May 09, 2023 Commissioners Court

ALL RIGHT, LET'S TRY AGAIN.

[00:00:01]

THANK YOU FOR COMING TO CALDWELL COUNTY COMMISSIONERS COURT.

[Call Meeting to Order]

AND DO WE HAVE ANYBODY TO DO THE INVOCATION? IF NOT, COMMISSIONER THOMAS, WOULD YOU DO IT? OKAY. THANK YOU.

YOU HAVE MANY GRACIOUS HOLY FATHER, WE COME.

DOING YOUR WORK, DEARLY FATHER, TO ASK THAT YOU GUIDE US AND DIRECT US THE WAY YOU'D HAVE US GO .

AMEN.

ALLEGIANCE]PLEDGE].

OKAY, COMMISSIONERS, WE HAVE ANY ANNOUNCEMENTS THIS MORNING?

[Announcements]

JUDGE, WE HAVE A, ON MAY 29TH, WE HAVE THE MEMORIAL DAY [INAUDIBLE] AT THE AMERICAN LEGION.

IT STARTS AT 10:30.

I ATTENDED THAT LAST YEAR AND THEY PUT ON A GOOD LITTLE SHOW.

THEY HAVE FOOD AND AFTER THE AFTER THE CEREMONY.

SO IF ANYBODY CAN MAKE IT, BE SURE.

GLAD TO SEE YOU THERE.

OKAY. THANK YOU, MR. THERIOT? NO. COMMISSIONER THOMAS? NO. OKAY.

NONE FOR ME.

STAFF?. I KNOW EZZY HAS ONE.

OKAY. JUST WANT TO REMIND EVERYBODY THAT WE ARE STILL NEEDING TO GET SOME EMPLOYEES TO DO THEIR CYBERSECURITY TRAINING.

IF YOU NEED A REMINDER OR TO RESET YOUR PASSWORD, LET ME KNOW, AND I WOULD BE MORE THAN HAPPY TO GET THAT DONE FOR YOU.

SO I KNOW THAT THERE'S STILL SOME OUT THERE, SO.

OR IF THEY HAVE NEW EMPLOYEES THAT NEED TO BE SET UP, LET ME KNOW.

OKAY. THANK YOU.

ANY OTHER STAFF ANNOUNCEMENTS? IF NOT, WE'LL MOVE TO CITIZENS COMMENTS.

NO CITIZENS COMMENTS.

OKAY. NO CITIZENS COMMENTS.

GOING TO CONSENT.

[CONSENT AGENDA]

WE HAVE A MOTION. DO WE HAVE A SECOND? SECOND. WE HAVE A MOTION AND A SECOND.

ALL IN FAVOR SAY AYE.

AYE. OPPOSED? HEARING NONE, MOTION CARRIES.

WE HAVE A SPECIAL PRESENTATION TODAY FROM TEXAS ASSOCIATION OF COUNTIES MID-YEAR REVIEW FOR 2023.

[SPECIAL PRESENTATION]

GOOD MORNING.

THANK YOU FOR HAVING ME. I'M ORLANDO ESPINOSA.

I AM YOUR EMPLOYEE BENEFITS CONSULTANT WITH TAC.

SO I'M HERE JUST KIND OF.

SO WE DID THIS EARLIER.

I WENT OVER THIS PACKET WITH WITH BOB AND COMMISSIONER WESTMORELAND JUST KIND OF SHOWING YOU GUYS HOW YOU'RE PERFORMING RIGHT NOW.

YOU KNOW HOW THE PLAN YEAR IS PERFORMING ON YOUR HEALTH INSURANCE.

SO THIS IS A A MORE CONDENSED VERSION OF IT, JUST KIND OF TO GIVE YOU GUYS INFORMATION, KIND OF BE ABLE TO HELP YOU GUYS UNDERSTAND WHAT'S GOING ON AND REALLY KIND OF GIVE YOU GUYS A HEADS UP AS RENEWAL SEASON IS COMING UP AND JUST KIND OF LET YOU GUYS KNOW WHERE YOU GUYS STAND ON THIS CURRENT YEAR.

SO ON THE FIRST PAGE, YOU GUYS HAVE THIS HANDOUT THAT I'M LOOKING AT.

SO THE FIRST PAGE THAT WE LOOK AT IS THE VALUE OF TAC [INAUDIBLE] MEMBERSHIP.

SO WE JUST LIKE TO KIND OF SHOW, YOU KNOW, THIS IS THE REASON WHY YOU'RE IN THE POOL, RIGHT? SO NUMBER ONE IS OUR SIZE.

YOU KNOW, BEING OVER 47,000 EMPLOYEES OR MEMBERS TOTAL, YOU KNOW, HAVING THAT SIZE TO BACK US UP, WHEREAS YOU'RE NOT GOING OUT INTO THE MARKET ON YOUR OWN. YOU KNOW, YOU HAVE THE FULL WEIGHT OF THE POOL EVERY TIME THAT WE'RE GOING OUT THERE AND THEN ALSO POOLING.

SO IN YEARS WHERE YOU GUYS DON'T DO AS WELL, THERE'S ANOTHER GROUP IN THE POOL THAT PERFORMS REALLY WELL AND YOU GUYS BALANCE EACH OTHER OUT.

SO NOT HAVING JUST YOUR OWN, YOU KNOW, INFORMATION AS TO THAT'S THE ONLY THING THAT YOU GUYS ARE GOING AT.

SO BEING ABLE TO PULL TOGETHER WITH ALL THE COUNTIES ACROSS THE STATE, WELL, NOT ALL OF THEM, BUT A GOOD MAJORITY OF THEM REALLY KIND OF HELPS A LOT OF OUR COUNTIES, YOU KNOW, BE ABLE TO KEEP THOSE STABLE RATES THAT WE'RE ABLE TO PROVIDE.

AND THE LAST ONE IS OUR PARTNERSHIPS.

SO WORKING WITH BLUE CROSS, BLUE SHIELD, NOVARTIS, YOU KNOW, ALL THE DIFFERENT PARTNERS THAT WE HAVE AND USING THAT SIZE THAT WE HAVE TO NEGOTIATE THE BEST CONTRACTS, THE BEST RATES, THE BEST ADMIN COSTS AND, YOU KNOW, KEEPING EVERYTHING LOW BECAUSE OF OUR SIZE.

SO THAT'S JUST KIND OF A LITTLE BIT ABOUT THE VALUE THAT WE BRING TO THE TABLE.

THE NEXT PAGE IS GOING TO BE ON PAGE THREE, SO THIS IS GOING TO BE YOUR MIDYEAR REVIEW.

SO THIS IS JUST EXACTLY WHAT I TALKED ABOUT EARLIER.

THIS IS THE REASON WHY WE'RE GOING OVER THIS MAINLY JUST KIND OF SHOW YOU GUYS WHERE YOU STAND, YOU KNOW, WHERE YOUR CLAIMS INFORMATION HAS BEEN.

AND THEN MOVING ON, WE'LL GO TO PAGE FIVE.

[00:05:02]

SO I ALWAYS START OFF WITH YOUR PLAN.

YOU HAVE A $3,000 DEDUCTIBLE MEDICAL PLAN.

YOUR PRESCRIPTION CO-PAYS ARE TEN, 25 AND 40.

NO, NO DEDUCTIBLE ON YOUR PRESCRIPTION.

AND THEN WE GO INTO THE ACTUAL CLAIMS EXPERIENCE.

SO WHAT WE DO IS WHEN WE'RE GOING THROUGH THE RENEWAL, WE START OFF WITH THE POOL NEEDED AMOUNT.

THAT POOL INTO THE AMOUNT IS BASICALLY WE FIGURE OUT THE ENTIRE POOL AS A WHOLE.

HOW MUCH MONEY DO WE HAVE TO COLLECT THIS UPCOMING YEAR TO PAY OUT OUR CLAIMS? OKAY, SO THAT AMOUNT BECOMES OUR POOL NEEDED AMOUNT AND THAT BECOMES BASICALLY ZERO.

OKAY. THAT FROM THAT NUMBER WE GO UP OR DOWN, DEPENDING ON THE INDIVIDUAL GROUP'S PERFORMANCE, RIGHT? SO WHEN WE'RE LOOKING AT YOUR INDIVIDUAL PERFORMANCE HERE, YOU KNOW, SO WE HAVE THE CURRENT YEAR IS ON THE RIGHT COLUMN AND THEN THE PREVIOUS YEAR IS ON THE LEFT. YOU'LL SEE THAT.

SO LAST YEAR YOUR TOTAL PAID WAS SITTING AT 2.4 MILLION VERSUS THIS YEAR IT'S AT 1.6 MILLION.

SO WE SAW A A BIG DROP IN TOTAL CLAIMS, WHICH IS GREAT.

I MEAN, YOU COULD SEE THAT IN YOUR 12 MONTH LOSS RATIO.

SO YOUR LOSS RATIO IS GOING TO BE HOW MUCH MONEY YOU'VE PAID IN TO THE POOL AND CONTRIBUTIONS VERSUS HOW MUCH MONEY WE'VE PAID OUT IN CLAIMS. AND YOU GUYS ARE SITTING AT 76% RIGHT NOW OVER THE LAST 12 MONTHS, WHICH IS THE 12 MONTHS THAT WE'RE GOING TO USE FOR YOUR RENEWAL.

