WEBVTT

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What do you think is the criteria that Mitch

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uses to post an outtake? Whatever embarrasses

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me the most, most of the time. That's what I

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think. I think he saves some of those. He makes

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some of those. Yeah. Yeah. Yeah. I like that.

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It's excellent. It's hilarious. It was embarrassing.

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Welcome to County Connection. the official podcast

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of the Washington State Association of Counties,

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where we dive into the legislative issues shaping

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the future of our communities. From budgets to

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public safety, infrastructure to elections, we'll

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break down what's happening in Olympia and how

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it impacts counties from across the Evergreen

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State. Stay informed, stay engaged, and join

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us as we amplify the voice of Washington's 39

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counties. Welcome back, everybody, to the County

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Connection podcast. I'm Paul Jewell, your host

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and government relations director for the Washington

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State Association of Counties. Today is April

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9th. It's the day after the opposite house fiscal

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cutoff. It's a big day. I keep saying that it's

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a big day here in the legislative session in

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Olympia. But these milestones are really important

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as we, you know. talk about what's happening

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legislatively and we're watching different policies

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be considered during the legislative session.

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Jamie Bodden with the Washington State Association

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of Local Public Health Officials back in the

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studio. On a beautiful afternoon, right after

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cutoff. Happy cutoff, Jamie. Paul, I want to

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wish you the happiest of cutoffs. That is the

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nicest thing anybody has said to me today. Aw.

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Thank you, Jamie. That's what I do. I appreciate

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it. So you're pretty happy. You must have been

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looking forward to cutoff, too. It's always a

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great day when you get to just mark a bunch of

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other things dead and clean up the lists a little

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bit more. get a couple bills off the radar. I

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cleaned up my lists today. Days get a little

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bit sunnier, get a little bit longer. Just because

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that load just gets lifted, it just gets a little

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bit lighter. So what are you paying attention

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to now that we've been through? All the cutoffs

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that we've been through, right? We started all

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the way back on January 13th. We've been through

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the House of Origin cutoffs. We've been through

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the opposite house cutoffs, at least two of them.

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We're looking forward to another cutoff next

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week. That's the opposite house floor cutoff

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on the 16th. Budgets are out of their committees.

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They're in conference or being negotiated. What

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are you watching from a public health perspective?

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So our focus is getting the last final bills

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that we want across the finish line across the

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finish. line, so making that floor cut off. So

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everything is out of our committees that we need

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to. They're in rules or they've been pulled from

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rules already. So they're just kind of waiting

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that floor vote. So is that your child fatality

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bill that we talked about before? That would

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be our child fatality bill, yep, 5163. We're

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really excited. Our Group B water systems bill,

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1947, has already passed off the Senate floor.

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So it is in the governor's hands awaiting his

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signature, which is really exciting. So that

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one went fast and furious. So we're waiting for

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child fatalities to see what happens with that

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one and just kind of looking forward to getting

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that one across the finish line this year. And

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then the other thing is we're just focused on

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budget. It's the time of year where budget writers

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and the chambers are focusing on passing what

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they need to pass off the floors so that they

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can turn their attention big time to the budget.

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Any little crumbs of intel they're willing to

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share about budget is kind of like gold right

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now where you kind of take it and think through,

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okay, if they're talking, you know, X for budget,

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that means this bill needs to pass. And, you

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know, they might need to tweak the bill this

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way with a couple of different amendments. Every

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lobbyist is scrubbing the floors of the legislative

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building right now looking for any clue. Information

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is. Absolutely. a very important currency right

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now. Yeah, it's a huge currency right now. And,

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you know, this is the time of year where things

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kind of quiet down because they're not in committees

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anymore for the most part. Everything's really

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happening on the floor and the budget negotiations

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are going on as we speak. but they're usually

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pretty tight lipped. They hold that stuff really

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close to the vest. And if you can get a really

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good piece of intel that's actually legitimate

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and actionable, you're everybody's best friend

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suddenly, at least for a very short period of

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time up there at the ledge building. What are

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you hearing as far as rumors go with regard to

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the budgets moving forward? Well, I, you know.

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We haven't heard a whole lot. I know Democrats,

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Democratic leadership had a media availability

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today that I wasn't able to tune into. So I need

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to watch that because I know they always give

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a little bit of nuggets of information there.

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But given Governor Ferguson's press release in

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his response to the budgets, was it last week?

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I think it was last week. different budgets.

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He wasn't satisfied with what the House or the

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Senate proposed. Well, you know, he really came

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out strong against the financial intangibles

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tax, right? What's also being called the wealth

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tax basically said he doesn't think it's defensible

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or he doesn't think it has a really strong. argument

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for defense is concerned that if the budgets

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were based on a substantial amount of revenue

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from that tax, that they wouldn't be sustainable.

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And therefore, he was giving a strong signal.

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He wasn't just giving a clue. He came out and

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said, if I get a budget that includes that as

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the basis for a revenue stream, I will veto it.

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And interestingly enough, both the House and

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the Senate have financial intangible tax proposals

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on the table. Are you hearing anything specific

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about those, especially as a result of that press

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conference and what the governor said? Nothing

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specific, but one can probably infer. I have.

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that a big... You've inferred? No. Or have you?

