTHWHILE FINANCIALLY TO THE COUNTY THEY WERE OKAY." OUR ANSWER WAS WE'LL COME BACK AND TELL HIM WHAT THE NUMBERS ARE.

>> BUT THAT'S A YEAR AGO.

>> IF WE'RE THERE THEN I THINK THAT'S WHEN WE HAD THE HEARING.

>> I AGREE. I THINK THAT'S WHAT WE HAVE TO DO, BUT I JUST DO NOT FEEL ANY MORE SECURE NOW IN THE 2.4 NUMBER THAN I DID WHEN IT WAS PRESENTED TO ME FROM MES A YEAR AGO.

>> IF OUR NUMBER IS HIGHER THAN THAT THEN WE TELL THEM WHAT OUR NUMBER IS AND IF THEY WANT TO SAY, WELL, HOW DID YOU COME UP WITH THIS NUMBER? WE HAVE TO SAY FROM YOUR NUMBERS YOU GAVE US.

IF THEY COME BACK AND SAY WE WON'T DO THAT THEN START DIGGING.

THAT'S ALL I KNOW, I THINK EVENTUALLY THE SYSTEM HAS TO BE MADE IF AS A GROUP OF THE OTHER COUNTIES AND ONE DIRECTION OR ANOTHER WE'LL EVENTUALLY GET IN THERE.

>> DANNY MAY I ASK A SILLY QUESTION? HAS ANYONE BEEN ABLE TO BACK OUT OF THE DEPRECIATION NUMBER? THE DEPRECIATION ON EQUIPMENT AND LAND OR BUILDINGS OR WHATEVER THEY ARE ARTIFICIALLY INFLATING THAT NUMBER WITH BECAUSE WE'VE BEEN TOLD IT WAS DEBT SERVICE AND DEPRECIATION.

>> CORRECT, WE'VE BEEN TOLD A COUPLE OF DIFFERENT THINGS OVER THE YEARS.

THE NUMBER THAT I FEEL IS PROBABLY MOST TELLING OF THE OPERATION IS THEIR CHANGING CASH POSSESSION.

SO YOUR MONEY IN AND MONEY OUT IN THE END JUST LIKE US YOU'RE GOING TO HAVE A LOSS IN CASH OR YOU'RE GOING TO HAVE A GAIN IN CASH AND ADD THIS TO YOUR NET POSITION AT THE END OF THE YEAR.

SO YOU TEASE THAT DEPRECIATION OUT SINCE IT'S NOT A CASH ENTRY AND WE GO FROM THERE.

SO IF YOU HISTORICALLY LOOK AT THEIR CASH AS AN OPERATION INCREASED YEAR AFTER YEAR.

>> THIS IS A GOOD ONE. COMMISSIONER PORTER THEIR FUND BALANCE.

DID THEY GIVE US THEIR FUND BALANCE?

>> WELL THEY GAVE US THEIR INTEREST INCOME.

IS THAT WHAT YOU'RE BASING IT ON? [OVERLAPPING]

>> SO THEY GAVE US THE INTEREST INCOME WHICH HAS GONE BY.

>> IF YOU NOTICED HERE IN 2023, INTEREST INCOME IS OVER HALF A MILLION DOLLARS.

IT JUMPED 3,500 AND OR IS THAT NUMBER WRONG? [LAUGHTER]

>> I THINK THERE WAS ONE THAT WAS ALL THERE.

BUT IF WE LOOK AT THEIR NET POSITION OR STATEMENT OF NET POSITIONS THEY HAVE ASSETS AND LIABILITIES WHICH TYPICALLY LEADS TO PROFIT AND LOSS.

AND YOU HAVE CURRENT ASSETS IN THIS THEY SHOW DUE FROM MES AND THEN AR ACCOUNT FOR YOU MOST [INAUDIBLE] DUE FROM MES AND AGAIN I'LL RELATE IT TO US WE DO THIS WHERE WE HAVE ALL THESE OTHER FUNDS IN THE COUNTY, BUT THE MAIN OPERATION, CASH FLOWS IT AND THEN WE JUST HAVE TO DUE TO DO FOR REPRESENTING THEIR CASH.

DUE FROM FROM MES FOR CURRENT ASSETS AND FY24 WHEN THEY GAVE US HIS LAST REPORT WAS $16,235,000.

SO IN THEORY, THE CASH OPERATION FOR MID-SHORE IS ABOUT $16 MILLION.

WHERE THE PRIOR YEAR IN 2023, IT WAS ABOUT 13.3 MILLION SO THEY WENT UP ABOUT THREE MILLION DOLLARS.

>> SO LAST YEAR YOU'RE SAYING BETWEEN 2024 AND 2023 THEY NETTED THREE MIL?

>> THAT IS WHAT THEIR CHANGE IN DUE FROM MES SHOWS ON THE LAST REPORT.

>> BUT THEY SHOW BETWEEN '22 AND '23 THAT THEY NETTED A HALF MILLION DOLLAR LOSS NET CHANGE IN POSITION.

>> FOR THE PROFIT AND LOSS STATEMENT, YES.

>> [LAUGHTER] DOES THAT EVEN MAKE SENSE? I DON'T KNOW, I'M MISSING SOMETHING.

BUT I HAVEN'T BEEN ACCUSED OF BEING THE BRIGHTEST PERSON IN THE ROOM.

[01:40:03]

BUT IT SAYS RIGHT HERE CHANGE IN NET POSITION, IT'S IN BRACKETS.

SO THAT'S NEGATIVE HALF A MILLION, RIGHT?

>> YEAH.

>> BUT THEY'RE DUE FROM ACCOUNT INCREASED THREE MILLION DOLLARS.

[LAUGHTER]

>> NOT TO BEAT A DEAD HORSE, YOU CAN GO BACK AND LOOK AT NUMBER FOR THE PROPOSAL OF 2 AND 4.

AGAIN THEY WERE DOING THIS ON INFORMATION THAT THEY HAD AT THE TIME.

