Miami-Dade Board of County Commissioners

>> test miami-dade . >>chair: we have one very special one. Now we've got commissioner bastien. Be prepared. MADAME Mayor . All right, we've got a very special presentation this morning. It is a wll-deserved award that was received, is being received by the parks department . I see a lot of our parks theme here . Leadership and staff and team members so if you'd like to say a few words, commissioner. Who wants to leave here, the sponsor or the mayor? >>commissioner bastien: good morning everyone . It is a wonderful, wonderful day to honor parks , recreation and open spaces department. It is a pleasure for me to share with you that they are the recipients of the 2023 governors sterling award . [Applause] Yes. And it is the highest recognition and organization in florida that is public private received for performance excellence and guess what? This isn't even the first time they've received this prestigious award before in 2009. Our parks director marianne and her entire team deserves our big round of applause. [Applause] And it is my honor to itroduce the mayor and the vice chair and of course I'd like to invite all the members of the team to come forward. >> it's a lot of members here . Let them all, come on up. This award is for all of you. [Inaudible] >>mayor: this is a small representation of the 2700 employees of the parks recreation and open spaces department. People in green . Green is the color. Who said bring them up? Okay. What do you say , you going to be able to handle it? We're going to cut the time to a minute each. [Laughter] >>commissioner bastien: you're funny . >>mayor: okay. Okay, as you gather , as you gather I think we need shorties in front, on, shorties . All right everyone. Have your attention please? I know we are all very excited, very giddy, well-deserved . Thank you so much commissioner bastien for sponsoring this recognition today and to our place CHAIRMAN For being with us . I want to say how proud I am to have this award received in my tenure. I had not much to do with it but I feel proud nonetheless . Not only as commissioner bastien said is this the second time this department receives this incredible award, the top reward for government excellence in the sate but this is the only department that has ever received this award in miami-dade county so how about that? And you know, we have other wonderful apartments and they definitely get recognition but this particular award represents excellence in government and something that is upheld for the whole state to acknowledge. And our parks are unique . We have everything from wild areas that are protected and preserved two golf courses to zoological to the conservation programs . We have it all . We have a gamut . The wonderful men and women who work here , many of them spent a career in this department and parks came into their own with the pandemic . We all know back in the day parks were neglected . They were underappreciated but when people understood that being outdoors was the best place to be in a pandemic especially people really discovered parks and commissioner bermudez is here. He's here. We all want to be part of this great award . People discovered the value of parks and I am a part girl myself . You have heard some of you I was appointed to serve on the national parks advisory board easily, I'm proud of this fact this accident breaking my wrist happen at a national park . You can have adventure vacations and we have adventure vacations as part of our program to our eosystem at national parks, we have also asked partnerships we have over 100 organizations and partners that help us deliver those services and I think that's really important programming for our youth , older adults, people with disabilities and even most the fit to lead program, our premier pension program to all our young people and their starting careers and enable them and got hired by parks after they started. So there's so much. There was a banquet in orlando where everybody was fitted and they all dressed up and looked gorgeous as they do today but I could not be there in person but I was there in spirit along with the she operating officer jenny morales who has oversight for the department but he doesn't have much foresight to do because you do an incredible job all year long so congratulations maria, congratulations to your team. We are so proud and excited for this award. [Applause] I will just say on the vice CHAIRMAN's behalf that if he was not parks advocate before he got religion to and especially tropical park is baby we have big plans for tropical park. Staff at the parks right now so that worries me a little bit they will survive. Congratulations. To the mayor! I always love parks but my predecessor was obviously the parks CHAIRMAN And I feel like I inherited that . It carried over so I'm proud to be part of it and I'm proud to be part of the county and these three awards. [Applause] MADAM Director. You sure? Okay. >> thank you MADAME Mayor, commissioners chief, as well. This is really an extraordinary moment for this organization . The governors sterling award recognizes as the mayor said public agencies but it also recognizes private agencies . We competed with the private sector as well and it is really something that is extraordinary. It's an extraordinary feat when we had examiners here they spent 2000 hours evaluating the four corners of our organization and he interviewed about 200 employees from all aspects, all areas of the department along with grueling interviews for the entire leadership , frontline staff and what they came back to us with is that this group of individuals here that I'm surrounded by , awarded and recognized the role model status for the state of florida of public and private agencies . That is really extraordinary. This is the second time we've gotten this award and it speaks volumes to the continued excellence that we strive to deliver and achieve every single day. I stand here surrounded by this amazing team of individuals who care deeply about the mission and vision of this department to provide for the health, happiness and opportunities fr prosperity or every single person in this community regardless of where they come from, all of that. We're here to deliver parks for everyone . I think I was going to ask the team to stand and be recognized but here they are right behind me . If you could all please give them a big round of applause. You're absolutely extraordinary . I think from beaches to marinas as the mayor said, zoo, historic sites, golf courses, recreation centers, agriculture area, tree plantings, road beautification, we touch all four corners of the communities quality of life and as you heard from our myor we saw that live and in person . We shifted gears. We were the sites for vaccination, the site for mass food distribution. We were to come up with a plan or mass division and this team behind me delivered in an extraordinary way . Moving forward we have our commitment, committed to continuing this extraordinary commitment to performance excellence in our organization. we believe in our mission and in our core values and we also believe the community deserves under mayor daniela cava's leadership we are so proud to be part of your team and commissioners for your leadership as well and your incredible support, we are excited to build an amazing future for miami dade county through parks . So thank you