WEBVTT

METADATA
Video-Count: 2
Video-1: youtube.com/watch?v=jg8sYBeIXH0
Video-2: youtube.com/watch?v=f7v9L1DvYWo

NOTE
MEETING SECTIONS:

Part 1 (Video ID: jg8sYBeIXH0):
- 00:00:00: Meeting Called to Order; Health Fund Introduction
- 00:12:11: Group Health Fund Overview and Cost Drivers
- 00:17:57: Strategic Review, Underfunding, High Utilization, Employee Costs
- 00:22:23: Multi-Year Strategic Plan: Stabilization, Reform, Optimization
- 00:25:21: Immediate Cost Reduction: Dependent Verification, Direct Contracts
- 00:26:44: GLP-1s: Cosmetic Use and Rising Pharmacy Costs
- 00:32:59: Proposed Intervention: Member Cost Share for Cosmetic GLP-1s
- 00:34:50: Public Comment 1: Council Flores - GLP-1 Cost Impact
- 00:36:12: Public Comment 2: Council Beck - Definition of Medical Necessity
- 00:39:26: Public Comment 3: Council Shingleton - Healthier Workforce
- 00:40:15: Public Comment 4: Council Mendez - Women's Health Concerns
- 00:41:03: Public Comment 5: Council Hill - BCBS Contract Administration
- 00:41:51: Public Comment 6: Jay Chapa - Medical Decisions and Cheaper Options
- 00:46:40: Public Comment 7: Clarification on GLP-1 Coverage
- 00:48:17: Public Comment 8: Mayor's Summary - More Data Needed
- 00:51:34: Cost Savings Summary and Funding Model Discussion
- 00:53:29: Public Comment 9: Orthopedic and MSK Redirection Clarification
- 00:56:41: Future Agenda Requests and Adjournment

Part 2 (Video ID: f7v9L1DvYWo):
- 00:13:54: Meeting Convenes; Bond Propositions and Initial Results
- 00:16:18: Charter Amendments Results Announced; Voters Respond
- 00:18:06: Council District 10 Special Election Results; Speakers
- 00:18:45: Public Comment: Adrienne Smith on Bond and Governance
- 00:22:12: Public Comment: Bob Willoughby on Low Voter Turnout
- 00:24:38: Canvasing Ordinances: Bond, Charter, and District Election
- 00:26:09: Outgoing Remarks for Departing Council Member Bllelock
- 00:36:32: Council Member Bllelock Reflects On Service, Future Goals
- 00:51:38: Swearing-In Ceremony for New Council Member Jameson
- 00:54:39: Recognition and Gifts for Departing Council Member
- 00:56:09: Meeting Adjourned; Move to Executive Session Discussions


Part: 1

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--------- Okay, good afternoon. Welcome to our Fort Worth budget work session. I will call on our meeting to order and turn it over to Jay Chapa. >> Well, good afternoon. Uh this meeting is another step as we move toward um through the summer to get to uh a

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recommended budget in August. And uh one of the the only item we're going to talk about today is one of the major issues that we're uh experiencing some issues with here um as we go forward around the uh group health fund. Um Kristen is

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going to come up and provide a presentation and we will uh probably have she also has her her hub consultants with her um that will assist as we go through. But basically what we're dealing with is a structural

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issue on how we're funding our health uh program the last couple of years. And and part of it is tied to a big part of it is tied to prescriptions and prescription drugs overall. So, I'll let her go through the presentation um to go

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through, but one of the things I've asked staff after we got reports and she'll touch on this is to ensure that we are not out of market when it comes to what our employees pay uh for their portion of the of the overall health plans. Uh so as you'll see as we go

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through it um we're trying to keep that level for employees so that we don't have an impact to the employees because we don't want to get out of market with other cities and and entities in Fort Worth overall. So Kristen, if you go forward. >> Good afternoon, mayor and council. Um,

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as the city manager shared, I'll be walking you through just really historically, um, what has gotten us to this point with the health fund, uh, and the extensive amount of work that has occurred over the last several months to, uh, come up with both a strategic

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plan, um, that will better align us, uh, but also, you know, kind of bring to the forefront, um, some of the opportunities for both this fiscal year, uh, and the upcoming fiscal year. Right. So, just background information, our

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group health um fund or group health and life insurance fund as it's officially called uh is responsible for all of the claims expenses and uh administration and just overall costs for our employee uh and a portion of our retirey uh