YOU SHOW NON-OPERATING EXPENSES, SOME DIFFERENT PIECES, BUT YOU LOOK AT THE FIVE-YEAR AND THEY'RE PROJECTING IN THAT SECOND NON-OPERATING EXPENSE STAYING IT 500 OUT OF 600,023.

IT WAS A GAIN OF $33,000 BECAUSE THEY HAD SUCH AN INFLUX AND INTEREST INCOME.

SO YOU HAVE CERTAIN LINE ITEMS THAT CURVE, EVEN MAKE OR BREAK THE BOOKS THAT CHANGE.

BUT AGAIN, THE ASSUMPTION THAT THEY'RE DOING IS ON ABOUT EVERY WORST-CASE SCENARIO YOU CAN GET WITH DATA THAT THEY HAD.

>> HERE'S A GOOD QUESTION.

DO WE KNOW WHERE IF THEY OVERSAVE FOR POST-CLOSURE ENCLOSURE WHERE DOES THAT MONEY GO?

>> TYPICALLY IT STAYS IN THE FONT.

IT'S LIKE THE PENSION.

THE PENSION AND THE CLOSURE ACCOUNT ARE VERY SIMILAR IN NATURE.

SO YOU SAVE FOR WHAT YOU'RE ESTIMATING THE LIGHT BULB IT IS.

DO YOU EVER REALLY IN OUR LIFETIMES GET OUT OF PAYING THAT PENSION? TYPICALLY, NO.

YOU'RE ALWAYS GOING TO HAVE SOMEBODY UNLESS YOU CHANGE THE PENSION OF STRUCTURE AND THAT'S THE ARGUMENT THAT THEY WOULD MAKE FOR THAT LIABILITY IS THAT THERE'S ALWAYS GOING TO BE SOME COST TO MAINTAIN.

EVEN IF IT'S 40, 50 YEARS OUT, IT WILL STAY IN THAT BOND AND WHETHER SOME REGULATION CHANGE OR SOMETHING THEY HAD TO DO IT WOULD BE THERE SET ASIDE FOR THAT.

SO THERE REALLY WOULD NEVER BE A SITUATION WHERE, HEY WE HIT THE 30-YEAR MARK THERE'S TWO MILLION DOLLARS SITTING IN HERE.

THE COUNTIES WITH QUARTER OF EACH.

>> I THINK THEY DO HAVE THAT EXPECTATION THOUGH.

I RECALL MR. FORD WITH MES TELLING ME THAT THEY HOPE THAT THEY DON'T HAVE TO MONITOR IT FOREVER.

>> I PERSONALLY FIND IT A LITTLE UNREALISTIC BECAUSE I THINK WITH THE CURRENT REGULATION AND STRUCTURE THAT'S GOING ON FEDERALLY AND STATEWIDE WE'RE ALWAYS GOING TO HAVE SOME OBLIGATIONS FOR THAT LANDFILL.

>> SOME TYPE OF MONITORING.

>> SOME TYPE OF MONITORING WHETHER IT'S MINIMAL OR LARGE THERE'S GOING TO BE SOMETHING WE'RE GOING TO HAVE TO DO.

>> SO I GUESS WE'LL WORK ON TRYING TO GENERATE A NUMBER.

ALSO WE NEED TO KNOW WHEN WE BRING THIS BACK FOR US TO HAVE DISCUSSIONS AS TO HOW SECURE, HOW WELL-FOUNDED WE BELIEVE OUR NUMBER IS BECAUSE IT IS ONE OF THOSE THINGS IT'S VERY DIFFICULT TO FORECAST AND ACTUALLY DRILL DOWN ON.

>> I APPRECIATE YOU SAYING THAT BECAUSE IT'S NOT GOING TO BE OKAY. [OVERLAPPING]

>> CONCRETE 100% CERTAINTY.

>> WE'RE GOING TO TAKE AN ESTIMATION OF JUST LIKE THEY DID AND PROJECTED OUT THE YEARS THAT WE UNDERSTAND THE LANDFILL COULD BE KEPT OPEN AND PUT A NUMBER TO IT.

BUT WE'LL WORK ON THAT AND THEN WE'LL FOLLOW-UP AS A GROUP.

DO WHAT'S FAIR AND THEN GO FROM THERE.

>> THANK YOU. THANK YOU DAN.[BACKGROUND].

>> YOU'RE WELCOME. IS THERE ANYTHING ELSE?

>> I WOULD BE CURIOUS TO KNOW FOR CERTAIN THAT NET CHANGE IN POSITION BECAUSE THAT DOESN'T MAKE SENSE TO ME.

HOW YOU SHOW IF A NEGATIVE NET CHANGE IN POSITION BUT YOUR FUND BALANCE INCREASES.

YOU FIGURE THAT ONE OUT WE CAN MAKE BUDGETING A LOT EASIER HERE IN THE COUNTY.

[LAUGHTER]

>> I HAVE A QUESTION ON THE CLOSURE THAT I WANT TO TALK TO ABOUT TRYING TO PROJECT THAT OUT AND I COULD CERTAINLY ASK AND LISTEN AGAIN.

>> PERHAPS THERE'S A PLAUSIBLE EXPLANATION THERE.

>> VERY WELL. GOOD DAY.

>> ALL RIGHT.

>> THANK YOU, GENTLEMEN.

>> THANK YOU. I THINK I'M MORE CONFUSED, [LAUGHTER]

[01:45:06]

>> SO ANYONE CAN TRY TO WORK IT, BUT DOESN'T WORK FOR ME.

>> ARE YOU DOING IT RIGHT?

>> NO IDEA.

>> I HAD A TRAINING.

>> IT BEEPED AND SAID IT WAS 7501.

>> [OVERLAPPING]1857. [LAUGHTER]

>> DID YOU GO OUT TO ONE OUT HERE?

>> SOMEBODY HELP ME OUT HERE. WHAT'S OUR NEXT AGENDA ITEM?

>> YOU HAVE GOT TO START IN THE HALLWAY.