everyone and team , thank you all . You are amazing . [Applause] >>commissioner bastien: all right, time for pictures . We have the best year so let's go. >>... Big smiles everyone . Big smiles everyone, big smiles on three . One, two, three . One, two and three. . [Music] >> we received notice that commissioner cabrera, hardemon and gilbert will be absent from today's meeting. >>vice chair: [Rollcall] We only have six members present . We do not have a quorum . >>chair: clark, do we have quorum . >>clerk: with commissioner mcghee we now have quorum . >>chair: guys, take your seats. We are going to start for prayer led by commissioner bermudez followed by the pledge of allegiance led by commissioner steinberg. >>commissioner bermudez: lord, please give us the ability to discern , the ability to understand , the ability to make decisions on behalf of the great citizens of miami-dade county. MAY all of us keep in mind our role is to always do the right thing and always make sure that we work on behalf of the people of miami dade county. Amen . >> I pledge allegiance to the flag of the united states of america and to the republic for which it stands, one nation under GOD, indivisible with liberty and justice for all. >> MADAM Attorney can we move into reasonable opportunity to be heard? >>vice chair: reasonable opportunity to be heard is now open . When I call your name state the item you are speaking on and you will have 2 minutes to speak . I'm going to call, we have six . I'm going to call six of you and in this order you will get up and approached the podium. johnny barber, mulatta greer. [Reading names] >> good morning MADAME Mayor to the commission, vice chair, johnny barber 3985 northwest 1/65 street miami florida, 13054 . Item 4h. I just wanted to have my voice placed on record to seak on behalf of quanta energy that has operated in miami dade county, a resource recovery facility taking municipal sonic waste, using it to generate green energy . All the while keeping solid waste out of our landfills. And has been a good neighbor to residential miami-dade for 40 years there zero waste to landfill benefits the environment keeping out of our landfills which produces climate damage and nothing and reducing resource cnsumption. Reusing and repurposing waste to generate green energy benefits the community and is a smart business practice for miami-dade county, reducing the county's carbon footprint needs to short and long-term sustainability goals for all of miami dade county at the natural environment. Covanta uses modern technology for the disposal of waste and we're looking forward to leaders for a path forward to take it to upgrade the current plan as well as realize the existing location. You mind if my colleague who is next in line goes next? >>vice chair: go ahead . >> good morning commissioners, legal services of greater miami . Address 4343 w. Flagler miami florida . So I want to start off my all of you for supporting the miami the eviction project and I'm excited to project has launched . I wanted to give a recap of what the partners responsibilities are a pilot project providing free legal services outreach to increase access to legal representation when at risk facing an interaction these funds to leverage on to represent tents . Six organizations the workers is responsible or humidity outreach education to ensure the residents are not only aware of their rights . Fast pace nature of the case is important they kow how to themselves legal services are a lead on the project also provided legal assistance as well as pro bono as well as our bar associations ferguson junior bar association due to their extensive action with a private bar using those relationships to recruit on it are trainees jesus pro bono is leveraging the humidity justice project is an advocacy with the goal of demonstrating it is ability to help county residents . Humidity justice project is providing legal assistance funding so have several agencies providing legal attention. You have to report on hiring update you require additional 216 fte has been sunday on the behalf handle it one cases with this funding is very for our program as well as the cases the same time so is a significant increase in representation as we move forward I will reach out to on your staff members at handle constituent services to ensure they are aware of the project and provide the . >> alana . >> alana greer, community justice project. Thank you again for your investment in this project and housing divergent program and really investment in housing staley allows the partners to begin this project with the goal of keeping our stable families house. We only have a few weeks since launch but you heard some great numbers legal services reported on in the entire first quarter you only wanted 15 patient of the thousands facing eviction. Some examples of some of the cases we've been to tackle the cause of this investment, recently we fielded a subsidized building in miami a county file eviction case against tents not only were we we respond answer to the partners , all of the tenants who sought representation were able to work and it had the agencies to support those tenants ensuring , we are still working to ensure a half housing staley . The biggest lesson for myself was handled cases like this for several years as we take cases we would have said no to before and what we're seeing is folks who are going through this with an attorney are able to reach settlements were able to reach negotiation where all the parties are better off at the end of cases that would have been away are finding a resolution for both parties I think it's . If we look at this first quarter of 23 compared to last year we seen 14 percent increase in violence and we hope to work with you to continue to develop this project is not only a resource in miami dade county but all that can be exported across the state we heard from counties doing something similar and we heard places like knsas are doing this as well but miami d can be all we want to spread across the country. >> and my next ? >>vice chair: I've got amber . >>commissioner mcghee: I'm here speaking on behalf of of item 4c . Good morning, I'm respectfully requesting a continuance or denial on the agenda item 4c for the city of miami and miami-dade county to resolve the conflict regarding the rapid transit zone. >>vice chair: can you see your name and address again? >>speaker: notwithstanding, city of miami I'm requesting a continuance or denial of 4c and asking the county to fully resolve the conflict regarding rapid transit zone known as the rtz. This expands the rtz in city boundaries to encompass 90 private properties and a county property . The address is a minute from northeast 11th street, 101 15, 109 25 northeast 14 , 464 these 16th street, 1540 eight short drive and I'm sorry, 515 northeast 15th three and also a county owned property . The rtz and these expenses went to user city already over all regulatory decisions including but not limited to comprehensive plan, district boundary changes, special exceptions, plants, issuance of building permits, voting inspections, the lord of a fire prevention , etc. This is not the same thing as section 6.02 of the county charter provides each municipality provide a higher sandard of are provided by the board of county commissioners in order that individual character and standards 80 preserved for its citizens. As you know the city and county