You don't often get email from mdombrowski@spokanecounty.gov. Learn why this is important External Email: Do not click links or open attachments unless you recognize the sender and know the content is safe. Good afternoon! I wanted to double check that Commissioner Waldref and I did not fall off the email list, as we had not heard through email that the meeting had been rescheduled. Also confirming that the regularly scheduled meetings occur the first Wednesday of the month? Thank you! Mary Mary Dombrowski | she/her District 2 County Commissioner Amber Waldref mdombrowski@spokanecounty.gov

Legislative Director (Health) Date: Tuesday, April 14, 2026 Re: April Call Reminder & Agenda -- Tomorrow, Wednesday, April 15 at 3pm EST Greetings Health Steering Committee- I hope you all are doing well! I’m sending a reminder about our rescheduled April Health Steering Committee Call taking place tomorrow, April 15 at 3:00 pm EST. See dial-in details and agenda below. Very Best, Blaire HSC April Full Membership Call Agenda Wednesday, April 15 | 3:00 -4:00 PM EST Microsoft Teams Need help? Join the meeting now Meeting ID: 233 176 034 711 4 Passcode: VX7Y8GA3 Dial in by phone +1 253-999-5772,,621091232# United States, Tacoma (855) 204-8206,,621091232# United States (Toll-free) Find a local number Phone conference ID: 621 091 232# For organizers: Meeting options | Reset dial-in PIN AGENDA I. 3:00 pm – 3:05 pm | Welcome and Opening Remarks (5 minutes) Hon. Bruno Sabatier, Supervisor, Lake County, Calif. II. 3:05 pm – 3:10 pm | Committee Updates & Reminders: 2026 Presidential Leadership Appointment Applications Blaire Bryant, Legislative Director, Health, NACo III. 3:15 pm – 3:25 pm | Upcoming Events of Interest · County Health Day- April 17th | Amy Maxson, Senior Program Manager, NACo · Mental Health Awareness Month | Blaire Bryant, Legislative Director, Health IV. 3:25 pm – 3:35 pm | National Partner Spotlight: National Association of Behavioral Health and Developmental Disability Directors (NACHBDD) Jonah Cunningham, President/CEO, NACBHDD V. 3:35 pm -3:50pm | Legislative Update · Key health implications from the President’s FY 2027 Budget Request · Updates on Michelle Alyssa Go Act Advocacy · NACo Advocacy/ CMS Guidance on Implementation of H.R. 1 Medicaid Community Engagement Requirements · Spring regulatory & Congressional agenda VI. 3:50 pm – 3:55 pm | Open Discussion/Other Business Comments/questions on other agenda items VII. 3:50 pm | Closing Remarks & Action Items Hon. Bruno Sabatier, Supervisor, Lake County, Calif.