WEBVTT

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What are they teaching you? It's the fun facts

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about rural America. For $9 .95, you can get

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a diploma. From Poupon U. Or a degree with your

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name on it. In fancy script. You too can be an

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alumni. I'm just going to order this online and

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put it in my office. Welcome to County Connection,

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the official podcast of the Washington State

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Association of Counties, where we dive into the

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legislative issues shaping the future of our

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communities. From budgets to public safety, infrastructure

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to elections, we'll break down what's happening

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in Olympia and how it impacts counties from across

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the Evergreen State. Stay informed, stay engaged,

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and join us as we amplify the voice of Washington's

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39 counties. Welcome, 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. It is Wednesday

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of the very last week of session. It is beautiful

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outside, but I'm inside hanging out with Jamie

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Bodden, managing director of the Washington State

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Association of Local Public Health Officials.

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Jamie, we are this close, and if people could

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see my fingers and how... closely aligned they

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are they're less than an inch apart we are this

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close to the end of the legislative session it's

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the final countdown t minus five well it's t

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minus three five four yeah there's five days

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to go right wednesday thursday friday saturday

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sunday so i mean if you counted today You hit

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it right on. T minus five. Nicely done. I know

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we're not quite finished and there's a few things

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that are still kind of hanging out there, but

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we know a lot already, right? Policy bills are

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through for the most part. The things that we

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were working on as far as our legislative agenda

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items have made it. either all the way through

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or they haven't. I know you've even been to some

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bill signings already with the governor's office.

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Let's do a quick recap of how things went this

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session for you and for Wasafo. Yeah, for public

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health, policy -wise, it felt like a grind at

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times, but... We actually really had a great

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session. I'm really, really, really pleased with

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the session that we had. We got both of our policy

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bills across the finish line. Remind us which

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ones those were. One was House Bill 1947. It

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was a Group B water systems bill. Okay, I remember

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that one. And then we had Senate Bill 5163, updating

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our child fatality statute. And both of those

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have been signed by the governor, and they are

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done. We've gotten the pen. We've taken the pictures,

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got the postcard. We're done. So really, really

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excited. Did you get the t -shirt? Not yet, but

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do have plans for the t -shirt. Been there, done

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that, got the t -shirt. That's what I always

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like to say. So not only did you get... both

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bills through both sides of the legislature,

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but you even had them signed by the governor.

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So they are law as we speak. Yes. I mean, obviously

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they go into effect, you know, within 90 days

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or a certain period of time, but correct, but

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they, they will become law, but they will become

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law, which is really exciting. Yeah. Yeah. Nice

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job. It's always really fun to, uh, to, to see

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the, you know, you, you work a bill really hard.

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all through session it's all you talk about you

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live and breathe it um so so being able to to

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kind of tie it with a bow at the end. Usually

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happens after session when everybody's gone and

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it's not as exciting. So being able to do that

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while session's still here is really nice. Yeah,

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they seem to be doing a lot of bill signings

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really early this year compared to what they've

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done in the past. It's pretty remarkable that

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you were able to get both of those bills through

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first year of the session. You know, we've talked

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a lot on this podcast with you and with others.

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And I don't remember if you and I have talked

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about this particular piece, but, you know, passing

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a bill. in Olympia is not easy. It can even be

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a really easy item that no one objects to that's

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non -controversial. It's still hard to do. This

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system is built to make you fail. So for you

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to be able to get both of them through, that's

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a pretty good little batting average. Nice job.

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Yeah. I think we had a couple of things in our

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favor. 5163, our child fatality bill, was actually

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a carryover from last year. And it is one of

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those bills where it's like, this is what we

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would refer to in the biz as a good little bill.

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That's what everybody says about their bills.

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It's a good little bill. I'm here to talk to

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you about this good little bill. But in this

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case, we felt like it truly was. How come nobody

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ever says, I'm here to talk to you about this

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really bad little bill? Please pass this bad

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little bill. No one ever says that. And I think

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we all know why. Clearly, we're at the end of

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the session. Because that wouldn't be a funny

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joke at any other time of the year. We'd be like,

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oh, no, Paul. Yeah, wow, Paul. What are you doing?

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But, you know, it's one where we're not... bringing

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a whole new policy initiative. We're not really

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changing much. It's just updating and finding

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efficiencies and finding things that need to

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be improved upon existing legislation. So it's

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kind of a bill that tidies things up. And last

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year we thought, you know. Sounds more like an

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average little bill to me. Well, whatever, whatever

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size it is, it does good work. But, you know,

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last year we thought, oh, this is going to sail

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right through, you know, because who's going

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to, you know, who's going to have issues with

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this? Well, we did find that there was issues

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with it. And so sometimes a bill that's not controversial

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that you think is going to sail through doesn't

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just because no one gets excited about it. Right.

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And so, you know, when you're fighting for floor

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time at the end and whatnot, it just kind of

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gets forgotten about, too. And so, you know,

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worked over the interim to get the bill in a

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better place and were able to present. it this

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year. We were really fortunate in that we had,

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you know, a champion in the Senate and a new

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freshman representative in the House who wanted

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to take both of the bills on. Ultimately, it

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went to the Senate. And our sponsor on the bill,

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Senator Orwell, had experienced and it sat through

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a child fatality review. So she knew the issue

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that we were clarifying, experienced the challenge

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that we were attempting to clarify in, you know,

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in. that review. That's always helpful. And so

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she was able to really speak eloquently and speak

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to the purpose of that bill. So I think taking

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that extra time to tidy it up over the interim

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really helped move it along. What's also great

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about that bill is that there was no price tag.

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connected to that bill for local government.

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Super important. So we got to talk about, hey,

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foundational public health services supports

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a lot of this work at the local level. We're

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already funding it. We're already doing it. We're

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not asking you for money to do it. We're just

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asking you for you to help us clarify and update

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it. And that's a very attractive talking point

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in a session where budget is everybody's asking

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for money and begging not to be cut. Yeah. Asking

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for money was. Almost a non -starter this year.

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It was certainly the thing that put a lot of

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bills or left a lot of bills on the cutting room

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floor, that's for sure. And that is a great kind

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of segue to our other group, Be Water Systems

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Bill, where, again, the cost to implement, there

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is no change in the cost to implement at the

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local level. So, you know, we're net zero for

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local health jurisdictions to implement this

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program, but we're finding efficiencies. and

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where regulations can be relaxed and homeowners

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can save money. So again, another attractive

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argument in this budget climate, as well as something

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that both Republicans and Democrats can support

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when we talk about saving money to homeowners,

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giving money back to homeowners, deregulating

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when it makes sense. I think that was on our

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side for getting this bill swiftly through session.