gate in the conflict resolution process to resolve our conflict on the floor in governmental conflict resolution in accordance with chapter 164 of the florida statutes and as such the item the continued working I thank you . >>vice chair: sandra . >> I'm executive director of the miami workers center 745 northwest 54th , for all that you do the county commissioners and mayor's office for supporting funding the election divergent program where the third week of door-to-door canvassing all or miami a copy trilingual fuel measures six part-time canvassers covering all the districts in miami day county reflecting the cultural diversity of each district . We knocked over 420 yours, all false currently on the action was all receiving the pilot program funded by miami day county being unaware of the action filed against process and next steps fiction have been filed. Over 420 yours we've knocked on , the city received additional resources, one aegis has called us for follow-up but to be referred for representation and this is just a start next month where excited to be in for in district election divergent office hours . One on one with attorneys , our partner organization and each district rating legal assistance to the tenants . we appreciate it I'll be with to you all make sure we had you all in district. >> and come era . >> my address is 435 w. Street miami florida and today I'll be voting in favor of the resolution approving local construction between municipal unit of miami-dade county . I am speaking in favor because I believe this construction ridge will be the blocking of two communities coming together also here on behalf of organizations against tobacco, a statewide organization our goal is to educate them on the horrifying facts of the tobacco I believe that construction between these two cities with us and help us not only further organization for the people of miami day is our general focus . I like that you guys for this opportunity . In 2015 an opinion poll conducted by pulling found 60 percent of latino voters are concerned upset and spoke, and said the government should have the right to establish free playhouse prohibit smoking in public places . I say is to say the issue is that , the issue that we have to fax but we're not being able to spread it through the communities and we have people willing to buy the transportation is here at the of the bridge must both communities project and our project. >>vice chair: thank you so much and those are all the speakers I have on my list and one speaker card that wishes to speak reasonable opportunity is now closed. Take citizens presentation at this time. MISTER Miguel de grandy. It's five minutes going to be okay west and mark thank you so much . You MAY start your presentation . >>speaker: morning MISTER CHAIRMAN and commissioners. My name is miguel de grandy and half of the accuser of the counties domestic violence . I'm joined by board members MISS Betancourt and our executive director. Will you please stand up. Now commissioners, during covid the halfpenny tax on food and beverage that funds the construction of our domestic violence shelters was in . From the 20/20 but it is still your collections $1.5 million /5 percent decrease . We saw similar trends continuing in 2021 but in late 2021 revenues began to were still projected to be in love years he is one revenue was close to 1.5 million you know projections . Revenues in 20 decrease covid restrictions were . we have $16.5 million in reserve , it costs to bill the newest event shoulder: in 2020 . Keep in mind this fun those with the operation of the two shelters have already got response about $2 million each per year we are currently projected around $6 million in revenue per year because we must continue to fund these cultures with this revenue source and fund the operation of any new shelter bill we would not have backed sufficient reserves to build another shelter until at least 20 unless the county find other sources of capital for construction. Covid added to the challenges services and shoulder capacity the only to place multiple families in shelters and create other restrictions had to accommodate but we continue the mission to help children to get their lives back on track. On board developed recommendations to address some of the challenges that we face. Some have yielded results . This commission agreed to include his legislative priorities the tax be extended to cover the beach municipalities which were originally exempted from collecting the tax and also impose a two cent tourism tax . This year the legislature amended to allow for beach municipalities to determine fire referendum letter to impose a tax we will be working on the additional revenue potential of the municipalities represents an increase of 600,000 and 9000 in revenue per year . Also exist for them to take action 80 reconcile 's . One issue pertaining to this is a threat by their user of deportation if they report domestic violence. Congress has created new visa program for these victims but limits them to 10,000 per year which currently results in a 5 to 6 year long processing . We are recommending this board issue an edict to congress to eliminate on these new pieces and personal florida legislature to create a uniform asian process to obtain these pieces . Where asking this board to include in his priorities the passage of the florida prices children protection shielding domestic centers from third-party litigation wishes driving up insurance costs . We recommended the commission approved the creation of a trust fund to enhance educational efforts and raise awareness to domestic violence issues, this was received in durations for such services . Be very important then we have seen this in our system this is in great part due to low salaries which they currently her many g comparable conversation at amazon for other retail services . Agencies found in our great disparities in compensation where most agencies pay much more for their advocates. Turnover costs county and resources employer training and certification but more causes disruption to victims which must again notarize themselves with their advocates read up trust in individual rating ready , compensation with other agencies will reduce staff turnover . Finally the intimate partner violence study we recommended will be finalized in the coming months . We put that study will lead to other recommendations on how to improve services and our response to domestic buyouts. Thank you for the opportunity to present our report and I'm happy to answer any questions you MAY have. >>vice chair: any questions for MISTER De grandy. MADAME Attorneys were to set the agenda at this time. >>county attorney: there are a few culinary matters item 8f1, added to the pull list . 8f2, senator garcia asked this item to the pull list. 8f3, senator garcia adding this item to the pull list. 8p2, senator garcia and commissioner regalado add this to the pull list . That item 8p2 . 8p6, senator garcia as this item to the pull list . 11a1, commissioner cohen higgins is adding this item to the pull list. 11a3, commissioner regalado adds this item to the pull list . 11a19, commissioner cohen higgins at this to the pull list . We have some additional requests for co-sponsorship. 