SO RIGHT NOW AT 76%, YOU GUYS ARE SITTING REALLY WELL.

OUR TARGETED LOSS RATIO FOR EACH GROUP IS 94% AT 94%.

THAT ALLOWS US TO HAVE $0.06 OUT OF EVERY DOLLAR TO PAY FOR THE ADMINISTRATIVE COST OF RUNNING THE POOL AND THEN $0.94 TO PAY FOR CLAIMS. SO AS YOU CAN SEE, YOUR 36 MONTH LOSS RATIO IS SITTING RIGHT AT 94%.

SO WHAT THIS MEANS IS OVER THE THREE THREE YEAR PERIOD, WE'VE BASICALLY BROKEN, BROKEN EVEN WITH YOU GUYS, RIGHT? LIKE WE'VE RECEIVED MONEY, WE'VE PAID OUT THE CLAIMS AND WE'VE PAID OUT ADMIN COSTS AND YOU GUYS ARE SITTING RIGHT WHERE WE WANT YOU TO BE.

HOWEVER, THAT DOES MEAN, AS YOU CAN SEE, LAST YEAR THE TOTAL PAID WAS 2.4 MILLION VERSUS THE TOTAL CONTRIBUTION WAS 2 MILLION.

AND THIS IS REALLY WHERE THAT LONG TERM RELATIONSHIP MATTERS BECAUSE EVERY YEAR WE'RE NOT GOING TO BREAK EVEN.

BUT OVER A LONG TERM RELATIONSHIP, WE WILL BREAK EVEN.

AND THAT'S THE GOAL. THE GOAL IS TO GET TO A POINT WHERE WE ARE RECEIVING MONEY AND PAYING OUT CLAIMS AND THEN OVER A LONG PERIOD OF TIME BEING ABLE TO BREAK EVEN ON THAT.

AND THEN THE LAST THING SO THE LAST BOX YOU'LL SEE ON THIS PAGE IS THE RENEWAL EXPERIENCE.

SO YOU'LL SEE YOUR PREVIOUS RENEWALS.

SO, YOU KNOW, THE LAST FIVE YEARS OF RENEWALS, YOU'LL SEE THAT IN 2021 YOU GOT A 1% REDUCTION AND THE OTHER YEARS, YOU KNOW, YOU'VE YOU'VE SEEN SOME INCREASES THAT YOUR FIVE YEAR AVERAGE, THOUGH YOU'LL SEE IS FOUR.

4.9% OVER FIVE YEARS FOR AN INCREASE AND THEN OUR ACTUAL FIVE YEAR AVERAGE FOR THE POOL.

SO THE POOL NEEDED AMOUNT OVER THOSE SAME FIVE YEARS IS 3.7.

SO AS YOU CAN SEE, YOU GUYS ARE RIGHT IN LINE WITH JUST A LITTLE BIT OVER WHAT THE POOL IS EXPERIENCING AS A WHOLE.

BUT THEN YOU'LL SEE ON THE RIGHT SIDE, YOU'LL SEE YOUR SURPLUS DISTRIBUTION.

YOUR SURPLUS DISTRIBUTION IS BASICALLY WHEN WE HAVE A SURPLUS, WE GIVE THAT MONEY BACK TO OUR COUNTIES AND FORM OF SURPLUS DISTRIBUTION.

THERE'S TWO PARTS TO THAT FORMULA AS TO FIGURING OUT HOW MUCH WE'RE GOING TO GIVE BACK.

NUMBER ONE IS HOW MUCH HAVE YOU CONTRIBUTED TO SURPLUS? HAVE WE MADE A BUNCH OF MONEY ON YOU? HAVE HAS THERE. HAVE YOU CONTRIBUTED A LOT TOWARDS THE EXTRA MONEY? RIGHT. AND THEN NUMBER TWO IS THE LONGEVITY.

THE LONGER YOU'VE BEEN WITH US, EVEN IF YOU'RE NOT CONTRIBUTING ANYTHING SURPLUS, YOU'RE STILL GOING TO GET SOMETHING BACK.

RIGHT. AND THAT'S OUR WAY OF REWARDING OUR MEMBERS FOR BEING LONG TERM MEMBERS, BECAUSE THE ONLY WAY THAT THIS POOL WORKS IS IF WE HAVE LONG TERM RELATIONSHIPS WITH OUR MEMBERS.

IF GROUPS ARE JUMPING IN AND JUMPING OUT OF THE POOL EVERY OTHER YEAR, THEN THAT REALLY RUINS THE STABILITY BECAUSE THEN WE MIGHT LOSE MONEY ON IT ON A GROUP ONE YEAR AND THEN THEY'RE OUT AND THEN THERE'S NOT A CHANCE FOR US TO KIND OF RIGHT THAT CYCLE.

SO THAT'S ONE OF THE WAYS THAT WE CAN REWARD OUR GROUPS FOR THAT LONGEVITY AND THAT LONG TERM PARTNERSHIP.

ANY QUESTIONS SO FAR? I'M TRYING TO GO FAST. I DON'T WANT TO TAKE UP TOO MUCH OF YOUR TIME, BUT I WANT TO HIT THE INFORMATION.

OKAY. NEXT PAGE.

SO THIS IS GOING TO BE JUST KIND OF A WE LOOKED AT NUMBERS, JUST RAW NUMBERS.

BUT ALSO WHAT I WANT TO DO IS I WANT TO LOOK AT WHERE THOSE CLAIMS ARE COMING FROM SO THAT WE CAN ACTUALLY SEE WHAT CAN WE DO, HOW CAN WE BETTER THINGS? BECAUSE THE MY GOAL FOR YOU IS IF WE CAN REDUCE COSTS ON A LONG TERM BASIS.

SO RIGHT NOW, THIS YEAR, YOU'RE DOING WELL.

BUT AS YOU CAN SEE, GOING FROM 60 TO 76%, YOUR 36 MONTH LOSS RATIO IS STILL SITTING AT 94%.

SO THERE'S STILL SOME WORK THAT WE CAN DO LONG TERM TO MAINTAIN THOSE THOSE LOW CLAIMS. AND AS WE CAN DO THAT, IF THE POOL PERFORMS WHERE THE POOL WHERE IT WAS, THEN THAT WILL START REDUCING YOUR COST AND THEN WE CAN IMPROVE YOUR BENEFITS.

[00:10:02]

WE WANT TO CONTINUE IMPROVING SO THAT WE CAN ALWAYS PROVIDE THE BEST THAT WE CAN FOR YOUR MEMBERS.

SO LOOKING AT YOUR TOP DIAGNOSTIC CATEGORY, SO THIS IS KIND OF WHAT WE'RE LOOKING AT IN TERMS OF WHAT ARE WE SEEING IN CLAIMS. SO FOR THE CURRENT PLAN YEAR AND THEN THE PREVIOUS PLAN YEAR YOU'RE LOOKING AT YOUR TOP THREE WERE LAST YEAR, LET'S SAY, BECAUSE THAT WAS A FULL YEAR CIRCULATORY SYSTEM, MUSCULOSKELETAL AND RESPIRATORY.

SO CIRCULATORY SYSTEM IS GOING TO BE YOUR YOUR HIGH BLOOD PRESSURE, YOUR HIGH CHOLESTEROL, THAT KIND OF STUFF.

MUSCULOSKELETAL IS GOING TO BE YOUR ACHES AND PAINS, YOUR SURGERIES, ALL THAT KIND OF STUFF.

RESPIRATORY SYSTEM IS GOING TO BE ANY.

YOU KNOW, A LOT OF IT WAS, YOU KNOW, COVID EARLY ON WAS WAS, YOU KNOW, IN THAT RESPIRATORY SYSTEM CATEGORY.

AND THEN RECENTLY YOU'LL HAVE CIRCULATORY SYSTEM AGAIN, DIGESTIVE SYSTEM AND THEN NERVOUS SYSTEM.

SO THERE'S THE ONE CONSTANT THAT WE SAW WAS YOUR CIRCULATORY SYSTEM.

SO THAT'S GOING TO BE, AGAIN, LIKE I SAID, THE HIGH BLOOD PRESSURE, HIGH CHOLESTEROL.

AND THEN WHEN WE GO DOWN TO THE CHRONIC CONDITIONS, WE SEE THAT HIGH BLOOD PRESSURE IS GOING TO BE YOUR TOP NUMBER OF PEOPLE THAT HAVE HIGH BLOOD PRESSURE, WHICH IS NOT UNCOMMON.

YOU KNOW, THAT'S KIND OF ACROSS THE BOARD.

SO AND WE SEE THAT.

AND THEN THAT'S WHY WE DO HAVE A LOT OF DIFFERENT PROGRAMS THAT ARE DESIGNED TO HELP WITH THAT.

SO WHEN YOU SEE THAT HIGH BLOOD PRESSURE, HIGH CHOLESTEROL AND DIABETES, THOSE ARE ALWAYS GOING TO BE THE TOP THREE NUMBER OF PEOPLE.

HOWEVER, THOSE ARE THE BUCKETS WHERE WE WANT TO.

IDEALLY, IN AN IDEAL WORLD, WE DON'T WANT ANYBODY DEALING WITH ANY CHRONIC CONDITION, RIGHT? WE WANT EVERYONE TO BE HEALTHY AND NOT DEALING WITH SICKNESS.