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We really had zero hangups on this particular

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bill. Well, good. What other bills were you watching,

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both from a, you know, hey, that's a problem

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bill. to, you know, hey, this is a really good

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bill. Which ones were you watching that had good

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outcomes? Yeah. And of course, good outcomes

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could mean the bill didn't pass too, right? Correct.

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Yeah. So I think one of our early podcast episodes,

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we talked about to regulate or not to regulate.

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We talked about home kitchens and water recreation

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facilities. Oh, yeah. I remember that conversation.

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A callback. And so those are two examples of

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bills dying. We followed them really closely.

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And one of those where really tried to... the

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pools it was like um like airbnb for pools right

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yes yeah yeah um and and both of those um ended

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up dying um i believe early on in session um

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and you know that's the way that those go um

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we were excited to see that happen so those are

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policy wins even though it was something we were

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opposed to you think they'll be back um i think

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I mean, Home Kitchens has been back quite a few

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times, right? I wouldn't be surprised if Home

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Kitchens is back. I know we're having conversations

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with a lot of stakeholders, including our state

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partners and food industry and hospitality around

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larger food entrepreneurship concepts. of which

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micro enterprise things are a piece of that.

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And so I think we'll see it come back in probably

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a couple of different policy options over the

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next couple of years. Water recreation, I don't

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know if it'll be back or not. I think it might

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be one where Department of Health might be able

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to do what they need to do in rulemaking and

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everything else is just one of those where it's

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like, maybe we don't regulate. Maybe the time

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isn't right to... for this policy policy initiative

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that they, that, you know, they, they might want

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to, they might want to push for. So I, I wouldn't

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be surprised if that one does not come back next

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session. Seems like that one would be pretty

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controversial. Yeah, I think, I think it is.

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So two bills that we were, you know, went fast

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and furious early on. Another bill that we monitored

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closely, and I've already forgotten the number

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for it because it's one of those things where

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it was like, I had to care about it during session.

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And now that it's over, it's immediately out

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of my mind. And from year to year, I want to

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say, I want to say it's like 1422. I might be

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wrong on that, but it was a bill that was focused

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on our women, infants and children's program,

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the WIC program. And that bill removed the requirement

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for medical assistance to be certified to provide

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the hematological screenings. So the finger pricks

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or the hip pokes. Yeah, I remember that conversation

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too. To test for anemia and lead and other things.

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And we really liked that bill from not only just

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a customer service perspective, side of things

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of being able to provide more comprehensive service

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to our WIC families as they were, you know, intake

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as part of the intake. process to participate

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in the WIC program, but also from a workforce

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perspective of now anybody can be trained in

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that and provide that service. We don't have

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to seek out a specific certification or specific

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job title or a specific job position to actually

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do the test. Now, did that bill pass? That bill

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did pass. And that also passed pretty quickly.

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So it's not 1422. I just looked that up. 1422

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is the drug take back program bill. But you're

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close. Different DOH bill. Definitely a DOH bill,

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but not the right number. So we'll have to get

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back to people on that number but that was the

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one uh what did you okay say the word again hematological

00:12:06.669 --> 00:12:10.450
hematological testing right yep okay I'm trying

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to, if people could see me, I'm trying to spell

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this out. I'm like sounding it out in my brain.

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Hematological testing. Okay. We'll have to get

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back to folks on that particular bill number.

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But that was a good bill and that one passed.

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And that one passed. So we've got two bad bills

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that didn't pass, one good bill that did pass.

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Another bill, another good example of a bill

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that we didn't like that we worked on throughout

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all of session. And my apologies to LSC members.

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You've heard me talk about this bill probably

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more than you want. But 1154 is the solid waste

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handling bill. That's one where we had concerns

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right out of the gate. worked really hard to

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get the bill in a position where our concerns

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were addressed, had some outstanding concerns

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throughout session that we just couldn't. get

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the language right, couldn't get the language

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right. And then finally, at the kind of the 11th

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hour, you know, was able to get some floor language

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put in that made it better. I think we still

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had concerns at the end of the day and still

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weren't completely comfortable with the bill

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at the end of the day. But it's a good example

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of you got to work the bill throughout the process.

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Even if you don't like it, you can't just say

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no, you got to be working on it. Otherwise, you

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get taken out of the conversation and things

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move forward without you. And so a good example

00:13:39.570 --> 00:13:42.169
of you got to work it till it's over and you

00:13:42.169 --> 00:13:44.090
got to work the bill, even if you don't want

00:13:44.090 --> 00:13:46.070
to, even if it's not something that you like,

00:13:46.129 --> 00:13:48.370
you still got to work it. We had a lot of outcomes

00:13:48.370 --> 00:13:50.889
like that this year where, you know, there were

00:13:50.889 --> 00:13:53.049
some pretty unpopular bills out there, not just

00:13:53.049 --> 00:13:56.029
in public health, but in other issue areas as

00:13:56.029 --> 00:13:58.710
well, where we just kept working the bill, working

00:13:58.710 --> 00:14:00.450
the bill, working the bill. And at the end of

00:14:00.450 --> 00:14:02.950
the day, you know, the outcome either was, you

00:14:02.950 --> 00:14:04.879
know, the, not the worst possible, outcome for

00:14:04.879 --> 00:14:08.139
us or the bill ended up dying. But there's a

00:14:08.139 --> 00:14:10.940
lot of other groups out there that we witnessed

00:14:10.940 --> 00:14:13.379
that just go, nope, we're opposed to this bill.