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I've heard something specific. Nice. But you

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can assume that that's off the table in a meaningful

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way and that they're going to go back to the

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drawing board and those budgets are going to

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look really different. We have heard that state

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agencies have been asked to propose more reductions.

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Yeah, I've heard that too. And so they went through

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that budget exercise with... With then -Governor

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Inslee, they did it again with Ferguson. They're

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going to be doing it again. So those state agencies

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that are more GFS heavy, because GFS isn't spread

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equally amongst the state agencies. And by GFS,

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you mean? I mean general fund state. And by general

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fund state, you mean? I mean the flexible state

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dollars. That's right. In their general fund.

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So these are the state dollars that they have

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the most flexibility to use. So if you're a county,

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it's like your general fund dollars. Yep. So

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those state agencies. are going to be taking

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big hits. There's just no way around that. Those

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that have more secure funding from alternative

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sources are definitely going to be in a better

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position than those who are really dependent

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on that general fund state revenue. So I kind

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of hinted that I'd heard something more about

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the financial intangibles tax. You didn't take

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the bait on that. What would you like to tell

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our listeners? Thank you. I mean, we just talked

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about how these little nuggets of information

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are currency. There we go. So here's what I've

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heard from pretty good authority. And it was

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actually kind of - Do you want to cite your source?

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No, I'm not going to cite my source. But if you

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listen to the opening of the - press conference

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today with the majority party. Some questions

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were asked about this and they hint at it. They

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don't tell you what I'm about to tell you, but

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they do hint at it. So my intelligence suggests

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and tells me that they are planning to pass that

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tax. But here's the but. They're not going to

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base the budgets on any revenue that they get

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from it. So they do want to push the policy forward,

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and I think they want to test it. They want to

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put the tax in place and see what happens. But

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they're not going to base their budgets on it,

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so they're going to try to avoid the whole governor's

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veto from his position, which was. I will veto

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this if it moves forward as a basis for the budget.

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So I think they're threading a little bit of

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a needle here, hoping that the governor might

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not veto it, given that the budget's not based

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on it. But they, at this point, are still moving

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forward with the intent. Now, there are two different

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versions in the House and the Senate. And in

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some ways, they have some similarities. In other

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ways, they're very, very different. So they still

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have to come together on what version. I've heard

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from at least one really, really valid source

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on one side that that is there. Who is? I will

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not say. Just checking. But. His lips are sealed.

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Yeah. But I think that's really interesting.

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Yeah. And I think that's. Certainly will make

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for an interesting supplemental session next

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year. And a little unexpected, right? I think

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a lot of people like you did expected that when

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the governor came out that forceful that they

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would back away. And they are in some regards

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because they're not going to book the revenue,

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so to speak, but they're still going to pass

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the policy. Yeah. I like the idea of let's pass

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it. Let's test it out. Let's get the legalities

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out of the way before we. commit the funding

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and then have to do a take back of some sort

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yeah i think that's if they can get all of that

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then it's like all right we have some some new

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revenue to um incorporate into into the budget

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and that might be um an interesting interesting

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next biennium if they can get all that through

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in the next year or two. Now, only time will

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tell, right? Only in the next couple of weeks

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will tell whether that little nugget of currency

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that I just traded in was actually worth anything.

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But that's the latest information that I have.

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What would you like to trade it in for? Just

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popularity. That's what we already discussed.

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It makes you really popular. Paul wants to be

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popular. Always. I mean, that's always been my

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goal. Can't you tell? Session homecoming king,

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Paul Jewel. Just by the way I dress, for goodness

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sakes. I mean, everybody can tell. Look at this

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tie today. It is a lovely tie. It's a nice one.

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It's a very nice tie. It's very Denver Broncos

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colors. Oh, you stop it right there. Is that

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orange and blue? It is orange and blue, but that

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was never my intent. Now you're never going to

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wear it again. Now I'm feeling bad about this

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tie. It's also very spring. Sorry, Seahawks fans

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out there. It is very spring, however. Well,

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what are you watching from a public health perspective

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when you're looking at the budget? And the reason

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I bring that up, I know there's a lot of... complicated

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things happening now with public health. You

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on Monday just gave an update to members in our

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virtual series, our virtual assembly series,

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which I know our members are familiar with because

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we've been doing them since the pandemic. You

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gave an update on what's been going on with federal

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funding, right? And some of the cuts that we're

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seeing coming down from the federal government.

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And there's more coming. Seattle Times was reporting

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about... new ones today, not necessarily public

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health related ones, but new cuts. But that's

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a big deal for you. And that's been a big deal

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in the past during fiscal. difficulties during

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fiscal, you know, challenging fiscal periods,

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public health has often taken the brunt of cuts.

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We haven't really seen that at the state level.

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There's some reductions, right, to FPHS or foundational

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public health services. But you've got these,

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you know, these federal ones creeping in now,

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right? And there's threats for more around Medicare.

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Is that going to affect the state budget? Are

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you worried about public health funding? Are

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they going to, if those things happen, will they

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have funds to backfill that? Or is that going

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to cause problems with in the system? I mean,

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what are you thinking about? Yeah, there's definitely

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spheres or I guess circles of interest for us

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around public health funding, if that makes sense.

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So like at our very core, the one funding that

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we're watching the most is foundational public

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health services funding. That's really been...

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Critical. I don't want to overuse foundational.

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So I'm going to say critical or vital or essential

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or foundational core. It's all the same thing.