HOWEVER, IF YOU ARE GOING TO BE DEALING WITH THE SICKNESS, THOSE ARE THE THREE BUCKETS WHERE WE WANT TO KEEP PEOPLE.

THE SAD, THE ONE THAT YOU SEE AT THE BOTTOM, THAT'S CORONARY ARTERY DISEASE.

AS YOU CAN SEE, 13 PEOPLE IN THE MOST RECENT PLAN YEAR FOR $180,000 VERSUS 83 PEOPLE IN HIGH BLOOD PRESSURE FOR 127,000. SO IT'S A LOT LARGER OF A CLAIM FOR CAD.

AND CAD IS USUALLY IS UNMANAGED HIGH BLOOD PRESSURE.

RIGHT. SO YOU HAVE HIGH BLOOD PRESSURE, YOU'RE NOT REALLY MANAGING IT.

AND THEN YOU END UP IN THIS LARGER BUCKET OF CORONARY ARTERY DISEASE.

AND SO NOW IT'S A MUCH LARGER CLAIM.

AND IT'S A AND I THINK, YOU KNOW, OBVIOUSLY I TALK IN NUMBERS, RIGHT? BECAUSE THAT'S MY JOB.

BUT WHEN WE'RE TALKING ABOUT THE HUMAN ASPECT OF IT, YOU KNOW, CORONARY ARTERY DISEASE VERSUS YOUR, YOU KNOW, DAILY HIGH BLOOD PRESSURE MEDICATION, YOU KNOW, IT'S THAT SIMPLE, RIGHT? JUST TAKE THAT MEDICATION, DO THE LITTLE STEPS THAT ARE REQUIRED TO MANAGE HIGH BLOOD PRESSURE TO AVOID ENDING UP IN THIS BUCKET WHERE YOU'RE PAYING OUT YOUR DEDUCTIBLE, YOU'RE PAYING OUT YOUR CO INSURANCE, YOU'RE IN THE HOSPITAL FOR A LONG PERIOD OF TIME, YOU KNOW.

YOU HAVE MUCH WORSE, A MUCH WORSE SYMPTOMS AND STUFF.

SO REALLY PROVIDING THE THE RESOURCES THAT WE HAVE AVAILABLE TO OUR TO YOUR MEMBERS TO LET THEM KNOW, HEY, WE HAVE PROGRAMS THAT ARE HERE DESIGNED TO HELP MANAGE THOSE CONDITIONS AND THAT'S WHERE WE GO INTO.

SO THE NEXT PAGE, WE'LL LOOK AT YOUR PLAN REVIEW.

SO THIS IS GOING TO BE ANNUAL EXAMS. SO YOUR MOST RECENT PLAN YEARS, YOU'LL SEE LAST YEAR WAS 39 OUT OF 282 EMPLOYEES GOT AN ANNUAL EXAM FOR A 14%.

14% OF YOUR POPULATION IS GETTING AN ANNUAL EXAM.

RIGHT? AND THEN THIS UPCOMING THIS MOST RECENT YEAR, WE'RE LOOKING AT 46, WHICH IS 16%.

SO A LITTLE UPTICK, BUT NOT MUCH.

STILL A VERY LOW NUMBER.

NOW, THE ONE THING THAT I WILL SAY ABOUT THIS IS THAT THIS DOES NOT ENCOMPASS ALL OF THE INFORMATION BECAUSE WHAT WE'RE THE LITTLE BIT OF INFORMATION THAT WE'RE MISSING IS THAT ANYBODY WHO'S DEALING WITH A WITH A CHRONIC CONDITION AND THEY'RE GOING, YOU KNOW, LET'S SAY TWICE A YEAR, THOSE THOSE VISITS ARE NOT BEING CATEGORIZED AS A YOU KNOW, AS A ANNUAL EXAM.

THEY'RE PROBABLY BEING CATEGORIZED AS A CONDITION MANAGEMENT VISIT.

AND SO THIS IS STRICTLY, YOU KNOW, PEOPLE THAT HAVE GONE TO GET THEIR ANNUAL EXAM.

BUT THAT BEING SAID, YOU KNOW, I WOULD NOT BE I WOULD NOT THINK THAT THAT 16% IS, YOU KNOW, NOT 16%, BUT LET'S SAY 75%. I WOULDN'T GO THAT FAR.

RIGHT. I WOULD SAY YOU'RE PROBABLY STILL UNDER 50% OF YOUR MEMBERS GETTING AN ANNUAL EXAM.

SO THIS IS WHERE WE REALLY WANT TO FOCUS ON BECAUSE WE YOU KNOW, YOU GUYS HAVE A COUNTY SPECIFIC INCENTIVE IN PLACE RIGHT NOW WHERE WE'RE TRYING TO INCENTIVIZE PEOPLE TO GET AN ANNUAL EXAM.

THE BIGGEST THING IS THAT'S WHERE YOU FIND OUT WHAT'S GOING ON, RIGHT? YOU KNOW, IF YOU'RE NOT GOING TO THE DOCTOR, YOU DON'T KNOW IF YOU HAVE HIGH BLOOD PRESSURE, IF YOU HAVE HIGH, HIGH CHOLESTEROL, DIABETES, ANY OF THAT.

RIGHT. SO WE WANT TO MAKE SURE THAT WE'RE INCENTIVIZING EMPLOYEES TO GO GET THOSE ANNUAL EXAMS AND GO, YOU KNOW, FIND OUT WHAT'S GOING ON SO THAT WE CAN TREAT IT AND MANAGE IT PROPERLY. ALL RIGHT.

AND THEN THE NEXT PAGE, WE'RE LOOKING AT YOUR PLAN REVIEW AGAIN.

SO THIS IS MORE OF THE HEALTHY COUNTY PROGRAMS. SO WHEN WE TALK ABOUT, YOU KNOW, THIS IS WHERE YOUR CLAIMS ARE COMING FROM, WHAT WE'RE TRYING TO FIGURE OUT IS WHAT STRATEGY CAN WE PUT IN PLACE TO HELP REDUCE SOME OF THESE

[00:15:10]

SO WE HAVE YOU KNOW, LIVONGO IS A HIGH BLOOD PRESSURE AND DIABETES MANAGEMENT PROGRAM.

THROUGH THAT PROGRAM, THEY SEND A FREE BLOOD PRESSURE CUFF AND FOR THE HIGH BLOOD PRESSURE PROGRAM AND THAT WILL STORE YOUR READINGS, THOSE READINGS YOU CAN SEND OVER TO YOUR DOCTOR DIRECTLY FROM THAT DEVICE.

SO AND IT GIVES YOU TIPS ON HOW TO BRING YOUR BLOOD PRESSURE DOWN, ALL KINDS OF, YOU KNOW, TIPS TO MANAGE THAT CONDITION.

ALSO WITH THE DIABETES PROGRAM THROUGH LIVONGO AS WELL, THEY'LL SEND YOU A FREE GLUCOMETER AND YOU'LL GET YOUR TEST STRIPS AND YOUR LANCETS FOR FREE AS LONG AS YOU'RE IN THAT PROGRAM. AND AGAIN, SAME THING.

IT'LL KEEP YOUR READINGS, IT'LL STORE THEM, AND THEN YOU CAN SEND A REPORT DIRECTLY TO YOUR DOCTOR FROM YOUR DEVICE SO YOU DON'T HAVE TO KEEP THAT LITTLE NOTEBOOK WHERE YOU'RE KEEPING YOUR NUMBERS OR EVEN WORSE, NOT KEEPING THOSE NUMBERS AND THEN SHOWING UP TO YOUR DOCTOR AND TELLING THEM YOU'RE DOING FANTASTIC WHEN YOU'RE NOT.

SO THIS ALLOWS YOU TO HAVE LEGITIMATE, YOU KNOW, REAL CONVERSATIONS WITH LEGIT NUMBERS WITH YOUR DOCTOR SO THAT WAY YOU'RE ON THE RIGHT DOSAGE AND MAKING SURE THAT YOU'RE MANAGING THAT CONDITION TO THE BEST OF YOUR ABILITY.

MDLIVE WE SAW A GOOD NUMBER OF CLAIMS THERE, SO THAT'S GOOD.

THAT'S A VIRTUAL VISIT WITH A DOCTOR.

YOU KNOW, IT'S VERY EASY, VERY CONVENIENT.

YOU KNOW, WE WANT TO PUSH THAT.

THOSE ARE THOSE ARE GREAT.

IT'S A GREAT OPTION FOR YOU.

AND THEN AIRROSTI IS THE OTHER ONE WHERE YOU ONLY HAD TWO PEOPLE USE IT, BUT MUSCULOSKELETAL HAS BEEN ONE OF YOUR TOP SPENDS.

SO AIRROSTI IS A IS A CHIROPRACTOR, NOT REALLY A CHIROPRACTOR, BUT IT'S ONLY YOUR OFFICE VISIT COPAY.

THEIR AVERAGE NUMBER OF VISITS IS 3 TO 4 VISITS FOR INJURY RESOLUTION.