00:14:13.500 --> 00:14:17.279
And they just kind of shut down on it. And every

00:14:17.279 --> 00:14:19.379
time a new version of the bill comes out, it's

00:14:19.379 --> 00:14:21.860
just, nope, nope, nope. And I think it's always

00:14:21.860 --> 00:14:25.539
just in hopes of killing the bill. And sometimes

00:14:25.539 --> 00:14:28.179
that works, but sometimes that strategy can really

00:14:28.179 --> 00:14:30.019
backfire. And I agree with you. You're much better

00:14:30.019 --> 00:14:32.840
off trying to stay as engaged as possible because

00:14:32.840 --> 00:14:37.960
the worst outcome in Olympia isn't losing, it's

00:14:37.960 --> 00:14:40.899
not being at the table when the discussion actually

00:14:40.899 --> 00:14:44.279
happens, right? I mean, that should be your worst

00:14:44.279 --> 00:14:48.580
fear as an advocacy professional here in this

00:14:48.580 --> 00:14:51.940
town. Yeah. And I think we are a small enough

00:14:51.940 --> 00:14:55.919
organization where we're really conservative

00:14:55.919 --> 00:15:01.500
in how many oppositions we take on bills. We're

00:15:01.500 --> 00:15:07.139
not big. We don't fund campaigns. We don't have

00:15:07.139 --> 00:15:11.200
a lot of capital and resources behind us. Our

00:15:11.200 --> 00:15:15.539
capital is our presence in Olympia and our relationships

00:15:15.539 --> 00:15:18.799
that we have. So we have to be very judicial

00:15:18.799 --> 00:15:21.600
about when do we come out in strong opposition

00:15:21.600 --> 00:15:25.720
to something. And when do we take the softer

00:15:25.720 --> 00:15:30.360
position of concerns or other because we want

00:15:30.360 --> 00:15:32.700
to be part of that conversation and work those

00:15:32.700 --> 00:15:35.179
bills? Well, and we're government partners, right?

00:15:35.259 --> 00:15:38.879
We're not a special interest. We're not a business

00:15:38.879 --> 00:15:41.820
interest or something like that. We were the

00:15:41.820 --> 00:15:44.059
ones who actually implement majority of what

00:15:44.059 --> 00:15:48.429
they pass up there on the hill in Olympia. And

00:15:48.429 --> 00:15:53.809
it really behooves us. And I think it mandates

00:15:53.809 --> 00:15:56.490
a strategy of being more collaborative, even

00:15:56.490 --> 00:15:58.269
when we disagree with a policy or have concerns

00:15:58.269 --> 00:16:00.870
about it, trying to make it better so that at

00:16:00.870 --> 00:16:02.870
the end we have something that's workable. And

00:16:02.870 --> 00:16:06.210
it comes back to you, right? When you can be,

00:16:06.370 --> 00:16:08.769
I want to be helpful. I want to come find some

00:16:08.769 --> 00:16:11.830
solutions. I want to work on this together. Great.

00:16:11.830 --> 00:16:14.169
Then there's going to be another bill that's

00:16:14.169 --> 00:16:16.049
either this session and this happened to us where

00:16:16.049 --> 00:16:18.490
we got pulled into things of like, hey, we need

00:16:18.490 --> 00:16:20.350
to figure out how to make this particular policy

00:16:20.350 --> 00:16:22.350
work. Can you help us? And it's like, all right,

00:16:22.389 --> 00:16:24.389
let's find some solution. It wasn't a bill that

00:16:24.389 --> 00:16:26.370
we were following. It wasn't a bill that we had

00:16:26.370 --> 00:16:29.110
a strong position on, but we were seen as a resource

00:16:29.110 --> 00:16:31.330
to help make the bill better, to move it along.

00:16:31.929 --> 00:16:35.190
And we got pulled into the wings before our floor

00:16:35.190 --> 00:16:37.490
votes to work on some amendments. The amendments

00:16:37.490 --> 00:16:40.789
got drafted, the bill moved forward. That got

00:16:40.789 --> 00:16:43.769
us some really great goodwill with those legislators.

00:16:44.289 --> 00:16:47.370
It was helpful for us because we're seen as a

00:16:47.370 --> 00:16:50.730
valuable voice into that process and a desired

00:16:50.730 --> 00:16:53.129
partner. And that's only going to help us move

00:16:53.129 --> 00:16:56.009
forward. Yeah, and that happened to us in other

00:16:56.009 --> 00:16:58.690
policy areas this year as well. And in previous

00:16:58.690 --> 00:17:01.350
years, the only downside to that sometimes is

00:17:01.350 --> 00:17:04.759
suddenly... you get helpful on a bill that you

00:17:04.759 --> 00:17:07.259
had nothing to do with. Yeah, there are times.

00:17:07.420 --> 00:17:09.660
And now it's a county bill, and you go, whoa,

00:17:09.700 --> 00:17:12.759
whoa, whoa, wait a minute. This wasn't our idea.

00:17:13.200 --> 00:17:15.779
And now somebody who hates the bill is really

00:17:15.779 --> 00:17:19.400
upset at you, and they want to know why you helped

00:17:19.400 --> 00:17:22.680
to pass that bill. Yes, boundaries are important.

00:17:22.859 --> 00:17:25.779
Yeah, there's always a downside to every upside.

00:17:26.019 --> 00:17:30.140
But you're right. I think when everything balances

00:17:30.140 --> 00:17:32.460
out, it's much better. better to be seen as a

00:17:32.460 --> 00:17:36.220
collaborator and as a resource and as a valued

00:17:36.220 --> 00:17:39.339
partner than it is as an adversary. But, you

00:17:39.339 --> 00:17:40.839
know, occasionally you have to take that position

00:17:40.839 --> 00:17:43.880
in an adversarial way. And it's appropriate to

00:17:43.880 --> 00:17:45.940
fight against bad ideas. And it's appropriate,

00:17:46.019 --> 00:17:48.700
you know, to speak up when things are not going,

00:17:48.799 --> 00:17:50.619
you know, the way that you believe they should.

00:17:50.660 --> 00:17:57.480
But you want to try to do that, I think. That

00:17:57.480 --> 00:18:00.920
shouldn't be your default position on everything.

00:18:01.099 --> 00:18:02.619
You know what I mean? It should be the exception,

00:18:02.779 --> 00:18:05.900
not the rule. I agree. Well, you kind of mentioned,

00:18:05.960 --> 00:18:08.680
you know, that next bill or that future. And

00:18:08.680 --> 00:18:12.039
I know we're kind of waiting for budgets, the

00:18:12.039 --> 00:18:14.319
final budgets to come out. Like I said, it's

00:18:14.319 --> 00:18:18.460
Wednesday. We saw Thursday and Friday. We're

00:18:18.460 --> 00:18:20.880
hearing all kinds of rumors right now as to when

00:18:20.880 --> 00:18:23.160
the budget's going to come out. Earlier this

00:18:23.160 --> 00:18:25.559
week, we were hearing as early as today. I think

00:18:25.559 --> 00:18:27.859
we've all heard that that's not happening today.