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All good. All good words to to our governmental

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public health system and for local health jurisdictions

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in particular. It's the first time where we've

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had any real meaningful. additional funding come

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our way for public health work. And so we've

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really strengthened and built strong public health

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programs with FPHS. In a pretty short period

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of time. Very short period of time. Yeah. So

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that's the one that we're really, really locked

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in on and watching closely. And we had a good,

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I think I would say positive, optimistic. um

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result in the budgets around that yes there was

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a little bit of a reduction there's also a little

00:13:14.519 --> 00:13:16.720
bit of fund shifting from general fund to this

00:13:16.720 --> 00:13:19.000
other account that we use that we in a tough

00:13:19.000 --> 00:13:21.779
year like this it's hard to not see any sort

00:13:21.779 --> 00:13:23.980
of reduction or shift right yeah but overall

00:13:23.980 --> 00:13:26.139
i agree with you it looked pretty positive yeah

00:13:26.139 --> 00:13:29.879
so so we're we're very pleased and grateful for

00:13:29.879 --> 00:13:34.419
um for the fphs investments as they are um recognizing

00:13:34.419 --> 00:13:38.759
that it's a tough budget year and that um Not

00:13:38.759 --> 00:13:42.279
everything had that strong of a support. So we'd

00:13:42.279 --> 00:13:43.779
be really grateful with our legislature with

00:13:43.779 --> 00:13:45.419
that. Well, and right now, if we're thinking

00:13:45.419 --> 00:13:47.340
about kind of where we're at as far as the budgets

00:13:47.340 --> 00:13:50.179
go and where they are and how those budgets are

00:13:50.179 --> 00:13:51.759
based on some of these new revenue proposals,

00:13:51.960 --> 00:13:54.120
right? And the fact they haven't passed those

00:13:54.120 --> 00:13:55.799
revenue proposals yet. There's a lot of work

00:13:55.799 --> 00:13:57.120
to do in the next couple of weeks to get those

00:13:57.120 --> 00:14:00.500
done. This is really the high watermark. It only

00:14:00.500 --> 00:14:04.600
actually gets worse from here as far as revenue

00:14:04.600 --> 00:14:06.399
that's available. So that has to make you a little

00:14:06.399 --> 00:14:10.399
nervous too. A little bit, yeah. We're definitely

00:14:10.399 --> 00:14:14.679
listening in on conversations. And when we hear,

00:14:14.720 --> 00:14:16.919
oh, state agencies tighten those belts a little

00:14:16.919 --> 00:14:19.059
bit more, that makes us a little bit concerned.

00:14:19.960 --> 00:14:24.759
So we've done a lot of work. around communicating

00:14:24.759 --> 00:14:26.980
and messaging out of this is what we've been

00:14:26.980 --> 00:14:29.080
doing with FPHS. These are our successes. This

00:14:29.080 --> 00:14:32.559
is how our communities are benefiting, the services

00:14:32.559 --> 00:14:36.980
that they're receiving. And that continuing on

00:14:36.980 --> 00:14:38.679
through the rest of sessions is really important

00:14:38.679 --> 00:14:41.200
and really critical. So carrying and continuing

00:14:41.200 --> 00:14:44.799
that message. Does it hurt us that there are

00:14:44.799 --> 00:14:47.620
bigger things in the news right now around public

00:14:47.620 --> 00:14:50.960
health that kind of emphasize and reinforce the

00:14:50.960 --> 00:14:54.769
importance of that? you know thank you texas

00:14:54.769 --> 00:14:58.220
like you know that's a you know That being in

00:14:58.220 --> 00:15:01.320
the news constantly. All right, Jamie, tell me

00:15:01.320 --> 00:15:03.379
what's going on in Texas. Massive measles outbreak,

00:15:03.679 --> 00:15:07.220
not just Texas. Everywhere, right? Yeah, many,

00:15:07.320 --> 00:15:10.059
many states. I heard Colorado has a case now.

00:15:10.340 --> 00:15:12.860
Yeah, and measles cases in Washington too, so

00:15:12.860 --> 00:15:15.279
not to minimize what's going on in our own state.

00:15:15.779 --> 00:15:19.259
But just that presence of this is why public

00:15:19.259 --> 00:15:21.179
health and the work that we do is really important,

00:15:21.299 --> 00:15:25.759
I think helps reinforce that to budget writers.

00:15:26.669 --> 00:15:28.950
Given the federal situation with a lot of those

00:15:28.950 --> 00:15:32.710
cutbacks and terminations and just reducing of

00:15:32.710 --> 00:15:35.210
that federal funding, I think, again, that reinforces

00:15:35.210 --> 00:15:38.710
that critical importance of FPHS as that backstop.