SO WHEN YOU GO TO THE DOCTOR BECAUSE YOU HAVE KNEE PROBLEMS, HIP PROBLEMS, BACK PROBLEMS, WHATEVER, AND THEY WANT TO DO SURGERY, AIRROSTI IS A GREAT PLACE TO GO FOR A SECOND OPINION AND SEE IF THEY CAN HELP YOU.

RIGHT. WE'VE HAD A LOT OF SUCCESS WITH A LOT OF PEOPLE, YOU KNOW, GETTING THAT OPINION FROM THEM, GETTING, YOU KNOW, AVOIDING THE SURGERY, AVOIDING THOSE HIGH COST CLAIMS THAT TIME AND RECOVERY, YOU KNOW, IT'S A LOT BETTER OPTION FOR OUR MEMBERS.

AND THEN IN YOUR EMPLOYER REWARDS.

SO EMPLOYER REWARDS IS THE MONEY WE GIVE MONEY BACK TO OUR MEMBERS BASED OFF YOUR PARTICIPATION IN THIS HEALTHY COUNTY PROGRAM.

SO THE MORE PEOPLE YOU HAVE, YOU KNOW, INVOLVED IN THIS, THE MORE PEOPLE.

ALSO, IF YOU'RE HAVING WORKSHOPS WHERE OUR WELLNESS CONSULTANT COMES OUT AND DOES, YOU KNOW, STRESS MANAGEMENT, YOU KNOW, NUTRITION, ALL KINDS OF DIFFERENT PROGRAMS, YOU'LL GET MONEY BACK. AND THE PURPOSE OF IT, THE IDEA OF IT IS WE WILL GIVE YOU MONEY BACK SO THAT YOU CAN REINVEST INTO THAT PROGRAM.

YOU CAN USE THAT MONEY TO BUY WORKOUT EQUIPMENT, TO BUY GIFT CARDS, TO INCENTIVIZE PEOPLE TO COME TO.

DIFFERENT WORKSHOPS.

ALL KINDS OF THINGS PROVIDE LUNCH AND LEARNS.

REALLY, WE ARE TRYING TO GIVE MONEY BACK SO THAT WE CAN HELP JUMPSTART THAT PROGRAM TO HELP YOUR MEMBERS.

ALL RIGHT. ANY QUESTIONS SO FAR? I KNOW I'M GOING FAST, BUT.

ALL RIGHT, SO PAGE NINE IS REALLY THE LAST BULK OF IT.

THIS IS WHERE WE THIS IS THE REASON WHY WE DID THIS, RIGHT.

THE WHOLE REASON WHY WE DO THIS IS TO LOOK AT WHAT CAN WE DO, WHAT KIND OF STRATEGY CAN WE HELP YOU GUYS WITH TO IMPLEMENT, TO HELP SUSTAIN GOOD NUMBERS AND SUSTAIN THE HEALTH OF YOUR OF YOUR MEMBERS? AND SO LOOKING AT YOUR CLAIMS, THIS IS WHAT WE CAME UP WITH.

SO NUMBER ONE WOULD BE TO PUSH A ROSTER.

I JUST TALKED TO YOU GUYS A LITTLE BIT ABOUT AIRROSTI, BUT YOU KNOW, FINDING, YOU KNOW, LETTING EMPLOYEES KNOW ABOUT IT, REALLY TALKING ABOUT IT.

THEY CAN COME OUT AND DO A LUNCH AND LEARN WHERE THEY TALK TO EMPLOYEES ABOUT IT.

THEY'LL PROVIDE THE LUNCH FOR IT, YOU KNOW, OPEN IT UP TO YOUR EMPLOYEES TO COME OUT, LISTEN TO THEM.

THEY'LL TALK ABOUT, YOU KNOW, EITHER LOWER BACK PAIN OR WHATEVER TOPIC WE CHOOSE TO COME OUT AND JUST BASICALLY HELP MEMBERS UNDERSTAND WHAT THEY DO.

AND THEN THEY CAN DO INJURY ASSESSMENTS AS WELL ON SITE AND THEN GET PEOPLE THAT ARE DEALING WITH THESE LINGERING PROBLEMS THAT THEY'RE JUST, YOU KNOW, AS WE GET OLDER, WE HAVE THESE ACHES AND PAINS THAT WE JUST DEAL WITH AND WE JUST SAY, OH, YOU KNOW, IT'S JUST LIFE.

I'M GETTING OLDER.

BUT IF YOU COULD DO THESE CERTAIN EXERCISES EVERY DAY, YOU COULD REALLY REDUCE THOSE PAINS AND THEN LIVE, YOU KNOW, LIVE A BETTER LIFE WHERE YOU'RE NOT REALLY HAVING TO DEAL WITH THAT. SO WORKING ON INCREASING PARTICIPATION IN AIRROSTI LAVANGA WE TALKED ABOUT IT.

YOU HAVE A HIGH NUMBER OF PEOPLE DEALING WITH HIGH BLOOD PRESSURE AND HIGH CHOLESTEROL.

SO REALLY PUSHING THAT AND LETTING PEOPLE KNOW THAT IT'S AVAILABLE, LETTING PEOPLE KNOW WHAT IT'S ABOUT SO THAT THEY CAN LOOK INTO IT AND THEY CAN GET ON IT AND REALLY HELP MANAGE THOSE CONDITIONS AND AVOID THOSE HIGH COST CLAIMS FOR THEM.

AND THE LAST ONE IS GOING TO BE YOUR WEIGHT MANAGEMENT PROGRAMS. WE HAVE OMADA AND NATURALLY SLIM.

YOU KNOW, A LOT OF THE CHRONIC CONDITIONS COME FROM FROM LIFESTYLE CHOICES.

SO, YOU KNOW, BEING ABLE TO PROVIDE THESE PROGRAMS THAT ARE GOING TO HELP LOWER MANAGE THEIR WEIGHT AND THEN THAT'LL HELP ALSO MANAGE THEIR CHRONIC CONDITIONS AS WELL.

[00:20:01]

YOU'RE NOT JUST OFFERING THEM SOMETHING THAT THEY CAN USE.

IF THEY GET SICK, THEY HAVE SOMETHING AVAILABLE THAT'S GOING TO ALSO PREVENT THEM FROM GETTING SICK.

AND I THINK THAT'S THE BIGGEST THING THAT WE NEED TO FOCUS ON, IS HELPING THEM UNDERSTAND THAT, THAT IT'S NOT JUST, OH, I HAVE SOMETHING AS A SAFETY NET.

IF I GET SICK, I HAVE SOMETHING THAT'S ACTUALLY WORKING FOR ME TO PREVENT ME FROM BEING SICK.

AND SO REALLY WORKING WITH THEM ON UNDERSTANDING THAT.

ALL RIGHT. AND THEN THE LAST COUPLE OF PAGES, THIS IS JUST KIND OF NEED TO KNOW INFORMATION.

I WON'T SPEND TOO MUCH TIME ON IT.

BUT NUMBER ONE, WE HAVE A NEW PROGRAM THAT WE ROLLED OUT LAST YEAR.

IT'S CALLED WEX.

IT'S OUR CAFETERIA PLAN ADMINISTRATOR.

ALSO, WE OFFER AN FSA, HRA, HSA ADMINISTRATION.

SO IF THAT'S SOMETHING THAT YOU GUYS WOULD BE INTERESTED IN, WE CAN DEFINITELY HAVE THOSE CONVERSATIONS, GET YOU GUYS MORE, MORE DETAILS ABOUT THAT.

ALSO, WE WENT OUT TO BID ON OUR ANCILLARY PRODUCTS.

SO WE WENT OUT TO BID ON OUR DENTAL VISION AND OUR LIFE.

DENTAL AND VISION ARE STAYING WITH BLUE CROSS BLUE SHIELD, AND WE ARE ACTUALLY MOVING OUR LIFE PRODUCTS FROM VOYA TO BLUE CROSS BLUE SHIELD.

IT WAS A, YOU KNOW, PUTTING EVERYTHING WITH BLUE CROSS BLUE SHIELD ACTUALLY SAVED US QUITE A BIT OF MONEY.

YOU'LL SEE A, YOU KNOW, GOOD.

WE'LL SEE. WE'RE SEEING GOOD REDUCTIONS ON OUR DENTAL COSTS AS WELL.

SO IT'S LIKE 28% REDUCTION ON OUR DENTAL COST.

SO GOING OUT TO RFP REALLY, REALLY HELPED US FIGURE OUT, YOU KNOW, WHAT WE'RE SUPPOSED TO BE DOING ON OUR END TO, YOU KNOW, KEEP THIS POOL RUNNING AND THEN WE HAVE THE RENEWAL TIMELINE ON THE NEXT PAGE.

AND THEN WE ALSO HAVE A UPDATE TO OUR ADMINISTRATIVE SYSTEM.

AND THEN WE HAVE OUR SO OUR BOARD MET ON THE FIFTH TO APPROVE OUR OUR RENEWAL THIS YEAR.

EVERYTHING'S BEEN APPROVED.

WE HAVE OUR RENEWAL WEBINAR COMING OUT ON THE 15TH AND 16TH WHERE WE TALK ABOUT EVERYTHING YOU NEED TO KNOW ABOUT THIS UPCOMING RENEWAL.

YOU KNOW, THE NEW PROGRAMS, POOL NEEDED AMOUNT, ALL THAT KIND OF STUFF.