00:18:28.839 --> 00:18:32.180
And I've heard all kinds of rumors that tomorrow

00:18:32.180 --> 00:18:34.500
at the latest. And then I've heard, nope, not

00:18:34.500 --> 00:18:36.779
going to happen until Friday, tomorrow at the

00:18:36.779 --> 00:18:41.079
earliest. And the truth is, you know. That's

00:18:41.079 --> 00:18:43.019
typical for this time of year. All kinds of rumors

00:18:43.019 --> 00:18:45.859
are swirling around. Nobody really knows except

00:18:45.859 --> 00:18:49.160
for the budget writers and usually only a little

00:18:49.160 --> 00:18:50.859
while before the budget actually gets released.

00:18:51.559 --> 00:18:54.299
So obviously we're all kind of sitting on pins

00:18:54.299 --> 00:18:55.740
and needles a little bit, kind of waiting for

00:18:55.740 --> 00:19:00.299
that to happen. What are you hoping for as we

00:19:00.299 --> 00:19:04.319
look towards the final budgets? Well, we're really

00:19:04.319 --> 00:19:08.119
anxiously watching what FPHS, what foundational

00:19:08.119 --> 00:19:10.059
public health services looks like. Yeah, we've

00:19:10.059 --> 00:19:11.740
talked a lot about that. We've talked a lot about

00:19:11.740 --> 00:19:15.599
it. And it's one where it's been incredibly powerful

00:19:15.599 --> 00:19:19.759
and meaningful and impactful for local government

00:19:19.759 --> 00:19:22.440
and local health jurisdictions. So that's one

00:19:22.440 --> 00:19:26.140
that's... high on our radar. But we're also looking

00:19:26.140 --> 00:19:29.200
at other things. We talked about opioid and prevention

00:19:29.200 --> 00:19:31.980
and substance use disorder investments, looking

00:19:31.980 --> 00:19:34.700
at that, looking at some of the prevention things

00:19:34.700 --> 00:19:44.259
around home visiting or health equity or school

00:19:44.259 --> 00:19:48.140
-based health centers, some of that kind of tertiary

00:19:48.140 --> 00:19:50.619
work that public health might be involved in

00:19:50.619 --> 00:19:53.900
um from an environmental public health standpoint

00:19:53.900 --> 00:19:55.900
we're looking at drinking water we're looking

00:19:55.900 --> 00:19:58.920
at environmental toxin hazardous cleanup that

00:19:58.920 --> 00:20:02.240
kind of thing yeah um all of those things that

00:20:02.240 --> 00:20:03.920
we expect to be in the budgets we're just not

00:20:03.920 --> 00:20:06.579
quite sure at what level yep and then we know

00:20:06.579 --> 00:20:09.900
that they'll they're probably putting a pin in

00:20:09.900 --> 00:20:13.359
it if if if nothing else around medicaid um for

00:20:13.359 --> 00:20:17.029
the budget this year knowing that What's coming

00:20:17.029 --> 00:20:21.049
federally is going to change that over time.

00:20:21.490 --> 00:20:24.210
So really one of those things where we're looking

00:20:24.210 --> 00:20:26.829
at what are they passing? They don't know what's

00:20:26.829 --> 00:20:28.450
coming federally. We don't know what's coming

00:20:28.450 --> 00:20:31.410
federally. But we know that something is, some

00:20:31.410 --> 00:20:33.609
change is coming. And so kind of just watching

00:20:33.609 --> 00:20:36.759
that. just interested and seeing where that goes.

00:20:36.859 --> 00:20:38.400
Yeah, we had a chat about that just a little

00:20:38.400 --> 00:20:41.740
while ago on a podcast where we talked just specifically

00:20:41.740 --> 00:20:44.559
about what you were starting to see at the federal

00:20:44.559 --> 00:20:47.819
level. What has changed since then, if anything,

00:20:48.099 --> 00:20:52.299
and what kind of impact? How do I phrase this?

00:20:52.400 --> 00:20:55.240
The federal dollars that come to Washington State

00:20:55.240 --> 00:20:59.839
for Medicaid. are enormous and the money that

00:20:59.839 --> 00:21:04.539
is spent in our budget with hca apple health

00:21:04.539 --> 00:21:09.359
etc is primarily funded by those medicaid dollars

00:21:09.359 --> 00:21:14.480
right so if there were a significant change in

00:21:14.480 --> 00:21:19.769
what we receive from the federal government How

00:21:19.769 --> 00:21:22.029
is that going to affect this budget? What should

00:21:22.029 --> 00:21:25.329
we expect at some point in, you know, if that

00:21:25.329 --> 00:21:27.289
shoe were to drop in a month or two or three,

00:21:27.369 --> 00:21:29.349
what happens? Yeah, I wish I had a crystal ball

00:21:29.349 --> 00:21:31.950
of knowing what's coming federally. Is it going

00:21:31.950 --> 00:21:35.450
to be a change in reimbursement where maybe something

00:21:35.450 --> 00:21:38.549
is being reimbursed or paid for, you know, an

00:21:38.549 --> 00:21:40.589
80 -20 split where the federal government's paying

00:21:40.589 --> 00:21:43.710
80 % or the state's paying 20 %? Right. Does

00:21:43.710 --> 00:21:46.269
that change now to 50 -50? Does it change to

00:21:46.269 --> 00:21:48.869
60 -40? Does it flip completely, you know, over?

00:21:48.970 --> 00:21:52.130
Who knows? Is it more of a block grant where

00:21:52.130 --> 00:21:54.869
instead of being reimbursed for service or a

00:21:54.869 --> 00:21:57.930
pay -for -service model, it's here is your Medicaid

00:21:57.930 --> 00:22:03.049
block grant around prenatal care, and it is going

00:22:03.049 --> 00:22:05.910
to be X million dollars, and you figure out,

00:22:05.930 --> 00:22:11.579
Washington State, how, who, how much. how you

00:22:11.579 --> 00:22:13.359
want to implement that block grant, but you're

00:22:13.359 --> 00:22:16.240
not getting a penny more. Maybe that's how it

00:22:16.240 --> 00:22:21.339
is. And so it's really hard to predict what direction

00:22:21.339 --> 00:22:24.539
the federal government's going. That's going

00:22:24.539 --> 00:22:27.079
to impact and change. What are the chances they

00:22:27.079 --> 00:22:30.579
just turn it off, Jamie? I have no idea. Is that

00:22:30.579 --> 00:22:33.859
even a possibility? I don't think they can. Healthcare

00:22:33.859 --> 00:22:39.759
is so dependent on Medicaid. there varies across

00:22:39.759 --> 00:22:42.740
the state and varies by populations, but, you

00:22:42.740 --> 00:22:44.500
know, half of our baby, you know, about half

00:22:44.500 --> 00:22:46.400
of our babies born in Washington state are on

00:22:46.400 --> 00:22:51.680
Medicaid to, to essentially, you know, say to

00:22:51.680 --> 00:22:54.799
those families, you know, figure out how to,

00:22:54.839 --> 00:22:57.220
you know, have that baby safely and healthily.