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health insurance. uh the revenues come from employees you know in a traditional model through uh benefit premiums uh as well as contributions from the uh city and interest on interest on investments. So it includes our health benefits, any

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wellness programs, condition management, uh employee health utilization and overall plan administration. So partners like Blue Cross Blue Shield, I refer to this as my pillars slide and um the pillars are important because

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when you think about kind of the big rocks or the big cost drivers for a program like this um for a self-insured model, which the city is, um that means that, you know, as employees are utilizing their benefits, they're going out, they're going to the doctor,

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they're getting medical procedures. um we are incurring um all of those costs. The city is is u managing that risk. Um so there are kind of three main buckets that drive the expenses and costs of that fund. Uh one is the

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administration. So again TPA or thirdparty administration fees um from a Bluec Cross Blue Shield who's our current partner. Uh and then claims make up the bulk of impact to this fund. So any type of medical activity um for our

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employees um our covered members and their dependents uh any pharmacy claims which we are going to spend a lot of time talking about this afternoon uh and then any of our condition management uh programs and for example anything that would be diabetes related or uh other

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condition msk related which is a a big uh cost driver as well and then best practice and also city policy is that we have a reserve component it. Um so, you know, we do our very very best to project claims activity um based on

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historical usage. We're also looking at uh diagnosis uh how long someone is expected to um continue um for certain types of treatments. Um but it does require kind of a an ongoing refinement. Where did we think we were going to

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land? Where are we currently landing? Regardless, having contingency or reserve funding uh is important because of the um amount of fluctuation that can happen uh in a fund like this. And so we have shared I've shared

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actually a couple of times um we were uh in uh the audit and finance committee. Um we shared um in December kind of where this fund was projected to be. Uh we went through a very extensive strategic analysis and strategic plan

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development um with our now uh broker Hub International. Uh and these numbers have been shared um repeatedly uh with where this fund is expected to land. And these numbers although they look, you know, definitely scary and that's why

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we're having these conversations, but these numbers are reflective of if nothing else changes. And so, you know, there are some cost reduction efforts. there are other um decisions from a fiduciary perspective that can be made to help to offset some of the increases

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that we've seen. Uh and I'll share what those look like. But you know, just from what we're seeing um and where we're expected to land, you know, anywhere from a 30 million on up to a, you know, very significant number. Um but hopefully the things that we're talking

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about today will prevent uh moving um further in that direction. Um as I also shared over the last few months the reserve um uh current res reserve um allocation in this fund is basically um diminished. So it has been

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reduced uh over several years. Over the last five years the reserve balance for this fund has reduced more than 80%. Um so you know all of these numbers that you're seeing are you know if things remain static and there are no uh plan or program design changes to uh help

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prevent this. All right. Similar to my pillars slide of just you know kind of what makes up the cost for a fund like this. Uh this is an internal service fund and so you know departments are contributing to costs including any fluctuation. So as

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our you know utilization you know trends upward uh if our projections are off as you know claims experience um as we start to study claims experience then you know there is a possibility that the departments have to contribute additional amounts and that has occurred

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uh so in FY25 um there was additional contributions that were required from departments uh and that's expected to continue for FY26 based on where we are um where we're projecting right now. Um, all of this, well, let me not say all of it, the

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majority of it is related to claims expense. Um, but there are some kind of best practices that we need to also implement to help with this. All right. So again in 2025 and this was late 2025 uh around December uh the city

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started a strategic uh review and a strategic plan development uh so that we you know had very specific guidance of where we could make the most impact but also you know not just focusing on the cost of managing the fund but what are

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we doing from a plan and program design perspective and what does that look like over multiple years. So the key findings from that uh strategic plan number one was that the city has been underfunding um the health fund contributions meaning

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that in looking at what it costs you know per member per participant based on claims activity um we were not contributing enough or did not have a model that was uh contributing enough to the fund. And so you know when that happens if you have a reserve that

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reserve is going to be you know reduced at a much faster rate if it was not um funded fully if the expenses were not funded fully uh initially. Also um we have uh a very fast growing category of pharmacy and so you know

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everybody is familiar with GLP1s. If you you know turn on any TV channel you've seen uh weight loss medications and while they have uh specific uses and were initially introduced from a you know diabetic um perspective uh for the

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most part they are uh a huge cost driver on our plan. And so I'm going to spend a lot of time talking about that. Um the study also found that we, you know, were not fully accounting for our overhead and administrative expenses. So just like we have Blue Cross Blue Shield as

