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Commissioner Halkiotis said that years ago people used to call 911 to get an ambulance just so they could get their blood pressure taken. He remembers when Rosemary Summers first came on board and she was instrumental in getting the Kellogg Grant in Efland. He said that these people couldn't advocate for themselves. He said that he thinks that every school and public building should have a defibrillator in it and someone trained to use it. He thinks that there are a lot of people in the County who are not receiving proper medical and dental attention because they do not have insurance. Rosemary Summers said that there are same free pharmacy programs that they will be working with. The Billing Specialist will help people apply for these programs far reduced cost of pharmaceuticals. Commissioner Brawn said that the transportation issue always Games up. She asked if they had discussed taking this service to other areas of the community to help with this problem. She also asked if there were any thoughts of doing something on nights or weekends to provide more access. She is also interested in understanding the linkages to referrals to mental health and social services. Tim Carey said that evening hours have been contemplated. There are some infrastructure issues regarding different locations. Rosemary Summers said that they da intend to have more screening events in community centers (i.e., blood pressure, diabetes, etc.}. Regarding transportation, they are dealing with this now. Most of the prevention services patients have made arrangements to get in. They have worked out with maternity patients that a cab will take them to the hospital in an emergency for a flat fee. She said that they also refer to DSS and Mental Health regularly. Chair Jacobs said that it seems that the Board is in favor of this proposal. Public Health Task Force 2004 Recommendations: Commissioner Carey made reference to the task force recommendations. He said that there would be several public hearings around the State regarding the recommendations. He said that the County Commissioners' Association is urging caution to go slow because some of the recommendations have cost implications for counties. Many of the recommendations were already in the pipeline before the task force was put together. There is still a lot more work that needs to be done. Alan Rimer asked Commissioner Carey about the comments he has received. Commissioner Carey said that mast of the comments are about inadequate funding. He said that 40°~ of funding comes from the federal government, 40°~ from the local government, and 20°~ from the State. The rules about what public health has to do come from the State. He said that there is a lot of restructuring to do. Rosemary Summers said that there is the thought that these recommendations are going to be morphed into an adoptable bill during this legislative session. She said that we should keep an eye on this. Alice White asked about the estimates of what these things would cost and if this was on target. Commissioner Carey said that some are good and some are not sa good. He said that there is no real significant vision of how spending at the State level is going to affect costs at the county level.