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23 <br /> 8. What concerns or emerging issues does this board/commission anticipate for the <br /> upcoming year that it plans to address or wishes to bring to the BOCC's attention? <br /> • Capacity of current public health workforce to provide services to residents <br /> if Medicaid Expansion is discontinued. <br /> • Capacity of current public health workforce to provide services to Medicaid <br /> eligible residents if private practice providers limit/eliminate Medicaid <br /> patients due to reduction in Medicaid reimbursement rates. <br /> • Sustainability of Opioid Mitigation Strategies beyond use of Opioid <br /> Settlement Funds. <br /> • Mental health resources in the community, especially a lack of diverse <br /> mental health providers. <br /> • Vaping among young people. <br /> • Potential health risks of high levels of screen time in children and <br /> teenagers. <br /> • Affordable housing and homelessness. <br /> • Concerns about access to public health resources in light of immigration <br /> enforcement and fear of their presence at healthcare facilities, including <br /> the Health Department. <br /> • Concerns about changes to the public health ecosystem (e.g., rollbacks to <br /> fluoridation, rollbacks to vaccination requirements, changes in CDC <br /> leadership and infrastructure, cuts to program funding including SNAP and <br /> Medicaid, etc.). <br /> Page 6 of 6 <br />