May 05, 2025 Work Session

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WELL, GOOD EVENING AND WELCOME TO THE MONDAY, MAY 5TH, 2025 WORK SESSION FOR THE GARLAND CITY COUNCIL. FIRST ITEM ON OUR AGENDA IS PUBLIC COMMENTS ON WORK SESSION ITEMS. I BELIEVE WE DO HAVE SOME SPEAKERS SIGNED UP, BUT THEY WILL SPEAK ON ITEM 14 I BELIEVE IS WHEN THAT WILL COME

[ CONSIDER THE CONSENT AGENDA Council may ask for discussion or further information on any item posted in the consent agenda of the next Regular Meeting. Council may also ask that an item on the consent agenda be pulled and considered for a vote separate from the consent agenda at the next Regular Meeting. All discussions or deliberations are limited to posted agenda items and may not include new or unposted subject matter.]

[1. Shiloh Road Project - Acquisition of Real Property Located at 2328 Brooks Street Council is requested to consider the approval of a purchase agreement and relocation assistance package negotiated with Deyanira and Gabriel A. Solis for the acquisition of fee simple interest from real property located at 2328 Brooks Street, and authorize the City Manager to execute such documents necessary to complete the transaction. Unless otherwise directed by Council, this item will be scheduled for formal consideration at the May 6, 2025 Regular Meeting. ]

[2. Shiloh Road Project - Acquisition of Real Property Located at 2329 Brooks Street Council is requested to consider the approval of a purchase agreement and relocation assistance package negotiated with Felipe Chavez and Dimas Carbajal for the acquisition of fee simple interest from real property located at 2329 Brooks Street, and authorize the City Manager to execute such documents necessary to complete the transaction. Unless otherwise directed by Council, this item will be scheduled for formal consideration at the May 6, 2025 Regular Meeting.]

[3. Pepperwood Lift Station Abandonment Project - Eminent Domain Council is requested to consider approval of a resolution to authorize the use of eminent domain where necessary to acquire the needed easement for the Pepperwood Lift Station project. Unless otherwise directed by Council, this item will be scheduled for formal consideration at the May 20, 2025 Regular Meeting.]

[4. Interlocal Agreement Between City of Garland and City of Terrell Council is requested to consider the Interlocal Agreement between City of Garland and City of Terrell to provide radio communications technical support and services to the City of Terrell. Unless otherwise directed by Council, this item will be scheduled for formal consideration at the May 20, 2025 Regular Meeting.]

[5. Interlocal Agreement with City of Richardson for Campbell and Jupiter Intersection Council is requested to consider authorizing the City Manager to enter into an Interlocal Agreement with the City of Richardson for the design, construction, maintenance, and operation of Campbell Road and Jupiter Road Intersection improvements. Unless otherwise directed by Council, this item will be scheduled for formal consideration at the May 20, 2025 Regular Meeting.]

[6. Fire and Police Staffing Realignment Council is requested to consider revisions to the Civil Service Classifications Ordinance. Unless otherwise directed by Council, this item will be scheduled for formal consideration at the May 6, 2025 Regular Meeting. ]

[7. Investment Portfolio The December 31, 2024 and March 31, 2025 Quarterly Investment Portfolios are presented to inform the Council of the current status of the City's invested funds.]

[8. Ordinance Amendment of Chapter 22 of the Code of Ordinances Council is requested to consider an amendment to Section 22.06, Miscellaneous Fees: Adoption Procedure for dogs and cats, of Chapter 22 "Health" of the Code of Ordinances that would allow for the discretionary reduction or waiver of fees. Unless otherwise directed by Council, this item will be scheduled for formal consideration at the May 20, 2025 Regular Meeting.]

[9. Youth Program Standards of Care Council is requested to consider the approval of an ordinance adopting the Youth Programs Standards of Care. Unless otherwise directed by Council, this item will be scheduled for formal consideration at the May 20, 2025 Regular Meeting. ]

[10. Introduction of a New Director Council will be introduced to Brian Norris, the new director of Code Compliance, by Andy Hesser, Assistant City Manager.]

WITH THAT, I'LL LET YOU TELL THEM A LITTLE BIT MORE ABOUT YOURSELF. ABSOLUTELY. SO YEAH, IT'S ON OKAY. ALL RIGHT. WELL GOOD AFTERNOON. GOOD EVENING COUNCIL. IT'S A PLEASURE AGAIN.

MY NAME IS BRIAN MORRIS. IT'S JUST A PLEASURE TO BE HERE. I'M APPRECIATIVE OF THE OPPORTUNITY.

APPRECIATIVE OF THE OPPORTUNITY TO SERVE FOR THE CITY OF GARLAND. MY PHILOSOPHY WHEN IT COMES TO CODE ENFORCEMENT, CODE COMPLIANCE IS DEFINITELY IMPORTANT WHEN IT COMES TO INTERSECTION BETWEEN LAW ENFORCEMENT, ECONOMIC DEVELOPMENT. IT'S REALLY THE FRONT DOOR TO THE CITY. AND SO WHAT PEOPLE SEE WHEN THEY DRIVE THROUGH THE COMMUNITY HAS A MAJOR IMPACT ON WHETHER OR NOT THEY WANT TO LIVE, WORK AND INVEST AND PLAY INSIDE THE CITY.

SO I'M PASSIONATE ABOUT COMMUNITY SERVICE AND ENGAGING WITH THE COMMUNITY, SO I LOOK FORWARD TO MEETING WITH EACH ONE OF YOU SEPARATELY AND JUST FINDING OUT WHAT'S YOUR WHAT'S YOUR NEEDS. BECAUSE EACH COUNCIL DISTRICT, EVERYBODY HAS UNIQUE NEEDS. THERE'S ONE CITY AND THERE'S ALSO DIFFERENT CHARACTERISTICS IN EACH OF ONE OF YOUR COUNCIL DISTRICTS. SO BEING NEW TO TEXAS, I'M NOT NEW TO CODE, BUT I'M NEW TO TEXAS. SO I LOOK FORWARD TO LEARNING MORE ABOUT GARLAND AND THE INDIVIDUAL NEEDS THAT THAT YOU GUYS NEED. AND SO LASTLY, I'LL JUST SAY OUR PRIMARY FOCUS IS CUSTOMER SERVICE. AT THE END OF THE DAY, THAT'S THE THAT'S THE NUMBER ONE GOAL IS SERVING OUR COMMUNITY. AND SO ONCE WE KEEP THAT, AS LONG AS WE KEEP THAT FIRST, OUR FIRST PRIORITY I THINK WILL BE MORE THAN MORE THAN SUCCESSFUL WITH THAT PHILOSOPHY AND ATTITUDE. SO AGAIN, IT'S A PLEASURE TO BE HERE BEFORE YOU GUYS TONIGHT AND LOOK FORWARD TO LEARNING MORE ABOUT YOU AND LEARNING MORE ABOUT YOUR NEEDS AND SERVING GARLAND. THERE'S YOUR CALENDAR. YOUR CALENDAR IS GOING TO GET REAL FULL, REAL QUICK. DEPUTY

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THANK YOU MAYOR. THANK YOU. THANK YOU MAYOR. THANKS. YES, SIR. THANK YOU. MOVING ON TO

[11. Introduction of a New Director Council will be introduced to Michael Buchler, the new director of the Project Management Office, by Crystal Owens, Assistant City Manager.]

OD EVENING, MAYOR AND COUNCIL. SO ANDY WAS REALLY EXCITED. SO I'M SUPER EXCITED. SUPER EXCITED. DOUBLE DOWN ON EXACTLY TO INTRODUCE MICHAEL BUCKLER AS THE NEW PROJECT MANAGEMENT OFFICE DIRECTOR. MICHAEL COMES TO US FROM THE CITY OF IRVING. HE BRINGS A COUPLE OF DECADES OF EXPERIENCE IN BOTH THE PUBLIC AND PRIVATE SECTOR, WHICH I'M REALLY, REALLY EXCITED ABOUT HIM HAVING THAT EXPERIENCE. HE HAS, YOU KNOW, DIFFERENT VIEWPOINTS FROM THE PRIVATE SECTOR AS WELL AS FROM THE PUBLIC SECTOR. BUT I WILL LET HIM SPEAK MORE ABOUT HIS OWN BACKGROUND, BUT JUST KNOW THAT WE ARE LOOKING FORWARD TO SEEING WHAT WE CAN ACCOMPLISH IN THE PROJECT MANAGEMENT OFFICE WITH MICHAEL LEADING THAT DEPARTMENT. THANK YOU CRYSTAL. I DID MEET A WHOLE BUNCH OF YOU AT THE BUILD GARLAND EVENT. I'M EVEN MORE EXCITED TO BE HERE NOW. BACKGROUND I KNOW CONSTRUCTION, THAT'S ALL I'VE EVER DONE. MY FAMILY HAD A CONSTRUCTION COMPANY. I DID PRIVATE CONSTRUCTION FOR DECADES, LIKE CRYSTAL SAID. AND YOU KNOW, IRVING, I CAME ON AT IRVING TO HELP THEM WITH A SPECIFICALLY A VERY LARGE BOND PROGRAM. SO IT WAS VERY SUCCESSFUL. AND I'M LOOKING FORWARD TO DOING THE SAME THING HERE. SO FOR THOSE OF YOU WHO HAVEN'T MET, I CAN'T WAIT TO MEET YOU AND LET ME KNOW HOW I CAN HELP. VERY GOOD. WELL, YES.

WITH THE RESULTS FROM SATURDAY, YOU'RE GOING TO BE BUSY. LOOK FORWARD TO IT. ALL RIGHT. WELL, WELCOME. WE LOOK FORWARD TO IT. THANK YOU. THANK YOU VERY MUCH. MOVING ON TO ITEM 1220 2526 CDBG

[12. 2025-2026 CDBG, HOME and ESG Federal Grant Allocations The Community Development Department will provide a presentation concerning the distribution of Community Development Block Grant (CDBG) funding, HOME Infill Partnership Grant (HOME) funding, and Emergency Solutions Grant (ESG) funding. Council previously considered this item at the April 14, 2025 Work Session. Unless otherwise directed by Council, this item will be scheduled for formal consideration at the July 8, 2025 Regular Meeting.]

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UNDER ONE ROOF WAS A NEW APPLICANT AND THEY RECEIVED WERE ALLOCATED $2,199 AND THEN FAMILY GATEWAY. ALSO, A NEW APPLICANT WAS $2,323. ANY QUESTIONS ON THOSE? AGAIN, THOSE WERE THE AVERAGES FROM EVERYONE. COUNSELOR WILLIAMS THANK YOU. THANK YOU. MAYOR. CAN YOU ALONG WITH THOSE FIGURES, CAN YOU LET US KNOW WHERE THEY WERE INCREASED OR DECREASED FROM FROM LAST YEAR? DO YOU DO YOU HAVE THOSE NUMBERS IN FRONT OF YOU, MONA? YOU DON'T HAVE THEM. I DO.

LET ME SEE HERE. OKAY. JUST COULD YOU RUN THROUGH THOSE REAL QUICK? JUST UP OR DOWN? OKAY.

CAN YOU HEAR ME? YES. OKAY. THE POLICE BOXING PROGRAM INCREASED A LITTLE BIT LAST YEAR. WE ALLOCATED THEM 34, 536. SO THERE'S A LITTLE BIT OF AN INCREASE THERE. THE STARS CAMP LAST YEAR WE ALLOCATED THEM 38 542. SO THERE'S QUITE A BIT OF AN INCREASE THERE AFTER SCHOOL PROGRAM THAT. HANG ON. WE LOST OUR MONITORS HERE. OH. OH. OKAY OKAY. ARE WE GOOD. ARE YOU GUYS.