YOUR RENEWAL WILL BE MAILED OR WILL BE SENT TO YOU GUYS ABOUT THE 23RD OR 24TH OF MAY.

AND THERE AND THEN RENEWALS WILL BE DUE BACK BY THE END OF JUNE.

THAT LAST PAGE IS GOING TO BE YOUR TERRITORY TEAM.

YOU HAVE MYSELF AS YOUR EMPLOYEE BENEFITS CONSULTANT ASHLEY CURETON.

WHITFIELD IS YOUR WELLNESS CONSULTANT.

AND THEN HAYLEY GAJEWSKI IS YOUR EMPLOYEE BENEFIT SPECIALIST.

SHE'S THE IN-HOUSE DAY TO DAY QUESTION PERSON.

THAT'S ALL I HAVE.

I'M HAPPY TO ANSWER QUESTIONS.

IF YOU HAVE ANY COMMISSIONERS.

NOPE. I'VE.

I APPRECIATE YOU COMING OVER TODAY, ORLANDO.

I'VE OBVIOUSLY SEEN THIS BEFORE, BUT FOR THE TWO MEMBERS OF THE COURT WHO HAVE HAVEN'T GONE THROUGH THIS PROCESS YET, I FELT IT WAS HELPFUL TO PUT THIS INFORMATION IN FRONT OF YOU TODAY IN ORDER TO KIND OF EXPLAIN THE PROCESS AND WHAT WE'RE WHAT WE'RE GOING TO BE ASKED TO CONSIDER HERE OVER THE NEXT NEXT COUPLE OF MONTHS. SO THAT'S ALL I HAVE AT THIS POINT.

ORLANDO, I DO HAVE ONE QUESTION.

DO YOU KNOW WHEN WE MIGHT FIND OUT FOR SURE WHAT OUR INCREASE IS GOING TO BE, UP OR DOWN ON OUR RATE SINCE WE'RE ENTERING OUR BUDGET CYCLE? YEAH. SO THE RENEWAL COMES OUT MAY 23RD, BUT I DO HAVE THOSE NUMBERS.

I DON'T KNOW THE NUMBER OFF THE TOP OF MY HEAD, BUT I CAN FIND IT SO I CAN AT LEAST GET YOU A THIS IS KIND OF WHERE THE RANGE OF WHAT WE'RE LOOKING AT FOR THIS YEAR.

PRETTY SOON I CAN, YOU KNOW, GO BACK AND LOOK AT IT WHEN I GET BACK TO MY OFFICE AND SEND THAT NUMBER TO YOU.

OKAY. THANK YOU. YEAH, I THINK I'D BE INTERESTED IN THAT IF YOU CAN FIND IT.

YEAH, ABSOLUTELY.

OKAY. ALL RIGHT.

ANY OTHER QUESTIONS? OKAY, THANKS.

THANK YOU. OKAY.

[9. Discussion/Action regarding the burn ban.]

HECTOR. GOOD MORNING, JUDGE, COMMISSIONERS, STAFF AND GALLERY. TO GIVE YOU AN UPDATE, WE'VE HAD VERY MINIMAL FIRES OUT THERE IN THE LAST TWO WEEKS.

WE'VE HAD SUBSTANTIAL RAIN AND WE'VE GOT SOME PRETTY GOOD RAIN CHANCES FOR THE NEXT COUPLE OF WEEKS UP UNTIL THE 23RD OF MAY.

SO I AM GOING TO MAKE A RECOMMENDATION TO COMMISSIONERS COURT THAT WE KEEP THE BURN BAN OFF ANOTHER TWO WEEKS.

THE NUMBERS OR MINIMUM IS 110 MAX IS 159 AVERAGE 121 WITH A CHANGE OF TEN.

SO I'D LIKE TO MAKE THAT RECOMMENDATION TO KEEP THE BURN BAN OFF.

OKAY. DO WE HAVE A MOTION COMMISSIONERS? SO MOVED THE MOTION TO KEEP THE BURN BAN OFF.

I'LL SECOND AND A SECOND.

WE HAVE A MOTION AND A SECOND.

ALL IN FAVOR SAY AYE.

AYE. OPPOSED HEARING NONE.

MOTION CARRIES.

ITEM TEN DISCUSSION ACTION TO CONSIDER THE APPROVAL OF ORDER NUMBER 072023.

[10. Discussion/Action to consider the approval of Order No. 07-2023 authorizing the sale of fireworks for Memorial Day.]

[00:25:03]

YES, YOUR HONOR.

WE HAVE ANOTHER HOLIDAY WHERE FIREWORKS ARE AUTHORIZED TO USE.

LIKE I SAID, THE RAIN WILL END AROUND THE 23RD OF MAY AND WE'RE GOING INTO A DRY SPELL UP UNTIL JUNE.

I'D LIKE TO PROHIBIT THE USE OF ANY ROCKETS AND OR ANYTHING THAT USES A STICK AND FIN DURING THAT HOLIDAY.

OKAY. AND WE DO HAVE AN ORDER FOR THE COURT TO CONSIDER.

AND IT DOES IT DOES ALLOW SALE OF FIREWORKS BUT DOES LIMIT STICKS AND FINS.

SO WE HAVE A MOTION TO TO APPROVE ORDER NUMBER 072023.

SO MOVE WE HAVE A MOTION.

DO WE HAVE A SECOND? SECOND WE HAVE A MOTION.

AND SECOND. ALL IN FAVOR SAY AYE.

AYE. OPPOSED HEARING NONE.

MOTION CARRIES. THANKS.

[11. Discussion/Action to consider the approval of Resolution 13-2023, supporting the Texas Opioid Settlement Term Sheet.]

TERM SHEET.

CHASE. DO YOU WANT TO BRIEF US ON THAT, PLEASE? SOME TIME AGO, BACK IN, I GUESS, 2019, IT'S WHEN THE TEXAS JOINED IN WITH OTHER STATES TO CHALLENGE OR TO SUE THE DISTRIBUTORS, MANUFACTURERS, REALLY ANYONE IN THE CHAIN OF SUPPLY FOR OPIOIDS.

AND THE COUNTY HAS HIRED OUTSIDE COUNSEL ON THAT.

THEY HAVE SENT US BACK A RECOMMENDATION TO JOIN IN ON A SETTLEMENT, WHICH IS ACTUALLY GOING TO BE THE NEXT ITEM.

SO ITEM 13.

SO WE'LL GET TO THAT PART IN A SECOND.

BUT ONE OF THE THINGS THAT WE HAVE TO DO IS KIND OF AS PART OF THE OPT IN PROCESS, WAS COMPLETE THIS TERM SHEET.

IT SHOULD HAVE BEEN DONE SOME TIME AGO.

IT APPARENTLY JUST DIDN'T.

SO THIS IS JUST KIND OF A CHECK THE BOX KIND OF KIND OF THING.

BASICALLY JUST AGREES TO THE TO THE SETTLEMENT AS NEGOTIATED BY THE TEXAS ATTORNEY GENERAL AND AND IT'S AN OPT IN KIND OF THING.

OKAY. AND JUDGE, I CAN READ THE RESOLUTION.

YEAH, BECAUSE I THINK WE HAVE TO TO WHEN WE DO THE MOTION, WE GOT TO WE GOT TO FILL THIS IN, I THINK.

I'M SORRY, JUDGE. WHEN WE GET READY TO DO THE MOTION FOR THIS, IT LOOKS LIKE WE GOT TO FILL IN THE COMMISSIONER AND THE PRECINCT.

YES, JUDGE, THAT WAS THE THAT'S PART OF THE, I GUESS, THE TEMPLATE RESOLUTION THAT THE AG SENT US.

SO I INCLUDED IT JUST IN CASE THEY NEEDED IT.

OKAY. UM, RESOLUTION 13 DASH 2023 IN SUPPORT OF THE OPIOID SETTLEMENT TERM SHEET, BE IT REMEMBERED AT A REGULAR MEETING OF THE CALDWELL COUNTY COMMISSIONERS COURT HELD ON THE NINTH DAY OF MAY 2023, ON MOTION MADE BY BLANK COMMISSIONER, PRECINCT BLANK AND SECONDED BY BLANK.

COMMISSIONER OF PRECINCT BLANK.

THE FOLLOWING RESOLUTION WAS ADOPTED, WHEREAS CALDWELL COUNTY, THE COUNTY OBTAINED INFORMATION INDICATING THAT CERTAIN DRUG COMPANIES AND THEIR CORPORATE AFFILIATES, PARENT SUBSIDIARIES AND OTHERS DEFENDANTS AS MAY BE ADDED TO THE LITIGATION.

COLLECTIVELY, DEFENDANTS HAVE ENGAGED IN FRAUDULENT AND OR RECKLESS MARKETING AND OR DISTRIBUTION OF OPIOIDS THAT HAVE RESULTED IN ADDICTIONS AND OVERDOSES, WHEREAS THESE ACTIONS CONDUCT, CONDUCT AND MISCONDUCT HAVE RESULTED IN GREATER OR SIGNIFICANT FINANCIAL COSTS TO THE COUNTY.