>> 10:15 KATHELEEN AND MR. SCOTT [INAUDIBLE]

>> NEXT UP WE GOT?

>> COURTHOUSE PARKING AND TOWN OF DENTON KIOSK.

>> KATHELEEN? SORRY, I'VE LOST MY AGENDA.

>> HOPEFULLY THIS IS EASIER THAN THE LANDFILL.

[LAUGHTER] COME ON UP, SCOTT.

>> COME ON.

[7.Discussion of Courthouse Parking & Town of Denton Kiosk’s]

>> [LAUGHTER] I DON'T KNOW.

>> SHALL I SIT HERE?

>> SURE. [NOISE] WE HAVE A COUPLE OF ISSUES THAT WE ARE TACKLING.

ONE IS PARKING BEHIND THE COURT-HOUSE AND POSSIBLY OR ACTUALLY, I SHOULDN'T SAY POSSIBLY, TRYING TO FIGURE OUT A SECURE PARKING SITUATION FOR THE JUDGE, AND THEN PARKING AROUND THE COURTHOUSE, INCLUDING THE PARKING KIOSK ON MARKET STREET, WHICH I UNDERSTAND FROM TOWN MANAGER, MARKET STREET IS GOING TO BE REPAVED.

>> IT'S GOING TO BE REPAVED, BUT THE SCHEDULE MAY HAVE CHANGED.

>> I REACHED OUT TO SCOTT OR SCOTT REACHED OUT TO ME, I'M NOT SURE WHICH, MAYBE BOTH, TO TALK ABOUT BOTH ISSUES BECAUSE I THINK WE NEED WHATEVER WE DO WITH THE COURTHOUSE PARKING IN BOTH CASES I THINK THE TOWN OF DENTON NEEDS TO HAVE INPUT ON THAT AND SCOTT HAS SOME GOOD IDEAS ALSO.

BUT FIRST, TO ADDRESS THE PARKING KIOSK.

THE TOWN IS ASKING THAT WE ALLOW THEM TO MOVE THE PARKING KIOSK OUT OF THE STREET TO FREE UP THAT PARKING SPACE PRIOR TO PAVING MARKET STREET AND ONTO THE SIDEWALK OR SOMEWHERE IN THE FRONT OF THE COURTHOUSE HERE.

COMMISSIONER PORTER ADVISED ME THAT SEVERAL YEARS AGO, AT SOME POINT, WE HAD AN AGREEMENT OR A LETTER WHERE WE GAVE THE TOWN OF DENTON PERMISSION TO DO THAT, BUT THERE WAS A DISAGREEMENT ABOUT WHETHER OR NOT THE PARKING METERS WOULD BE REMOVED AFTER THE PARKING METER HEADS WERE TAKEN OFF.

THE PARKING METERS HAVE ALL BEEN REMOVED, THE POSTS HAVE ALL BEEN REMOVED NOW THOSE ARE GONE.

I DID, WITH THE HELP OF JEN, SOME RESEARCH INTO ANY LETTER THAT WENT TO THE TOWN OF DENTON AND ANY AGREEMENT AND WHAT WE FOUND WAS THAT IN 2019, THERE WAS A EASEMENT AGREEMENT FOR THE TOWN OF DENTON PARKING KIOSKS THAT WAS DRAFTED AND ATTEMPTED TO BE NEGOTIATED BY FORMER COUNTY ATTORNEY, NOW JUDGE PRICE, AND IT ENDED NOT BEING SIGNED WITH A DISPUTE BETWEEN THE TOWN OF DENTON AND THE COUNTY NOT BEING ABLE TO COME TO TERMS. THE EASEMENT AND LETTER NEVER WENT TO THE TOWN OF DENTON.

IF WE WANT TO ALLOW THEM TO MOVE THE KIOSK OUT OF THE STREET AND INTO THE SIDEWALK OR SOMEWHERE IN THE FRONT, WHICH I THINK WE SHOULD, I THINK WE NEED TO ADDRESS THIS AGREEMENT WITH THE OFFICE OF LAW.

I SENT THIS TO THEM LAST WEEK.

I DON'T KNOW IF YOU'VE HAD TIME TO LOOK AT IT, BUT WE WOULD NEED TO EXECUTE THIS AGREEMENT AND THEN THEY CAN MOVE FORWARD WITH THAT SITUATION.

THAT'S PART 1. DO YOU WANT ME TO GO INTO PART 2 OR WE JUST ADDRESS THAT ONE FIRST?

>> I GUESS WE CAN GO AHEAD AND ADDRESS THAT.

IS THERE ANY HEARTBURN WITH MOVING THE KIOSK UP? NO.

>> DIDN'T HAVE ANY BEFORE.

>> [LAUGHTER] I THINK WHAT WE'LL DO IS I THINK STEWART, I THINK YOU HAVE A COPY OF IT ALREADY, BUT I CAN SEND YOU ANOTHER ONE.

>> IT'S RIGHT HERE.

>> YOU HAVE IT. IT'LL NEED TO BE LOOKED AT AGAIN WITH THE TOWN.

BECAUSE I'M NOT SURE ALL THOSE SAME CONDITIONS STILL APPLY BECAUSE THIS TALKS ABOUT THREE PARKING KIOSKS AND I'M NOT SURE WHERE THE OTHERS ARE.

>> THERE'S TWO ON THE PERIMETER.

>> THIS ONE TALKS ABOUT THREE.

>> THE PERIMETER IS ACROSS THE STREET, SO I DON'T KNOW.

>> WE'D PROBABLY HAVE TO DO SOME EDITORIAL CLEAN UP FOR A REVISED AGREEMENT.

WHAT'S THE TIMELINE FOR THE TOWN?

>> WELL, I WAS OPTIMISTIC AND SO WAS OUR CONTRACTOR, BUT I'M THINKING IN SPRINGTIME DEPENDING ON THE OUTCOME.

>> TEMPERATURES.

>> WE'VE LOST THAT WEATHER WINDOW AND THEIR BACKLOG BEFORE THEY SHUT DOWN.