00:15:41.019 --> 00:15:43.799
big focus right now for budget. But if you look

00:15:43.799 --> 00:15:46.659
farther out kind of in those spheres of public

00:15:46.659 --> 00:15:50.159
health funding or public health areas, you know,

00:15:50.179 --> 00:15:53.460
we're looking at related to behavioral health,

00:15:53.500 --> 00:15:56.700
a lot of the substance use disorder things, particularly

00:15:56.700 --> 00:15:58.840
the prevention side of that or the harm reduction

00:15:58.840 --> 00:16:01.779
side of that, community oriented programs and

00:16:01.779 --> 00:16:05.779
services that, you know, provide a more comprehensive

00:16:05.779 --> 00:16:09.730
look at. Treatment and substance use disorder,

00:16:09.970 --> 00:16:13.070
behavioral health, overdose response, all of

00:16:13.070 --> 00:16:15.710
that. There's absolutely public health work within

00:16:15.710 --> 00:16:19.230
that. So looking at, you know, how multifaceted

00:16:19.230 --> 00:16:22.710
are those investments? Is it just treatment or

00:16:22.710 --> 00:16:26.269
are there investments into that prevention community

00:16:26.269 --> 00:16:29.690
strategies as well? You know, you mentioned measles

00:16:29.690 --> 00:16:36.320
and if I'm not mistaken, isn't it a lot of. Don't

00:16:36.320 --> 00:16:37.799
we spend a lot of federal money on things like

00:16:37.799 --> 00:16:40.120
contact tracing and things like that in our programs?

00:16:41.059 --> 00:16:45.159
Yes and no. Right now we have federal funding

00:16:45.159 --> 00:16:49.860
through a grant that was authorized to local

00:16:49.860 --> 00:16:52.200
health jurisdictions because of the pandemic

00:16:52.200 --> 00:16:55.360
and COVID to help fund a lot of that disease

00:16:55.360 --> 00:16:58.659
investigation work. Without that funding, that...

00:16:58.860 --> 00:17:01.799
That work goes back to local governments who

00:17:01.799 --> 00:17:04.339
have been traditionally on the hook to fund that

00:17:04.339 --> 00:17:06.799
work. So the loss of those funds at the federal

00:17:06.799 --> 00:17:09.500
level doesn't necessarily handicap our ability

00:17:09.500 --> 00:17:13.640
to do that critical work around disease control.

00:17:13.920 --> 00:17:15.559
Oh, absolutely it does. Oh, it does. Because

00:17:15.559 --> 00:17:17.980
without that federal funding, then counties get

00:17:17.980 --> 00:17:21.920
the balance. That work doesn't stop just because

00:17:21.920 --> 00:17:23.859
the funding stops. You still have to respond

00:17:23.859 --> 00:17:26.920
to those outbreaks. You've just now removed a

00:17:26.920 --> 00:17:31.220
funding source from that equation. It is an FPHS

00:17:31.220 --> 00:17:34.039
activity, and so a lot of jurisdictions use FPHS

00:17:34.039 --> 00:17:37.220
to kind of braid into that. But without FPHS

00:17:37.220 --> 00:17:39.000
and without those federal fundings, that goes

00:17:39.000 --> 00:17:41.299
back to locals who've always been responsible

00:17:41.299 --> 00:17:50.250
in paying for that work. Interesting. the OGs

00:17:50.250 --> 00:17:52.650
of the unfunded mandate work for local public

00:17:52.650 --> 00:17:54.650
health. Look at you and your pop culture talk.

00:17:55.009 --> 00:17:57.170
I'm just so hip. I can't help it. Well, all the

00:17:57.170 --> 00:17:59.069
young listeners out there really appreciate that.

00:17:59.309 --> 00:18:01.890
You know, when people think of who's the hippest

00:18:01.890 --> 00:18:07.450
from Wasak, it's probably the two of us. Thank

00:18:07.450 --> 00:18:10.039
you for saying that. I appreciate it. I'm not

00:18:10.039 --> 00:18:11.500
sure others would agree with you, but we're going

00:18:11.500 --> 00:18:13.180
to go with it for today because it made me feel

00:18:13.180 --> 00:18:15.519
good. So I appreciate it. You know, I think I'm

00:18:15.519 --> 00:18:17.960
actually part of the first generation who really

00:18:17.960 --> 00:18:21.720
never knew measles. because of the fact that

00:18:21.720 --> 00:18:24.000
it was eradicated for the most part in the United

00:18:24.000 --> 00:18:26.220
States due to vaccinations. It's interesting

00:18:26.220 --> 00:18:28.200
that it's coming back, and it's interesting that

00:18:28.200 --> 00:18:31.720
it's coming back right now when all of this kind

00:18:31.720 --> 00:18:34.460
of financial upheaval is going on both at the

00:18:34.460 --> 00:18:36.920
federal and unfortunately at the local level.

00:18:37.259 --> 00:18:40.660
It doesn't bode well for kind of keeping measles

00:18:40.660 --> 00:18:44.099
at bay unless we're willing to. learn the lessons

00:18:44.099 --> 00:18:46.420
from the past really, right? And keep those investments

00:18:46.420 --> 00:18:50.180
in place and that infrastructure in place in

00:18:50.180 --> 00:18:53.279
public health jurisdictions, local health jurisdictions

00:18:53.279 --> 00:18:56.339
to do that really critical work around, you know.

00:18:57.639 --> 00:19:00.299
outbreak response and contact tracing and all

00:19:00.299 --> 00:19:02.980
that work. I know in many offices when something

00:19:02.980 --> 00:19:04.759
like that happens, it's almost an all hands on

00:19:04.759 --> 00:19:07.559
deck sort of thing. Other work kind of gets set

00:19:07.559 --> 00:19:10.559
aside while that work is going on because it's

00:19:10.559 --> 00:19:12.299
so critical and so important to make sure that

00:19:12.299 --> 00:19:14.799
you figure out where that came from, try to isolate

00:19:14.799 --> 00:19:16.519
it as much as possible and prevent the spread.