WHEREAS ON MAY 13TH, 2020, THE STATE OF TEXAS, THROUGH THE OFFICE OF THE ATTORNEY GENERAL AND A NEGOTIATION GROUP FOR TEXAS POLITICAL SUBDIVISIONS, ENTERED INTO AN AGREEMENT ENTITLED TEXAS OPIOID ABATEMENT FUND COUNCIL AND SETTLEMENT ALLOCATION TERM SHEET HEREAFTER, THE TEXAS TERM SHEET APPROVING THE ALLOCATION OF ANY AND ALL OPIOID SETTLEMENT FUNDS WITHIN THE STATE OF TEXAS.

THE TEXAS TERM SHEET IS ATTACHED HERETO AS EXHIBIT A AND.

WHEREAS, SPECIAL COUNSEL IN THE STATE OF TEXAS HAVE RECOMMENDED THAT THE CALDWELL COUNTY COMMISSIONERS COURT SUPPORT THE ADOPTION AND APPROVAL OF THE TEXAS TERM SHEET IN ITS ENTIRETY, NOW THEREFORE BE RESOLVED BY THE CALDWELL COUNTY COMMISSIONERS COURT.

THAT ONE. THE COURT SUPPORTS THE ADOPTION AND APPROVAL OF THE TEXAS TERM SHEET IN ITS ENTIRETY.

AND TWO, THE COURT MAKES THE FOLLOWING FINDINGS.

A THERE IS SUBSTANTIAL NEED FOR REPAYMENT OF OPIOID RELATED EXPENDITURES AND PAYMENTS TO ABATE OPIOID RELATED HARMS IN AND ABOUT, IN AND ABOUT CALDWELL COUNTY B COMMISSIONERS COURT SUPPORTS IN ITS ENTIRETY AND HEREBY ADOPTS THE ALLOCATED THE ALLOCATION METHOD FOR OPIOID SETTLEMENT PROCEEDS AS SET FORTH IN THE STATE OF TEXAS AND TEXAS POLITICAL SUBDIVISIONS, OPIOID ABATEMENT FUND COUNCIL AND SETTLEMENT ALLOCATION TERM SHEET, WHICH IS ATTACHED AS EXHIBIT A.

THE COUNTY UNDERSTANDS THAT THE PURPOSE OF THIS TEXAS TERM SHEET IS TO PERMIT COLLABORATION BETWEEN THE STATE OF TEXAS AND POLITICAL SUBDIVISIONS TO EXPLORE POTENTIALLY EFFECTIVE RESOLUTION OF THE OPIOID LITIGATION AGAINST PHARMACEUTICAL SUPPLY CHAIN PARTICIPANTS AS DEFINED THEREIN.

D. THE COUNTY ALSO UNDERSTANDS THAT AN ADDITIONAL PURPOSE IS TO CREATE AN EFFECTIVE MEANS OF DISTRIBUTING ANY POTENTIAL SETTLEMENT FUNDS OBTAINED UNDER THIS TEXAS TERM SHEET BETWEEN THE STATE OF TEXAS AND POLITICAL SUBDIVISIONS IN THE MANNER AND MEANS THAT WOULD PROMOTE AN EFFECTIVE AND MEANINGFUL USE OF THE FUNDS IN ABATING THE OPIOID EPIDEMIC IN THIS COUNTY AND THROUGHOUT TEXAS.

RESOLVE THIS NINTH DAY OF MAY 2023.

[00:30:01]

ALL IN FAVOR SAY AYE? AYE. OPPOSED.

HEARING NONE. MOTION CARRIES.

[12. Discussion/Action to consider the approval of Resolution 14-2023, approving on amendment to an Advance Funding Agreement with TXDOT for the replacement of a bridge on Holz Road at Elm Creek Branch.]

CONSIDER THE APPROVAL OF RESOLUTION 14 223, APPROVING AN AMENDMENT TO AN ADVANCED FUNDING AGREEMENT WITH TEXDOT FOR THE REPLACEMENT OF A BRIDGE ON HOLTS ROAD AT ELM AT ELM CREEK BRANCH.

COMMISSIONER TERRIO.

THANK YOU, JUDGE. WE HAD PREVIOUSLY APPROVED A A MATCH THAT WAS REQUESTED AS PART OF AN ADVANCED FUNDING AGREEMENT FOR HOLT ROAD BRIDGE IMPROVEMENTS. I THINK IT WAS ABOUT 3000 AND SOMETHING.

UM, BUT THERE'S BEEN A DETERMINATION THAT THAT WE'RE NOT REQUIRED TO DO THAT.

SO. SO THIS WOULD REMOVE THAT MATCH FROM THE AGREEMENT.

GREAT TO BE A THAT'S A HAPPY RESOLUTION.

UM, SO DO YOU WANT TO READ IT OR IS THAT A CORRECT KIND OF SUMMARY OF IT? YES. THE, THE MAJOR CHANGE IS JUST THAT, WHEREAS PREVIOUSLY THE COUNTY WOULD HAVE HAD TO DO A HALF A PERCENTAGE MATCH, I DON'T KNOW THE ACTUAL COST OF IT IS THE STATE HAS DECIDED TO WAIVE THAT MATCH AND SO WE'LL DO THIS AT THEIR EXPENSE LESS ANY COSTS OF NON ELIGIBLE WORK WHICH WILL STILL BE PAID BY THE COUNTY.

OKAY. AND JUDGE, I CAN READ THIS ONE TOO, IF YOU'D LIKE.

THAT'D BE AWESOME.

RESOLUTION 14 DASH 2023 AMENDING CONTRACT FOR HOLT'S ROAD BRIDGE REPLACEMENT.

WHEREAS THE FEDERAL OFF SYSTEM BRIDGE ROAD OFF SYSTEM BRIDGE PROGRAM IS ADMINISTERED BY THE TEXAS DEPARTMENT OF TRANSPORTATION, THE STATE TO REPLACE OR REHABILITATE STRUCTURALLY DEFICIENT AND FUNCTIONALLY OBSOLETE, COLLECTIVELY REFERRED TO AS DEFICIENT BRIDGES LOCATED ON PUBLIC ROADS AND STREETS OFF THE DESIGNATED STATE HIGHWAY SYSTEM.

WHEREAS THE COUNTY OF CALDWELL, HEREIN REFERRED TO AS THE LOCAL GOVERNMENT, OWNS BRIDGES LOCATED AT CR 224 HOLT'S ROAD AT ELM CREEK BRANCH NATIONAL BRIDGE INVENTORY NBI STRUCTURE NUMBER 14 DASH 0280.

DASH A01-12-001.

STATE CONTROL SECTION JOB CSJ NUMBER 091422-071.

WHEREAS A PROJECT TO REMEDY THE BRIDGE IS INCLUDED IN THE CURRENTLY APPROVED PROGRAM OF PROJECTS AS AUTHORIZED BY THE TEXAS TRANSPORTATION COMMISSIONER.

MINUTE ORDER NUMBER 115550, DATED AUGUST 29TH, 2019.

WHEREAS FEDERALLY ELIGIBLE ITEMS OF WORK FOR THIS PROJECT ARE APPROVED FOR 100% FEDERAL AND STATE FUNDING THROUGH THE INFRASTRUCTURE INVESTMENT AND JOBS ACT, IIJA, AS WELL AS THE HIGHWAY BRIDGE REPLACEMENT AND REHABILITATION PROGRAM.

HB, RPW WHEREAS ON JULY 14TH, 2020 AND RESOLUTION 28 2020, THE LOCAL GOVERNMENT, BY RESOLUTION APPROVING THE ADVANCED FUNDING AGREEMENT, THE AGREEMENT WITH THE STATE FOR THE REPLACEMENT OF THE BRIDGE LOCATED AT COUNTY ROAD 224, HOLT'S ROAD AT ELM CREEK BRANCH NATIONAL BRIDGE INVENTORY AND STRUCTURE NUMBER 140280-A01-12-001.

STATE CONTROL SECTION JOB CSJ NUMBER 091422-071.

WHEREAS LOCAL GOVERNMENT IN THE STATE EXECUTED AN AGREEMENT ON MARCH 8TH, 2021, AT A LOCAL MATCH OF HALF A PERCENT 0.5% ATTACHED TO EXHIBIT B, WHEREAS ANY NON ELIGIBLE ITEM OF WORK WILL BE PAID BY THE LOCAL GOVERNMENT.

AND. WHEREAS, THE LOCAL GOVERNMENT AND THE STATE SEEK TO AMEND THE AGREEMENT TO REFLECT THE STATE'S WAIVER OF A LOCAL MATCH IN ADDITION TO OTHER AMENDED TERMS ATTACHED TO EXHIBIT A, NOW THEREFORE BE IT RESOLVED BY THE CALDWELL COUNTY COMMISSIONERS COURT THAT THE LOCAL GOVERNMENT APPROVES THE EXECUTION OF AN AMENDMENT TO THE AGREEMENT WITH THE STATE.

THE COUNTY JUDGE IS AUTHORIZED TO EXECUTE THE AMENDMENT ON BEHALF OF THE LOCAL GOVERNMENT RESOLVE THIS NINTH DAY OF MAY 2023.

OKAY, MRS WE HAVE A MOTION TO APPROVE RESOLUTION 14 2023.

SO MOVE. WE HAVE A MOTION.

DO WE HAVE A SECOND? SECOND.

WE HAVE A MOTION IN A SECOND.

ALL IN FAVOR. SAY AYE.

AYE. OPPOSED HEARING NONE.