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our third party administrator, I have members of my team, our uh HR benefits team. Um we have uh several direct contract um partnerships for other programs and those costs related to kind of the internal administration of our

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programs were not being captured and so that further uh reduced the availability of fund balance. And then we also have just as far as kind of um member or employee behaviors we have higher than benchmark utilization uh in many

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categories but the largest um category was around emergency rooms. Um so you know what we consider kind of a higher utilization is people going to emergency rooms for care that could have been you know taken care of at their you know

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regular doctor uh or even through an urgent care so that we don't have you know these additional costs. So, you know, if an employee is going to an emergency room or they're taking their child there for an ear infection, you know, yes, they may be paying a higher out of pocket, but the city is also

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paying, you know, exponentially higher than if they, you know, would have gone to a a primary care provider. Also, lots of imaging and um still, you know, we're learning more about what that looks like. Some of it is outpatient, some could be inpatient. But just um the benefit of having this strategic review

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is we kind of you know pulled the band-aid off of everything, looked at every category. How do we line up against other employers um that are of a similar size of our full um benefit population. And then um as the city manager

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mentioned uh it also showed that our employees so our our participants are um paying um more out of pocket. So, you know, our employees are contributing more and even with the higher contributions. Uh, and this is not their premiums. This is if I'm going to

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utilize services the way our plans and programs are currently defi designed. Um, it shows that they are paying more out of pocket. Um, so, you know, just if as we're thinking of levers to pull to rightsize this fund, you know, we have to look at the employee impact as well

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as the employer impact. So this it's an important benchmark um to consider as as um you're facing decisions over these next few months. All right. So with our strategic plan, we had a multi-year kind of focus um that our um our broker team has come up

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um with us. Uh and some of these are are already in the works even though it shows that it starts FY27. we because of where the fund is performing uh we wanted to move you know as quickly as possible but um the three categories over the next three years for FY27

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stabilization and containment so you know before we can talk about plan and program design or what works you know longer term we have to stop the increase um of expenses to this fund and so cost

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reduction and really right sizing making sure that we are set up for um better success um by fully funding um the true claims expense associated with this um fund. And then for FY28 structural

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reform, that's why where we will look at, you know, kind of what our strategy is for longer term reserve replenishment. We want to make sure the fund is healthy, but we also want to make sure that we're meeting the city um city requirements and best practices

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around our uh fund reserve. And then aligning our plan design. So, you know, what our employees have as far as health uh plan choices uh and how much they're paying for those. So, is it accessible? Is it affordable? Is it in alignment with

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benchmark? And I know that you know some of you are also a part of our plan. So right now we basically have you know a a plan that drives members to our uh employee health clinics uh or we have a plan where you have you know really you

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know some somewhat expensive um you know high deductible cost and so there's not really a middle ground. There's not really a kind of traditional health benefit um program. So it's either you know you have a lot of money to save or you're using the clinic and you know

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there are pros pros and cons there and so part of our kind of future exploration will be do we have the right mix uh of plan offerings and then um for the last year um really optimization and sustainability just long-term planning

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uh a mature governance model you know how does this fund work but what I can tell you is there has been uh an extensive amount of collaboration both with city management, our brokers, um the lab, um uh FMS, everybody has been

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working very closely together. There are lots of eyes on this. Uh and even though this looks like a, you know, kind of three-year strategy, we are accelerating that. We have been working um um repeatedly over the last um several

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months to to make sure that we have the right level of collaboration um for managing this fund. All right. So for some of the immediate uh kind of cost reductions um which we are already starting to work

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on for FY26 um the priorities that came from the plan one uh well two of them have to do with best practices. So making sure that we are verifying plan participation. So doing a dependent verification audit, do we have the right dependent

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in traditional plans? Um dependents and that includes both children and you know spouses um often are very high um high cost drivers. Um and you know at the end of the day we want to make sure that we have eligible members only participating

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our plans. This is a very big city and you know we have um you know over 11,000 members on our plan but making sure that we have best practices around verifying dependence and verifying them consistently um over the course of participation.