IT LOOKS LIKE SPRINGTIME. GIVES US A LITTLE MORE TIME TO WORK THIS OUT TOO, BY THE WAY.

IN MOVING THAT KIOSK SINCE YOU'RE ALL AMENABLE TO THAT, AND I THANK YOU FOR THAT,

[01:50:03]

IT GAINS A PARKING SPOT THAT COULD BE USED FOR EMERGENCY VEHICLES OR TRANSPORT FROM THE CORRECTION CENTER OR WHATEVER.

IT'S A WASTE OF SPACE AT THE MOMENT.

>> GREAT.

>> SOUNDS GOOD. THANKS.

>> THEN PART 2 IS MORE OF AN FYI AND SOMETHING THAT WE'RE WORKING ON AND WE'RE CONTINUING TO WORK ON.

I'VE INVITED MR. GETCHELL TO PARTICIPATE IN THE MEETINGS WITH THE COURT, DANNY, AND I TO TALK ABOUT THE PARKING LOT BEHIND THE COURTHOUSE FOR STAFF.

WE'VE ALSO TALKED ABOUT SOME POTENTIAL PARKING PASSES ALONG SECOND STREET PARKING SPACES.

PROBABLY WHAT'S MOST IMPORTANT IS SOME KIND OF A SIDEWALK FROM THE STREET TO THE BUILDING SO WE DON'T HAVE TO WALK INTO THE STREET EVEN IF WE PARK IN THE MUNICIPAL LOT, WHICH IS REALLY WHAT THE BIG ISSUE IS.

REGARDLESS OF WHERE YOU PARK AROUND ON EITHER SIDE, YOU HAVE TO WALK ACROSS THE GRASS, THE MUD, THE SNOW, WHATEVER WE HAVE.

WE WILL ATTEMPT TO TRY TO SCHEDULE A MEETING WITH THE COURT AND START TALKING ABOUT THAT SOME MORE.

BUT I THINK AT THE LAST MEETING, WE ALL AGREED WE'RE NOT GOING TO PAVE THE COURTHOUSE GREEN, IF ANYTHING, WILL TRY TO PAVE THAT GRASS SECTION BETWEEN THE TWO EXISTING PARKING LOTS AND FIND OUT WHAT SECURITY THE COURT IS LOOKING FOR AND ALSO WHAT FUNDING THEY'RE OFFERING TO PAY FOR THAT.

THAT'S ALL I HAVE. DO YOU HAVE ANYTHING, SCOTT?

>> NO.

>> WELL, I'M GLAD EVERYTHING SEEMS TO BE WORKING OUT TOGETHER.

[LAUGHTER]

>> WELL, I CAN ONLY SPEAK FOR A YEAR AND SO MANY MONTHS AND IT'S BEEN VERY GOOD IN MY OPINION, SINCE I'VE STARTED THIS POSITION AND IT'S ONLY GETTING BETTER.

>> DO YOU HAVE ANY UPDATE ON THE SHARPER PROPERTY? IS THAT HAVE TO GO THROUGH A CODE CHANGE?

>> THAT IS A CODE CHANGE AND WE'RE WORKING ON THAT.

I DON'T SEE ANY WALLS UP FOR THAT, BUT WE DO HAVE TO GO THROUGH OUR PROCESS.

>> OKAY.

>> IT BEGINS WITH THE PLANNING COMMISSION, AND WE'VE DRAFTED AN ORDINANCE THAT'S IN-HOUSE AT THE MOMENT, AND WE NEED TO PRESENT THAT TO THE PLANNING COMMISSION FIRST AND THEN TAKE IT THROUGH ITS PROPER PROCESSES.

I HAVEN'T SPOKEN TO ANYBODY AT THE PLANNING COMMISSION, BUT FROM A COUNCIL PERSPECTIVE, I DON'T SEE ANY WALLS.

I THINK WE'LL GET THAT, BUT THAT'S OUR PROBLEM.

WE GOT TO GET THROUGH THAT.

I THINK IT SEEMS LIKE IN PRINCIPLE EVERYBODY'S ON THE SAME PAGE HERE.

WHAT I WILL SAY AND BECAUSE I DON'T WANT TO FORGET AT ANY POINT IN TIME BUT WE EXPERIENCE A TREMENDOUS AMOUNT OF PARKING OUT THERE FOR THOSE ATHLETIC EVENTS WHERE THEY'RE COVERING ALMOST EVERY SQUARE INCH OF THAT PLACE.

I ASSUME I MIGHT BE INVOLVED IN THE DESIGN OF THE NEW PARK.

WE REALLY HAVE TO FIGURE THAT OUT BECAUSE WE'RE GOING TO BE DISPLACING A FEW VEHICLES OR POTENTIALLY EVEN ADDING MORE.

WE DO HAVE TO ADDRESS THAT TOGETHER.

>> SOUNDS GOOD. THANK YOU, SCOTT.

>> THANK YOU.

>> THANK YOU, SCOTT.

>> KATHELEEN, WE HAVE ANOTHER DISCUSSION ON THE RIVER BRIDGE DEED.

[8.Discussion of River Road Bridge Deed]

>> IN SPEAKING TO EACH OF YOU, I THINK WE JUST NEED TO WORK THROUGH MAYBE ONCE AND FOR ALL THE RIVER ROAD BRIDGE AND WHAT WE'RE GOING TO DO.

I HAVE IN FRONT OF ME, BRYAN NORTH GAVE ME THIS THIS MORNING.

I GUESS IT WAS 2009, THE BRIDGE WAS CLOSED, ACCORDING TO THIS LETTER.

THEN THERE HAVE BEEN, OVER THE YEARS, SOME BACK-AND-FORTH DISCUSSION WITH SOME OF THE RESIDENTS OUT THERE ABOUT WHETHER OR NOT WE JUST CLOSE THE BRIDGE PERMANENTLY GIVE UP THE DEED, TURN IT BACK TO THE PRIVATE LANDOWNERS OR WE WANT TO KEEP THAT.