3a1, 3a4, 11a2 and 11a8, commissioner garcia wishes to cosponsor. NOVEMBER 8, 2011, garcia and regalado listed as cosponsors, 11a1, commissioner mcghee cosponsor and 11a17 and 18, senator garcia wishing to be listed as cosponsor. The items will be listed in the world falls and its creditors errors noted in the chairs memorandum in the items I just mentioned . The mission will be final except 2b1 which is mayors appointment of the director of finance appointment, 2b2, management services, ordinances for reading, public earrings, I am 6b1 board of county commissioners , ordinances for reading . I am 8a1 which must be 11a1, 11a2, 14a1, 14a2 and 14a3. >>chair: second by commissioner bastien. Commissioner mcghee you are recognized . >>commissioner mcghee: can we add 11 a 18 ? >>vice chair: item 11 a 18 added to the pull list you all in favor signify by saying aye. Carries is now set your recognized the mayor juan fernandez but he said a few words and injuries as. [Applause] >> that you very much for the opportunity to address the board . Commissioners, looking forward to working with you. MADAME Mayor wonderful meeting last week to the general public honor to be in this position, to be appointed to this position . I do not take , I take this, it's just an absolute honor. Howie rubin was a legacy in this county . I recognize massive shoes to fill in each and every day I will be working for forward to working with all . >>vice chair: comments from my colleagues . madame mayor, your recognized . >> I want to welcome you as well and say congratulations looking forward to wrking with you that for taking the time to meet with us we are a on the issues of service fees and will work together to build trust and transparency in our community efforts like the drivers license suspension task force recommendations with me discussed and please know it will be a priority for my administration to support your team on these and other critical issues as we move forward. Thank you so much for supporting issues left public safety, small businesses so it's more again, we look forward to working with you . >>vice chair: it's an honor to serve with a friend and have you in this new role . I speak on behalf of my colleagues when I say we look forward to serving alongside you so conscience, and. >> my office will be reaching out to each and every one of you . MISTER Commissioners at MADAME Commissioners to set up a meeting so we can touch base and I can understand what your priorities are. C1 MADAME Attorney , state 2b1 . >> we have a mediation that requires a separate before or after western mark . >> listed after . >> 8 81 . >> so . >> okay emotion and all your by saying aye. We did . It's fine. We got it out of the way . Let's go ahead and take 2 b1 is in our . >> the mayoral . >> mayor these since you are . >> first on our agenda is our director of finance, that's barbara gomez. Barbara if you don't mind just coming down so if there are questions cheese served at our deputy finance letter is the . She's recording are you future key administrative officer, denise edwards get you please . Quality market is retirement which will be this summer in AUGUST so we're delighted that this senior financial 30+ years of experience and extensive leadership hands-on experience as well in finance management, accounting. She works with fortune 500 companies , multinationals and the public sector . Before she joined us in 2019 she holds key leadership leadership roles with c, ceo for northern latin america and mexico. Masters in professional accounting bachelor of business ministration from the university of miami . She's a cpa and you are just doing it for you to step up to this well-deserved rule. Negligence barbara . >>vice chair: any of my colleagues have anything to say to MISS Gomez ? Congratulations, MISS Gomez . No comments yet know . It's all a yes for now so it is not yet you, congratulations . The state 2 b2 . >>clerk: appointment of the management services department . >>vice chair: present your appointment on the management and client services department. >>mayor: I am delighted to present our new director of client and management services. She is not new county. She has the important role now as head of and management services to oversee county government operations, external companies, contractors, grantees always to ensure public funds are being spent appropriately and efficiently . this is the key pillar of our responsiveness as county government and we are going it each and every day. She's accomplished accounting professional with 20 years of aggressive on experience. She worked in the big four accounting firms as well as government and corporate environments peviously served as vice PRESIDENT For internal audit for a bond holdings usa. Embarking on a successful career in the private sector she did serve as an audience supervisor so she worked with us from 1998 to 2005 so this is homecoming for MS. Tomayo. She is also a cpa in the state of florida and california as well as a certified internal auditor certified informs nation systems auditor and she will risk management assurance as well as numerous national affiliations working alongside our dedicated audit management staff I know she will be excellent leader . She's been on the job for seven days so thank you from moving back from california to take this moment to thank MISTER Duane mathis who served as our interim director of ans following the passing the tragic untimely passing of our former director kathy jackson and he has stewarded the department through this period . The passing of kathy jackson was difficult for all of us and domains steady hand and leadership were critical over the last few months so thank you , join me in welcoming MISS Tomayo back and thanking our interim director mathis . >>vice chair: I skipped over MISS Gomez saying a few words. Any colleagues have anything for MISS Tomayo? Welcome, congratulations and you can say a few words if you wish . >> chair, MADAME Mayor and the commission, thank you for welcoming me back. I did work with kathy for years . She established a reputation for this and management services department. I have a staff meeting yesterday, in person one after four years and we had a great team. We will continue the efforts of audits management services for all the citizens of miami dade county. Allow director gomez to say a few words. >>vice chair:,on up. You have a solid 30 seconds . I'm just kidding . And sorry about that . >> vacuum MISTER Chair and commissioners and I have something important to say but thank you MADAME Mayor and mister clark. I had the pleasure of meeting with him as well and I think it's going to be wonderful. I'm going to be filling big shoes here. MISTER Chief marquez is an amazing individual . He's not very warm and kind and caring he's also a consummate professional going to have big shoes to fill and deeply humbled that you have allowed me to serve in this capacity I promise I won't disappoint. Background has predominantly been in private and I retired after 20 year earlier seco . I really enjoyed it when I retired I was looking for opportunities to do something where I have really a blessed life , GOD had given me a lot and I wanted to get a little bit and look for opportunities to pay it forward . And the finance deputy director position came , I think it was GOD's time and as always perfect but it would be wonderful for me to get back to my community that I so dearly love and it's been my home since I came from cuba very young age so it's been wonderful this past monday , juneteenth I actually have been 4 years in the county and I've