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Uh and then also reviewing all of our direct contracts. So anything that we have that is um you know hitting our plan evaluating the return on investment for those contracts and if there are any opportunities for consolidating or evaluating how those services are being

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delivered. Uh and then uh increasing kind of what our model looks like for GLP1s uh is really out of this list. Although all of these are important, uh the GLP1 membershare is the most important from a cost perspective. And

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I'm I'll share more about that. >> All right. So, the city currently covers and I'm I want to say this and I I'll repeat myself again because it's really important. Um so GLP-1s again when they were first introduced to the market they really were for diabetic type conditions

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is we're looking at co-orbidities and the it really is a balance right any type of prescription that you have there are certain risk or benefit and so the way GLP1s were initially introduced is you know someone has you know one or more coorbidities

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and kind of the risk of taking this type of medication you know balanced or outweighed some of the potential risk of the con of the uh actual disease or condition. Um GLP1s are um considered to be lifetime medications and that means

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that you know once you start them to continue to see the benefit um you continue on those um for the foreseeable future. um from a fund management and just kind of overall um perspective as an employer and providing health

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benefits. Um most of our medications, let me not say most, all of our medications are tied to a condition. And that means if you know I'm in the hospital, I'm receiving care, I can look at other uh similarly situated, you know, patients, historical information

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to see how long I may be expected to receive this type of treatment depending on my diagnosis. And again, we only receive aggregate data, but you know, are able to kind of project out cost for uh certain conditions. Um but with GLP-1s and I'm specifically talking

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about GLP-1s for cosmetic use. Um so we have um several um types of prescriptions that are purely cosmetic meaning that I'm not diabetic. I don't have a coorbidity. I'm accessing this drug because I'm you know just want to

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lose weight um faster. Um so it's very member driven. It's not condition driven. And so I can, you know, look at our plan and say we have, you know, maybe, you know, 500 members that have cancer. We have, you know, 200 that have this condition. But the the risk with

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GLP1s is since there's no real medical condition, you never know how many people will access that medication. And that means that it's very difficult to project the the current and long-term cost.

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um only one benchmark city. Um so we had our brokers also take a look both for size and you know larger cities um that we may be competing with for talent or just you know use as as kind of a ruler. Only one benchmark city uh offers GLP1

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coverage for cosmetic care uh and that is only through a controlled program. So right now the city of Fort Worth is you know we don't have parameters around this drug category um which is what's driving a lot of the cost um and so our

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pharmacy costs are rising sharply um much faster than what was initially projected. So the fact that we have kind of you know very little um barriers around this category um the cost is u exponentially grown um and then that

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coupled with kind of underfunding already uh the plan and not having a reserve uh has put us in the position that we're in right now. All right, just to give you a little more context of the impact of this category of uh pharmacy. So for just a

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six-month period, um GLP-1s uh represented about 40% of our total pharmacy costs and this is for all GLP-1s. So that those for diabetes as well. Uh and that was uh over $7 million just for a six-month period. Uh WGO and

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Zepbound uh are written for purely weight loss. And out of that 7 million, so out of in a six-month period, that $7 million represents all types of GLP1s, whether you have, you know, just the desire to lose weight or whether you have diabetes or other coorbidities. So

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out of that 7 million, um about five million of that was just for cosmetic GLP1s. So we, you know, although we're offering this to employees if they have, you know, certain conditions, the majority of the use on the plan is purely

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cosmetic. And then Zepbound um as just as another example, in the same six-month period, it um rose over 2,000% in utilization. And so you know when we're trying to level set and look at projections uh it

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becomes very difficult to provide a realistic view with you know accelerated growth in that way. All right. Another concern and and you know just kind of um data point is that

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for the entirety of the time that GLP1s have been on the market um they have been in an injectable form. Right? So, you know, you're giving yourself periodic shots. Uh, and the numbers that we will talk about today, which is roughly a million dollars a month, um,

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that are going towards this category, that has all been for the injectable form of this medication. But as of this month, um, there is now a pill option. Um but the the concern with the pill

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option one is that the our cost the cost to our plan is going to be roughly the same but the expectation is that you know if for all of this time I may have thought I don't want to give myself a shot um you know in this category but taking it by mouth makes it a lot more

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accessible and so we expect that those costs are going to continue to to rise but even faster than they have been over this um over the review peri period. All right. So to expedite cost containment, one of

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the um next steps and really um you know immediate interventions that we're presenting uh is moving GLP1s and again just the cosmetic option for GLP1s, moving that to a 100% member cost share,

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meaning that the city will contribute for uh GLP1s that have a coorbidity, you have diabetes or you know a diagnosis that um would qualify um that it still stays the same. But if you are on GLP1s and it's purely

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cosmetic, that that is 100% cost to um to those members. And so the you know, although it, you know, sounds um aggressive, it again is representing in some cases over a million dollars um per

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month to the plan. And that is prior to the pill form being available. Um and the difference now is that there are plenty there are several direct to consumer options like you see the commercials there are affordable options

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for accessing this drug that uh have has not existed uh in in prior years. And then um we also plan to have a 90-day notice to members. That way they have an opportunity to um you know start to find

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another option uh and providing recommendations for what those direct to consumer choices uh actually look like. Now the city does already offer at no cost um nutrition and weight management and fitness programs. And so making sure

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that employees know that there are other routes to take um that are not just GLP1 focused. But I know I've given you a lot of information. I'll pause to see if there are any questions about what that recommendation looks like so far.