00:19:17.240 --> 00:19:20.380
Why is measles so dangerous? It's incredibly

00:19:20.380 --> 00:19:24.000
infectious, and it has learned to live for a

00:19:24.000 --> 00:19:26.799
long time in the air. So it can live for hours

00:19:26.799 --> 00:19:29.579
after somebody's been in the room. So we are

00:19:29.579 --> 00:19:33.359
in the immemorial Eric Johnson office right now.

00:19:34.319 --> 00:19:39.000
Would you guys stop? Eric, we all know you're

00:19:39.000 --> 00:19:43.460
alive. In fact, Eric is the OG of executive directors

00:19:43.460 --> 00:19:47.329
here at WASAC. Props to Eric. This is not the

00:19:47.329 --> 00:19:53.150
Eric Johnson Memorial office. Shout out to Eric.

00:19:53.309 --> 00:19:56.069
Anyways, go ahead. Anyway, so we walked into

00:19:56.069 --> 00:19:59.029
this office. I don't know. 10 minutes ago. 10

00:19:59.029 --> 00:20:01.410
minutes ago. Yeah, whatever. But we don't know

00:20:01.410 --> 00:20:03.569
who was in here, you know, two hours ago. True.

00:20:03.650 --> 00:20:06.190
And so it could, you know, so. So someone was

00:20:06.190 --> 00:20:08.190
in here two hours ago. Hours ago. Had measles.

00:20:08.190 --> 00:20:10.869
Had measles. Was infectious. That could still.

00:20:11.130 --> 00:20:13.589
Still is living in the air. Living infectious

00:20:13.589 --> 00:20:17.210
vectors could still. Yep. Wow. And that's one

00:20:17.210 --> 00:20:20.849
of the seriousnesses about measles is that it

00:20:20.849 --> 00:20:24.849
thrives in a way that other. diseases don't thrive

00:20:24.849 --> 00:20:27.309
all right jamie i can't remember when i had an

00:20:27.309 --> 00:20:31.450
mlr vaccine last time how long does that thing

00:20:31.450 --> 00:20:35.509
last you are probably okay okay i'm not going

00:20:35.509 --> 00:20:37.950
to texas anytime soon so yeah you're probably

00:20:37.950 --> 00:20:39.849
okay although i do love that barbecue there's

00:20:39.849 --> 00:20:42.349
nothing like mesquite wood and beef delicious

00:20:43.900 --> 00:20:46.140
Well, what else are you watching? What else are

00:20:46.140 --> 00:20:48.279
we paying attention to now that we've kind of,

00:20:48.319 --> 00:20:50.680
you know, I mean, we're screaming towards the

00:20:50.680 --> 00:20:53.440
next cutoff at this point. Yeah. So other budget

00:20:53.440 --> 00:20:56.200
things that we're looking at, just general prevention

00:20:56.200 --> 00:21:00.460
and community health budget items. These are

00:21:00.460 --> 00:21:05.460
things that are often very direct services or

00:21:05.460 --> 00:21:09.660
community focused, and are often some of the

00:21:09.660 --> 00:21:12.400
things that get cut. in tough budget times because

00:21:12.400 --> 00:21:16.039
they're not required by law. There are no mandates

00:21:16.039 --> 00:21:18.319
around them. They're not regulatory in nature,

00:21:18.420 --> 00:21:21.319
but they're the things that really help our community

00:21:21.319 --> 00:21:24.000
thrive. So thinking of things like our home visiting

00:21:24.000 --> 00:21:26.599
programs and a lot of that funding to bolster

00:21:26.599 --> 00:21:28.259
and strengthen home visiting programs. It looked

00:21:28.259 --> 00:21:29.779
like there were some cuts in at least one of

00:21:29.779 --> 00:21:32.069
the budgets. Yeah. So cuts around that. cuts

00:21:32.069 --> 00:21:34.549
around our tobacco prevention and education work.

00:21:34.789 --> 00:21:37.470
And so things like that where we're looking at

00:21:37.470 --> 00:21:41.990
of like how can we absorb or pivot or are we

00:21:41.990 --> 00:21:45.109
losing this at the state level and federal level

00:21:45.109 --> 00:21:49.230
and just kind of, you know, being aware of the

00:21:49.230 --> 00:21:51.829
funding landscape for these programs and services

00:21:51.829 --> 00:21:55.130
are changing drastically. Communicating, you

00:21:55.130 --> 00:21:59.609
know, their importance of things. And, you know,

00:21:59.609 --> 00:22:02.009
recognizing that it's a tough budget year. And

00:22:02.009 --> 00:22:05.529
when you have a tough budget year, you are obligated

00:22:05.529 --> 00:22:08.769
to do certain funding, obligated to make certain

00:22:08.769 --> 00:22:11.390
things whole and keep certain things whole. Right.