WE JUST NEED TO, I GUESS, MAKE SOME DECISIONS ON THAT.

IF THERE'S MORE INFORMATION YOU NEED, I CAN BRING THAT BACK.

>> THIS IS LIKE THE NEVER-ENDING STORY.

IT'S BEEN GOING ON FOR SO LONG.

I JUST THINK WE'VE GOT TO REACH A POINT WHERE WE CAN GIVE THEM MR. [INAUDIBLE] AN ANSWER.

IF I'M UNDERSTANDING THIS CORRECTLY, WHICH I'M PROBABLY NOT, THE [INAUDIBLE] FAMILY OWNS THE LAND ON BOTH SIDES OF THIS BRIDGE. [OVERLAPPING]

>> YES.

>> I THINK. WHAT I REMEMBER HIS POINT

[01:55:05]

SOME YEARS AGO WAS THAT THERE'S ACTUALLY AN HOA WHOSE ACTUALLY A HOMEOWNER'S ASSOCIATION OUT THERE.

HIS POINT IS THAT IF THE BRIDGE IS GOING TO BE CLOSED, THEY WANT THAT LAND GIVEN TO THEM, CORRECT? THIS HAS BEEN LIKE FOREVER.

>> THAT'S THE GIST.

>> THERE'S A HOMEOWNERS ASSOCIATION?

>> NO, I DON'T SEE ANYTHING ABOUT A HOMEOWNERS ASSOCIATION.

>> HE DID MENTION AT ONE POINT ABOUT AN HOA OUT THERE IN SOME CORRESPONDENCE TO ME.

I'VE NEVER TALKED TO HIM DIRECTLY.

IT'S ALL BEEN THROUGH EMAIL.

>> I'M TOLD THERE'S INDIVIDUAL LOTS OUT THERE.

>> YES. IT'S THAT COMMON AREA.

HIS LETTER SAYS, ALTHOUGH THE BRIDGE WAS OBVIOUSLY CLOSED OFF TO THE GENERAL PUBLIC SURROUNDING PROPERTY OWNERS SUCH AS MY BROTHER AND I WOULD OCCASIONALLY USED THE BRIDGE TO CONVENIENTLY GAIN ACCESS TO OUR PROPERTY ON THE NORTH SIDE AND EAST SIDE, INCLUDING THE BRICK MILL LANDING SUBDIVISION COMMON AREA ON THE CHOP-TANK RIVER, OF WHICH WE ARE PARTIAL OWNERS AND THE CASTLE BERRY/WOOD FARM LEASE ADJACENT TO BRICK MILL LANDING.

THERE'S A SUBDIVISION COMMON AREA THAT MUST HAVE BEEN SATISFIED BY EASEMENT.

IT'S NOT HOA, BUT YES.

>> SOMETHING LIKE THAT.

>> I JUST FEEL THAT DEED IS A POTENTIAL GROWTH AREA.

WE'RE NOT SURE WHAT'S GOING TO GO ON IN THE FUTURE.

I DON'T THINK WE NEED TO SHUT THAT ROUTE DOWN.

I THINK WE NEED TO MAYBE SAVE THAT BRIDGE.

THE SCHOOL BEING THERE AS AN ALTERNATIVE ROUTE.

I KNOW THEY GOT BY WITHOUT IT FOR YEARS NOW, BUT YOU JUST DON'T KNOW ABOUT THE FUTURE.

>> IF WE DID END UP MOVING A MIDDLE-SCHOOL OUT THERE NOT IN THE NEAR FUTURE, PROBABLY AT SOME POINT, [LAUGHTER] IF WE ENDED UP BUILDING ANOTHER MIDDLE SCHOOL OUT THERE.

IF WE FIX THE ROAD, IT COULD BE ANOTHER ARTERY TO GET PEOPLE TO GREENSBORO.

IT COULD BE A WAY TO LEAVE SCHOOL AND GO TO GREENSBORO SO THEY DIDN'T HAVE TO COME BACK THROUGH DENTON THROUGH THE TRAFFIC NIGHTMARE THAT IS 313 AND 404 AT CERTAIN TIMES OF THE DAY.

I THINK IT'S STILL VALUABLE.

I THINK WE JUST TELL THEM THAT WE'VE HAD A DISCUSSION AND WE'RE GOING TO RETAIN OWNERSHIP PLUS WHAT WOULD IT TAKE TO GET IT BACK IF WE DID WANT TO OPEN? WE WOULD HAVE TO GO THROUGH.

>> CONDEMNATION UNLESS YOU COULD GET A VOLUNTARY SALE.

>> IT'S LARRY.

>> LARRY?

>> IF THAT'S THE PLAN THEN I THINK THAT'S FINE.

I JUST WANT TO GET THIS GUY AN ANSWER.

I THINK IT'S JUST DRAGGED ON TOO LONG.

>> THE OTHER ITEM THAT HE BRINGS UP, THE LAST CORRESPONDENCE I SEE IS IN AUGUST OF 2020, IS THAT THE BRIDGE IS PARTIALLY DESTROYED.

THERE'S PILES OF DIRT, UNMAINTAINED OVERGROWN RIGHT-OF-WAY IN THE AREA, NEGATIVE EFFECTS.

I DON'T KNOW IF WE NEED TO DO SOMETHING TO CLEAN IT UP OUT THERE, [OVERLAPPING] EVEN IF WE ARE HOLDING THE EASEMENT?

>> IF WE NEED TO DO SOME CLEAN UP AND MAINTENANCE OF OUR RIGHT-OF-WAY OUT THERE, I THINK WE SHOULD DO THAT AND RETAIN IT.

>> IF I REMEMBER CORRECTLY, WE HAD A PERSON WHO LIVES OUT THERE COME BEFORE US A COUPLE OF YEARS AGO WHO WAS OPPOSED TO DOING IT.

BECAUSE I HAVEN'T BEEN OUT DOWN RIGHT OUT THERE SOMETIME TODAY BUT I THINK YOU CAN WALK ACROSS THE BRIDGE.