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>> Questions for staff? Yes, Council Flores. >> Um so to make sure that I have this uh correct in my head, uh you focus on GLPS, right? that that medication and how associated cost increases with that are having this impact on the group

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health plan. Right. >> Correct. >> Um is that all there is to it contributing these increases? >> No, it's Yeah. So there it it is not >> for the most part that >> for by far the most part absolutely. So

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then um do you have any idea what rate of increase say over the past few years uh there has been uh to you know employee healthcare costs? >> Um we can definitely take that as a takeaway. Yes. um

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probably kind of under the same you know uh consideration on average. Is there is there a dollar amount that that you can tell us on average that employees in this uh you know group health um have you know put you know spanned out of pocket?

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>> Um yes out of pocket yes we'll be able to provide that information. I'm looking at brokers behind me but yes we'll take that as >> some quantitative feel. >> Okay. Absolutely. >> All right. Thank you. >> All right. >> Yeah. Can you so can you give me the definition of exactly what it like

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what's that breaking point where it's considered medically necessary versus cosmetic? >> Mhm. And so the it is if they have an a comorbidity that would and again it's the balance of is this lifetime medication um the risk associated with this

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lifetime medication is it balanced or less than the risk of the disease or condition that you have. And so typically it is that they have another co-orbidity. They, you know, have have diabetes. They're also overweight. They may have, you know, something else that's contributing.

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>> So I guess my question is if I wanted to go get, excuse me, zetbound um today and I um we could all I don't know a woman that doesn't want to lose 5 to 10 pounds, right? So I go in and I say I want to lose 5 to 10 pounds. I don't have high

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blood pressure. I don't have high cholesterol. My A1C is fine. That's considered cosmetic. >> Yes. And Zepbound and WGO, it's all the same medication. So, Ompic is a good one u to use an as an example. Typically, it

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is for somebody that has, you know, diabetes or something similar where Zepan Zepbound and WGO are purely weight loss. >> Okay. And so Ozimpic would still be available to folks who were, let's say they're, you know, their BMI is they're

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in the obese category, but they don't have diabetes or high blood pressure, they would still be eligible because obesity would be considered one of the co-orbidities. No, the recommendation is that we keep the category that focuses

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just on diabetes, but for all other co-orbidities and purely weight loss, it would be 100% member cost share. >> And it's a specific reason for that. >> Sorry. So, if someone's overweight >> and they also have high blood pressure,

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they would not be eligible for this drug that we know would treat both the obesity and the high blood pressure. Is that what I'm hearing? they would be able to access the drug on our plan, but they would have to pay 100% of the cost or they would be able to go to a direct

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to consumer option and pay that way. So saying that they I I let's not say that they can access that because sure they can access pretty much anything if they want if they can get a doctor to prescribe it but if we're not covering for it covering for what's an expensive drug that limits the access to

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them and so part of what makes I do think we need to make some changes to the system but part of what makes these drugs so revolutionary is that they also help treat a lot of those co-orbidities, the high blood pressure, the borderline

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diabetes, those um long-term illnesses that have long-term effects on our health plan. And so if we have a healthier uh working, if we have healthier people on that plan, in theory, that comes down. So I'm absolutely for if it's purely cosmetic,

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if someone's just trying to, you know, lose some weight, but if we have obesity and a coorbidity, shouldn't we be looking at ways to support them? And if we have a a drug that we know treats that, why would we take access away from them? And and it's not fair to say that they have access if we're not covering

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it. They don't have access. They have the ability to get that prescription. >> Okay. And to council member Beck's point, I think and you probably do have this data, Kristen, and working with hub, but to break down for council how large of a category and how many employees to Elizabeth's point that is

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impacting that do have serious health issues that can be helped by GLPS. So if it's 300, is it a thousand? And let us evaluate that because you're not going to get any any negative reaction of we have to stabilize the fund. That has to be a priority. But to Elizabeth's point,