gotten to know , it's been a wonderful experience . i've gotten to know so late wonderful people seen that you guys do an amazing job, I must say . I've been really amazed and happy to see the work that you guys do here and I'm here to support you. I have a wonderful team they've been supported since day one and are doing amazing work for the county so you can count on us to do excellent service and look for opportunities to improve our processes and make it more efficient for everybody in the county and our community . You for giving me the opportunity to speak. >> if we could take a brief moment and allow our chief finance officer to say a word. He's right here. >> 15 seconds, thank you sir . Barbara is going to do an excellent job for the mayor and will represent the commission and she's going to be very much involved with the transition of the finance department to the clerk over the next few years and bottom line, she's a wonderful person. Well loved by the department and you're not going to MISS A beat . >>vice chair: thank you for your service to the county, commissioner bermudez . >>commissioner bermudez: in light of that fact that it looks like there's a lot of questions on 8f1 and the staff MAY not have had the opportunity to everyone I move to the furthest this time . >>vice chair: we have a motion to dter 8f1. We have a second by commissioner regalado. The motion was by commissioner bermudez and all in favor signify by saying aye . >>clerk: that's to the next meeting. >>vice chair: the next gradual county commission meeting. Yes , to the next meeting and can I ask for a motion for 2b1 and 2b2. Seconded by commissioner bastien . All in favor say aye . Motion carries . Congratulations to both newly appointed directors . [Applause] MADAME Attorney can we go ahead and take item 6b1 ? MISTER If you would like to first take your seat or end up at the podium. Would you like to join us , would your members like to join us on the dais ? They're working their way up . All right . Pretty cool, right? Recognized, MISTER Migoya . I hear you have a 2 hour presentation . >> not at all. We learned from previous presentations to keep it brief . This is going to be fun. MISTER CHAIRMAN I have a whole bunch of questions I'm going to start asking right now. >>vice chair: of course you do. MISTER Migoya, you are recognized. >> I'd like to start with CHAIRMAN Records richardson . >>vice chair: would you like to take it off here is mark . >> good morning vice CHAIRMAN Rodriguez, MADAME Mayor. And commissioners . What a delicious delight it is for me to be here today with my colleagues from the public health board of trustees to present our annual report about the progress at jackson health systems. I'm joined today by amadeo lopez, another member of our board and to each of you, GOD bless you. This annual meeting is one of our most important commitments each year. It is an opportunity for my friend carlos migoya to showcase all that jackson has accomplished over the last year . And the challenges that we are confronting in the days, weeks and months ahead. Though I have been the ph 2 board member for several years, this is actually my first year as I for this meeting as a board chair . And what a delight it is . I'm a native of miami and I remember that I was born , the composition of this board this county was much different than it is now and I'm so proud to be here today and I am proud also of the life-changing work being done at jackson hospital. I'm also in all of the leadership teams steadfast commitment to ensuring our neighbors across miami-dade county expanded access to jackson's high quality medical care while never losing sight of what it is that's in the best interest of jackson's tax shareholders. Now, some of you MAY remember a dozen years ago jackson was asked to use healthcare terminology in clinical conditions and on life support . The 180 degree transformation of our nation's health system is nothing short of remarkable. But MISTER Migoya has certainly been the mastermind but he is. Surrounded by a senior leadership team who are all mvps in the right . Don sackman, mark knight, carol biggs and the newest member, doctor chris . He has 12 letters in his last name, we simply call him doctor g. I commend by public health trust colleagues each of whom devote their energy and expertise to ensure that accountability and transparency are maintained at the highest levels so thank you all. I am so proud and honored to serve alongside you. And to you are distinguished board of county commissioners, thank you for believing in jackson 's mission . We support this most critical to our systems continued progress . Without further delay and the microphone back to chief representative officer MISTER Carlos migoya . >> let me say I did not pay him to shout out any of those comments but I appreciate his work our entire war is like and with you and the mayor to support all of you have a glass 12 years . MADAME Mayor commissioners is a pleasure to be here with you for all joints meeting efficient public health trust since taking over in 2011 we have delivered what could be considered a state of the union style address about what's happening in our health system after 12 years we have decided to change it even. Instead of speaking to you boring you to death I'm excited to share a video at a space where we've been and where we are going to attack , relax ad enjoy the show . >> we turn to the people of miami-dade county and ask for their support to modernize jackson health system. We pledge to build new facilities, expand jackson's reach create healthcare jobs jackson delivered on that promise . The miracle that a bond program gave jackson a $38 down payment which was then supplemented by 1.2 billion of jackson's on reinvestments . Our $2 billion capital campaign supported local small businesses and gave to our economy jackson's mentor protc business instruction for an opportunity to otain healthcare construction management experience, preparing them for future success in the industry. >> our protc to manage the product on the same scale as these large projects and we he is not at all quiet to smaller ones so in the community now you become the local experts and that's those who can trade these people in this class with new hospitals, renovating facilities and an urgent care network, jackson's footprints now stretches from one corner of miami daytona beach to the other and we are not done yet. We will soon open our newest, largest and most sophisticated new health jackson urgent care center in coral gables . This facility will jackson pauline is the same beautiful for the first time and future grants include opening physicians offices and other services the site. Later this year construction will begin on a new $300 million emergency department at jackson memorial hospital , one of the largest in the united states featuring dedicated care for special needs behavioral health . This completely redesigned facility will relocate all adult services to the side of our campus and the hospital's main entrance. Positive impacts will be immediate and efficiency nor technology and other patient experience . We're also redefining the future of pediatrics new health jackson children's care. We're set to break gound on a new facility that will house all those penalties under one roof just text away fom the old children's hospital and the future new site on the ronald mcdonald house . This