00:22:57.900 --> 00:23:03.720
That's a huge risk, not just, you know, financially

00:23:03.720 --> 00:23:07.180
for the family, but. What if they don't get health

00:23:07.180 --> 00:23:09.160
care? Right. What if they don't get prenatal

00:23:09.160 --> 00:23:13.539
care? What if an issue like preeclampsia happens

00:23:13.539 --> 00:23:15.799
for the mother and she has no idea, you know,

00:23:15.799 --> 00:23:17.759
like there are all of these. She's not going

00:23:17.759 --> 00:23:19.259
to regular checkups because she doesn't have

00:23:19.259 --> 00:23:22.339
coverage and that costs money. You know, there

00:23:22.339 --> 00:23:24.579
might be, you know, you might be able to identify

00:23:24.579 --> 00:23:27.380
potential complications or right after delivery

00:23:27.380 --> 00:23:30.460
potential complications. And that sort of outcome.

00:23:31.480 --> 00:23:33.720
from a prenatal point of view, can follow that

00:23:33.720 --> 00:23:35.799
child through the rest of their lives. Exactly.

00:23:35.960 --> 00:23:38.680
And that's a cost to society as well. Not only

00:23:38.680 --> 00:23:42.819
is it a tragedy, right, but it's a cost. It's

00:23:42.819 --> 00:23:46.119
a huge cost. The newborn screening program that

00:23:46.119 --> 00:23:47.859
our Department of Health does is a really great

00:23:47.859 --> 00:23:51.099
example of being able to identify certain birth

00:23:51.099 --> 00:23:55.420
defects and birth issues that happen within a

00:23:55.420 --> 00:23:58.460
span, a short span of a baby's life, that if

00:23:58.460 --> 00:24:01.970
they aren't identified can be incredibly, tragic

00:24:01.970 --> 00:24:05.750
for the families where the, you know, treatment

00:24:05.750 --> 00:24:09.509
is needed. Otherwise, you know, lifelong birth,

00:24:09.650 --> 00:24:12.009
you know, birth issues or lifelong, you know,

00:24:12.029 --> 00:24:16.059
challenges or even worse, you know. early death,

00:24:16.200 --> 00:24:18.859
you know. So there's a lot of things where Medicaid

00:24:18.859 --> 00:24:22.460
is really, really critical. And that's just prenatal,

00:24:22.460 --> 00:24:24.359
right, as an example. We're not even touching

00:24:24.359 --> 00:24:27.779
base, you know, on other health care that Medicaid

00:24:27.779 --> 00:24:30.440
covers and pays for. So I think to completely

00:24:30.440 --> 00:24:35.299
shut it off would be incredibly, incredibly damaging.

00:24:36.880 --> 00:24:39.339
But it's going to look different. How big of

00:24:39.339 --> 00:24:41.539
a share are Medicaid dollars to the state budget?

00:24:41.599 --> 00:24:44.130
Do you know? I don't know that off the top of

00:24:44.130 --> 00:24:46.630
my head, but it's huge. It's very, very big.

00:24:46.650 --> 00:24:49.789
So a really big change in Medicaid dollars would

00:24:49.789 --> 00:24:52.250
probably require the legislature to come back

00:24:52.250 --> 00:24:56.470
and reevaluate the budget. Yeah, and any change

00:24:56.470 --> 00:24:58.369
is going to probably require the legislature

00:24:58.369 --> 00:25:01.049
to come back and think about that. Is it going

00:25:01.049 --> 00:25:06.170
to be, depending on what that change looks like,

00:25:06.210 --> 00:25:09.829
if that tap gets shut off or, you know. closed

00:25:09.829 --> 00:25:12.789
significantly the state has to decide do they

00:25:12.789 --> 00:25:15.470
pick up you know do they pick up the tab for

00:25:15.470 --> 00:25:18.769
what's you know what the federal medicaid isn't

00:25:18.769 --> 00:25:21.009
paying for anymore right they don't have the

00:25:21.009 --> 00:25:23.130
money for that yeah where do we right yeah where

00:25:23.130 --> 00:25:26.730
do we get the cash um so then you're you know

00:25:26.730 --> 00:25:29.430
what are we what are we willing to not provide

00:25:29.430 --> 00:25:33.289
and not cover and so big conversations, or do

00:25:33.289 --> 00:25:37.250
you change how reimbursement happens? And I know

00:25:37.250 --> 00:25:39.349
that the legislature is tackling a lot of that

00:25:39.349 --> 00:25:42.130
right now through policy change in anticipation,

00:25:42.250 --> 00:25:45.190
but it's still really hard to predict. So that's

00:25:45.190 --> 00:25:47.289
one that we're, I don't think we're going to

00:25:47.289 --> 00:25:50.500
have any answers in the budget. this year. But

00:25:50.500 --> 00:25:52.920
I think it's one where we know that it is on

00:25:52.920 --> 00:25:55.299
the horizon. It is a future important conversation

00:25:55.299 --> 00:25:57.299
that the legislature is going to have to tackle.

00:25:57.380 --> 00:25:58.920
Yeah, well, I'll be watching it very closely.

00:25:59.019 --> 00:26:01.200
That's for sure. So Jamie, as we kind of wind

00:26:01.200 --> 00:26:04.220
down here, as you mentioned, you know, team on

00:26:04.220 --> 00:26:07.259
his five to go. And we're all getting kind of

00:26:07.259 --> 00:26:10.059
excited about that and getting kind of, you know,

00:26:10.059 --> 00:26:12.680
looking forward to getting back to normal, so

00:26:12.680 --> 00:26:17.740
to speak, here at the office and in our kind

00:26:17.740 --> 00:26:19.609
of you know, regular routines for the rest of

00:26:19.609 --> 00:26:21.250
the year, you know, my thoughts always turn to

00:26:21.250 --> 00:26:23.569
the next session. I just can't help but think

00:26:23.569 --> 00:26:26.529
of the next, you know, for me, it's kind of like

00:26:26.529 --> 00:26:28.970
a seasonal thing, right? When the season's over,

00:26:29.089 --> 00:26:31.150
I'm thinking ahead to the next season, whether

00:26:31.150 --> 00:26:33.410
it's, you know, the session or baseball season

00:26:33.410 --> 00:26:36.970
or football season or whatever it may be. This

00:26:36.970 --> 00:26:38.990
was the first year of the two -year biennium.