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to have a healthier workforce and how that overall impacts um costs long term, I think is an important consideration for the council to consider. >> I also want to put this in terms of women's health. GLP1s have been revolutionary in helping uh women achieve health goals. A lot of times

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there are hormonal or um endocrine issues that you women uniquely have that cause them to have uh to be overweight or to have these other co-orbidities that aren't necessarily diabetes. Say maybe it's pre-diabetes and we're taking this drug away from them. And so what

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we're doing is we the the long-term effects of of women's health that studies have shown that small doses of GLP1s have big impacts on how are we negatively impacting the um the the women here on this plan. I'd like some

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more information on that as well. Council member Hill and then and then Jay, go ahead. >> Thank you. Kristen, I want to go back and talk about the administration of the plan. You said a Blue Cross Blue Shield is the administrator. >> Yes. >> Okay. And what is their contract period? Um, we just switched to Blue Cross. Was

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it just 2025? >> Last year. >> Last year. >> Last year. Yeah. >> Okay. And then is it an annual contract or what is the term for that? >> It's a multi-year contract. >> Okay. Do you know how long? >> Um, not off the top of my head. I don't. Normally, we sign three to five year uh agreements. So, it would be somewhere in

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that ballpark. >> Okay. And there's a bid process that goes along with that. >> Yes. A formal bid process. >> Okay. So, we think it's three to five years >> likely. >> I think it's three years with a with a annual two more years that you can extend. >> Okay. I think it'd be helpful for council to see how much that contract is

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too what we've paid in the past. >> Okay. Thank you. >> Thank you. >> I just wanted to mention on the GLP1s, I think the comorbility piece is something the doctor decides, right? And so I think ompic is the one that's used for coorbidity

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morbidity issues. So like diabetics or diabetes is one of those items. The other two which we seen the big growth is only for weight loss and so we can go back and look if there's other comorbidity issues that are medically

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decided by the doctor um because what I want to avoid the staff and non medical folks making decisions on what should be covered and not covered and so I think we want to make sure that that it's on on that side of the ledger that those

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decisions are made and Kristen mentioned there's other options. So currently in the city's plan, if on these on this program, the city gets a discount, but the discount drops it to $1,400 a month. >> To consumer 250,

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>> right? And the city is paying $1,400. If we didn't have that discount, it would be $1,800 or something like that. So we get the $1,400 a month. If you if you would for this purpose would say if you're an employee and you still want to do the weight loss, you can go outside

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of the city's program and get it through a variety of different options for $200 or $150. And >> if we do that, is there some sort of compensation for the city employees that are are seeking that route?

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>> Well, what we're suggesting is if for weight loss only, no, that's but they have that option. If it's for weight loss and it's not for a medically medical reason, then they have that we would help them go find those options where they can get it for a lot less than the city is can even get to it.

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>> But I want to go back to your the side of the ledger that it should be on. And this is where I'm getting very uncomfortable with this kind of like wholesale decision that it seems like we're making. If someone's 400 lb and say they've managed to become 400 lb without being have high blood pressure

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or high cholesterol, right? otherwise they're healthy. I think we can all agree that they probably could benefit health-wise and it would be a long-term benefit to our plan if they lost weight. And so that should be a decision to your point that the doctor makes and maybe

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that is WGOI instead of Ozic. But we know the the likelihood of not having a knee replacement or long-term high blood pressure medication or a stroke or a heart attack are there. >> Right. I I understand. Um, but again, I want to put it on the

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medical side of the ledger, not on us deciding those things because you can come up with all sorts of examples of where it might work and might not work, but systemwide, we have to be able to have some rules to follow. That's all that's all I'm getting at.

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The the the example you gave, for instance, if they if the other option is the city now says we're going to have a co-ayment, right? because that's one of the areas where there's only one other city and I think they're doing the same thing that's paying a 100% of the cost

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of this. And so if it was a kind of a co-ayment type piece and it was divided and you had a 25% to 75% for instance, it would be higher than the direct to patient options that are currently out

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there. So, we've looked at they've looked at all sorts of options. And so, at the end of the day, we have to stabilize this and we're trying to we're trying to figure out how we reduce the cost on on on the health plan because it's part of the overall $49.5 million

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deficit that we're looking at. So Christa is Ozimpic only uh prescribed for uh diabetes but is it forever prescribed for like people that uh councilwoman Beck referenced it have high blood pressure and may be

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overweight was initially introduced for diabetes. I know it is written for other categories as well. There's a reason for the you know different nomenclature for basically the same drug. And so again, our focus right now is on Zetbound and

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MGOI, which are written in that way because they are identified as purely weight loss. >> And and I get that you had mentioned I was >> moving along with you until you said we were only going to approve those for Ozimpic for diabetes. And so I think I'd

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be more comfortable if we were saying doing away with WGO and Zepbound but keeping oimpic um for not only diabetes but any other comorbidity. >> Well and I think it's the doctor saying that there's a coorbidity. >> Okay.