IS EVERYBODY BACK UP. IT'S IN FRONT OF US THERE. SO IN FRONT OF YOU. OKAY. SO OUR DESK MONITORS HAVE GONE DOWN. OKAY. OKAY. SO GO AHEAD. GO AHEAD. OKAY. THE AFTER SCHOOL PROGRAM LAST YEAR WE ALLOCATED $23,065. SO THAT WENT UP AS WELL. THIS YEAR WE'RE GIVING THEM 37 204 THE LAWN CARE PROGRAM. LAST YEAR WE ALLOCATED 26,005 95. SO THAT ONE WENT DOWN A LITTLE BIT TO 21 432 SO WE WERE A LITTLE LESS ON THAT. LET'S SEE WHICH ONE'S NEXT. THE OMBUDSMAN PROGRAM.

OKAY. PREVIOUS ALLOCATION ON THE OMBUDSMAN PROGRAM LAST YEAR WAS 20,008 59. SO THAT WENT UP.

HOPE. MEALS ON WHEELS. MEALS ON WHEELS LAST YEAR WAS 14 644. SO THAT ONE DROPPED ABOUT 900. THE HOPE STORE NEW BEGINNING LAST YEAR WAS 24,000 080. SO THAT WENT DOWN A LITTLE BIT AS WELL.

ACHIEVEMENT CENTER. LAST YEAR WE ALLOCATED 21,000 OH 38. SO THAT DROPPED A BIT AS WELL.

COUNSELING INSTITUTE LAST YEAR WAS 15,948. SO JUST A TAD LESS THIS YEAR. HOPE CLINIC. AND I'M SORRY. LAST YEAR WE ALLOCATED 69,001 24. SO THAT ONE DROPPED. WE HAD 50,995 SALVATION ARMY LAST YEAR. WE ALLOCATED 17 144. SO THEY GOT A LITTLE BIT MORE MONEY THIS YEAR AT 24. 536 RESTORATION CHURCH. LAST YEAR WE ALLOCATED 5000. SO ABOUT $300 LESS. AND THE LAST TWO WE DIDN'T ALLOCATE ANYTHING TO LAST YEAR. SO THEY'RE NEW APPLICANTS FOR PUBLIC SERVICES THIS YEAR. THANK YOU. THANK YOU MAYOR. AND WHAT WAS THE WHAT WHAT WAS THE TOTAL WE HAD TO WORK WITH LAST YEAR? THIS YEAR IS THREE, TEN, FIVE. IT WAS THE SAME 310. SO YEAH. SO YEAH THE MAIN INCREASE WAS TWO ADDITIONAL APPLICANTS THIS YEAR OKAY OKAY OKAY. ALL RIGHT. THE 2526 FEDERAL GRANT CDBG FUNDING.

JUST AS A QUICK BREAKDOWN FOR THE CITY PROJECTS, CODE ENFORCEMENT RECEIVES ABOUT

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[13. Legislative & Public Affairs Committee Report Councilmember B.J. Williams, Chair of the Legislative & Public Affairs Committee, and staff will provide a committee report. Ariel Traub, Managing Director of Legislative & Public Affairs, will discuss the 89th legislative session thus far.]

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[14. Community Services Committee Report Councilmember Jeff Bass, Chair of the Community Services Committee, and staff, including representatives from MD Health Pathways, will provide a committee report on MD Health Pathways, which was discussed at a committee meeting on March 27, 2025. The item was requested by Councilmember Chris Ott and seconded by Councilmember Dylan Hedrick at the March 3, 2025 Work Session.]

THANK YOU. MAYOR. YEP. COMMUNITY SERVICES COMMITTEE MADE UP OF MYSELF, CHAIR AND COUNCIL MEMBERS. BEARD AND DUTTON STAFF LIAISON KEVIN SLAY. WE'RE REPORTING OUT ON MD HEALTHWAYS.

WE HAVE BRIAN DAVIS AND SOME OTHER REPRESENTATIVES HERE TO GIVE A PRESENTATION FOR US AS WELL, AS WE ALL HAVE SOME INFORMATIONAL MATERIAL IN FRONT OF US. VERY GOOD. YOU GUYS WANT TO COME ON UP? WE APPRECIATE YOU ALL BEING HERE TONIGHT. AND I ENJOYED THE PRESENTATION WHEN WE HAD IT FOR COMMITTEE. AND I'M SURE THE EVERYBODY'S GONNA ENJOY IT TONIGHT TOO. WELL, THANK YOU SO MUCH, COUNCIL MEMBER BASS. AND GOOD EVENING. MAYOR LEMAY AND GARLAND CITY COUNCIL MEMBERS. I'M BRIAN DAVIS WITH MD HEALTH PATHWAYS. I CAN TELL YOU I'VE SPENT 25 YEARS WORKING WITH LOCAL GOVERNMENTS, SPECIFICALLY CITIES, AND I HAVE BEEN IN NO LESS THAN A THOUSAND COUNCIL MEETINGS IN MY LIFE. AND YOU GUYS ARE RUNNING A REALLY TIGHT SHIP RIGHT NOW. SO THAT IS I FEEL SOME PRESSURE TO MOVE THIS ALONG, BUT WE'RE THRILLED TO BE HERE TO SHARE WITH YOU WHAT WE'VE GOT. AND I WILL SAY, THROUGH 15 YEARS OF OVERSEEING A ENTERPRISE PARTNERSHIP PROGRAM WITH THE NATIONAL LEAGUE OF CITIES AND TEN YEARS WORKING WITH VARIOUS PROJECTS WITH INTERNATIONAL CITY MANAGERS ASSOCIATION. I'VE SERVED ON NATIONAL COMMITTEES, LARGE CITY COUNCILS OF GOVERNMENT. I'VE NEVER BEEN A PART OF A PROGRAM WHERE I'M AS EXCITED AS I AM TO GET TO TELL PEOPLE ABOUT MD HEALTH PATHWAYS, SO WE'RE THRILLED TO BE HERE TONIGHT. 20 YEARS AGO, I SAT HERE IN GARLAND WITH THE FORMER CITY MANAGER, BILL DOLLAR, OR TWO CITY MANAGERS AGO, BILL DOLLAR AND I WAS I DIDN'T HAVE GRAY IN MY BEARD BACK THEN. A 16 YEAR OLD DAUGHTER HAS DONE THAT TO ME. BUT I, I SAID TO MR. DOLLAR, I SAID, I'VE GOT A NEW WAY TO DO OUTBOUND NOTIFICATION FOR CITIES. AND INSTEAD OF 16 CALLS A MINUTE THAT YOUR POLICE AND FIRE CAN SEND TO YOUR CITIZENS, WE CAN DO IT IN 1600. AND AFTER SOME SEVERAL MEETINGS HE SAID, BRIAN, HE SAID, I'M GOING TO TRUST IN YOU AND I'M GOING TO TRUST IN CODE RED, AND WE'RE GOING TO DO THIS. AND YOU GUYS BECAME THE FIRST LARGE CITY IN THE NATION TO LAUNCH THE CODE RED PROGRAM, WHICH HAS BECOME AS INSTITUTIONALIZED IN PUBLIC SAFETY AS COCA-COLA OR KLEENEX HAS IN OUR OUR HOUSEHOLDS. AND HERE I AM 20 YEARS LATER, AND I'M ASKING YOU TO ADOPT THIS PROGRAM AS THE FIRST LARGE CITY TO DO IT. AND IT'S NOT FOR A LACK OF SUITORS. WE HAVE A LOT OF LARGE CITIES THAT WE HAVE WAITING TO LAUNCH THIS. WE HAVE A LOT OF CITIES THAT ARE PARTICIPATING. BUT WE HAD TALKED TO GARLAND, WE HAD VISITED WITH THE COMMITTEE, AND WE ARE HERE TONIGHT. I WOULD LIKE TO INTRODUCE MY TEAM IS ARIEL. ARIEL HAS LEFT. WE HAVE SOMEONE

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BUT WHEN I GREW UP, I DIDN'T HAVE ANY ANY HEALTH INSURANCE. I DIDN'T SEE MY FIRST PHYSICIAN UNTIL I WAS IN COLLEGE. WITH THAT IN MIND, I WAS ALWAYS PRE-MED ROUTE, AND SO I DID EXCEPTIONALLY WELL IN SCHOOL. I GOT INTO AN MD PHD PROGRAM AND I WAS READY TO HEAD DOWN. I MET THIS GUY, AND HE KIND OF TALKED TO ME A LITTLE BIT ABOUT HIS STORY AND HIS MISSION, AND HE'S LIKE, HEY, BEFORE YOU GO TO MEDICAL SCHOOL, WHY DON'T YOU JUST KIND OF HOP ON BOARD AND HELP ME DRIVE ENGAGEMENT, DRIVE COMMUNITY OUTREACH? AND WHEN I SAID, YEAH, THAT SOUNDS GREAT.

WHEN I DID THAT, I FELL IN LOVE WITH THE MISSION. AND THE CORE DIFFERENCE THAT WE CAN MAKE IN COMMUNITIES. WHEN I WAS PROBABLY ABOUT TEN YEARS OLD, MY MOM USED TO HAVE THIS REMEDY FOR US, AND I KIND OF TOLD THE STORY, BUT I ALWAYS TELL THIS STORY BECAUSE IT IT BEAUTIFULLY HIGHLIGHTS WHAT WE'RE TRYING TO DO AND WHAT WE'RE TRYING TO ADDRESS. I HAD PROBABLY SOME, YOU KNOW, FEVER AND A SORE THROAT. AND SHE GAVE ME THIS HORRENDOUS TEA THAT WAS CINNAMON, ONION, GARLIC WITH HONEY. YEAH. BELIEVE IT OR NOT, I STILL I IF I CLOSE MY EYES, I CAN STILL TASTE IT. AND NO MATTER WHAT THE SYMPTOM WAS, THIS WAS THE REMEDY. NO IFS OR BUTS. AND ONE TIME I WAS A SMART ALECK TEN YEAR OLD. I SAID, MOM, THERE'S MEDICINES FOR THIS. AND SHE SAID, NO, NO, NO, THIS IS BETTER THAN MEDICINE. IT WASN'T BETTER THAN MEDICINE. WE JUST DIDN'T HAVE ACCESS TO SIMPLY PRESCRIBE ANTIBIOTICS BECAUSE WE DIDN'T HAVE INSURANCE OR, OR A WAY TO, TO PAY FOR, TO SEE A PCP. SO WHEN I LOOK AT IT, I THIS, THIS PROGRAM HAS MADE A DIFFERENCE NOT ONLY FOR ME BUT ALSO FOR MY FAMILY WHO CAN USE IT ON A DAY TO DAY BASIS. IT'S A TREMENDOUS PROGRAM. I'LL LET DIRK KINDD OF EXPLAIN THE BOLTS AND NUTS OF IT, BUT I MY, MY, MY PURPOSE WITH THE COMPANY IS JUST TO DRIVE ENGAGEMENT. AND ALL I CAN SAY IS IT'S NOT A SIMPLE BOX THAT WE CHECK AND THEN KIND OF MOVE ON. IT'S SOMETHING THAT REQUIRES A LOT OF TIME, DEDICATION, AND MORE THAN ANYTHING, BUILDING RELATIONSHIPS THROUGH THE PHYSICAL PRESENCE OF BEING IN THAT COMMUNITY. SO I KNOW I'VE TALKED A LOT, BUT I WANT TO I'M HAPPY TO TOUCH ON ANY MORE OF WHAT IT REALLY MEANS. WHAT DO WE REALLY DO ON A DAY BY DAY BASIS WHEN WE'RE TALKING ABOUT A SUCCESSFUL LAUNCH AND REALLY DRIVING ENGAGEMENT AND OUTREACH FOR THE COMMUNITY? BUT I'LL LET AND HE'S BEING HUMBLE. HE CAME OVER HERE AND LEARNED ENGLISH AND GRADUATED AS VALEDICTORIAN OF HIS HIGH SCHOOL. SO HE HE DID. WHEN HE SAYS I DID OKAY ACADEMICALLY, HE DID. HE DID PRETTY WELL. SO DIRK IS A 20 YEAR PHYSICIAN HERE IN NORTH TEXAS. HE IS CURRENTLY THE ROCKWALL COUNTY HEALTH AUTHORITY. AND HE'S ALSO THE WINNER OF A US CONGRESSIONAL AWARD FOR STANDING UP THIS VERY SERVICE WHEN IN ROCKWAL DURING COVID, SEVERAL OF THE COUNTY OFFICIALS SAID, WE HAVE PEOPLE IN TENTS WAITING TO GET IN TO SEE A DOCTOR. THEY'RE DYING. AND SO DIRK SAID, THERE'S GOT TO BE A BETTER WAY. AND SO WITH ALL OF THAT, HE PUT TOGETHER MD HEALTH PATHWAYS AND DIRK, THE FLOOR IS YOURS. ALL RIGHT. WELL THANKS GUYS. I'M DOCTOR DIRK PARROTT. I

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GREATER THAN 50% OF OUR COMMUNITY HAS USED IT AT LEAST ONCE. MANY MORE THAN ONCE ARE ARE UNNECESSARY. EMS 911 CALLS ARE DOWN WHEN MANY COMMUNITIES ARE SEEING RISING NUMBERS. WE'VE KEPT OURS DOWN AND OUR SCHOOL ABSENCES HAVE GONE DOWN. I WAS LIKE, BROOKS, THAT'S GREAT NEWS.

