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Chelsey Loeffers gave a brief presentation/discussion about the Public Health 2025 Budget that outlined the following: • 2025 Budget Breakdown. • Estimated Total Revenue Breakdown. ■ 2025 Preliminary Budget Breakdown. • Estimated Total Expenses Breakdown. • Admissions Tax $100K Breakdown. • Fund Balance and restricted Uses. • New Positions for 2025. ■ Vacant Existing Positions. Ms. Loeffers also discussed the new Human Services final 2025 Budget: • 2025 Budget Breakdown Estimated Revenue. ■ Primary Revenue Sources. • Total Budget Breakdown Estimated Expenses. • Community Contracts. Ms. Loeffers reviewed staffing for Public Health and Human Services. No questions from the board. Emergencv Management Presentation Kelly Bacon presented on the 2024 Drive-Thru Flu Clinic. Ms. Bacon noted that the flu clinic is an annual event and provides free flu vaccine to the public. The event also serves as a single point of distribution exercise for Public Health, our partners, and volunteers. The planning for the clinic starts early in the year with securing vaccine, establishing a location, identifying staff positions, and any additional resources needed. This year the clinic included a Disability and Inclusion Officer to the Incident Command Structure ensuring accessibility and inclusion are considered in all logistical operations and coordinated with disability service providers. Ms. Bacon reviewed the command and general staff duties from the start of planning to the day of the event. After the event is finished, there is a meeting to talk about improvements. This is called the After -Action Report Improvement Plan. This will be used to help improve the event for the next year. New Development connection to public sewer or allow Large On Site Sewage System (direction) Jesse Cox requested that the Board of Health provides direction to either: Require connection to public sewer for new developments when feasible and allowed by the sewer utility or allow Large Onsite Sewage System (LOSS) as an alternative. Mr. Cox reviewed the process and noted that under WAC 246- 272A-0025(3) new developments within a serviceable distance (200') of an established public sewer system are typically required to connect to that system unless otherwise authorized by the Board of Health. The regulation intends to ensure public health is protected by utilizing centralized wastewater treatment where feasible if the sewer utility allows the sewer connection. Currently, Kittitas County does not have an adopted policy explicitly addressing this scenario, which has created a need for a decision to ensure clarity and consistency moving forward. Mr. Cox noted there is a current situation that requires direction from the board. The board discussed risks and potential stakeholders for future discussions. The board agreed to go with no policy action today and continue to address requests on an ad -hoc basis with Health Officer discussion. The board gave direction to staff to bring this discussion to CDS and the planning commission. Other Business Annual Election for the Vice Chair of the Kittitas County Board of Health The group discussed the Vice Chair position and nominated Dede Utley to be the Board of Health Vice _Chair for 2025. 12.03: Motion to elect Dede Utley as the Board of Health Vice Chair for 2025. Linda Navarre moved to approve Dede Utley as the Board of Health Vice Chair for 2025. Danielle Bertschi second. All Approved. Motion 12.03 carried to approve Dede Utley as the Board of Health Vice Chair for 2025.