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>> Because they can do ompic for weight loss. We don't want to cover that either. But there has to be a there has to be a trigger for Blue Cross Blue Shield or whoever's, you know, the administrator to be able to say that's covered or it's not covered. And so that's what we're trying to get at. >> Okay.

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>> Council, just to clarify, so you all will clarify that and bring that back to us. Make sure we understand. Okay. The delineation. Thank you. >> Mayor, one thing. >> Did you I'm sorry, Jay. Did you say uh how much did you say we're paying per month for WGO for one

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>> about a million dollars a month? >> Well, I mean for one person though, what's that coming? >> Oh, for one person. >> Um I don't want to yell out a number, but on average about a,000 to,500 is pretty typical. I guess that would be my other question too is like why aren't we able to take advantage of the economies of scale with so many people being on it

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if an individual can go to you know hims or row or one of the other places and it's 150 bucks $200 a month >> because they're part of a broader system prescription program that has >> that's negotiated to council's point then they're like hey if you go get it on your own we will cut you back a $200

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rebate and save the city a ton of money >> have to undo the whole the whole program >> right and then I I mean I don't want to be the person that talks about, you know, maintaining self-control, too. But I think that's a part of the talk we really need to be having as well because I love me a king-size Reese's in a regular Coke from time to time, too.

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But, you know, if it's getting to the point where it's costing city a lot of money, you know, if we go down to the little snack shop downstairs and somebody's like, I'm my GLP1's costing, you know, the city this much money and while they're also not doing anything to really help themselves, I think we need to have a have a tough conversation

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about that, too. Yeah. I like the whole rebate thing. That's Makes sense to me and we all know who I am. >> So it sounds like Kristen I know you're not done with presentation. You still have more slides. >> No.

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>> Uh to get through you don't no funding model. Yeah you do. Okay. Um come back to us on this particular topic. I think range of pricing is important. Impact individual employees. How many employees are really talking? I think that may help give clarity to the council. Um, I

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think I've gotten more confused as we've talked through this today. And um, there is a there's a lot of there's so much expanded research around GLPS right now that I just want us to be mindful of. So, and then to to to your point, Jay, on the pharmacy benefit side, I'm not

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trying to blow things up, but if this to your point, if we're paying $1,1500 a month with our pharmacy benefit plan, it just is what it is. We could do better than that. And so, we need to be mindful of that as well. So, >> I have several um responses. Um just

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were you about to say something? >> I was just going to add to mayor and I think this this slide particular says similar organizations. So, the other organizations that you're comparing uh this organization to if you can come back and bring that as well.

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>> And I can tell you that it's only the city of Dallas that currently offers GLP1s, but it's through a control program. Um but we have access not just to kind of benchmarking other cities but you know through our brokers we can look at other organizations of similar

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participant size um for our benchmarking but I would like to just add a couple of follow-up responses just for the information that I do have today of some of the comments. um you know whenever we see a new pharmacy category being introduced like GLP-1s you'll see you

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know very rapidly a lot of additional use cases for them and so you know it started with a with diabetes it's you know evolved into many other things and it's you know kind of a part of how uh these pharmacy changes happen and I'm just saying this as we're looking at

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other coorbidities if we you know kind of allow it for any coorbidity that's out there you can expect that to to continue to increase. Um and then I also wanted to share just how many participants um we have uh and it really

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is a small number. So we have you know almost 12,000 members on our plan. This includes all of our employees and dependents. Uh so in 2025 we had a total of and again this is purely for weight loss just for Zepbound and WGOI. um we

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had about 600 participants for the cost that you're seeing. Um now we have uh as of April 2026 we have about 800 um participants but for those 800 participants you're talking about you

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know more than 40% of all every other type of far uh of prescription that's written for every other kind of condition for all of our members. um just you know 800 people are almost 50%

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of your pharmacy cost and so that's you know a significant amount of of money. So I'm just kind of you know putting those um tidbits out there as as you're considering but we you know have takeaways there too. >> Thank you Kristen.