MOTION CARRIES.

ADAM 13 DISCUSSION ACTION TO CONSIDER THE APPROVAL TO RATIFY THE COUNTY OPT IN TO THE TEXAS STATEWIDE OPIOID SETTLEMENT WITH

[13. Discussion/Action to consider the approval to ratify the county's opt-in to the Texas Statewide opioid settlement with Allergan, CVS, Walgreens, and Walmart.]

SO THIS IS THE SECOND TERM, THE SECOND HALF OF ITEM NUMBER 11.

SO THE COUNTY HAS ALREADY OPTED IN TO A NUMBER OF SETTLEMENTS, SOME WITH, FOR EXAMPLE, JANSSEN AND JANSSEN, ENDO AND A COUPLE OF OTHERS.

THESE MOST RECENT SETTLEMENTS ARE FOR, UM, ALLERGAN, CVS, WALGREENS AND WALMART.

[00:35:01]

UM, AND THE COUNTY WILL LOOK FOR APPROVAL TO RATIFY THE OPT IN.

THE DEADLINE TO OPT IN WAS LAST WEEK I THINK.

I DON'T REMEMBER THE EXACT DAY.

AND SO THE COUNTY JUDGE HAD TO SIGN OFF ON THAT TO GET THAT IN IN TIME.

SO THIS IS GOING TO BE RATIFICATION.

IF THE COURT WERE TO CHOOSE NOT TO RATIFY, THEN IF THE COUNTY WANTED TO TRY TO SEEK SOME SORT OF SETTLEMENT OR ALTERNATIVELY GO TO TRIAL ON THE OPIOID THING, IT WOULD BE THE COUNTY VERSUS CVS, WALGREENS, WALMART AND ALLERGAN.

SO IT JUST WITH THAT THOUGHT, OKAY, COMMISSIONERS, DO WE HAVE A MOTION TO APPROVE, UH, TO RATIFY THE COUNTY'S OPT IN FOR THE TEXAS STATEWIDE OPIOID SETTLEMENT WITH ALLERGAN, ALLERGAN, CVS, WALGREENS AND WALMART? SO MOVE.

WE HAVE A MOTION. DO WE HAVE A SECOND? SECOND MOTION IS SECOND.

ALL IN FAVOR SAY AYE? AYE. OPPOSED HEARING NONE.

MOTION CARRIES.

[14. Discussion/Action to consider the approval of the 2023 claim from Texas Comptroller's request from unclaimed Property Capital Credits.]

COMMISSIONERS. THIS IS ACTUALLY WHAT IT SOUNDS LIKE.

WE HAVE UNCLAIMED PROPERTY CREDITS.

I GUESS WE'RE AUTHORIZING THE APPROVAL OF ACCEPTING THEM.

IS THAT WHAT WE'RE DOING HERE? CHASE I GOT A NICE LITTLE FLIER AND THAT'S ALL I GOT HERE.

YEAH, PRETTY MUCH. IF THERE ARE ANY ANY UNCLAIMED MONIES FROM THE STATE, THEN THE STATE SENDS IT BACK TO US AND WE CAN USE IT FOR FURTHER ECONOMIC DEVELOPMENT, ETCETERA, AND WHATEVER IS LISTED ON THAT FORM.

SO THIS IS JUST APPROVAL TO IF THERE IF THERE IS FUNDS, RIGHT? SO WE'RE APPROVING 2023.

I STILL AM NOT REALLY CLEAR ON THIS, AND SINCE I WASN'T IN THE STAFF MEETING LAST WEEK, I'M NOT SURE I UNDERSTAND THIS ITEM.

WHAT ARE WE APPROVING? WE HAVEN'T GOT ANY.

THE STATE SENDS US MONEY IF THEY HAVE ANY UNCLAIMED PROPERTIES THAT THEY SELL OFF OR WHATEVER, AND THEN THEY SEND OUR PORTION FOR OUR COUNTY TO US.

AND THEN THAT MONEY THAT WE GET, WE HAVE, WE CAN USE FOR I THINK IT WAS GOING TO BE FOR ECONOMIC DEVELOPMENT.

I THINK WE CAN USE IT FOR SCHOOLS AND OTHER.

OKAY. BUT I MEAN, THIS IS THIS IS JUST AN ASSET.

WE HAVE TO APPLY FOR IT IN ORDER TO GET IT FROM THE STATE.

BUT WE'RE NOT GETTING ANY MONEY.

WE DON'T HAVE ANY MONEY TO APPROVE.

I'M NOT SURE WHAT WE'RE APPROVING HERE.

I'M NOT SURE WHAT THE APPLY FOR TO GET THE MONEY IF THEY HAVE.

OKAY. SO WE'D BE LOOKING FOR APPROVAL FROM THE COURT TO APPLY TO GET UNCLAIMED BENEFITS, IS THAT RIGHT? YES. OKAY.

I BELIEVE WE'VE DONE THIS.

IT'S BEEN A WHILE.

I THINK WE'VE DONE THIS BEFORE.

ESSER YEAH, BUT I THINK IT WAS IN THE FORM OF A RESOLUTION LAST TIME TO APPLY.

SO THERE'S JUST THAT'S WHY I'M TRYING TO GET CLEAR ON WHAT WE'RE DOING HERE.

AND, AND JUDGE, I CAN PREPARE A RESOLUTION FOR THAT.

COULD WE DO THAT? MAYBE TABLE THIS ITEM AND DO THAT NEXT TIME? DO WE ARE WE ON A TIME LINE? I THE 31ST OF JULY.

OKAY. I THINK YEAH, I'D RATHER DO THAT AND DO A RESOLUTION.

SO WE'RE CLEAR ABOUT WHAT WE'RE APPROVING.

UNLESS I'M THE ONLY ONE THAT'S CONFUSED AND I'LL JUST ABSTAIN FROM THE VOTE.

BUT NO, I'LL.

I'LL PROPOSE A MOTION TO TABLE ITEM 14.

OKAY. WE HAVE A MOTION TO TABLE ITEM 14.

DO WE HAVE A SECOND? SECOND, WE HAVE A MOTION.

A SECOND. ALL IN FAVOR. SAY AYE.

AYE. OPPOSED HEARING NONE.

MOTION CARRIES.

[15. Discussion/Action to consider the approval of Budget Amendment #29 to transfer money from Contingency (001- 6510-4860) to Emergency Management (001-6650-4510) Repairs & Maintenance for radio services with City of Austin Wireless Communications.]

00165104860 TO EMERGENCY MANAGEMENT.

00166504510. REPAIRS AND MAINTENANCE FOR RADIO SERVICE WITH THE CITY OF AUSTIN WIRELESS COMMUNICATIONS $7,000. GOOD MORNING, JUDGE AND COMMISSIONERS.

YES. SO WHEN I GOT A NEW AP CLERK IN MY OFFICE, IT CAME TO OUR ATTENTION THAT WE HAD QUITE A FEW INVOICES FROM THE CITY OF AUSTIN WIRELESS COMMUNICATIONS. THESE INVOICE DATE ALL THE WAY BACK FROM 2019.

YOU'LL SEE ON THAT COVER SHEET THE BREAKDOWN.

WE ONLY HAVE A COUPLE IN YEAR 20, 22, NONE FOR 2023 AS THIS WASN'T BUDGETED GOING INTO OUR ANNUAL BUDGET MEETING, I DEFINITELY WANT TO GET

[00:40:05]

WE HAD A MEETING WITH CITY OF AUSTIN WIRELESS COMMUNICATIONS.

THERE WAS AN ISSUE WITH SOME OF THE INVOICING THAT WE WERE HAVING TO PAY FOR OTHER ENTITIES IN CALDWELL COUNTY FOR RADIO SERVICES LIKE UPDATING, ADDING AND REMOVING CERTAIN IDS.

WE RESOLVED THAT.

THEY DO NOW KNOW THAT WE NEED TO BE INVOICED SEPARATELY AND GOING INTO BUDGET CYCLE THIS YEAR.

WE'LL PREPARE FOR THAT.

OKAY. THANK YOU. DO WE HAVE A MOTION TO APPROVE BUDGET AMENDMENT 29? SO MOVE. WE HAVE A MOTION.

DO WE HAVE A SECOND? SECOND WE HAVE A MOTION IN A SECOND.

ANY DISCUSSION? IF NOT ALL IN FAVOR, SAY AYE.

AYE. OPPOSED HEARING NONE.

MOTION CARRIES. ITEM 16 DISCUSSION ACTION TO CONSIDER THE APPROVAL OF BUDGET AMENDMENT 30 TO TRANSFER MONEY FOR CODE ENFORCEMENT ABATEMENT.

[16. Discussion/Action to consider the approval of Budget Amendment #30 to transfer money for Code Enforcement abatement (001-3201-4825) to Disposal Fee (001-3201-3151) for the increase of disposal services.]

00132013151. FOR THE INCREASE IN DISPOSAL SERVICES COSTS 3000 YES FOR THIS ITEM, JUDGE AND COMMISSIONERS, I JUST WANT TO MAKE A NOTE ON THE AGENDA.

IT USED TO BE CALLED CODE ENFORCEMENT.

NOW THEY'RE ENVIRONMENTAL TASK FORCE.

SO IT'S JUST A CORRECTION THERE ON MY PART.