00:26:38.990 --> 00:26:41.690
So this was the big, you know, the big 105 -day

00:26:41.690 --> 00:26:45.180
session. Next year in January, starting early

00:26:45.180 --> 00:26:48.980
January, we'll have the start of this short session,

00:26:49.180 --> 00:26:51.619
the second year of the biennium, only 60 days

00:26:51.619 --> 00:26:55.079
long. Traditionally, those have always been reserved

00:26:55.079 --> 00:26:58.359
for kind of cleanups and trailer bills and budget

00:26:58.359 --> 00:27:01.039
fixes, but no longer is that the case. There's

00:27:01.039 --> 00:27:04.599
usually a lot of major policy that gets considered

00:27:04.599 --> 00:27:07.740
during that short period of time, even though

00:27:07.740 --> 00:27:09.579
it's a much more intense period of time with

00:27:09.579 --> 00:27:12.940
a lot less opportunity to really discuss and

00:27:12.940 --> 00:27:16.039
think about things. What do you see coming forward

00:27:16.039 --> 00:27:19.440
next year as kind of priority items? If we were

00:27:19.440 --> 00:27:21.140
to look ahead and you were to say, okay, here's

00:27:21.140 --> 00:27:24.220
my... I'm looking at the roster here. Here's

00:27:24.220 --> 00:27:25.660
who I think are going to be the number one draft

00:27:25.660 --> 00:27:27.640
picks for public health. What do you think is

00:27:27.640 --> 00:27:30.759
going to pop up? For public health issues, I

00:27:30.759 --> 00:27:34.839
think we've kind of started to map out some of

00:27:34.839 --> 00:27:36.359
the bigger things that we might want to work

00:27:36.359 --> 00:27:39.920
on and have interim conversations on. Working

00:27:39.920 --> 00:27:42.940
with our state partners on some bigger conversations,

00:27:43.339 --> 00:27:48.140
one around data sharing and just data modernization

00:27:48.140 --> 00:27:53.200
updates. Vital Records is one where that's exciting.

00:27:55.519 --> 00:27:58.279
You know, you know, I can make anything exciting.

00:27:58.839 --> 00:28:01.240
But, you know, so I think that might be one.

00:28:01.880 --> 00:28:04.440
I mentioned the food entrepreneurship concepts.

00:28:04.660 --> 00:28:07.200
I think that's going to be another one of how

00:28:07.200 --> 00:28:12.779
does public health lean into economic development

00:28:12.779 --> 00:28:18.829
in a way that leverages. That's not a regulation

00:28:18.829 --> 00:28:24.529
first standpoint. We have regulation for a reason,

00:28:24.549 --> 00:28:27.069
but we also have this opportunity to support

00:28:27.069 --> 00:28:30.309
and educate and empower. Yeah, more of an enabling

00:28:30.309 --> 00:28:32.990
role. Yeah, so I think that's something that's

00:28:32.990 --> 00:28:34.829
going to be really interesting to work through

00:28:34.829 --> 00:28:38.890
and work out. You know, I think there's going

00:28:38.890 --> 00:28:41.089
to be some, it'll be interesting to see what

00:28:41.089 --> 00:28:44.380
kind of budget. fixes that they might need to

00:28:44.380 --> 00:28:48.740
address. You know, they'll know how some of those

00:28:48.740 --> 00:28:53.119
bigger policy initiatives are playing out or

00:28:53.119 --> 00:28:56.099
just kind of the public sentiment of having six

00:28:56.099 --> 00:28:58.380
months. Well, there's just a lot of uncertainty

00:28:58.380 --> 00:29:01.440
economically right now. You know, there's talk

00:29:01.440 --> 00:29:04.240
of initiatives already. And so that's going to

00:29:04.240 --> 00:29:07.759
have, you know, an impact on things as initiatives

00:29:07.759 --> 00:29:11.440
always do. So, you know, Public health is just

00:29:11.440 --> 00:29:15.039
a very small piece of that. But, you know, just,

00:29:15.140 --> 00:29:17.799
you know, always wanting to be mindful of the

00:29:17.799 --> 00:29:20.319
bigger things going on. We're not the most, you

00:29:20.319 --> 00:29:23.400
know. We're not the hot topic of the day and

00:29:23.400 --> 00:29:27.700
are very rarely, you know, kind of achieved that,

00:29:27.799 --> 00:29:30.279
you know, hopefully once, you know, once a century.

00:29:30.339 --> 00:29:32.259
Just a few years ago, you were the hot topic

00:29:32.259 --> 00:29:33.460
of the day. We don't need to revisit that again.

00:29:34.160 --> 00:29:36.579
But, you know, we're interested in things like

00:29:36.579 --> 00:29:38.960
housing. We're interested in things like public

00:29:38.960 --> 00:29:41.660
safety because they do have peripheries to public

00:29:41.660 --> 00:29:45.259
health where, you know, people who are housing

00:29:45.259 --> 00:29:47.940
secure have better health outcomes. And so it's

00:29:47.940 --> 00:29:50.579
an issue that we're interested in watching. following

00:29:50.579 --> 00:29:55.500
because we know you know that certain things

00:29:55.500 --> 00:29:57.920
provide better you know better opportunity and

00:29:57.920 --> 00:30:00.039
better health outcomes and same with public safety

00:30:00.039 --> 00:30:03.259
that we know that being able to have you know

00:30:03.259 --> 00:30:06.900
that community connection and thinking uh you

00:30:06.900 --> 00:30:13.019
know of um support and relationship as well as

00:30:13.019 --> 00:30:15.319
that more policing side of thing is really, really

00:30:15.319 --> 00:30:17.359
important, especially around things like substance

00:30:17.359 --> 00:30:20.579
use and behavioral health issues. So, you know,

00:30:20.579 --> 00:30:23.599
we're tangentially, you know, watching a lot

00:30:23.599 --> 00:30:25.400
of those other bigger issues that are probably

00:30:25.400 --> 00:30:27.640
going to come back because they're kind of perennial

00:30:27.640 --> 00:30:29.960
policy issues, right? I was hoping you were going

00:30:29.960 --> 00:30:32.500
to say this was the year we solved it all. Nothing

00:30:32.500 --> 00:30:36.240
else to talk about. Work is never done. Never

00:30:36.240 --> 00:30:38.420
done here in Olympia. Well, here's to hoping

00:30:38.420 --> 00:30:42.619
you stay out of the headlines from a public health

00:30:42.619 --> 00:30:46.380
perspective. Me? Me specifically? Or are we talking

00:30:46.380 --> 00:30:48.460
about public health? Just public health in general.