outpatient will house shriners children's orthopedic center thanks to an unprecedented grant of $16 million and advancing pediatric orthopedic and physical rehabilitation care in south florida . We will also be expanding jackson south with a new parking garage which is currently in the design phase . We are not only growing up footprints jackson , also growing the services we provide to the cmmunity by bringing in the best and brightest physicians and surgeons . The long center at jackson launched just over a year ago and its impact has been through this. >> because of miami transplant institute, this man had a second chance in life. A second chance to love. To live . And the second chance to lead. >> the people have gone beyond . They're not just here doing their job. There making sure mentally you're in good shape. Thank you from the bottom of my heart for saving my life . Getting me a second chance . >> these are just a few patients who had a second chance at life following long transplant surgery led by the doctor and intense rehabilitation at rand rehabilitation center . Earlier we opened a new unit in our new health jackson critical care dedicated to patients from the long center. This is the gold standard in critical care. We also promptly lost the u-haul jackson deal care center where babies can be treated while still in the womb for your congenital life-threatening illnesses . >> we fight for those babies . So that's the benefit of having more. >> new health jackson children's care continues to lead in providing children and teens with the best multidisciplinary care for the most complex needs. No one likes lloyd was diagnosed with a type of liver cancer just days before his first birthday . He was transferred to a hospital in his hometown of naples to hold children's hospital where he won the hearts of his entire team . In DECEMBER not received a life-saving liver transplant and recently celebrated his last row of chemotherapy. [Applause] Alzheimer hospitals and facilities, jackson's reach goes deep into the communities we serve. From community events to health fairs , corporate outreach and educational r for parents . Jackson is serving everyone in miami-dade county. Site is year, jackson health systems writer trauma center serves as the exclusive medical provider for formula one miami grand prix. This is one of the worlds premier sporting events there's no better medical team standing ready to handle any kind of emergency . That's why we committed to this partnership with formula one through 2025. Jackson also continues to partner with the miami book fair, jazzing arms, doral parks and recreation, the children's trust, lafayette and more to show our neighbors we are committed to their health and well-being in every way. While our successes are abundant , dangerous challenges still remain. escalating costs related to staffing and supplies in this post covid world continue to be an issue . Recruiting and retaining clinicians like nurses and allied health professionals is a top priority. Locally and nationally healthcare labor market is highly and in order to ensure jackson continues to attract and retain the best most talented medical professionals we are offering benefits that include career development as an incentive. Aggressively recruiting by using in person ad virtual career fairs where interviews and offers have been on the spot . We continue working with our union partners to ensure we can continue to retain the best and brightest healthcare leaders of tomorrow. Our jackson team is more than 14,000 strong and while the last few years have tested us , we are bigger , better and stronger than ever . >> I hope you join me under the old adage of picture is worth 1000 words . Since the completion of this video we assign tentative agreements with our largest labor unions. These will be coming to you for ratification next month. We're proud of the continued collaboration with union partners and share to ensure every jackson patient receives the best care 100 percent of the time and our clinicians and staff know that they are critical to our success make good on that promise. We? Michael baker fraser, and karine bradley. This committee which was created by MISTER Anderson has provided oversight of our $30 million jackson building bonds program. The members volunteered to be part of this watchdog dedicating time and expertise to ensure checks and balances on every project large and small. Due to CHAIRWOMAN Jerry lazar for your leadership and stewardship of the public trust. This year we exhausted $830 million bond and have made more than a dollar for dollar match in the palm program through our own reinvestment completing $2 billion in renovation, radiation new construction as he saw a video today will be asked to sunset this day and I will you are filled with pride what we have accomplished . Together we kept the promises we need and help secure jackson future for generations to come . A lot jackson PRESIDENT Don stagnant is leaving the system this summer . don had been by my side as well colleague and friend and there is no question jackson is much better because of don and I'm grateful for his partnership and contributions. To each of you are county commission, thank you for your continued support and for the trust you have placed in the. I'm out of our team and the miracles made within our walls and with that esther chair I am happy to answer any questions . >>vice chair: thank you MISTER Migoya and thank you to the entire team any of my colleagues, MISTER Mcghee you are recognized . >>commissioner mcghee: I want to take my hat off to you and say you and your team have done an excellent job. The representation is second to none I want to say that there are opportunities for the world to use , they're going to look at what you and your team has done across the spectrum lastly I also want to recognize you know, the fact that your tenacious approach is truly recognize that this moment whatever we can do in terms of myself and those in district 9, whatever we can do to push for the agenda just count us in because you've proven when we give you a little you turn it into a lot and that benefits people that have been in the system for quite some time. >>vice chair: commissioner from district 8 . >> I want to go the sentiments of my colleagues from district nine and say congratulations to the board members are here . You're always welcome to to the committee members were on the $30 million bond program for our appreciate so I really wanted to say that you are what I know was incredibly heavy and negotiations with our unions . I'm happy to hear you and not on the right side of those negotiations and did what was right for the wrkers at miami-dade county so you for that as well. >>vice chair: commissioner from the second district, you are recognized . >>commissioner bastien: I would like to echo commissioner mcghee and commissioner cohen higgins . And really congratulate you MISTER Migoya. MISTER Chair, walter richardson, someone I have years of collaboration working with in our community. I had the pleasure and honor of visiting jackson recently and asked someone who was there for 13 long years as a medical social worker, I was impressed beyond measure . I was really flabbergasted by the amount of changes that occurred since I left in 2000 . And I was just proud of the neonatal center and also the rehab center . If you have not visited yet , I encourage you to do