WHAT'S WHAT'S THE BAD NEWS? HE'S LIKE, WELL, WE FUNDED THIS WITH ARPA FUNDS. THEY'VE RUN OUT. WE HAVE NO WAY TO CONTINUE THIS. AND THAT'S WHEN BEING A HEALTH AUTHORITY REALLY BENEFITED, BECAUSE I HAD TWO COUNTY JUDGES COME TO ME AND SAID, DOC, WE KNOW HOW YOU CONTINUE THIS. YOU STRUCTURE THIS AFTER THE WAY CAREFLIGHT'S STRUCTURED THEIR THEIR CARE PROGRAM, WHERE THEY PUT A SMALL FEE ON A WATER UTILITY BILL ON AN OPT OUT BASIS, AND ANYONE THAT PARTICIPATES, IF YOU HAVE TO BE FLOWN IN FROM RURAL KAUFMAN TO DALLAS FOR IMMEDIATE NEED, THAT'S NORMALLY AN $80,000 BILL. BUT IF YOU'RE PART OF THAT PROGRAM, CAREFLITE CALLS IT EVEN. AND SO THAT'S WHEN WE WERE ABLE TO LAUNCH OUR SERVICE TO OTHER CITIES AND REALLY FOSTER THIS THIS PROGRAM. WE DIDN'T COME WE DIDN'COME TO GARLAND ON DAY ONE BECAUSE, QUITE FRANKLY, WE WEREN'T READY TO COME TO GARLAND ON DAY ONE. WE NEEDED TO GET OUR FEET UNDER OURSELVES. WE NEEDED TO FIGURE OUT THE PROCESS. AND WE SPENT THE LAST TWO YEARS BUILDING SPECIFIC SOFTWARE TO SUPPORT THIS. WE'RE AT A POINT NOW THAT ALL WE HAVE TO DO IS ADD DOCTORS TO OUR SYSTEM TO SERVE A COMMUNITY LIKE GARLAND. SO. SO I LET YOU KNOW HERE THAT I'M ON A MISSION. FOR THE LAST 20 YEARS, I HAVE SEEN WHAT OUR HOW BROKEN OUR HEALTHCARE SYSTEM IS. AND I'D REALLY LOVE THE OPPORTUNITY TO SERVE A COMMUNITY LIKE GARLAND. I SEE YOUR PATIENTS EVERY DAY IN MY EMERGENCY DEPARTMENT UNNECESSARILY THAT THEY DON'T NEED TO BE THERE, BUT IT'S THEIR ONLY OPTION. AND THEN THEY GOT TO DECIDE, AM I GOING TO PAY MY RENT AND BUY MY GROCERIES OR PAY THE HOSPITAL BILL? AND I'D LIKE TO GIVE YOUR COMMUNITY ANOTHER OPTION. AND JUST SO YOU KNOW HOW IT WORKS. YOU WAKE UP IN THE MORNING, YOU'RE SICK. YOUR CHILD'S SICK, YOU SEND IN A TEXT MESSAGE. AND EVERY, EVERY ENCOUNTER STARTS WITH A TEXT MESSAGE. WE CAN MOVE TO A PHONE CALL, WE CAN MOVE TO VIDEO. BUT WE'VE ALL BEEN ON THAT ZOOM WHERE WE DON'T KNOW HOW TO GET ON, WE DON'T KNOW HOW TO HIT THE BUTTON. AND WE START WITH THE LEAST COMMON DENOMINATOR THE TECHNOLOGY EVERYONE KNOWS HOW TO USE. AND WITH OUR AVERAGE RESPONSE TIME IS JUST TWO MINUTES. AND WITHIN TWO MINUTES WE'RE RESPONDING, GOING, HOW CAN WE HELP? AND IT'S NOT NOT A SECRETARY RESPONDING. IT'S NOT AN OFFICE STAFF RESPONDING. IT IS A MEDICAL PROVIDER THAT'S RESPONDING TO THAT TEXT MESSAGE. AND THROUGH USUALLY ABOUT 20 TEXT MESSAGES, A FEW PICTURES, WE'RE ABLE TO HANDLE WHAT YOU NEED. ABOUT 1% OF OUR ENCOUNTERS DO REQUIRE A

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AND 100% OF OUR PATIENTS. WE TRY TO DEFINE A COMMUNITY MEDICAL PARTNER FOR FOLLOW UP IF IT'S NECESSARY. SO I KNOW I'VE TALKED A LOT. I'M PRETTY PASSIONATE ABOUT THIS, BUT I'M HAPPY TO ANSWER ANY OF COUNCIL'S QUESTIONS. I DO HAVE BROOKS WILLIAMS HERE. I KNOW I'M NOT A CITY MANAGER. I'VE NEVER HELD A POSITION LIKE YOU GUYS, AND I KNOW THERE ARE SOME UNIQUE THINGS THAT A CITY HAS TO CONSIDER WHEN THEY GO THROUGH A PROCESS LIKE THIS. AND SO I BROUGHT HIM ALONG TO HELP MAYBE ANSWER SOME OF THOSE MECHANISM QUESTIONS OR COMMUNITY QUESTIONS. BUT BUT I'M HERE TO ANSWER ANY OF THOSE YOU HAVE RIGHT NOW. OKAY. COUNCILMEMBER DUTTON, THANKS FOR COMING. I WAS FORTUNATE ENOUGH TO SIT THROUGH THE ORIGINAL PRESENTATION THAT YOU GAVE TO THE COMMITTEE, AND SO SUPER EXCITED TO HAVE YOU BACK TODAY. I WOULD LOVE TO HEAR FROM BROOKS. JUST KIND OF HIS THOUGHTS AND OPINIONS AND HOW IT'S AFFECTED HIS CITY. JUST KIND OF MAYBE GIVE US AN OVERVIEW OF YOUR YOUR OPINIONS AS A WHOLE. NOW THAT YOU'VE HAD IT GOING FOR A COUPLE OF YEARS AND GIVE US ALL THE DEETS. SO WE JUST RENEWED AGAIN FOR OUR FOURTH YEAR YESTERDAY. LET ME GET YOU. I'LL MOVE OUT. YEAH, WE'LL. THAT WA WE SHOULDER HERE. AND YOU. THAT WAY WE CAN PICK YOU UP ON THE MICS. SO WE JUST RENEWED FOR OUR FOURTH YEAR. EVERY COMMUNITY IS UNIQUE, RIGHT? I'VE GOT ABOUT 80% OF MY COMMUNITY IS ECONOMICALLY DISADVANTAGED. 70% OF MY COMMUNITY HAS HISPANIC, 40% IS UNDER UNDERINSURED OR UNINSURED.

AND SO THIS IS SOMETHING THAT WE KNEW WAS A SIGNIFICANT ISSUE. BEING 70% HISPANIC. WE ALSO HAVE AN INCREDIBLE ISSUE WITH DIABETES AND HYPERTENSION THAT WE KNEW WE NEEDED TO ADDRESS.

OUR EMS CALLS WERE GOING THROUGH THE ROOF. WE HAD TO ADDRESS THAT AS WELL. WE WERE LOSING AN EMS PROVIDER BRINGING THAT IN-HOUSE. SO NOW WE'RE A FULL SERVICE CITY ON THAT SIDE TOO. SO WE KNEW THE COST IMPLICATIONS OF THAT. FOR US. THIS HAS BEEN A PARTNERSHIP THAT WE CAN'T SEE SEVERING. I GET TEXTS REGULARLY ABOUT USED THAT SERVICE. AGAIN, PEOPLE MAY NOT REMEMBER THE NAME OF IT EVERY TIME, BUT IT'S THAT SERVICE. AND I JUST WANT TO SAY HOW GREAT IT WAS. THEY LOVE BEING ABLE TO. WHEN THEIR CHILD IS SICK, PICK UP A PHONE, TEXT A NUMBER AND GET THEM BACK IN SCHOOL. IN OUR COMMUNITY AGAIN, YOU HAVE A LOT OF SINGLE PARENTS THAT ARE WORKING. MISSING WORK IS NOT JUST AN INCONVENIENCE, IT IS ECONOMICALLY DISADVANTAGEOUS TO THEM AND THEY NEED TO BE AT WORK. AND SO IT HAS HELPED IN THAT REGARD AS WELL AS AS DOCTOR PERRY MENTIONED, THIS IS OUR NUMBER ONE UTILIZED SERVICE AS A CITY FOR US. WHAT WE LIKE TO YOU HEARD YOUR LEGISLATIVE UPDATE.

THE LEGISLATURE IS NOT MAKING IT EASIER ON ANY OF US IN LOCAL GOVERNMENT. AND SO AS WE CONTINUE TO LOOK FOR WAYS TO GET CREATIVE IN HOW WE OFFER SERVICES, THE MODEL THAT WE'VE HAD, I THINK WHERE WE JUST CAST A WIDE NET, EVERYBODY PAYS FOR SERVICES THAT IF YOU USE, WE'RE GOING TO HAVE TO GET CREATIVE AND CHANGE THAT MODEL AT SOME POINT. WHAT WE LOVE ABOUT THIS MODEL IS IF YOU DON'T WANT THE SERVICE, DON'T PAY FOR THE SERVICE AND YOU DON'T PAY FOR IT. IF YOU WANT THE SERVICE, PAY FOR THE SERVICE AND YOU HAVE THE BENEFIT OF IT. I DON'T KNOW ANY OTHER SERVICE THOUGH, WHERE YOU COULD PAY ESSENTIALLY 60 BUCKS A YEAR, RIGHT? AND GET THE KIND OF ACCESS THAT YOU'RE GETTING. ONE CO-PAY TO A SPECIALTY OFFICE VISIT, ONE CO-PAY. NOW TO SOME DOCTORS IS MORE THAN THAT. IF YOU CAN AFFORD THE INSURANCE TO BEGIN WITH. SO FOR OUR COMMUNITY, THIS HAS BEEN AN ABSOLUTE GAME CHANGER. AND I THINK OUR SATISFACTION RATE RIGHT NOW IS BETWEEN 96 AND 97%. THEY DO FOLLOW UP WITH EVERY PATIENT THAT THEY INTERACT WITH.