00:22:11.769 --> 00:22:14.269
Legally obligated, literally. Exactly. And so

00:22:14.269 --> 00:22:17.049
certain things get cut. Other things we're looking

00:22:17.049 --> 00:22:20.230
at is, you know, Medicaid and Medicare are going

00:22:20.230 --> 00:22:25.039
to change. Right. what that landscape looks like,

00:22:25.059 --> 00:22:26.680
that really depends a lot on what's happening

00:22:26.680 --> 00:22:30.359
federally. And so are we going to know that before

00:22:30.359 --> 00:22:34.779
this final budget? Maybe, but probably not. Probably

00:22:34.779 --> 00:22:37.279
not. And I'm not going to say it out loud because

00:22:37.279 --> 00:22:38.859
if you say it out loud, it's going to happen.

00:22:38.920 --> 00:22:42.099
But that might mean, you know, making some decisions

00:22:42.099 --> 00:22:45.180
at a future date. I didn't know you were so superstitious.

00:22:45.400 --> 00:22:48.220
I mean, it's like a Beetlejuice situation. Don't.

00:22:48.240 --> 00:22:51.680
If you see it. Don't. Say it. It happens, and

00:22:51.680 --> 00:22:54.440
so we're not going to. Okay. I was talking with

00:22:54.440 --> 00:22:57.440
Brad yesterday, and we were talking about some

00:22:57.440 --> 00:22:58.859
behavioral health stuff, and he was talking about

00:22:58.859 --> 00:23:01.240
the same exact thing. Really, really looking

00:23:01.240 --> 00:23:04.920
at those Medicaid dollars, wondering when that

00:23:04.920 --> 00:23:07.529
kind of... When that news is going to come, whether

00:23:07.529 --> 00:23:11.069
it's going to be good news, bad news, and what

00:23:11.069 --> 00:23:13.430
level of good news or bad news that's going to

00:23:13.430 --> 00:23:15.269
be and how that's going to affect programs, you

00:23:15.269 --> 00:23:19.190
and he overlap a lot in regards to Medicaid.

00:23:19.470 --> 00:23:21.829
I mean, it has a big role in public health. big

00:23:21.829 --> 00:23:24.109
role in behavioral health, big role for just

00:23:24.109 --> 00:23:26.309
healthcare in general, human services for sure.

00:23:26.450 --> 00:23:29.150
And so, you know, that's going to be one probably

00:23:29.150 --> 00:23:32.069
July where we're going to know how, you know,

00:23:32.089 --> 00:23:34.190
is that shoe going to drop? How big, how big

00:23:34.190 --> 00:23:37.950
of a drop, what that looks like and what adjustments

00:23:37.950 --> 00:23:41.690
the state might need to do to address, address

00:23:41.690 --> 00:23:43.369
what's happening at the federal level. And it's

00:23:43.369 --> 00:23:46.029
just one where we don't know, we know something's

00:23:46.029 --> 00:23:48.190
coming. We know something's changing and that's

00:23:48.190 --> 00:23:50.549
about it. Yeah. That's all we know so far. Well,

00:23:50.609 --> 00:23:54.910
Jamie, Great talking to you today. Again, it's

00:23:54.910 --> 00:23:57.529
always really interesting to get a read on what's

00:23:57.529 --> 00:24:01.250
happening after we hit a milestone in the legislative

00:24:01.250 --> 00:24:04.230
session, which we just did yesterday on opposite

00:24:04.230 --> 00:24:08.490
house cutoff. We really are moving very quickly

00:24:08.490 --> 00:24:11.089
towards the last cutoff, which is the opposite

00:24:11.089 --> 00:24:13.309
house floor. We also skipped another important

00:24:13.309 --> 00:24:15.940
milestone. at the legislature. What? And that

00:24:15.940 --> 00:24:18.920
is what I like to refer to as blossom fever.

00:24:19.319 --> 00:24:21.799
Blossom fever. And that is when the cherry blossoms.

00:24:21.980 --> 00:24:24.359
Well, that was last week. Start blooming and

00:24:24.359 --> 00:24:26.680
all of the lobbyists and legislators have to

00:24:26.680 --> 00:24:29.480
take their obligatory. cherry blossom pictures

00:24:29.480 --> 00:24:31.920
and become influencers for a week. It's not just

00:24:31.920 --> 00:24:35.279
the people who work here. Those trees were attracting

00:24:35.279 --> 00:24:37.259
people from all over the place. They were like

00:24:37.259 --> 00:24:39.720
bees to honey. They were. And it's fun to see.

00:24:39.779 --> 00:24:41.480
It's fun to get a little bit of love out of you.

00:24:41.720 --> 00:24:44.839
Well, talk about fun things. And as we start

00:24:44.839 --> 00:24:47.059
moving towards kind of the last few days of the

00:24:47.059 --> 00:24:49.160
legislative session, I was really disappointed

00:24:49.160 --> 00:24:55.589
to see both the... State clam bills die this

00:24:55.589 --> 00:24:59.509
year. The geoduck versus razor clam bill. both

00:24:59.509 --> 00:25:04.130
of them vying to be the state clam. Even in testimony,

00:25:04.230 --> 00:25:06.990
one tried to get the other to accept state bivalve

00:25:06.990 --> 00:25:14.529
rather than state clam. This was a very serious...

00:25:14.529 --> 00:25:16.410
You've got to love a passionate group of people

00:25:16.410 --> 00:25:19.630
who are very passionate about a very niche topic.