so because for someone who's spent 30 lawn years working there, working at the emergency room after hurricane andrew , spending days there with the elderly who were brought to the emergency room knowing what you MISTER Migoya at the board chair plan to do to expand the er, I'm really , really very impressed . I was glad when I spoke with you to find out that you reached an agreement with the union and I have wonderful friends, people that have worked there for years . As a former union member myself so kudos to you MISTER Chair and the board and kudos to martha baker, vicki gonzalez and the other new members to take the privilege to say hello to jamie lazar. Brown you are part of the board and as a matter of fact I'm sitting on the public health trust community council have been please to reacquaint myself with g and h so it pleasure to have you both here. >>vice chair: from district 12 you are recognized . >>commissioner bermudez: I want to thank and commend MISTER Migoya and his team. Years ago we were very surprised to note that not only did jackson survive but in my district we had I believe the newest public hospital bills probably in many years in south florida for sure . Currently maybe even across the nation . It's a great facility in district 12 on the other is always in district . The fact that you brought us back from the grip of maybe not having a successful public health system is certainly deserves all accommodation for you and your team. I want to thank MISTER CHAIRMAN richardson and obviously MISTER Lopez castro, longtime friend and if I'm not wrong MISTER Barquin was also on the board but hoping to steer the changes runs forward and for the committee that oversaw this MAY sunset today , looks like it's going to sunset today with all that is said and done those the tumultuous meetings place are probably very surprised that jackson not only survived but came out stronger which is a perfect example . Somebody used the word finishes and I think that's the right word to describe you . Thanks to your tenacity we were able to now have once again a financially solid public health system that serves those with the greatest need all those cross florida and in many cases those that come from other parts of the world so congratulations again . It's a cumulative effort for many others and what could have been on that story and not being a success story . >>vice chair: commissioner from district 7 . >>commissioner regalado: I wanted to know all union negotiations are difficult but post covid you were in the worst situation so what you are able to achieve how the market is with your employees is very impressive. I don't think we should cast any sort of judgment on the situation . I know a year ago you were talking about how difficult the situation was traveling nurses and that crazy elevated price point that we had gotten to your employees . I'm happy to see you've been able to bring that down and negotiate something that works for employees are still in this . So we're past the pandemic but the reality is these folks can still work anywhere and demand a very high hourly rates . The board has to be cognizant of that that even though the pandemic is over, the impact it had on the healthcare industry is ongoing and that something will have to recognized this year and next year and possibly the year after that. Until something is done about the supply and even then you look at the numbers of how many people are going into the field we know is going to be I'll ask for some time. That said happy to see the coral gables facility in the video. I know it was a project of love for commissioner sosa is in commissioner contreras district right across the street from seven . We are so excited about the emphasis in the role therapy. We just don't have enough in our area . The therapists are in different parts of the county and for many parents we have to schlep an hour and a half every single day to have access to those behavioral therapists so it's going to be a great addition to both of our districts and meets unnecessary demand so once again you found this five, the sweet spot where you can provide the right service replication so thank you for your leadership . >>vice chair: commissioner from the team district, you are recognized to that and had . You are recognized to let them have it. >>commissioner garcia: thank you for the work you're doing and making sure we have not only viable but one the best medical facilities in miami-dade county country so I appreciate that. we've had a couple of conversations and someone that knows a lot about transplants unfortunately , not that I want to know them because the experience I've gone through some family members, we did have a conversation on this transplants program. I'm curious what the vision for transplant jackson especially hearts and lungs and where are we going with transplants in miami-dade county? You commissioner and what's important is we have been committed to transplant since very early age of transplantation. I said it before and some of you have heard it. My mother donated a kidney to my. [Bleep] In 1982 at the early stages of transplantation as my. [Bleep] Survived another 10 years because of. So that's just one of my own several reasons as to why I'm serving jackson and frankly the reasons why I'm committed transplant . Was important for everybody to know is that people have a transplants , their choice had they not had transplant would be a negative one. This is a new opportunity for life for many people. We were lucky enough , we started a search about three years ago and in a year ago we ended up 15 months ago ringing in our surgeon for a long transplantation which I know you know him very well. And he completely changed our strategy around transplantation. We are now running a long transplantation of about 100 years compared to 10 year with the outcomes being some of the top percentiles in the country . Not only that but bringing to all of pulmonologists in south florida new outcomes of things that can be done for their patience in the past when not have an opportunity. By the same token , we been working for quite a while on heart transplantation . Almost at the same base that we did with one . Unfortunately , it's got beyond what we were doing internally and again, we're very transparent about everything we've done. One thing that has not been covered that when they talk about the facts the regulars came in, ahca and cms came in to do reviews by both cns and ahca have found zero deficiencies which is important to note . Frankly we have today to great interim leaders . we are getting really close in bringing two prominent leaders both in heart transplant surgeon as well as a cardiology heart failure doctor as well and we're feeling really good about the future of what that will look like. We are committed to health transplants and frankly the way we look at it jackson is we provide transplants where many others don't. Do 80 rejected in other places and as many patients will not be alive today if not before the transplants jackson so we are committed not just to parts, we are committed to every organ and I believe in a year or two down the road we will be just as proud of hearts as we are of long . >>vice chair: the fact that we had zero deficiencies is in itself a huge accomplishment that goes to the CHAIRMAN And before and to your leadership jackson . It's very hard for any hospital to be able to accomplish