I KNOW BECAUSE I USE IT, AND I GET THE PHONE CALL THE NEXT DAY AND PICK UP AND SAY, IT'S ME.

YOU DON'T HAVE TO CHECK ON ME. CALL, CALL SOMEBODY ELSE THAT YOU DEALT WITH. AND SO IT IS. IT HAS BEEN AN ABSOLUTE BLESSING FOR A LOT IN OUR COMMUNITY. DO DO YOU DO YOU GET A LOT OF COMPLAINTS ABOUT IT INITIALLY OR PEOPLE JUST WE DON'T. ONE OF THE THINGS WE LOOKED AT, SO WE ARE A MALCOLM BALDRIGE CITY, WE DO A LOT OF A LOT OF DATA ANALYTICS AND SPENDING TIME AND UNDERSTANDING WHAT'S GOING ON IN OUR CITY. SO ONE OF THE THINGS WE WANTED TO UNDERSTAND WAS, WHAT DOES THIS DO TO OUR WORKFORCE? IS IT GOING TO INCREASE THE WORKLOAD IN OUR UTILITY BILLING AREA FROM AN OPT OUT PERSPECTIVE, ETC? AND WE JUST HAVE NOT SEEN ANY NEGATIVE IMPACT THERE. YOU DID HAVE QUESTIONS AT THE BEGINNING, BUT THEY WERE GOOD PARTNERS. WE DID A GREAT MARKETING EFFORT, I THINK, TO PUT THAT OUT AT THE BEGINNING, TO ANSWER AS MANY OF THOSE QUEIONS AS WE POSSIBLY COULD, BUT WE DID NOT SEE ANY TYPE OF HUGE NEGATIVE PUSHBACK IN ANY WAY, AGAIN, BECAUSE IT WAS EXPLAINED, IF YOU DON'T WANT IT, DON'T TAKE IT TO. WHEREAS,

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AND I THINK THEY'RE GOING TO HAVE TO BE AS WE MOVE FORWARD. AWESOME. THANK YOU. YES, MA'AM.

VERY GOOD. DEPUTY MAYOR PRO TEM. LOOK, SO HOW MANY PHYSICIANS DO YOU ANTICIPATE NEEDING TO ACCOMMODATE THE CITY OF GARLAND? YEAH, SO WE WOULD HIRE ABOUT ANOTHER 25 MEDICAL PROVIDERS TO SERVE THE CITY OF GARLAND. SHOULD YOU GUYS CHOOSE TO CONTRACT WITH US. DO THOSE INCLUDE PAS? AND THEY DO. SO WE HAVE A RATIO OF RIGHT NOW OF 3 TO 1. SO WE HAVE THREE. THEY'RE CALLED ADVANCED PRACTICE PROVIDERS, PHYSICIAN ASSISTANTS NURSE PRACTITIONERS TO A PHYSICIAN. SO FOR EVERY ONE PHYSICIAN THERE'S THREE OF THOSE ADVANCED PRACTICE PROVIDERS THAT WE HIRE. THAT'S GREAT. SO HOW DO YOU HANDLE NON-ENGLISH ENGLISH SPEAKING PATIENTS. THAT'S GREAT.

SO WE HAVE A GREAT TECHNOLOGY TOOL BECAUSE IT IS TEXT MESSAGING THAT DOES AN AUTO TRANSLATE BACK AND FORTH ON THOSE. BUT IF WE DO GO TO VIDEO, WE EITHER USE A DOCTOR THAT'S ON THAT SPEAKS SPANISH OR A TRANSLATION SERVICE THAT WE ALSO HAVE ACCESS TO SHOULD THE NEED ARISE. SO WE HAVE BOTH THOSE OPTIONS. OKAY. GREAT. THEN WILL YOU JUST EXPLAIN THE PROCESS OF HOW THE HOW THE FEES WORK? I'VE HEARD YOU MENTION IT. I'D LIKE TO KNOW WHAT YOUR ANTICIPATED AMOUNT IS AND HOW. YOU KNOW, I, I HEARD IT'S AN OPT OUT PROCESS. SO DOES THAT MEAN EVERYONE'S AUTOMATICALLY OPTED IN AND THEY HAVE TO OPT OUT? OR LIKE IF YOU'LL GO OVER THAT WITH ME, THAT'S THE BIGGEST QUESTION EVERY CITY HAS. WHEN WE HAVE THIS. AND IT'S PROBABLY THE BIGGEST HURDLE THAT YOU GUYS HAVE TO CONSIDER WHEN YOU CONSIDER A PROGRAM LIKE THIS AND IT IS OPT OUT, IT IS DEFAULT ON. OUR GOAL IS NEVER TO HAVE ANYONE NOT AWARE THAT THIS THIS SERVICE IS AVAILABLE. IF WE WERE JUST TO LAUNCH THIS SERVICE AND PUT IT OUT THERE AND DO NOTHING ELSE, THAT'S A FAILURE. QUITE FRANKLY. OUR BIGGEST EXPENSE IS REALLY NOT OUR DOCTORS. IT'S OUR COMMUNITY ENGAGEMENT. AND SO WHEN WE ENGAGE A COMMUNITY, WE HIRE A LOCAL CHAMPION. SO WHAT WE'RE REALLY LOOKING FOR, IF GARLAND WERE TO CONTRACT WITH US, OUR FIRST GOAL WOULD BE TO HIRE SOMEONE THAT'S WELL RESPECTED AND CONNECTED WITHIN THE COMMUNITY TO BE OUR CHAMPION. TO PROMOTE THIS, WE HAVE AN ESTABLISHED TEAM THAT GOES IN. NUMBER ONE IS OUR THE SCHOOLS. SO WE MEET WITH THE SCHOOLS, THE SUPERINTENDENT, THE SCHOOL NURSES, AND THEN WE ALSO MEET WITH THE SECRETARY. THAT TAKES SCHOOL ABSENCES. AND SO WHEN A KID GOES HOME FROM SCHOOL, THEY'RE GOING HOME WITH ONE OF OUR LETTERS SAYING, HEY, DON'T FORGET, YOU HAVE ACCESS TO THIS PROGRAM. NUMBER TWO, WHEN THE SECRETARY TAKES THE CALL, WE ARE IN THERE CONSTANTLY TRAINING THEM. HEY, JUST REMIND THEM, HEY, YOU'RE CALLING IN FOR YOUR KID'S ABSENCE. DON'T FORGET YOU HAVE ACCESS TO THIS SERVICE. TWO, WE GO INTO THE CHURCHES. NO ONE'S MORE TRUSTED THAN THE PASTOR OF A CHURCH. AND WHEN THEY GET UP AND SPEAK THE CONGREGATION, THERE'S A LEVEL OF TRUST. AND SO WE REALLY TRY TO PARTNER WITH THE CHURCHES TO GET THE WORD OUT. AND THEN WE PARTNER WITH THE CHAMBER OF COMMERCE. ONE THING WE DIDN'T MENTION YET THAT IF YOU DO. AS A BUSINESS, DECIDE TO NOT OPT OUT OF THE FEE, WE COVER UP TO TEN EMPLOYEES OF A SMALL BUSINESS ON THAT SERVICE. SO YOU CAN IMAGINE SMALL RESTAURANTS, SMALL BUSINESS THAT CAN'T AFFORD TO PROVIDE HEALTH CARE INSURANCE TO THEIR EMPLOYEES WILL COVER UP TO TEN OF THEIR EMPLOYEES AS PART OF THAT SERVICE. AND SO NOW THEY'RE GETTING THE EVERYDAY HEALTH CARE NEEDS. OBVIOUSLY, IF YOU HAVE A HEART ATTACK OR STROKE, YOU'RE GOING TO NEED TO BE SEEN EMERGENTLY. BUT IF YOU'RE NEEDING A REFILL ON YOUR DIABETES MEDS, YOUR HIGH BLOOD PRESSURE MEDS WHERE YOU NORMALLY HAVE TO CALL IN TO WORK TO GET THAT DONE, WE'RE HAPPY TO TAKE CARE. AND SO OUR GOAL IS TO PROVIDE AN IMPACT TO A COMMUNITY. IF THERE'S ONE THING I'VE SEEN IN THE AIR IS THAT MOST PEOPLE DON'T THINK ABOUT THEIR HEALTH CARE UNTIL THEY NEED IT, AND BY THAT TIME IT'S TOO LATE TO SIGN UP FOR SOMETHING. AND SO WE REALLY WANT IT TO BE THERE WHEN PEOPLE NEED IT. AND THAT'S REALLY THE DRIVER BEHIND THE OPT OUT. WE TYPICALLY SEE ABOUT AN OPT OUT RATE OF 12 TO 15%, AND THEN THAT NUMBER ACTUALLY GOES DOWN OVER TIME. EVERYONE HAS A HEALTHY DEGREE OF SKEPTICISM SAYING, HEY, THERE'S NO WAY THIS IS REAL. THERE'S YOU'RE TELLING ME A DOCTOR IS REALLY GOING TO RESPOND TO ME IN A COUPLE OF MINUTES, AND THEN YOU GET A MOM THAT USES IT THAT DIDN'T HAVE TO GET HER KIDS OUT OF BED TO LUG THEM IN OVER TO THE HOSPITAL, AND THEN IT SPREADS LIKE WILDFIRE. I THINK ONE THING WE DIDN'T MENTION IS, IS WE ARE OPEN 365 DAYS A YEAR.

WE'RE OPEN WEEKENDS, BUT WE'RE NOT OPEN 24 HOURS. WE ARE OPEN FROM EIGHT, SEVEN, 7 A.M. TO 10

[00:50:02]

AND I'M LIKE, THAT'S WONDERFUL. IT'S THE FIRST WE EVER HEARD OF, LIKE A TECH SERVICE LIKE THAT. I SAID, HOW MUCH DO YOU PAY? SHE'S LIKE, WELL, IT'S A IT'S A LOCAL PHYSICIAN. I PAY $255 A MONTH.

AND SHE LOVED IT. AND I SAID, WHAT IF I TOLD YOU IT WAS FREE? SHE GOES, I WOULD TELL THE CITY MANAGER HE NEEDS TO APPROVE THIS PROGRAM OR TAKE IT TO COUNCIL TO APPROVE THE PROGRAM. SO IT IS A HUGE VALUE TO THE COMMUNITY. AND THE QUESTION WILL COME UP, HOW DO WE HANDLE MULTIFAMILY? RIGHT.