I THINK THERE'S PLANKS THERE, AND THEY WERE WORN OUT, I FORGOT.

BUT IF THE DETERMINATION IS THAT I THINK WE DO HAVE TO DO SOME CLEANUP OUT THERE, BUT THAT'S FINE.

IF THAT'S IT I WON'T OPPOSE THAT, BUT I JUST THINK FINALLY, WE NEED TO GET THIS GUY AN ANSWER AND PLAN TO LET IT GO FROM THERE.

>> THEN IF WE NEED TO COME UP WITH A PLAN TO ACTUALLY CLEAN THE MESS UP, AND TRY TO MAKE IT SAFE IF IT IS IN FACT UNSAFE, I THINK WE SHOULD PROBABLY DO THAT, BUT I THINK WE SHOULD RETAIN OWNERSHIP.

>> I CAN SEE IF THERE WAS ONLY SOME OF THESE RULES THAT WE HAVE DEEDED OVER ONE HOUSE OR SOMETHING LIKE THAT.

BUT I THINK THERE'S A SUBSTANTIAL AMOUNT OF PEOPLE THAT LIVED DOWN THAT ROUTE THAT STILL NEED OUR COUNTY SERVICES FAR AS MAINTAINING THE ROAD.

IF WE CAN PAVE IT, TOUCH IT OR SOMETHING LIKE THAT.

I JUST THINK THERE'S ENOUGH TAXPAYERS DOWN THERE THAT STILL NEED THAT.

>> ALL RIGHT.

>> MOVE ON.

>> SOUNDS GOOD. THANK YOU.

OUR NEXT AGENDA ITEM IS THE CONSENT AGENDA.

[02:00:04]

WE HAVE A STATE AID FOR POLICE DEPARTMENT APPLICATION,

[9.Consent Agenda:]

AND I THINK THAT'S ACTUALLY IS THAT AN APPLICATION OR ACCEPTANCE?

>> IT'S AN APPLICATION.

>> THAT'S THE APPLICATION. THEN THE PURCHASE ORDER FOR DALY COMPUTER, INC. NETWORK SWITCHES.

I'M ASSUMING THAT'S FOR IT.

>> NO. [LAUGHTER].

>> IS THERE ANY QUESTIONS ON THE CONSENT AGENDA?

>> NO.

>> I MAKE A MOTION WE APPROVED THE CONSENT AGENDA. [LAUGHTER]

>> I SECOND.

>> MOTION AND SECOND TO APPROVE THE CONSENT AGENDA.

ALL IN FAVOR SAY AYE.

>> AYE. [OVERLAPPING]

>> AYE. ALL OPPOSED? THE AYES HAVE IT. COUNTY ADMINISTRATOR'S REPORT.

>> I DON'T HAVE TOO MUCH TODAY.

[10.County Administrator’s Report]

THE ONLY THING I WANTED TO MENTION, WHICH I'M SURE COMMISSIONER BREEDING, WILL TALK MORE ABOUT IS WE WENT TO THE PAMUNKEY REGIONAL DETENTION CENTER SUNDAY EVENING AND INTO MONDAY.

WE DID NOT, ALTHOUGH WARDEN SCOTT ACTUALLY WENT INSIDE THE DETENTION CENTER AND DID THE TOUR.

IT WAS A LONG DAY, SO WE DIDN'T STAY FOR THE ACTUAL TOUR.

BUT I THINK WE HAD A VERY GOOD MEETING, HAD SOME GOOD INSIGHT FROM THEM.

I THINK WE'VE MET WITH THEM FOR MAYBE ABOUT FOUR HOURS OR SO.

>> YEAH. IT WAS.

>> THEY ANSWERED ALL OF OUR QUESTIONS.

I THINK STEWART HAD SOME GOOD CONVERSATION ABOUT THE LEGAL SIDE OF THINGS.

I'LL LET YOU TO REPORT OUT ON ANYTHING ELSE ABOUT THAT.

BUT I THINK IT WAS A GOOD MEETING AND IT WAS WORTH GOING DOWN THERE AND HAVING THAT CONVERSATION WITH THEM.

THEIR FUNDING STRUCTURE IS A LITTLE BIT DIFFERENT THAN OURS. WE JUST LEARNED THAT.

>> STATE OF VIRGINIA IS UNIQUE OR DIFFERENT THAN US.

>> THE ONLY OTHER THING THAT I HAD THAT I WANTED TO BRING UP IS DANNY AND I HAVE STARTED TO DISTRIBUTE THE CHRISTMAS BONUS CHECKS.

YOU'LL PROBABLY GET MANY PHONE CALLS AND EMAILS THANKING YOU FOR THAT.

OUR STAFF IS VERY APPRECIATIVE THAT YOU DID THAT THIS YEAR.

THIS MORNING, I TRIED TO GET TO DBW BY 6:30 BUT I DIDN'T QUITE MAKE IT.

BUT I DID GET THERE THIS MORNING AT 07:30 AND MET WITH THEM BRIEFLY AND THEY HAVE THEIR CHECKS AND LIKE I SAID I'M SURE YOU'LL BE HEARING FROM THEM, SO THANK YOU FOR DOING THAT AND THAT'S ALL I HAD.

>> ALL RIGHT. STEWART?

>> WE DID HAVE GREAT CONVERSATIONS WITH MR. HEFTY WHO IS AN ATTORNEY IN PRIVATE PRACTICE IN RICHMOND, WHO HAS APPARENTLY WORKED ON ALL 20 OF THE REGIONAL JAILS IN THE STATE OF VIRGINIA, STARTING WITH THE VERY FIRST ONE WHICH WAS PAMUNKEY, THE ONE WE VISITED.

THEY PROVIDED US WITH A COPY OF THEIR 1990 ENABLING LEGISLATION WHICH SPECIFICALLY AUTHORIZED THE CREATION OF REGIONAL JAIL AUTHORITIES IN TIME FOR THIS PAMUNKEY THING TO BE CREATED A COUPLE OF YEARS LATER.