00:30:48.700 --> 00:30:51.160
Because I can commit that I will stay out of

00:30:51.160 --> 00:30:54.119
the headlines. But, you know. Well, let's hope

00:30:54.119 --> 00:30:56.960
you stay out of the headlines, too. But, no,

00:30:57.019 --> 00:30:59.599
I just meant public health in general. It can

00:30:59.599 --> 00:31:04.019
get a little uncomfortable, I know. And there's

00:31:04.019 --> 00:31:05.460
a lot of other issues that I think are probably

00:31:05.460 --> 00:31:08.099
going to be taking up media's attention. Let's

00:31:08.099 --> 00:31:12.039
hope so anyways, right? What are you most looking

00:31:12.039 --> 00:31:14.519
forward to to interim? What is your favorite

00:31:14.519 --> 00:31:16.700
thing to do? Why do I feel like you just turned

00:31:16.700 --> 00:31:19.539
this thing around? Suddenly it's Jamie, the host.

00:31:19.779 --> 00:31:23.460
Well, I mean, you know, my daughter's getting

00:31:23.460 --> 00:31:26.680
married. So that's kind of a big deal for our

00:31:26.680 --> 00:31:28.980
family. It's what we're looking forward to the

00:31:28.980 --> 00:31:32.259
most, I think, this year. So on a personal level,

00:31:32.319 --> 00:31:34.220
I think that's probably the big family event,

00:31:34.380 --> 00:31:38.579
seeing the kids. It's a big milestone for you

00:31:38.579 --> 00:31:40.819
as parents. Yeah, it's a little scary. It's a

00:31:40.819 --> 00:31:43.660
big milestone for her and her fiance. It's exciting.

00:31:44.000 --> 00:31:46.660
She seems completely calm, which is great. Yeah,

00:31:46.839 --> 00:31:50.380
she's got it really put together. And she's,

00:31:50.480 --> 00:31:53.440
I don't want to, you know. give out too much

00:31:53.440 --> 00:31:55.960
personal information because I have a feeling

00:31:55.960 --> 00:31:58.759
I'd get in trouble for my family. It's a good

00:31:58.759 --> 00:32:00.680
test to see if they listen to the podcast. I

00:32:00.680 --> 00:32:03.180
don't think they do. But this would be, you know,

00:32:03.299 --> 00:32:05.740
I would say something really foolish and this

00:32:05.740 --> 00:32:07.680
would be the one they would listen to. But yeah,

00:32:07.740 --> 00:32:10.579
no, that's coming up pretty quick right after

00:32:10.579 --> 00:32:12.460
session. So that's kind of a big deal. And then

00:32:12.460 --> 00:32:15.200
my wife and I have our 30th wedding anniversary

00:32:15.200 --> 00:32:18.500
this year as well during interim. So those are

00:32:18.500 --> 00:32:21.039
the big things for me. What's the gift for 30?

00:32:21.220 --> 00:32:27.839
I don't know. Um... Sanity? Whatever Honey wants.

00:32:28.319 --> 00:32:31.700
Whatever my wife wants. That's what the gift

00:32:31.700 --> 00:32:34.119
is. Well, congratulations. Thanks. How about

00:32:34.119 --> 00:32:36.359
you? You have any milestones coming up? Let's

00:32:36.359 --> 00:32:39.059
see. I am, and we've talked about this, I am

00:32:39.059 --> 00:32:41.140
taking a trip with my sister who is becoming

00:32:41.140 --> 00:32:43.220
an empty nester. Oh, that's right. Is this the

00:32:43.220 --> 00:32:45.079
one where you don't know where you're going?

00:32:45.220 --> 00:32:46.539
We don't know where we're going. Oh, that is

00:32:46.539 --> 00:32:49.259
so crazy. Yeah. We filled out a survey with a

00:32:49.259 --> 00:32:52.079
company and they bought our plane tickets. I

00:32:52.079 --> 00:32:54.119
think you are so... are planning our whole entire

00:32:54.119 --> 00:32:57.240
trip and we show up an airport with our bags

00:32:57.240 --> 00:33:00.000
and open an envelope and find out where we're

00:33:00.000 --> 00:33:04.180
going. Oh my gosh. That is so crazy. It's great.

00:33:04.319 --> 00:33:07.079
And I mean, don't get me wrong. I, I, I would

00:33:07.079 --> 00:33:11.349
never trust anyone enough. To do that. But I'm

00:33:11.349 --> 00:33:13.910
a planner. I can't wait. I'm really hoping it's

00:33:13.910 --> 00:33:18.730
like Iowa. I'm just joking. I love Iowa. I grew

00:33:18.730 --> 00:33:22.150
up near Iowa. Yeah, I can see that. When you

00:33:22.150 --> 00:33:26.910
open the envelope, we're taking you to the rolling

00:33:26.910 --> 00:33:33.839
grain fields of Iowa. Yes! You've heard of flyover

00:33:33.839 --> 00:33:39.460
states? Well, not today. You're landed. I'm hopeful.

00:33:39.619 --> 00:33:41.279
I think we're going to go someplace in Europe.

00:33:41.400 --> 00:33:43.240
But again, we'll find out when we get to the

00:33:43.240 --> 00:33:46.200
airport. That is incredibly, incredibly, incredibly

00:33:46.200 --> 00:33:52.240
brave. I was talking with my wife Amanda about

00:33:52.240 --> 00:33:55.700
it. She thought it was a great idea. Of course,

00:33:55.720 --> 00:33:57.960
she said, I know you think it's a terrible idea.

00:33:59.639 --> 00:34:03.180
So when I go someplace, not only am I searching

00:34:03.180 --> 00:34:05.680
things on the internet, I buy the book. Like

00:34:05.680 --> 00:34:09.059
I buy the book. Like the Lonely Planet. Yes.