IT WAS DISCUSSED BETWEEN UNIT ROAD AND ENVIRONMENTAL TASK FORCE THAT WE ONLY HAVE ONE DUMPSTER RIGHT NOW COUNTYWIDE.

SO WHEN ENVIRONMENTAL TASK FORCE IS FORCE IS OUT THROUGHOUT THE COUNTY, THEY'RE HAVING TO COME ALL THE WAY BACK TO THE UNIT ROAD STATION TO DUMP.

IT WAS AGREED THAT THEY WERE GOING TO PAY FOR A DUMPSTER IN LULING AND DALE AS WELL.

YES. SO WE'RE JUST GOING TO THEY HAVE THE MONEY WITHIN THEIR BUDGET FROM ABATEMENT.

THEY'RE JUST GOING TO MOVE IT FROM ABATEMENT OVER TO DISPOSAL FEES FOR THOSE TWO ADDITIONAL DUMPSTERS TO USE.

OKAY. OKAY. SOUNDS GOOD.

UM, DO WE HAVE A MOTION TO APPROVE BUDGET AMENDMENT 30? SO MOVED. WE HAVE A MOTION.

DO WE HAVE A SECOND? SECOND? WE HAVE A MOTION IN A SECOND.

ANY DISCUSSION? NOT ALL IN FAVOR. SAY AYE.

AYE. THOSE HEARING NONE.

SORRY. JUST FOR CLARITY. WHO? WHO SECONDED? BECAUSE THERE WERE TWO VOICES.

UH, I THINK COMMISSIONER HORN WAS THE FIRST TO THE PLATE THERE.

THANK YOU. COMMISSIONER THOMAS MADE THE MOTION.

UM, LET'S SEE.

[17. Discussion/Action to consider the approval of Budget Amendment #31 to transfer money from Medical Contingency (001-6510-4864) to HR Office Supplies (001-6580-3110) to order supplies for new payroll position. ]

00165104864200165803110. TO ORDER SUPPLIES FOR THE NEW PAYROLL POSITION.

COMMISSIONERS, THIS IS FOR CHAIRS, COMPUTER, COMPUTER FOR ALL THAT KIND OF STUFF, FOR THE NEW THE NEW PERSON.

THEY DID HAVE A LITTLE BIT ALREADY IN THEIR BUDGET, SO WE WERE ABLE TO BUY CERTAIN SUPPLIES ALREADY TO GET THAT POSITION UP AND STARTED.

BUT THEY'RE STILL NEEDING SOME ADDITIONAL EQUIPMENT.

OKAY, COMMISSIONERS, WE HAVE A MOTION FOR BUDGET AMENDMENT 31.

SO MOVE. MOTION TO APPROVE.

MOTION TO APPROVE. WE HAVE A MOTION TO APPROVE.

DO WE HAVE A SECOND? SECOND. WE HAVE A MOTION AND A SECOND.

ANY DISCUSSION? NOT ALL IN FAVOR. SAY AYE.

AYE. OPPOSED.

HEARING NONE. MOTION CARRIES.

[18. Discussion/Action to consider the approval of Budget Amendment #32 for Unit road - Kinder Morgan $500,000.00 donation for equipment purchase.]

KINDER MORGAN $500,000 DONATION FOR EQUIPMENT PURCHASE.

DANNY. YES, JUDGE AND COMMISSIONERS.

WEEK AND A HALF AGO WE DID FINALLY RECEIVE THE $500,000 KINDER MORGAN DONATION.

THAT WAS JUST ONLY THE 500,000.

THAT DIDN'T INCLUDE THE ADDITIONAL 500,000 FOR THE SCHOOL.

AND WHAT'S THE OTHER ONE? AMBULANCE? YES. YES.

SO WE JUST WANT TO GO AHEAD AND GET THIS MOVED OVER TO THE CORRECT EXPENSE LINE ITEM SO WE CAN GET THAT NEW EQUIPMENT ORDERED FOR UNIT ROAD.

OKAY, COMMISSIONERS, DO WE HAVE A MOTION TO APPROVE BUDGET AMENDMENT 32? SO MOVED. WE HAVE A MOTION FROM COMMISSIONER THERIOT.

DO WE HAVE A SECOND? SECOND.

SECOND. ALL IN FAVOR SAY AYE? AYE. OPPOSED HEARING NONE.

MOTION CARRIES.

[19. Discussion/Action to consider the approval of REQ02343 in the amount of $303,259.94 for Doggett Freightliner. ]

GABBY. GOOD MORNING.

WE WANT TO APPROVE THIS REQUISITION SO THAT WE COULD PROVIDE DOGGETT WITH THE PO.

GIVING THEM THIS PO WILL ALLOW THEM TO HOLD THE EQUIPMENT FOR OUR UNIT ROAD DEPARTMENT.

OKAY, COMMISSIONERS, WE HAVE A MOTION TO APPROVE REQUISITION ZERO TWO, THREE, FOUR, THREE.

SO MOVED. WE HAVE A MOTION.

DO WE HAVE A SECOND? SECOND. MOTION IN A SECOND.

[00:45:01]

OKAY. ALL IN FAVOR SAY AYE? AYE. OPPOSED HEARING NONE.

MOTION CARRIES. THANK YOU.

THANK YOU. ITEM 20 DISCUSSION ACTION CONCERNING APPROVAL OF AN ORDER AUTHORIZING THE FILING OF FINAL PLAT SHORT FORM PROCEDURE FOR SCOTT'S ADDITION LOCATED ON THOMPSON

[20. Discussion/Action concerning approval of an Order authorizing the filing of a Final Plat (Short Form Procedure for Scott's Addition located on Thompson Road.]

ON THIS PLAT, THIS IS JUST A SIMPLE SHORT FORM PLAT.

THAT WAS FOUR LOTS AND EVERYTHING.

THE SUBDIVISION HAS ACTUALLY BEEN GOING ON FOR GOING ON EIGHT MONTHS NOW AND EVERYTHING.

I THINK WE'RE FINALLY AT THE POINT OF ASKING THE COURT FOR APPROVAL.

THERE ARE A FEW MINOR CORRECTIONS THAT HAVE BEEN NOTED FROM THIS MORNING, SO I'M GOING TO ASK IF THE COURT COULD POSSIBLY ENTERTAIN APPROVING THIS UPON THE CORRECTIONS.

OKAY. CAN YOU DO YOU KNOW WHAT THE CORRECTIONS ARE? A FEW OF THEM WERE POINTED OUT FOR JUST A MINOR MISSPELLINGS.

ONE OF THEM WAS CONCERNING AN EXTENDED EASEMENT THAT THEY WANT LOOKED AT.

ALSO TO I FOUND PERSONALLY THAT WHENEVER DOUCET DID THE APPROVAL LETTER, KIMBERLY HAD PUT THAT IT WAS ACTUALLY ON FOX LANE, WHICH IS ACTUALLY THOMPSON ROAD.

SO I NEED HER TO CORRECT THAT AS WELL.

SO JUST REALLY VERY SIMPLE ITEMS. OKAY. ALL RIGHT, COMMISSIONERS, DO WE HAVE A MOTION FOR APPROVAL OF AN ORDER AUTHORIZING THE FINAL, FINAL PLAT SHORT FORM PROCEDURE FOR SCOTT'S ADDITION ON THOMPSON ROAD PENDING THE APPROVAL OF THOSE CORRECTIONS.

SO MOVED. WE HAVE A MOTION.

DO WE HAVE A SECOND? SECOND, WE HAVE A MOTION AND A SECOND.

ANY DISCUSSION? NOT ALL IN FAVOR. SAY AYE.

AYE. OPPOSED HEARING NONE.

MOTION CARRIES.

THANK YOU. ITEM 21, DISCUSSION.

[21. EXECUTIVE SESSION Pursuant to Texas Government Code Section 551.087, the discussion of deliberation regarding economic development negotiations associated with Project Future. Possible Action may follow in open court.]

ITEM 21 PURSUANT TO TEXAS GOVERNMENT CODE, SECTION 551 .087 DISCUSSION OF DELIBERATION REGARDING ECONOMIC DEVELOPMENT NEGOTIATIONS ASSOCIATED WITH PROJECT FUTURE, POSSIBLE ACTION MAY FOLLOW IN OPEN COURT AND WE ARE RECESSED UNTIL WE'RE OUT OF EXECUTIVE SESSION.

OKAY. WE'RE GOING TO GO AHEAD AND END.

EXECUTIVE SESSION PURSUANT TO TEXAS GOVERNMENT CODE SECTION 551087.

THE DISCUSSION DELIBERATION REGARDING ECONOMIC DEVELOPMENT NEGOTIATIONS ASSOCIATED WITH PROJECT FUTURE.

AND WE ARE ADJOURNED AND WE ARE OUT OF EXECUTIVE SESSION AT 1103 AND RESUME OUR REGULAR SESSION.

ITEM 22 ADJOURNMENT.

DO I HAVE A MOTION TO ADJOURN? SO MOVED. I HAVE A MOTION TO HAVE A SECOND.

SECOND. ALL IN FAVOR SAY AYE.

AYE. OPPOSED HEARING NONE.

MOTION CARRIES. WE ARE ADJOURNED AT 1103.

* This transcript was compiled from uncorrected Closed Captioning.