BECAUSE THERE ARE SOME MASTER METERED APARTMENTS, THERE ARE SOME MULTI METERED. AND HOW DOES THAT WORK? WE DON'T WANT THAT TO BE AN OBSTACLE. SO THE FIRST YEAR WE'RE COVERING A WHOLE COMPLEX FOR $6. SO IF THERE'S A THOUSAND PEOPLE IN IT WE'LL COVER IT FOR $6. NOW IF WE SEE LIKE EGREGIOUS USE, WE HAVE THE RIGHT TO CONTACT THAT PROPERTY OWNER AND SAY, OKAY, YOU HAD 12,000 PEOPLE USE IT FROM YOUR FACILITY, CAN WE UPHAT CHARGE FOR YOU? AND THEN THAT'S BETWEEN US AND THAT BUSINESS, THAT PROPERTY OWNER. SO AGAIN, AND IF THE CITY WOULD RATHER US PUT THAT ON A BILL, WE CAN I'VE TALKED TO KEVIN SLAY ABOUT THAT. WE CAN WORK WITH HIM. SO I DID NOT WANT THAT TO BE AN OBSTACLE. WE WANT THE PEOPLE THAT LIVE IN MULTIFAMILY UNITS TO HAVE ACCESS TO THIS AND TO KNOW IT'S HERE. AND WE WILL ALSO HIRE FOR THREE MONTHS SOMEONE TO WORK IN YOUR UTILITY BILLING OFFICE TO HANDLE ANY CALLS RELATED TO THIS. SO WE TAKE THAT THAT BURDEN OFF OF YOUR STAFF. I HAVE MORE QUESTIONS. THANK YOU VERY MUCH. SO IF SOMEONE HAS A LANDLINE, HOW DO THEY USE YOUR SERVICE? ARE THEY JUST NOT. YEAH. SO EVERY CALL DOES HAVE TO START OFF WITH A TEXT MESSAGE. AND SO IF YOU HAVE A LANDLINE ONLY AND YOU DO NOT HAVE TEXT MESSAGING ACCESS, YOU WOULD HAVE TO GET ON A COMPUTER. WE HAVE A PORTAL YOU CAN MESSAGE THROUGH WITH A LOGIN AND AN ACCOUNT. BUT IF YOU DON'T HAVE A COMPUTER, A SMARTPHONE, THERE WOULD NOT BE A WAY TO START OFF THE CONVERSATION WITH THE LANDLINE. OKAY. AND THEN SO SINCE IT'S KIND OF RELATED TO

[00:55:01]

AND HE SAID, THERE'S NO WAY YOU'LL START IT BY MONDAY. TEDHAM WON'T HAVE IT, HAVE ALL THE MATERIALS AVAILABLE. I SAID, DON'T WORRY ABOUT IT. I'LL TAKE CARE OF IT. BE HERE MONDAY.

MONDAY WE OPENED. WE TREATED OVER 8000 PEOPLE, WHICH WAS THE THIRD HIGHEST IN THE STATE WITH MONOCLONAL ANTIBODIES THROUGH THAT FACILITY, WHICH WE SAY SAVED LIVES. AND SO OUR COMMUNITY HAD EXPERIENCE WITH MD HEALTH PATHWAYS, AND THERE WAS A TRUST THAT WAS BUILT THROUGH THAT BECAUSE, AGAIN, WE DIDN'T ASK FOR YOUR INSURANCE. WE DIDN'T ASK WHO YOU WERE. WE JUST WANTED TO KNOW, DO YOU NEED HELP? AND IF THEY NEEDED HELP, WE GAVE IT TO THEM. AND THIS PROGRAM WAS BUILT ON THE SAME THING. THIS IS MORE ABOUT WE'RE NOT INTERESTED IN WHO YOU ARE, WHERE YOU CAME FROM, WHAT YOUR INSURANCE STATUS IS. WE JUST WANT TO KNOW, DO YOU NEED SOME HELP AND CAN WE HELP YOU? AND SO THERE WAS A NATURAL TRUST BUILT THERE. THE SECOND PART TO THAT IS WE SPENT A LOT OF TIME IN THE COMMUNITY EDUCATING. SO AS DOCTOR PARROTT MENTIONED, WE SPENT TIME IN THE CHURCHES, WITH THE CHAMBER, WITH THE SCHOOL DISTRICT. THERE'S TWO, TWO PRIMARY THINGS IN OUR COMMUNITY THAT MAKE DECISIONS GO ONE WAY OR THE OTHER, AND IT'S THE

[01:00:04]

REMIND THE NURSES WE'RE AVAILABLE FOR YOU. WHEN THE KIDS CALL IN. YOU'RE SENDING A KID HOME. IF YOU WOULDN'T MIND PUTTING ONE OF THESE IN THEIR BACKPACK TO LET THE PARENTS KNOW. SO IT'S REALLY ALL ON US TO DO THAT. WE JUST NEED THAT WARM INTRODUCTION. IF I SHOWED UP TO YOUR SCHOOL AND THEY HAD NO IDEA WHO WE ARE, THEY'RE JUST NOT GOING TO TRUST US. WHY? WHY ARE YOU SHOWING UP? BUT SO YOU'RE ASKING FOR REPRESENTATIVES OF THIS CITY TO JOIN WITH YOU, TO DO AN INTRODUCTION TO THE SUPERINTENDENT. AND HIS SOME OF HIS BOARD MEMBERS. RIGHT? CORRECT. AND THE MESSA IS, IF YOU LIVE IN THE CITY OF GARLAND AND THE FAMILY HAS NOT OPTED OUT OF THIS HEALTHCARE PROGRAM, THERE'S AN OPPORTUNITY FOR YOU TO HAVE EASY ACCESS TO HEALTHCARE FOR THE FAMILIES OF YOUR SCHOOL. SO, SO RIGHT NOW, THE AVERAGE PREVENTABLE ABSENCE IN A SCHOOL APPROACH IS OVER 10%. SO 10% OF KIDS WHEN THEY GET SICK. BY TEXAS LAW, A SCHOOL HAS TO SEND A KID HOME FOR INFECTIOUS APPEARING RASH, FEVER, VOMITING, DIARRHEA, PINKEYE, AND THEY HAVE TO SIT OUT AT LEAST FIVE DAYS UNLESS THEY HAVE A DOCTOR'S NOTE THAT SAY THEY'RE NOT CONTAGIOUS. OUR GOAL IS TO LET THEM KNOW THAT THE NORMAL WAIT TIME TO GET IN WITH YOUR PEDIATRICIAN IS THREE WEEKS. THAT'S TOO LONG. THOSE KIDS ARE GOING TO SIT OUT THE FIVE DAYS. WE'RE GETTING KIDS BACK TO SCHOOL AFTER 2 TO 3 DAYS ABSENCE BECAUSE THEY HAVE ACCESS TO US, AND WE WANT TO LET THE SCHOOL KNOW THIS IS AVAILABLE.

IF YOU LIVE IN THE CITY OF GARLAND AND THE PARENTS ARE PAYING A WATER BILL AND HAVE NOT OPTED OUT, THAT THIS IS AVAILABLE TO THOSE STUDENTS AT THOSE SCHOOL DISTRICTS. AND YEAH, GO AHEAD. I JUST REAL QUICK ON THAT. I DIDN'T REALIZE THIS BECAUSE MY BACKGROUND'S IN LOCAL GOVERNMENT, BUT THE DISD SUPERINTENDENT AND SOME OTHER SUPERINTENDENTS THAT I'VE SPOKEN

[01:05:04]

I, I'D LIKE TO KNOW MORE, BUT THAT'S THAT'S THE ONE HICCUP I SEE. SO YOU HAVE NOT REACHED OUT TO THE SCHOOL DISTRICT, RIGHT? NO. BECAUSE WE CAN'T DO THIS PROGRAM WITHOUT YOUR APPROVAL.

AND SO WE CAN'T OFFER THIS TO THE SCHOOLS WITHOUT YOU, THE COUNCIL SAYING, YES, WE WANT THIS FOR THE CITY. YOU'RE GETTING, YOU'RE GETTING, YOU'RE GETTING TO MY POINT. YOU, YOU'RE SEEKING. I'M ASKING WHAT'S YOUR ASK OF US BEFORE YOU CAN MOVE TO THE NEXT STEP IN YOUR ASK? THIS COUNCIL IS I WOULD LOVE COUNCIL TO APPROVE THIS PROGRAM FOR THE CITY OF GARLAND. AND IF IT'S APPROVED, WE'RE GOING TO GO INTO THE SCHOOLS AND LET LET THE COMMUNITY KNOW THAT THIS IS AVAILABLE TO EVERY SINGLE RESIDENT THAT DOESN'T OPT OUT OF THE PROGRAM TO HAVE AN EASY BUTTON FOR HEALTHCARE. AND IF THE CITY OF GARLAND APPROVES THE PROGRAM, THEN EVERYONE IN GARLAND, EVERY CITIZEN, EVERY BUSINESS OWNER, AND EVERY CITY EMPLOYEE, WHETHER THEY LIVE IN GARLAND OR NOT, WOULD HAVE A DOCTOR IN THEIR POCKET SEVEN DAYS A A WEEK, 365 DAYS A YEAR.

AND THAT'S FORHE $6 A MONTH PER PER HOUSEHOLD AND PER BUSINESS. WELL, WELL FINISH UP.

I CERTAINLY AM IMPRESSED WITH YOUR PROGRAM. I WOULD LIKE FOR THAT TO BE WHATEVER THIS BODY DOES. THERE BE SOME FURTHER DISCUSSION ON HOW WE GO ABOUT INTRODUCING YOUR WORDS? YOU TO THE SCHOOL DISTRICT, BECAUSE THE SCHOOL DISTRICT IS A SEPARATE ENTITY. IT HAS A SUPERINTENDENT.

AND SO THERE HAS TO BE SOME MR. CITY MANAGER, S SOME PROTOCOLS,F YOU WILL, BEFORE WE. SO I WOULD LIKE TO MOVE FORWARD WITH THIS, BUT I THINK THERE NEEDS TO BE SOME DISCUSSION ABOUT HOW THIS US, WE AS THE CITY REPRESENTATIVES APPROACH THE SUPERINTENDENT OF SCHOOLS ABOUT A PROGRAM THAT IS NEW TO US. SO I JUST FOR WHAT THAT'S WORTH AND I APPRECIATE YOUR PRESENTATION TONIGHT. THANK YOU MAYOR. THANK YOU. MAYOR PRO TEM MOORE. THANK YOU, MR. MAYOR. AND THANK YOU ALL FOR COMING TONIGHT. I THINK THAT THE PRESENTATION HAS BEEN VERY WELL THOUGHT OUT. IT SOUNDS. AND AT A TIME WHEN WE WERE A CITY WITHOUT A LOCAL HOSPITAL, THIS IS A TIME THAT WE REALLY DO NEED TO BE HAVING THESE DISCUSSIONS. AND I REALLY DO APPRECIATE. I WANT TO ASK THE CITY MANAGER, THOUGH, HAVE WE ALREADY DONE OUR DUE DILIGENCE IN THE WAY OF BACKGROUND, IN THE WAY OF. THE COMPANY AND THE WAY OF IDENTIFYING? YEAH. SO AND I APPRECIATE THE OPPORTUNITY TO CHIME IN ON THIS BECAUSE IT'S, YOU KNOW, THIS LANDED AT A COUNCIL COMMITTEE. AND I CAN TELL YOU THERE WAS SOME DUE DILIGENCE BEFORE IT GOT TO A COUNCIL COMMITTEE AND PRIMARILY, WELL, COUNCIL YOU ALLUDED TO IT, MAYOR PRO TEM, THAT OUR HEALTH CARE FOOTPRINT FROM A FACILITY STANDPOINT IN GARLAND IS UNDERWHELMING. AND IT'S A REFLECTION REALLY OF OUR OUR LOWER INCOME DEMOGRAPHIC AND THE FACT THAT WE HAVE A HIGH UNINSURED POPULATION. AND SO, YOU KNOW, SIMILAR TO THE CITY OF FERRIS, HOW CAN THE CITY PLAY A ROLE IN HELPING TO REMEDY THAT SITUATION? FORTUNATELY, WE HAD RESIDENTS PASS A BOND ELECTION ON SATURDAY THAT WE HOPE WILL EVENTUALLY LEAD US TO AN IMPROVED HEALTH CARE FACILITY SITUATION. BUT THAT'S THAT COULD BE YEARS AND YEARS DOWN THE ROAD, AND THE NEEDS THAT ARE OUT THERE NOW ARE IN THE COMMUNITY

[01:10:05]