especially with these types of programs of high sensitivity that jackson has . MISTER Migoya, also on the issue of census and player next, what is the senses we're carrying now at jackson and also the payer mix. We had some conversations I'm looking to see how we can make it even more diverse next meeting having more work self pay individuals to help with both online . >> you can tell he's got healthcare experience but over the past 12 years we've been to reduce the number of self pay or in other words people that have no pay not by reducing the people, we did reduce some of that because in many cases we have four people coming to jackson did not know that they qualify for medicaid . Through our financial assessment is a time we were doing the assessments we were getting these people are on medicaid card and we find some other people tat do not qualify for us to provide that care. We were the hospital although he does care for every leading day resident but we have to provide this care are not miami dade residence so people that fly in from other parts of the world come from the student jackson medicine for free . That doesn't happen anymore . We've been running 13 percent for quite a while we have reduced the number of medicaid patients from 30 percent to something in the mid-30s and is not because of the numbers again . We've been able to roll the number of patients to your point of census , our hospitals are firly full . There right high percent. part of the reason why legal new power in jackson memorial is because of the levels of what we're doing in open hearts and transplants as well. So we have become more attractive to the paying customer . Might I say we used to be known as the hospital for four people . We want to be known as the hospital for all people which of course include the poor people . We want to include the best quality care for every day regardless of your ability to pay we will always be proud of what we want to make sure t the commercial patient so we're working quite a bit improving how much we are running that environment I some of the specialties legal and transportation is not the only thing we do. We have a great neurosurgery team on the other level specialties in open-heart and so forth that people want to come here. It's not just the poor all people at a great option jackson . >> that's something this community we've always known the importance of jackson and the role it plays but the rest of these communities need to understand the accident is a premier institution is no longer just a hospital where those that don't have for those that are underserved go t . This is a hospital where there's a lot of modern technology advances in the online of this community so thank you for the work you have done and your leadership. We haven't always agreed but I've seen your dedication and your heart as it relates to jackson and he sure we move forward so I appreciate you CHAIRMAN Richardson, thank you for the work you've done in nature and the people of miami-dade county really do have all of the love gave county at all premier institution where they help carry these net so congratulations look forward to working together as we all this transportation program and for relationships with other hospitals in our community . >>vice chair: commissioner district 11. >> a lot of my colleagues can tell you that jackson is a health institution for this community . It's really a gem of miami dade county master seen firsthand how jackson sc lies to those who otherwise would not have options . You and I when I first is this position we had a great conversation about how my father survived a heart attack 32 . Something next to me and you just mention is when you were talking about not only the availability of helping people with hard deficiencies but also with transplants, jackson small was to give everybody a chance . That really stuck with me because everybody in the community does need a chance in addition that model only jackson health has command this for . Thank you for your service and all that is attributed to the fine folks at work jackson so the fact that I saw you last blood and tears in negotiating for them, that means a lot to the false in this community and the folks at work there so that you select. >>vice chair: any other colleagues on the commission side? MADAME Mayor . >>mayor: accu to the CHAIRMAN Of the board and our ceo. Wanted to know is work going on in our jails . Miami date corrections and rehabilitation apartment relies upon jackson for the care of those who are in our care and jackson stepped up a really difficult time . We are hopeful for good news from our monitors . Names are progressing well as we continue to improve our outcomes in the jails including the emotional health, physical health of the inmates. So thank you so much to you mister migoya or what you've done to tell us turn the corner and do the right thing. >>vice chair: I would echo the sentiments of all my colleagues and the mayor . My former board members you for everything you guys continue to do those that were succeeded by her are now clerk . Listen, it goes without saying you do a phenomenal job in leadership in this hospital and we all can stay with us as long as possible but what I haven't heard enough is you have a bell leadership team over at jackson so from your chief of staff all the way down they really do a phenomenal job so that you for everything . >> just because you reminded me , just like you and of course want fernandez-barquin, he has stepped down and we should get that was in the process of coming to you recognition and legal to have that in the next couple of months . >>vice chair: thank you guys, thank you board members and thank you MISTER Migoya, appreciate it . 1 at one was already approved in the setting of the agenda . >>commissioner regalado: do we move to adjourn the meeting western mark does it? >> the actual joint meeting. >>vice chair: I'm told it doesn't but if you want to do it in an abundance of aution. All rght. >> I thought you were adjourning the whole meeting. >>vice chair: I had to second that . MADAME Attorney, is first reading in order? >>clerk: please bear with me, there are many. It's relating to zoning in the unincorporated area, 196 of the code printing uses for properties located on the urban development boundary in the interim district providing zoning regulations to provisions in the conference in the cd and the land use map provide separability inclusion and to date, 4b relating to competitive purposes. Amending section 2-8.1 of the code of miami-dade county, florida; rquiring that certain additional information be included in the county MAYORb recommendation for the award of a waiver of competitive bidding, legacy purchase, or designated purchase; requiring identification of legislative item as seeking approval of a non-competitive purchase in the title and body of the resolution and memorandum comprising the legislative item; making technical revisions; rquiring a report; and providing severability, inclusion in and exclusion from the code, and an effective date . 4c is a ordinance relating to the fixed-guideway rapid transit system-development zone; amending section 33c-2 of the code of miami-dade county, florida; expanding the metromover subzone of the rapid transit zone to encompass certain private property and county-owned property; providing severability, inclusion in the code, and an effective date. 4d is a o