00:34:09.159 --> 00:34:12.980
Yeah. I buy the travel book and I look for YouTube

00:34:12.980 --> 00:34:16.900
videos about it. This is how bad I am. Do you

00:34:16.900 --> 00:34:19.920
have a printed itinerary for every day? No. Okay.

00:34:20.320 --> 00:34:23.679
Laminated? No. Not that bad. But I do try to

00:34:23.679 --> 00:34:25.599
have an idea of what I want to do when I get

00:34:25.599 --> 00:34:28.860
to a place. I am really meticulous about researching

00:34:28.860 --> 00:34:30.119
the things that you have to have a reservation

00:34:30.119 --> 00:34:32.139
for because there are more things these days

00:34:32.139 --> 00:34:34.280
than you used to, right? I mean, you used to

00:34:34.280 --> 00:34:35.940
be able to just drive into a national park. You

00:34:35.940 --> 00:34:38.639
can't do that now. In many cases, you've got

00:34:38.639 --> 00:34:40.480
to plan ahead. But don't you want to pay somebody

00:34:40.480 --> 00:34:44.880
to do that all for you? No. No. I just don't

00:34:44.880 --> 00:34:51.699
trust them. No. I actually researched the restaurants.

00:34:52.320 --> 00:34:56.719
I'm almost obsessive about it. I researched the

00:34:56.719 --> 00:34:59.110
restaurants. And I decide which ones I want to

00:34:59.110 --> 00:35:01.429
go to before I've even set foot. No, I'm with

00:35:01.429 --> 00:35:04.469
you on that. So you know this. I have a friend

00:35:04.469 --> 00:35:07.030
and we do a New Year's trip every year at a different

00:35:07.030 --> 00:35:11.090
time zone. And next year or this coming New Year's,

00:35:11.090 --> 00:35:13.769
we're going to Finland. Oh, that'll be great.

00:35:13.889 --> 00:35:16.670
Yeah, we did Chile this past New Year. Now, are

00:35:16.670 --> 00:35:18.630
you having someone else plan that trip too? No.

00:35:18.809 --> 00:35:22.489
So what we do is we talk about what we want to

00:35:22.489 --> 00:35:25.250
do. My big thing is I want to go to the Arctic

00:35:25.250 --> 00:35:27.030
Circle and I want to spend the night in Nice.

00:35:27.050 --> 00:35:31.010
Hotel. And they're like, well, I want to go to

00:35:31.010 --> 00:35:34.210
Christmas Village for Christmas and experience

00:35:34.210 --> 00:35:36.750
that. So we have different things that we want

00:35:36.750 --> 00:35:39.539
to do, but we're both big food. food fans. And

00:35:39.539 --> 00:35:41.940
so we, we do map out our restaurants. Okay. Well,

00:35:41.980 --> 00:35:45.539
that's more of a planned itinerary ish trip,

00:35:45.599 --> 00:35:47.239
but we're still pretty flexible. We're still

00:35:47.239 --> 00:35:49.639
kind of loosey goosey. Okay. Yeah. But you made

00:35:49.639 --> 00:35:51.519
me feel a little more normal. So thank you. I

00:35:51.519 --> 00:35:53.179
appreciate that. But you know, it's also fun

00:35:53.179 --> 00:35:55.760
to just like, no, let's just see what kind of

00:35:55.760 --> 00:35:57.840
adventure we can do. I don't think I could ever

00:35:57.840 --> 00:36:01.539
let go like that. I, I, I just, I, I envy your

00:36:01.539 --> 00:36:04.820
ability to do that. But I don't want to try.

00:36:06.199 --> 00:36:12.179
That makes sense. I don't even want to try. Well,

00:36:12.280 --> 00:36:14.900
you know, it's good to know that about yourself.

00:36:16.719 --> 00:36:21.340
I guess so. Now I feel like I've divulged too

00:36:21.340 --> 00:36:27.130
much. All right, Jamie. Well, it's been great

00:36:27.130 --> 00:36:29.250
talking to you. It's been great working with

00:36:29.250 --> 00:36:32.829
you during the session. You're a really important

00:36:32.829 --> 00:36:36.090
part of the team here at WASAC. Public health

00:36:36.090 --> 00:36:38.769
is a big part of what we do, and I think you

00:36:38.769 --> 00:36:41.070
did a really good job when you were talking about

00:36:41.070 --> 00:36:42.610
what to expect next session. You were talking

00:36:42.610 --> 00:36:47.710
about housing and public safety and all those

00:36:47.710 --> 00:36:50.800
other things. All of the issue areas that we

00:36:50.800 --> 00:36:52.980
work in here at WASAC, they overlap and they

00:36:52.980 --> 00:36:56.280
dovetail. There are not like really clear lines

00:36:56.280 --> 00:36:58.480
between them. There's so many shades of gray.

00:36:58.679 --> 00:37:00.900
And, you know, we spend a lot of time talking

00:37:00.900 --> 00:37:02.780
back and forth about different bills and working

00:37:02.780 --> 00:37:04.800
together on different things, which I really

00:37:04.800 --> 00:37:07.400
enjoy. I know you probably don't enjoy it as

00:37:07.400 --> 00:37:11.280
much, but I just want you to know it's been great

00:37:11.280 --> 00:37:12.760
working with you. You're a super valued member

00:37:12.760 --> 00:37:14.780
of the team, and I hope we can keep doing this

00:37:14.780 --> 00:37:17.340
for a long time. Likewise. Congrats on a really

00:37:17.340 --> 00:37:19.179
good session, Paul. Yeah. Well, congrats to,

00:37:19.219 --> 00:37:21.760
well, we'll see. It's not over yet. That's true.

00:37:21.920 --> 00:37:25.400
It's not over until the budgets are signed. And

00:37:25.400 --> 00:37:27.599
unfortunately this year, it may not even be over

00:37:27.599 --> 00:37:31.079
then. So yeah, we'll see. But we did it. Look

00:37:31.079 --> 00:37:35.059
at us. We did it. Thanks, Jamie. We'll talk to

00:37:35.059 --> 00:37:39.400
you again soon. Bye, Bob. Thanks for tuning in

00:37:39.400 --> 00:37:41.719
to County Connection. Stay in the loop by subscribing

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00:37:51.280 --> 00:37:53.699
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00:37:53.699 --> 00:37:55.940
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