WE HAVE NOW THE THINGS THAT I'M GOING TO BE LOOKING AT AND THAT IF COUNCIL SAYS, HEY, GO FORWARD, LET'S TAKE THE NEXT STEP WITH THIS, THAT I WANT TO DIG INTO SOME MORE. IS THIS OPT OUT SITUATION. WHAT'S THE ADMINISTRATIVE BURDEN OF HANDLING INCREASED CALL VOLUME? AND JUST WHAT'S THE ADMINISTRATIVE BURDEN OF TAKING ON A NEW SERVICE LIKE THIS? THOSE ARE THE THINGS THAT WE STILL NEED TO LOOK AT. I DON'T WANT TO TAKE THOSE STEPS AND DO A LOT OF THAT WORK UNTIL COUNCIL SAYS, HEY, THIS IS AN IDEA WORTH PURSUING. SO THAT WOULD BE MY SUGGESTION IN TERMS OF NEXT STEPS, IF THE COUNCIL DOES WANT TO MOVE FORWARD, IS LET'S REALLY PUT NUMBERS TO WHAT THE ADMINISTRATIVE BURDEN IS GOING TO LOOK LIKE AND SEE WHERE THAT TAKES US FROM THERE. AND I ASKED THAT QUESTION BECAUSE, YOU KNOW, DEALING WITH MEDICARE. ONE OF THE BIG CONCERNS THAT I BEGAN TO HAVE THEN IS THE LIABILITY TO THE CITY, BECAUSE IT SOUNDS LIKE WE'RE GOING TO BE MORE ENDORSING THE COMPANY. BUT THEN I HEAR THAT WE MAY BE LOOKING AT SOME FINANCIAL RESPONSIBILITIES OF FIVE, SIX, SEVEN, EIGHT, $9. AND I'M TRYING TO FIGURE OUT HOW ALL THAT'S GOING TO WORK AS IT RELATES TO OR IF SOMETHING GOES WRONG, WHAT LIABILITY. THEN I CAN TELL YOU THE CITY MANAGER'S OFF TO THE CORNER AND HE'S SHAKING HIS HEAD THIS WAY, WHICH I'M I'M THINKING AS AN ATTORNEY. YES, ATTORNEY, I APPRECIATE I APPRECIATE THE PROMOTION TO CITY MANAGER. THAT'S PROBABLY NOT THE BEST FOR. THEY LOOK SO MUCH ALIKE. OKAY. ALL RIGHT. GOOD.

YEAH. THEY LOOK SO MUCH ALIKE. I GET THEM CONFUSED. OH, REALLY? OKAY. YEAH. WE NEED THIS SERVICE REAL QUICK. VISION DENTAL. OKAY, GOOD. SO, YEAH, I'VE LOOKED AT THE LIABILITY ASPECT AS FAR AS WHAT THE CITY'S EXPOSURE TO. IF SOMETHING GOES WRONG AND THERE'S REALLY NO WAIVER OF IMMUNITY THERE. SO WE HAVE SOVEREIGN IMMUNITY TO ALWAYS GO BACK TO AS A LOCAL GOVERNMENT. I HAVE FOUND NOTHING IN IN STATE LAW THAT WOULD GIVE US ADDITIONAL EXPOSURE TO WHAT WE WLD HAVE ANYWAY. SO THAT'S A CONCERN TO OUR OFFICE AT ALL. OKAY. ARE YOU THEN THE HEALTH CARE SERVICE PROVIDER WHO'S GOING TO ACTUALLY BE I HEAR YOU SAY YOU'RE GOING TO GO OUT AND YOU'RE GOING TO BRINGN DOCTORS, ADDITIONAL DOCTORS AND SO ON AND SO FORTH. SO SOMETHING HAPPENS. ARE YOU THE HEALTH CARE SERVICE PROVIDER OR IS IT A SITUATION WHERE YOU HAVE INSURANCE THAT THEY WILL GO TO HOSPITALS IN THE AREA? BECAUSE THE HOSPITAL THAT I GOT, HUMANA'S AND THE AETNA'S. AND SO HOW DO YOU ACTUALLY GO ABOUT TAKING CARE OF THE PATIENTS THAT COME TO YOU? I WAS GOING TO GIVE AN EXAMPLE. YEAH. AND I SO DIRK MADE THE MISTAKE OF GIVING ME THE SERVICE WHEN I STARTED WORKING WITH HIM. AND'M KIND OF A HYPOCHONDRIAC. SO I'VE USED IT PROBABLY NINE TIMES SINCE, AND I HAVE USED IT NINE TIMES SINCE DECEMBER 1ST. AND JUST I THINK IT'S WE NEED TO KIND OF WALK THROUGH HOW IT WORKS. RIGHT. SO THE OTHER DAY, MY WIFE AND I WERE IN THE CAR AND WE WERE DRIVING FROM FROM GRAPEVINE TO ARLINGTON AND SHE SAID, I'M GETTING A I'M GETTING A URINARY TRACT INFECTION. I KNOW I'M GETTING ONE. AND I HAVE HER PERMISSION TO TELL THIS STORY.

SO I SAID, I SAID, WELL, LET'S LET ME SHOW YOU HOW THE COMPANY WORKS. AND I SAID, HEY, SIRI, TEXT TAP TELEHEALTH. THAT'S HOW I HAVE IT IN MY PHONE. TAP TELEHEALTH. SIRI COMES BACK AND SAYS, THIS IS ALL THROUGH APPLE CARPLAY, COMES BACK AND SAYS, WHAT WOULD YOU LIKE TO TELL TAP TELEHEALTH? WELL, MY WIFE IS AMY DAVIS. SHE LIVES WITH ME AT ONE, TWO, TWO TENNYSON PLACE IN COPPELL, AND SHE'S GETTING A URINARY TRACT INFECTION AND NEEDS BACTRIM BECAUSE THAT'S WHAT SHE TAKES WHEN SHE GETS THEM. SO ABOUT 30S LATER COMES BACK, SAYS, THANK YOU FOR REACHING OUT. WE DO HAVE A FEW FOLLOW UP QUESTIONS THAT WE HAVE TO ASK BEFORE WE CAN PROVIDE BACTRIM WITHOUT A URINE SAMPLE. AND SO MY WIFE JUMPED IN AND ANSWERED THOSE QUESTIONS, SAID, OKAY, WE JUST CALLED IT IN. WE CAN OR WE CAN CALL IT IN TO WALGREENS, TO CVS OR TO WALMART AND IT EVEN SHOPS THE LOWEST RATE. IF WE DIDN'T HAVE INSURANCE, IT WOULD KICK IN MARK CUBAN'S COST PLUS DRUGS. SO WE HAVE A PARTNERSHIP WITH THAT SO WE CAN GET VERY DISCOUNTED PRESCRIPTIONS FOR EVEN THE UNINSURED. IT'S WE SAID, HEY, JUST CALL IT IN TO OUR CVS. AND SO WITHIN 20 MINUTES IT WAS READY IN THE DRIVE THROUGH, WHICH AT CVS TAKES ABOUT AN HOUR TO GET THROUGH THE DRIVE THROUGH. BUT THAT WAS EXACTLY HOW THE PROGRAM WORKED. AND SHE TURNED TO ME. SHE'S LIKE, THAT'S REALLY COOL. AND I'M LIKE, I KNOW IT'S REALLY COOL. IT'S WHAT I DO FOR A LIVING. BUT THEN THE DURING THE FLU SEASON, I HAD THE FLU AND THEN MY SON GOT IT AND

[01:15:08]

AND SO A LOT OF IT IS JUST ANSWERING MEDICAL QUESTIONS AS WELL. YEAH. AND I'M CURIOUS. SO AFTER THERE'S A DIAGNOSIS AND MAYOR PRO TEM KIND OF TOUCHED ON A LITTLE BIT, I'M EITHER YOU WRITE A PRESCRIPTION IF THERE'S NO INSURANCE, IT'S STILL I ASSUME THE BURDEN OF THAT COST IS STILL ON THE PERSON WHO'S RECEIVING THE SERVICE, OF COURSE, OR IF THEY HAVE TO GO TO A HEALTH CARE PROVIDER. STILL, ALL THOSE COSTS ARE BORNE BY THE PERSON RECEIVING THAT SERVICE.

IS THAT CORRECT? THAT IS CORRECT. YEAH. SO WE REALLY TRY TO FIND THE LOWEST COST SOLUTION FOR YOUR MEDICAL CONDITION. AND SO WE PROVIDE DISCOUNT CARDS. WE LET THEM KNOW THE COST. IF THEY SAY I WANT MY PRESCRIPTION SENT TO CVS. HAPPY TO SEND IT THERE. BUT DID YOU KNOW IT'S A THIRD OF THE PRICE? IF WE SEND IT TO WALMART WE'LL SEND IT TO WALMART. I'LL DRIVE OVER THERE AND THEN IF THEY REALLY HAVE NO TRANSPORTATION, WE HAVE PARTNERED WITH COSTPLUS DRUGS.

AND YOU CAN GET THOSE THOSE MEDICINES SENT TO YOUR HOME AT A 15% MARKUP BY MARK CUBAN'S PHARMACY. BUT IT DOES TAKE ABOUT FIVE DAYS FOR THE PRESCRIPTION TO GET THERE. SO IT'S GREAT FOR YOUR CHRONIC DISEASE MEDS, YOUR HIGH BLOOD PRESSURE, DIABETES MEDS, NOT SO GOOD FOR YOUR INFECTIONS. AND SO WE REALLY TRY TO PUSH THE INDIVIDUAL TO GET GET THE PRESCRIPTIONS FOR YOUR INFECTIONS PICKED UP LOCALLY. AND AFTER THE INITIAL DIAGNOSIS THEY HAVE TO GO TO A DOCTOR. DO YOU ALSO PARTNER ON THE BACK END WITH DOCTORS FOR MAYBE LOWER COST TYPE SERVICES LIKE THAT? A LOT OF THE COMMUNITY HAS NEVER HEARD THE TERM FQHC, AND THAT'S A FEDERALLY QUALIFIED HEALTH CLINIC. IT'S REALLY FOR MEDICAID PATIENTS OR BELOW. YOU GUYS HAVE SEVERAL IN THE COMMUNITY OF GARLAND, AND THEY HAVE A PHARMACY FOR TB PROGRAM. THAT ALMOST MAKES IT FREE TO FILL THOSE MEDS, BUT THE GENERAL PUBLIC DOESN'T KNOW IT EXISTS, DON'T KNOW THEY QUALIFY. AND SO THOSE THAT DO QUALIFY, WE REALLY TRY HARD TO GET THEM TO FOLLOW UP IN THOSE BECAUSE THEY HAVE

[01:20:05]

IT'S. BUT NOTHING'S WORSE THAN NOT HAVING ACCESS TO A DOCTOR AT ALL AND LEAVING YOUR CONDITION TOO LONG. SO OUR GOAL IS TO REALLY TAKE CARE OF THAT NEED, AND THEN TO PARTNER WITH THE COMMUNITY TO DRIVE THOSE PATIENTS REALLY TO THE APPROPRIATE MEDICAL HOME. MOST PEOPLE JUST REALLY KNOW OF THE ER AND KNOW THAT EASY BUTTON. AND WE'RE TRYING TO BE THAT EASY BUTTON AND NAVIGATE THE PATIENTS IN APPROPRIATELY TO WHERE THAT MEDICAL HOME SHOULD BE. AND THEN ONE THANK YOU. AND ONE LAST FINAL QUESTION. WHAT IS THE RESPONSE YOU'VE SEEN FROM PEOPLE WHO ALREADY PROVIDE THOSE IN-PERSON VISITS IN THE COMMUNITY, THOSE DOCTORS THAT ARE ALREADY WORKING THERE? AND YOU'RE WHEN THIS SERVICE SHOWS UP? YEAH, I THINK THERE'S SOME EXCITEMENT, ACTUALLY. AND SOME OF OUR PARTNER COMMUNITIES, WE GET CALLS DURING UPPER RESPIRATORY SEASON SAYING, HEY, CAN CAN YOU TAKE ON OUR PATIENTS FOR US? WE CAN'T HANDLE THE VOLUME. JUST MAKE SURE YOU REFER THEM BACK TO US. AND SO I THINK THERE'S BEEN REALLY GOOD PARTNERSHIP AND THE COMMUNITY HAS REALLY APPRECIATED, ESPECIALLY THOSE LIKE THE FQHCS WHERE MOST OF THE COMMUNITY JUST DOESN'T KNOW THAT THERE'S THESE LOW COST OPPORTUNITIES TO BE SEEN IN PERSON. THANK YOU. THANK YOU MAYOR. VERY GOOD. OKAY. I'VE GOT COUNCIL MEMBER DUTTON AND DEPUTY MAYOR PRO TEM LUCHT IN THE QUEUE. AND THEN I WANT TO FINISH UP WITH COUNCIL MEMBER BASS. SO IF YOU WANT IN THE QUEUE, NOW'S THE TIME. COUNCILMEMBER DUTTON SO I FORGOT THAT I, I SIGNED UP FOR THE PROGRAM THE DAY THAT YOU GUYS CAME TO OUR, OUR BOARD. SO AS I WAS SITTING HERE AND I WAS LIKE, DANG, I, I COULD HAVE USED IT LIKE 50 TIMES BETWEEN THEN AND NOW, HAD I HAVE BEEN INTELLIGENT ENOUGH TO REMEMBER THAT I SIGNED UP FOR IT. SO I THOUGHT WHILE WE WERE SITTING HERE I WOULD JUST GIVE IT A TEST DRIVE. SO I SENT A TEXT INTO THE PHONE NUMBER.