00:25:19.849 --> 00:25:23.309
And I could come up with a whole lot of plays

00:25:23.309 --> 00:25:26.450
on words. I could come up with a whole lot of

00:25:26.450 --> 00:25:28.970
puns right now. I'm going to clam up. I'm not

00:25:28.970 --> 00:25:31.289
going to do that, right? Will you at least offer

00:25:31.289 --> 00:25:34.029
a pearl of wisdom? Maybe. I might dig in a little

00:25:34.029 --> 00:25:36.369
bit on some things, but I'm not going to get

00:25:36.369 --> 00:25:39.950
too shellfish and take all of the airtime here.

00:25:40.609 --> 00:25:43.309
But I wanted to just riff on something really

00:25:43.309 --> 00:25:45.470
quickly with you because I was actually talking

00:25:45.470 --> 00:25:47.349
about this with a personal conversation with

00:25:47.349 --> 00:25:49.269
somebody the other day because we were kind of

00:25:49.269 --> 00:25:51.309
talking about razor clams and how good they were.

00:25:51.750 --> 00:25:55.240
But someone mentioned that we have this. state

00:25:55.240 --> 00:26:00.200
marine testing facility and program for shellfish

00:26:00.200 --> 00:26:03.339
here in Washington State. And looking into it,

00:26:03.380 --> 00:26:06.720
it's kind of a big... It's kind of a big deal

00:26:06.720 --> 00:26:10.819
around public health. And, you know, testing

00:26:10.819 --> 00:26:13.359
these, you know, we were actually talking about

00:26:13.359 --> 00:26:15.460
the upcoming razor clam digging seasons because

00:26:15.460 --> 00:26:17.220
there's always spring seasons to dig. I know

00:26:17.220 --> 00:26:20.339
you like to dig clams. I love to dig clams. But

00:26:20.339 --> 00:26:22.859
they actually go out and they test these clams

00:26:22.859 --> 00:26:25.920
like right before the season starts every single

00:26:25.920 --> 00:26:28.119
time. And what are they looking for when they

00:26:28.119 --> 00:26:31.740
do that? So it depends on the shellfish. So for,

00:26:31.779 --> 00:26:33.720
you know. Let's just stick with razor clams for

00:26:33.720 --> 00:26:37.140
fun. Well, razor clams is more of the parasites

00:26:37.140 --> 00:26:42.079
that prevent razor clams from, that hurt the

00:26:42.079 --> 00:26:45.039
razor clams. Okay. But like oysters, for example,

00:26:45.240 --> 00:26:47.279
will get tested at the state public health lab

00:26:47.279 --> 00:26:49.970
and they're looking for certain. uh bacteria

00:26:49.970 --> 00:26:52.990
and biotoxin that are harmful for humans so not

00:26:52.990 --> 00:26:54.769
necessarily harmful to the oysters themselves

00:26:54.769 --> 00:26:58.609
but if we ingest them as humans we get sick so

00:26:58.609 --> 00:27:01.509
when you say we get sick what do you mean by

00:27:01.509 --> 00:27:04.490
i'm talking um there's a whole wide range of

00:27:04.490 --> 00:27:08.690
things um at a minimum some you know not fun

00:27:08.690 --> 00:27:13.839
gi stomach things more serious you know you're

00:27:13.839 --> 00:27:16.160
getting I heard there was a paralytic thing yeah

00:27:16.160 --> 00:27:19.950
you're getting you know more neurotoxin effects

00:27:19.950 --> 00:27:22.789
of things. And so the warmer the water gets,

00:27:22.970 --> 00:27:27.529
so you'll often see advisories come June, July,

00:27:27.690 --> 00:27:32.569
August, September, really July, August of monitor

00:27:32.569 --> 00:27:35.529
what you're eating in terms of shellfish, particularly

00:27:35.529 --> 00:27:37.710
oysters. Not a great time of the year to eat

00:27:37.710 --> 00:27:40.930
oysters, although I love oysters. Yeah, all year

00:27:40.930 --> 00:27:42.829
long. I would say any time of year is a great

00:27:42.829 --> 00:27:45.569
time to eat oysters, but you're increasing your

00:27:45.569 --> 00:27:48.769
risk. So in warmer waters? Warmer waters. that

00:27:48.769 --> 00:27:50.869
provide a more rich environment for those bacteria

00:27:50.869 --> 00:27:53.990
and biotoxins to grow. So the best time to eat

00:27:53.990 --> 00:27:57.309
oysters is colder time. December, January, February.

00:27:57.609 --> 00:28:00.210
Really, even now. Because the water is still

00:28:00.210 --> 00:28:03.529
pretty cold. Yep. But, you know, one of the things

00:28:03.529 --> 00:28:05.789
that public health does, and this is where it

00:28:05.789 --> 00:28:07.690
connects with businesses, is shellfish. I mean,

00:28:07.710 --> 00:28:11.529
razor clamming. gooey ducks, oysters, mussels,

00:28:11.569 --> 00:28:14.829
clams, huge economic driver in Washington State,

00:28:14.890 --> 00:28:17.029
particularly on the sound and the coast. Big

00:28:17.029 --> 00:28:19.210
markets, big businesses, huge export market.

00:28:19.390 --> 00:28:25.470
And so those shellfish beds are precious. You

00:28:25.470 --> 00:28:27.690
need to preserve the quality of those shellfish

00:28:27.690 --> 00:28:29.750
beds. If you're closing down shellfish beds,

00:28:29.869 --> 00:28:33.490
that is a... big economic hit to companies, to

00:28:33.490 --> 00:28:35.569
businesses, to communities, right? You're talking

00:28:35.569 --> 00:28:39.089
jobs, you're talking other things. And so public

00:28:39.089 --> 00:28:41.230
health works really hard to make sure that those

00:28:41.230 --> 00:28:43.890
shellfish beds can stay open or even expanded.