THEN AFTER THAT, ALMOST ALL THE OTHER JURISDICTIONS WHERE THEY WERE JAILS IN CLOSE PROXIMITY FOLLOWED SUIT.

AS HE PUT IT TO ME, HE SAID, WE'VE COMPLETELY DONE IT.

ALL THE ONES WHERE IT WOULD BE FEASIBLE TO HAVE A REGIONAL JAIL HAVE COMPLETELY DONE IT IN VIRGINIA.

HE IS A WEALTH OF INFORMATION.

THE FIRST THING I HAVE TO DO, I SPOKE WITH THE [INAUDIBLE] REPRESENTATIVE WHO WAS DOWN THERE, IS TO DO A DRAFT OF THE ENABLING LEGISLATION IN MARYLAND.

WE WOULD BE THE POINT OF THE SPEAR.

WE WOULD BE DOING WHAT THEY DID BACK IN 1990 IN VIRGINIA.

GET ENABLING LEGISLATION HOPEFULLY PASSED, AND THEN WE WOULD GO FORWARD WITH OUR MID-SHORE REGIONAL DETENTION CENTER PROJECT AND PERHAPS SIT BACK AND WATCH OTHERS FOLLOW SUIT BECAUSE THE PRESENTATION MADE IT INESCAPABLE THAT THE EFFICIENCIES OF HOW PERSONNEL ARE DEPLOYED, BUILDING, TRANSPORTATION, LIABILITY, EVERYTHING CRIES OUT TO DO A REGIONAL DETENTION CENTER.

>> THEY'RE ENABLING LEGISLATION, I ASSUME, INCENTIVIZED THE CONSTRUCTION OF REGIONAL FACILITIES IN VIRGINIA.

THE SALARY OF CORRECTIONAL OFFICERS AND SHERIFF'S DEPUTIES IS IN LARGE PART COVERED BY THE STATE THROUGH A COMPENSATORY BOARD THAT PROVIDE STATE FUNDING TO COVER SALARIES, WHICH WE DO NOT NATURALLY HERE, BUT THEY DID NOT PROVIDE A LARGE SUM TOWARDS CAPITAL CONSTRUCTION.

[02:05:07]

TO INCENTIVIZE THE CONSTRUCTION REGIONAL FACILITIES, IF THERE WAS MORE THAN THREE MUNICIPALITIES INVOLVED IN THE CONSTRUCTION, THE STATE WOULD PAY 50% OF CONSTRUCTION COSTS.

NATURALLY, HERE WE DON'T GET ANY ASSISTANCE IN SALARIES FOR CORRECTIONS OFFICERS OR SHERIFF'S DEPUTIES, BUT WE DO GET 50% FUNDING IN CAPITAL CONSTRUCTION, SPECIFICALLY ON DETENTION CENTERS FOR EVERYTHING EXCEPT THE AIR CONDITIONING.

IF YOU WANT TO AIR CONDITION THE HOUSING AREA, YOU HAVE TO PAY 100% ON AIR CONDITIONING COST, BUT EVERYTHING ELSE IS A 50, 50 SPLIT.

PERHAPS IN OUR ENABLING LEGISLATION, WE COULD ASK FOR MAYBE SOME ASSISTANCE IN FUNDING AS WELL BECAUSE THE STATE WILL SEE CONSIDERABLE SAVINGS BY NOT HAVING TO BUILD THREE NEW FACILITIES AT 50% OF THE CONSTRUCTION COSTS.

WE'RE ALSO SAVING THE STATE MONEY BY POOLING TOGETHER OUR RESOURCES AND ASKING FOR ONE CONSTRUCTION PROJECT.

BUT THERE ARE GOING TO BE SOME LEGISLATIVE LIFTS THROUGH THE GENERAL ASSEMBLY THAT ARE GOING TO HAVE TO HAPPEN TO ENABLE THIS TO HAPPEN.

PART OF IT IS ENABLING LEGISLATION.

PART OF IT IS INSURANCE COVERAGE FOR AUTHORITIES.

>> I AM HOPEFUL THAT THE LEGISLATION WILL MAKE IT CLEAR THAT THE NEW REGIONAL AUTHORITY IS CONSIDERED A POLITICAL SUBDIVISION OF THE STATE OF MARYLAND, WHICH MAKES IT ELIGIBLE, I THINK AUTOMATICALLY FOR CHECK TO COVER IT.

>> THE HOPE IS WITH THIS ENABLING LEGISLATION, WE CAN COVER ALL OF THIS.

IT CAN BE A COMPREHENSIVE BILL THAT COVERS ALL THE NEEDED CHANGES TO ALLOW THIS TO HAPPEN.

THAT WOULD BE WHAT THE HOPE WOULD BE.

>> RIGHT. THIS WOULD BE DRAFTED AND REVIEWED BY THE THREE OF YOU, IF YOU WERE TO SEND OUT TO ANY DELEGATION OR TO MAKE OUT FOR PUSHING.

>> THIS IS SOMETHING WE SHOULD PROBABLY, I THINK WE ARE MEETING BRUCE AND STEVE, THURSDAY WE SHOULD RUN THIS FILE.

>> ARE YOU AWARE OF THAT MEETING SO YOU CAN SEE THAT.

>> I WAS NOT AWARE OF IT, BUT YOU KNOW WHAT TIME IT IS.

>> 1:30.

>> WHAT DAY IS THAT? THURSDAY.

>> THURSDAY. WE'LL GET YOU THE INFORMATION, BUT I THINK IT'D BE IMPORTANT THAT WE GET THE BALL ROLLING ON THAT.

IT'S TOO LATE FOR THIS SESSION, BUT PERHAPS NEXT YEAR.

I'M ALSO ON THE TOUR THAT WE DID YESTERDAY.

THE CAROLINE COUNTY, VIRGINIA IS ACTUALLY PART OF THAT REGIONAL FACILITIES COUNTY OF HANOVER, VIRGINIA, COUNTY OF CAROLINE IN VIRGINIA, AND THE CITY OF ASHLAND.