RECENTLY, MY LITTLE GRANDBABY HAS HAD ISSUES WITH HIS LITTLE. HIS LITTLE BABY FEET ARE SWOLLEN AND RED, AND THE PEDIATRICIANS LIKE, YEAH I IT'S WE DON'T KNOW. SO THREE DAYS LATER MY DAUGHTER TOOK HIM TO THE EMERGENCY ROOM AND THEY'RE LIKE, OH, IT'S A CIRCULATION PROBLEM. WELL, REALLY, WE KNOW THAT CLEARLY. SO THAT I, I THOUGHT, WHAT A GREAT THING I COULD TEST DRIVE THIS WITH. SO I JUST WANT TO SAY THAT MY INTERACTION IS NOW COMPLETE. AND JUST WHILE WE'VE BEEN SITTING HERE AND I HAVE GOTTEN BETTER INFORMATION FROM THESE TEXT MESSAGES WITH THE PA KARE, THEN WE HAVE GOTTEN FROM THREE DIFFERENT DOCTORS THAT WE HAVE PERSONALLY PHYSICALLY BEEN TO.

SO IF THERE WERE EVER ANY QUESTION IF THIS WAS A GOOD PRODUCT, THIS 100% SOLIDIFIES IT FOR ME. SO I THINK IT'S PHENOMENAL. FOR $6 A MONTH, YOU CAN'T REALLY GO WRONG. SO I'VE NEVER HAD A COUNCIL MEMBER DO AN INTERACTION WHILE WE'VE SAT IN FRONT OF. SO I'VE BEEN LOOKING AT MY PHONE THIS WHOLE TIME, BUT THAT'S WHAT IT IS. I HAVE LITERALLY HAD AN ENTIRE CONVERSATION WITH KARA. SHE'S PHENOMENAL, BY THE WAY. AND SO YEAH, I THINK IT'S AWESOME. SO SHE'LL FOLLOW UP WITH YOU IN 48 HOURS. PERFECT. SHE SHE DID CONFIRM POSSIBLE CELLULITIS. I THAT WAS MY FIRST GUESS FOUR DAYS AGO. SO SHE SAID GO TO THE ER. SO THANK YOU GUYS FOR EVERYTHING. I THINK THAT THIS IS SOMETHING THAT OUR COMMUNITY CAN BENEFIT FROM VERY, VERY MUCH. SO THANK YOU. VERY GOOD. AND DEPUTY MAYOR PRO TEM SO HOW DO YOU HANDLE MENTAL HEALTH CARE EVENTS. YEAH THOSE ARE OUR BIGGEST CHALLENGE. EVEN IN THE EMERGENCY DEPARTMENT OVER AT DALLAS. AND SO OUR GOAL IS TO GET TO THE MENTAL HEALTH PATIENT AS SOON AS POSSIBLE WHEN YOU CAN CONTROL THE SYMPTOMS. OFTEN WE LEAVE IT TOO LATE. AND SO WE REALLY LOOK STRONGLY TO COMMUNITY PARTNERS FOR FOLLOW UP, BECAUSE THAT'S WHERE IN-PERSON FOLLOW UP IS EXTREMELY IMPORTANT. AND SO THERE'S THE SPECTRUM OF MENTAL ILLNESS. IT'S IT GOES FROM MINOR I'M A LITTLE BIT DEPRESSED. I'M FEELING A LITTLE BIT ANXIOUS TO ALL THE WAY TO I'M PSYCHOTIC. I'M GOING TO HARM MYSELF. AND SO IF WE CAN INTERVENE EARLY AND YOU'RE A LITTLE BIT DEPRESSED AND WE CAN MANAGE YOUR MEDS, YOU'RE OUT OF YOUR MEDS, YOU NEED A REFERRAL FOR SOME COUNSELING. THAT'S THE BEST CASE SCENARIO. THE TRULY PSYCHOTIC. I'M GOING TO HARM MYSELF. PATIENT. WE ARE ON THE LINE WITH YOU UNTIL WE. WE CONNECT YOU WITH SOMEONE IN PERSON. BECAUSE WKNOW HOW FRAGILE THOSE PATIENTS ARE. AND SO OUR GOAL IS TO REALLY GET THIS OUT AND CATCH THESE

[01:25:05]

SOMETIMES YOU REALLY CATCH SOMEONE IN A CRISIS AND THEY REALLY NEED CRISIS LEVEL CARE.

AND THAT'S WHAT OUR EMERGENCY DEPARTMENTS ARE FOR. BUT WE DO STAY ON WITH YOU UNTIL THAT EMERGENCY CARE EITHER ARRIVES BY EMS OR A FAMILY MEMBER IS TAKING YOU TO THE EMERGENCY DEPARTMENT DEPARTMENT TO BE SEEN. AND SO THAT'S YEAH, THAT'S HOW WE HANDLE IT. AND THEN IF I CAN REAL QUICK, I KNOW CORRELATION DOESN'T EQUAL CAUSATION, RIGHT. BUT IN A SMALL CITY I HAVE THE UNFORTUNATE JOB OF I DO ALL DEATH NOTIFICATIONS. THE YEAR BEFORE WE IMPLEMENTED THIS PROGRAM, WE HAD 14 SUICIDES. I DID A NOTIFICATION ON EVERY SINGLE ONE OF THOSE. SINCE IMPLEMENTATION, WE'VE HAD ZERO SUICIDES FOR THE PREVIOUS THREE YEARS. AND I DO ATTRIBUTE, WHILE IT MAY NOT BE 100% THEM HAVING ACCESS TO SOME FORM OF CARE I'M A FIRM BELIEVER IN HAS GIVEN THEM THE ABILITY TO GET SOME HELP WHEN OTHERWISE THERE WAS NOWHERE FOR THEM TO GO. THAT'S FANTASTIC. CAN YOU CALL? CAN YOUR PROVIDERS CALL 911 ON BEHALF OF A PATIENT? IF THEY FEEL THAT THEY'RE IN DANGER? WE CAN. YEAH. OKAY. AND WE OFTEN I MEAN OFTEN IT DOESN'T HAPPEN VERY OFTEN. WE HAVE TO CALL 911. BUT THEY DO. YES. RIGHT. WELL JUST AS LONG AS THEY HAVE THE THEY CAN. THAT'S A THAT'S A BIG I DON'T EVEN THINK GOOGLE CAN CALL 911 FOR YOU. SO. CORRECT.

AND THEN HOW DOES ENROLLMENT WORK. CAN THEY OPT IN THE SAME DAY THAT THEY NEED CARE. WHEN CAN THEY CANCEL? HOW LONG DO THEY NEED TO BE UNDER THE SERVICE IN ORDER TO OPT IN OR CANCEL. SO THEY CAN OPT IN AND OPT OUT AS OFTEN AS THEY RECEIVE THEIR THEIR WATER UTILITY BILL? SO 30 DAYS, 30 DAYS. AND SO YOU YOU WOULD SHARE WITH US MONTHLY THOSE THAT ARE PARTICIPATING.

NOW. HONESTLY, AS A DOCTOR, I'VE TOLD MY TEAM IF SOMEONE LIVES IN A COMMUNITY AND SAYS THEY'RE OPTING IN AND THEY JUST HAVEN'T RECEIVED THEIR NEXT BILL, LET'S JUST TAKE CARE OF THEM. IT'S THE RIGHT THING TO DO. BUT BUT REALLY, WE RELY ON THAT THAT SHARED FILE THAT YOU GIVE US ON THOSE THOSE CUSTOMERS. OKAY. WELL, AND I, I ALSO I MEAN JUST BASED ON OUR POPULATION, $6 FOR 250,000 PEOPLE IS $1.5 MILLION. NOT EVERYONE WILL OPT IN. I'M SORRY. SO IT'S PER HOUSEHOLD INSTEAD OF PERSON? I MEAN, THAT'S EVEN LESS MONEY. SO I, I DON'T KNOW, I FEEL LIKE EVEN IF, EVEN IF IT DOESN'T WORK OUT BETWEEN US, IT'S PRETTY GOOD PRICE TO PAY TO FIGURE IT OUT. I MEAN, THIS DOESN'T WORK IN GARLAND. IT DESTROYS MY IT DESTROYS MY BUSINESS. WELL, I HOPE THAT'S NOT THE CASE. HONESTLY. NO. IT'S TRUE. I'LL BE HONEST. IF I DON'T MAKE THIS WORK IN GARLAND, EVERYONE IS GOING TO LOOK TO THIS AND SAY IT DIDN'T WORK IN GARLAND. OH, WELL. AND SO I HAVE A VERY SIGNIFICANT INCENTIVE TO HAVE A REALLY POSITIVE SUCCESS STORY IN THE CITY OF GARLAND. WELL, I HOPE THAT WE CAN HELP YOU WITH THAT OPPORTUNITY TO PROVE EVERYONE, PROVE TO EVERYONE THAT IT'S A GREAT PROGRAM. THANK YOU. YOU DID. I JUST HAVE ONE COMMENT WE FORGOT. I'LL BE REMISS IF WE DON'T SAY THIS, BUT WE HAVE NEGOTIATED IN NORTH TEXAS WITH IS IT NORTH TEXAS IMAGING? YES, THAT WE CAN GET CASH PAY IF YOU AGAIN, 97% OF OUR TEXT ENGAGEMENTS DO NOT GO TO A DOCTOR, TO A HOSPITAL, NOT TO A DOCTOR, TO AN ER OR OR A PRIMARY CARE OR URGENT CARE CLINIC. BUT WE HAVE NEGOTIATED $75 CASH, X RAYS, $200 CT SCANS AND $450 MRIS. SO WITHOUT INSURANCE, THAT'S WHAT YOU COULD GET WITH THIS PROGRAM. AND THAT MONEY DOESN'T COME TO US. WE'VE JUST NEGOTIATED. IF WE REFER PATIENTS TO THESE FACILITIES, WE'RE GOING TO REFER YOU PATIENTS GIVE US YOUR BEST PRICE, OTHERWISE WE'RE NOT GOING TO SEND THEM. AND SO WE'VE GOTTEN SOME PARTNERS LOCALLY THAT ARE REALLY GIVING US AMAZING PRICES. I DON'T KNOW IF ANY OF YOU HAVE EVER HAD TO GET AN X RAY OR AN MRI AS AN OUTPATIENT. THEY'RE CHARGING YOUR INSURANCE ABOUT $2,800, AND YOUR COPAY IS ABOUT $1,200. BUT YOU CAN GO PAY CASH TO THE LOCAL IMAGING CENTER, $450. SO YOU'RE GETTING IT LESS THAN YOUR CO-PAY ON YOUR INSURANCE WITH THE CASH PAY PRICE. AND THEY DO THAT BECAUSE THEY KNOW YOU'RE PAYING. THEY DON'T HAVE TO BUILD YOUR INSURANCE. WAIT FOR IT TO BE DENIED, RESUBMIT AGAIN. AND SO YEAH, WE'RE ABLE TO PROVIDE SOME AMAZING OPPORTUNITIES. YEAH. COUNCIL JUST WANTED TO CLOSE WITH SOME COMMENTS. THE FIRST IS THAT WE HAVE A LONG LIST OF SERVICES WE PROVIDE AS A CITY. AND THE THOUGHT OF ADDING ANOTHER ONE TO THE LIST IS NOT A DECISION THAT I KNOW WE TAKE LIGHTLY. AND SO AS WE PURSUE THAT, I THINK THE MOST IMPORTANT THING IS MESSAGING TO THE PUBLIC AND NOT JUST IF WE GO THIS

[01:30:03]

YOU CAN ALWAYS COUNT ON YOU. ALL RIGHT. YES. OFFLINE. ALL RIGHT. CUSTOMER BASE, BRING US HOME.