00:28:44.430 --> 00:28:48.329
And so we do that through on -site septic regulations.

00:28:48.569 --> 00:28:51.049
We do that through shellfish monitoring and testing

00:28:51.049 --> 00:28:53.670
and all of those things. And that's an important

00:28:53.670 --> 00:28:56.170
part of the work that we do. Well, that is really

00:28:56.170 --> 00:28:59.319
cool. I have to ask, though, what happened before

00:28:59.319 --> 00:29:01.940
public health when people went out to dig clams?

00:29:02.400 --> 00:29:05.299
Did they just did someone have to draw the short

00:29:05.299 --> 00:29:10.059
straw and eat the first clam? Because I've seen

00:29:10.059 --> 00:29:12.319
them close those beaches in December when the

00:29:12.319 --> 00:29:15.059
water is cold, saying that the marine biotoxin

00:29:15.059 --> 00:29:16.700
level was too high. I mean, there was a whole,

00:29:16.799 --> 00:29:21.259
almost a whole year there where the razor clam

00:29:21.259 --> 00:29:23.339
seasons just weren't open for the most part.

00:29:23.420 --> 00:29:25.640
And every time it was because they kept testing,

00:29:25.680 --> 00:29:27.619
kept testing. And I think they were talking about

00:29:27.619 --> 00:29:30.099
like red tides or green tides or something like

00:29:30.099 --> 00:29:33.819
this that caused too much of that biotoxin. And

00:29:33.819 --> 00:29:36.740
literally it was, it wouldn't just make you sick.

00:29:36.799 --> 00:29:39.579
They said it was literally. dangerous to your

00:29:39.579 --> 00:29:42.640
health. It could kill you. So I want to know,

00:29:42.680 --> 00:29:46.019
what did we do before public health where shellfish

00:29:46.019 --> 00:29:50.420
were concerned? Did we have really highly paid

00:29:50.420 --> 00:29:55.220
risk -taking shellfish tasters? What did we do?

00:29:55.500 --> 00:29:59.259
I mean, I don't know when the shellfish program

00:29:59.259 --> 00:30:01.980
started. I would imagine we weren't probably

00:30:01.980 --> 00:30:05.349
living. where we were living in such high concentrated

00:30:05.349 --> 00:30:08.769
numbers. And so, you know, we weren't, you know,

00:30:08.769 --> 00:30:12.190
building an outhouse right on the water kind

00:30:12.190 --> 00:30:15.990
of situation. But yeah, it's definitely something

00:30:15.990 --> 00:30:19.750
where it's a good example of when something becomes

00:30:19.750 --> 00:30:23.630
an issue or a concern and a problem and government

00:30:23.630 --> 00:30:26.869
works well with businesses to make sure that

00:30:26.869 --> 00:30:30.440
people are safe. and healthy but economic businesses

00:30:30.440 --> 00:30:33.619
can thrive and well shellfish eaters everywhere

00:30:33.619 --> 00:30:36.960
um probably thank you yeah you know yeah thank

00:30:36.960 --> 00:30:39.240
public health Always bringing the fun. Yeah.

00:30:39.319 --> 00:30:41.039
That's what we do. I don't, I certainly wouldn't

00:30:41.039 --> 00:30:42.960
sign up to be the shellfish taster. That's for

00:30:42.960 --> 00:30:44.859
sure. Back in the old days. Well, Jamie, maybe

00:30:44.859 --> 00:30:47.900
it's the same as the mushroom taster. It was

00:30:47.900 --> 00:30:52.279
just like, Oh, let's go ask good old Axel over

00:30:52.279 --> 00:30:54.599
here to go taste some shellfish and some mushrooms

00:30:54.599 --> 00:30:57.880
and see, see what happens. And all right, give

00:30:57.880 --> 00:31:00.339
him 12 hours. And if he's still kick, you know,

00:31:00.359 --> 00:31:02.079
if he's still around, then it's good. And by

00:31:02.079 --> 00:31:04.539
Axel, we're not talking about anyone more. We

00:31:04.539 --> 00:31:07.240
know we're talking about just the. Hypothetical.

00:31:07.369 --> 00:31:09.990
The hypothetical. Yeah. Just to clarify that.

00:31:10.490 --> 00:31:13.690
All right. That's quite a way to finish a podcast.

00:31:14.549 --> 00:31:18.150
Well, thanks, Jamie. You know, we've only got

00:31:18.150 --> 00:31:19.950
a couple weeks left. I'm sure you and I'll have

00:31:19.950 --> 00:31:21.710
a chance to chat again. But until then, take

00:31:21.710 --> 00:31:25.720
care, okay? Yep. All right. Thanks for tuning

00:31:25.720 --> 00:31:27.960
in to County Connection. Stay in the loop by

00:31:27.960 --> 00:31:30.319
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00:31:33.039 --> 00:31:35.220
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00:31:35.240 --> 00:31:37.440
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00:31:37.440 --> 00:31:39.660
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00:31:39.779 --> 00:31:42.500
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