HANOVER WAS WELL REPRESENTED THERE.

THEY REALLY ROLLED OUT THE RED CARPET FOR US, PROVIDED US WITH LUNCH AND DID A REALLY NICE PRESENTATION AND ARE VERY EAGER TO HELP US GET THIS DONE AND GIVE US ANY LITTLE NUGGETS OF INSIGHT OR ASSISTANCE THAT THEY CAN TO HELP US OUT.

IT WAS A GOOD TRIP.

VERY PRODUCTIVE.

ALL THE QUEEN ANNE'S COUNTY WAS VERY WELL REPRESENTED AS WELL AS KENT.

>> JUST FOR MY OWN CURIOSITY, MAYBE WHAT'S THE STORY WITH THE HVAC AND WHY THEY WON'T COVER THAT? IS THAT SOMETHING WE SHOULD ASK TO BE LOOKED AT ALSO? IT JUST SEEMED SO ODD.

>> I THINK IT'S JUST.

I DON'T KNOW IF IT'S REGULATORY.

>> HE'S ACTUALLY WRITTEN. WE DON'T COVER HVAC.

>> I DON'T KNOW. IT SEEMS TO ME THAT PROBABLY GOES BACK IN TIME WHEN AIR CONDITIONING WAS CONSIDERED SOMEWHAT OF A LUXURY JEWELRY.

BUT WHAT'S INTERESTING IS WHEN THE STATE BUILDS BUILDINGS FOR ANY OTHER PURPOSE.

THOSE HAVE HVAC, THEY HAVE AIR CONDITIONING.

WHY IS THIS AN EXCEPTION? IT'S PROBABLY A DINOSAUR THAT NEEDS TO BE AMENDED.

>> PERHAPS WE COULD ADDRESS THAT.

I DON'T KNOW IF THEIR SCHOOLS ARE THERE STILL SCHOOLS IN CERTAIN COUNTIES AND DISTRICTS THAT DON'T HAVE HVAC?

>> BALTIMORE AS STILL.

>> CAN YOU BUY A BUILDING CODE BUILD WITHOUT SOME KIND OF HVAC SYSTEM? I DON'T KNOW.

>> FOR ENERGY EFFICIENCY PURPOSES, YOU HAVE TO BUILD.

YOU HAVE TO BUILD SO TIGHT TOLERANCE NOW FOR ENERGY EFFICIENCY, HOW WOULD YOU VENTILATE?

[02:10:01]

>> I JUST WANTED TO GET SOMETHING. WE SHOULD ASK A QUESTION ON THAT.

WELL, THAT IS A SIGNIFICANT EXCELLENT.

>> THAT I GUESS WE'RE GOING TO COUNTY COMMISSIONER OPEN DISCUSSION, PERIOD.

HE WANTS TO GO FIRST. MR. MARKS.

[11.County Commissioners Open Discussion Period]

>> MR. BORDERED WENT TO THE ROOF CHRISTMAS GRADE AND IT SEEMED LIKE IT WAS PRETTY WELL ATTENDED.

I WANTED TO BRING UP THE CAROLINE COUNTY HUMANE SOCIETY.

I TALKED TO BRIEFLY ABOUT THIS A COUPLE OF WEEKS AGO AND HE GAVE THEM THE OPTION THAT YOU CAN TAKE THE MONEY AND GIVES YOU THE SALARIES OR CONTINUE WITH THE CAT BARN.

BUT I STILL UNDERSTAND THAT YOU STILL WANT TO PROCEED WITH THE CAT BORN.

I WOULD LIKE TO MAKE A MOTION THAT WE SEND THEM A LETTER SAYING THAT WE DO NOT SUPPORT THE CCAP ARM.

JUST STATE OR REASONS WHY NOT TRYING TO GET INTO ANY KIND OF ARGUMENT BUT JUST SAYING, FOR MR. REGIONS TAXPAYERS, WE ALL FEEL THEY HAVE THE STAFFING TO COVER AND PATROL.

JUST FEEL THAT YOU'LL GET UNNECESSARY BURDEN.

IF IT'S WITH YOU, I'LL MAKE A MOTION THAT WE SENT HIM A LETTER THAT WE DO NOT SUPPORT THE CAT BORN.

>> MOTION.

>> [INAUDIBLE]. [LAUGHTER]

>> MOTION INSIDE IT. ALL IN FAVOR SAY AYE.

>> AYE.

>> AYE.

>> THANK YOU. THAT'S ALL I GOT.

I'LL JUST DO IT IN A FORMAL LETTER AND THAT'S WHAT I WAS HERE. I GET IT.

A FORMAL LETTER SAYING THIS, WE DO NOT DO RIGHT.

SO FORTH. I'M MISSING.

>> WE'RE GOING TO TALK ABOUT THE TRIP VISIT.

OTHER THAN THAT, I DON'T HAVE ANYTHING.

THANK YOU GUYS FOR TAKING THE TIME TO GET DOWN THERE.

IT SOUNDS LIKE IT WAS WORTHWHILE.

I KNOW IT WAS A LONG DAY, BUT SOUNDS LIKE IT WAS VERY WELL.

>> I DON'T HAVE ANYTHING, HONOR.

IS THERE ANY PUBLIC COMMENT?

[12.Public Comment]

NO PUBLIC COMMENT.

AT THIS TIME, WE WILL HAVE A CLOSED SESSION TO DISCUSSION OF

[13.Closed Session]

A PROPOSAL FOR BUSINESS OR INDUSTRIAL ORGANIZATION TO LOCATE OR EXPAND.

WE WILL ALSO HAVE TWO CLOSED SESSIONS TO DISCUSS THE APPOINTMENT, EMPLOYMENT, OR ASSIGNMENT OF COUNTY EMPLOYEES.

THE AUTHORITY OF 2014 MARYLAND CODE, STATE GOVERNMENT 3-35B.

THANK YOU.

* This transcript was compiled from uncorrected Closed Captioning.