THANK YOU. AND YOU HAD TO BRING UP THE MRI THING AGAIN. I DON'T KNOW IF YOU GUYS REMEMBER IF I TOLD YOU WHEN Y'ALL WERE HERE LAST TIME, I HAD JUST HAD AN MRI ON MY ELBOW. MY DEDUCTIBLE WAS THANKS FOR BRINGING THAT PAINFOR BACK. SO. AND OKAY, I WANT TO WRAP THIS UP, BUT BEFORE WE DO, I'D LIKE TO TALK ABOUT REAL QUICK. WE HAD DISCUSSED A PILOT PROGRAM. SO I WANT Y'ALL TO TALK A LITTLE BIT ABOUT I PREFER WHEN WE DO ROLL THIS UP, ROLL THIS OUT THAT THAT WE DO IT THROUGH A PILOT PROGRAM. SO CAN Y'ALL TALK A LITTLE BIT ABOUT HOW A PILOT PROGRAM WOULD WORK FOR A CITY OF THIS SIZE? WE CAN DEFINITELY DO A PILOT. BUT LIKE I SAID, REALLY THE BIGGEST HEAVY LIFT IS PROMOTING THE PROGRAM. AND SO HAVING A DEFINED POPULATION THAT WE CAN PROMOTE IS, IS MAYBE A CHALLENGE ON THE CITY. HOW DO WE HOW DO WE DEFINE A SUBSEGMENT OF THE CITY? BECAUSE I'D REALLY LOVE TO GIVE OUR FULL PROMOTION TO THE CITY AND DO OUR FULL PLAN TO SEE THAT SUCCESS. AND SO I THINK A PILOT COULD BE BENEFICIAL, BUT WHAT WOULD BE MORE EFFECTIVE IS REALLY JUST DECIDING IF WE'RE GOING TO DO THIS OR NOT, AND ALLOWING US TO DO OUR FULL IMPLEMENTATION IMPLEMENTATION PLAN BECAUSE THE SCHOOL DISTRICTS, THE CHURCHES, THE CHAMBER OF COMMERCE AND THE COMMUNITIES, IT'S HARD TO SUBSEGMENT OUT THAT COMMUNITY AND CREATE THAT ENGAGEMENT LEVEL. OKAY. SO THAT'S SOMETHING FOR FURTHER DISCUSSION. OKAY. AND THEN, YOU KNOW, I THINK THE ONLY THE ONLY CONCERN I HAVE WITH THIS PROGRAM, THE ONLY CONCERN I HAVE HAD WITH THIS PROGRAM IS THAT IT'S AN OPT OUT AS OPPOSED TO OPT IN. BUT I THINK, YOU KNOW, THE MORE THE MORE I HAVE HEARD YOUR PRESENTATION, THE MORE I'VE INVESTIGATED IT AND THE MORE I'VE LOOKED AT HOW IT AFFECTS THE COMMUNITY. I THINK THAT THE REWARD GREATLY OUTRAISED OUTWEIGHS THE RISK OF IT HAVING TO BE AN OPT OUT AS OPPOSED TO OPT IN. YOU KNOW, I THINK THIS IS HUGELY BENEFICIAL TO OUR COMMUNITY, YOU KNOW, AND THE FACT THAT Y'ALL BROUGHT CITY MANAGER WILLIAMS HERE WITH YOU, THAT HE WAS WILLING TO DRIVE HERE THROUGH, THROUGH TRAFFIC, AND HE'S GOING TO HAVE TO DRIVE BACK HOME TO, TO, YOU KNOW, TO TALK ABOUT TO TALK ABOUT THEIR, THEIR EXPERIENCE WITH THE PROGRAM. SO I REALLY APPRECIATE THAT. AND IT GOES A LONG WAY THAT YOU, YOU KNOW, TOOK TIME OUT OF YOUR DAY TO COME HERE AND, AND TALK TO US ABOUT IT. I THINK IT'S A GREAT PROGRAM. I THINK IT'S BENEFICIAL. A LOT OF IT IS, LIKE YOU SAID, IT'S GOING TO BE IN THE MESSAGING. AND SO THAT IS GOING TO BE A LOT OF COMMUNITY ENGAGEMENT. AND I THINK THAT WE'LL HELP HOWEVER WE CAN. SO I APPRECIATE THE PRESENTATION. APPRECIATE YOU STICKING WITH THEM. SUPER EXCITED THAT THIS WENT THROUGH MY COMMITTEE. SO REALLY HAPPY ABOUT THAT TO BE A PART OF THAT. AND I DON'T HAVE ANYTHING FURTHER. THANK YOU. VERY NICE.

ALL RIGHT. WELL FIRST OFF, THANK YOU TO THE ENTIRE TEAM. I KNOW WE'VE GOT WE'VE GOT I MEAN, WE HAD TO BRING IN AN EXTRA CHAIR. WE'VE GOT THREE MORE FOLKS OVER HERE. AND I APPRECIATE THE, THE SHOW OF, OF THE IMPORTANCE OF BRINGING EVERYBODY IN. SO AT THIS POINT, COUNCIL, I THINK OUR DECISION IS ONE OF CONSENT FOR THE CITY MANAGER TO CONTINUE TO EXPLORE THE OPTIONS. AND, AND OBVIOUSLY THIS IS THIS IS GOING TO COME BACK TO COUNCIL MAYBE ONCE, MAYBE TWICE BEFORE IT'S ALL SAID AND DONE. SO LOOKING FOR CONSENT TO KEEP MOVING FORWARD. THAT WOULD BE

[01:35:06]

[15. Transportation, Infrastructure and Mobility Committee Report Councilmember Chris Ott, Chair of the Transportation, Infrastructure and Mobility Committee, and staff will provide a committee report on the following item: Assessment of Truck-Related Traffic Concerns and Signage in the Shiloh Road and Kraft Heinz Area. The item was submitted by Councilmember Dutton and seconded by Deputy Mayor Pro Tem Lucht at the March 31, 2025 Work Session, and was discussed at the Transportation, Infrastructure and Mobility Committee meeting on April 15, 2025.]

AND COUNCIL MEMBER OTT. HOW ARE YOU GOING TO FOLLOW THAT? I DON'T KNOW, I DON'T HAVE A SHOW THAT BIG FOR THIS ONE, BUT WE'RE GOING TO TRY. APRIL 15TH, THE THAMES COMMITTEE MET TO DISCUSS ONE SCOPING ITEM. IT WAS THE ASSESSMENT OF TRUCK RELATED TRAFFIC CONCERNS AND SIGNAGE IN THE SHILOH ROAD AND KRAFT HEINZ AREA, AND TO DISCUSS THIS, WE HAVE ASSISTANT CITY MANAGER MITCH. ALL RIGHT. COUNCIL AT THE COMMITTEE, WE DID DISCUSS THIS ITEM. WHAT WE HAD TALKED ABOUT IS SOME 18 WHEELER PARKING AND VIOLATION TYPE ISSUES THAT HAD OCCURRED OVER PREVIOUS SEVERAL MONTHS. I DID HAVE A NUMBER OF CONVERSATIONS WITH CHIEF BRIAN, THE POLICE DEPARTMENT, ASSISTANT CHIEF RENEE, AND I THINK WE ACTUALLY HAVE ENOUGH EXISTING TOOLS TO BE ABLE TO HANDLE THE DIFFERENT KIND OF PARKING ISSUES THAT WE TALKED ABOUT DURING THE COMMITTEE. SO THE POLICE DEPARTMENT HAS THEY WERE ENGAGED BACK WHEN I TALKED TO THEM WAY BACK THEN. SO THEY'VE BEEN LOOKING AT ALL THESE ISSUES AND THEY WILL WORK FORWARD AND DEAL WITH THESE FROM AN ENFORCEMENT STANDPOINT. BUT AGAIN, I THINK IT'S FROM EXISTING TOOLS THAT THEY ALREADY HAVE. AWESOME.

THAT'S THAT'S OUR REPORT. SO LET ME SEE IF I GOT THIS STRAIGHT. WE'RE GOING TO KEEP DOING WHAT WE'VE BEEN DOING WITH WHAT WE HAVE TO WORK WITH. YES SIR. WE ARE ALRIGHT. VERY GOOD. THAT IS SOUND GOVERNANCE IF I'VE EVER HEARD IT IN MY LIFE. THANK YOU TO THE COMMITTEE. THANK YOU SIR.

WE KEPT IT SHORT. HEY. ALRIGHT. MOVING ON. THAT WAS OUR LAST VERBAL BRIEFING. NEXT ITEM IS

[16. Citywide Appointment Art Munoz, Animal Services Advisory Committee]

[17. Citywide Appointment Ashton Tassin, Animal Services Advisory Committee ]

[ ANNOUNCE FUTURE AGENDA ITEMS A Councilmember, with a second by another member or the Mayor alone, may ask that an item be placed on a future agenda of the City Council or of a committee of the City Council. No substantive discussion of that item will take place at this time.]

[01:40:02]

OKAY. ANY ONE ADDITIONAL OBVIOUSLY THERE'S A PROCESS FOR THIS ONCE WE LEAVE HERE OUR NEXT

[ EXECUTIVE SESSION]

AND ITEM FIVE WE ARE GOING TO PULL. I WAS IT WAS PLACED SORT OF AS A PLACEHOLDER THAT WE NO LONGER NEED. AND SO COUNCIL WHAT I WANT TO DO AND STAFF IS WE'RE GOING TO TAKE ITEM TWO THE MATTER FIRST AND THEN MOVE. WHAT IS SHOWING IS ITEM ONE. THAT WILL BE ITEM TWO. AND I SHOULD PROBABLY JUST TO SATISFY THE CITY ATTORNEY READ THE CITY COUNCIL WILL ADJOURN INTO EXECUTIVE SESSION PURSUANT TO SECTIONS FIVE, FIVE, 1.07155, 1.07255, 1.08655, 1.087, AND 552.133 OF THE TEXAS GOVERNMENT CODE TO DELIBERATE AND DISCUSS THE ITEMS I PREVIOUSLY READ.

THAT BEING SAID, WE ARE GOING TO TAKE A RECESS. LET'S HAVE EVERYBODY BACK AT 8:00, PLEASE.

* This transcript was compiled from uncorrected Closed Captioning.