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>> Okay >> want to keep rolling? I think we got to start another meeting at five. >> Sure. I will I'll speed it up. So this is just a summary of uh some of the cost savings. So, um, we anticipate, and this was prior to the pill form being available, about $10 million cost

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savings with, uh, the GLP1 weight loss category. Uh, and then, you know, just in total, um, between 13 and 14 million with some of the other best practice, uh, items that we're planning to put in place. Um, and then I'll I'll fasttrack a

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little bit um, to the funding model. So, um, with everything that we've talked about, so right sizing the contributions to make sure it's really reflective of the claims expense, um, and all of the other pillars that I shared, um, our FY27 estimate is about 108 million

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towards, um, the fund. Uh, and we are, um, proposing an 83 uh, 17% split with employees. Um and the uh amount to employees uh will remain flat and that is you know because we already know that

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employees are paying more out of pocket than benchmark. Um so as we work through our strategic plan um kind of right sizing what that looks like. Um this is kind of the full funding from an employer perspective. So 89.4 four

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million to uh the fund um for claims and um kind of the pillars and activity about 5.5 million for overhead. That's all of the staffing and additional programs and then um you know working towards building up our reserve

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requirement. So utilizing interest earnings both to address this year's shortfall because we are still uh expected to be in a deficit for ending this fiscal year as well as starting to contribute to uh FY27.

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>> Can I Yeah. Um Chris, I know you're having to get through this pretty quickly, but can you explain so that I know that I understand orthopedic redirection and MSK redirection? I think we talked about that in a previous presentation, but I just want to make sure. Sure. And I'll take that as a

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followup, but MSK is one of our highest cost drivers. So, you know, lots of shoulders and hips and knee replacements. And so, being able to have either through direct uh contracting or partnership a way one to reduce the amount of surgeries that we're having through earlier intervention. Um but

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then having some uh competitive uh cost modeling if somebody does need to have a knee replacement for example kind of limiting where they get that uh surgery from where we have better negotiated rates. It doesn't mean that they can't access it in other areas but having a

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pathway that helps with some of the cost reduction there. >> And with regards to um those redirections I know that we had already asked a question about the GLP1s and comparative studies. Can you in the future share also how that looks as

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comparison like what other municipalities are doing? >> Absolutely. That area. >> Yep. Yes. >> All right. Okay. So, I'll I'll just pause there. The last slide just, you know, said that we are taking a, you know, very

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collaborative multi-year approach to this. Uh, it's a big ship to turn around. So, we know it's, you know, it's going to take a while, but um hoping that some of the immediate um interventions we've identified will help to move us in that direction. J,

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>> and Kristen went through that really quickly, but you saw the reduction of about $14 million. Without those changes, instead of a 20 something uh increase from one year to the next for for this coming year, it would be 30

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nearly $35 million. So, um, so yeah, it's currently that's baked in as part of that that uh 49.5 million part of that overall increase at the higher number. So, if we were able to

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move forward with a semblance of this of these recommendations, we'll be able to be cutting into that overall increase. Yes, all the numbers here represent um cost reduction um efforts and when the I'm sorry that

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>> um I noticed that it said about a nominal fee increase to uh retirees not not active employees. When you say nominal, what is nominal? So with the cost, so these um cost reduction efforts, they impact both employees and

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retirees. And so, you know, same is here with the numbers baked in. I think the difference in the funding for this year versus next was about 200,000, you know, and so the the retirees, you know, will not see basically the same as the employees are not going to see an increase into the amounts that they're

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paying. >> Okay. Thank you. Any other questions for Kristen? Thank you very much. We appreciate you. Okay, that's the last agenda item we had for this particular budget work session. Any future agenda item requests beyond

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what we'd asked Kristen for on this presentation? >> No. Okay. Yes, Carlos. >> Um, >> maybe it it's not necessary to do an IR on it. I think there's a need to revisit the formbbased code, not form based

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code, I'm sorry, the zoning ordinance. Sorry, I have that on the mind a lot lately. uh to revisit the zoning ordinance to look at um distance requirements between permanent and temporary concrete batch plants because they're

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>> Carlos, we're in a budget work session, friend. >> He didn't want to forget. >> I'm teasing you. Okay, got it. Councelor Beck when um when you bring out Thank you for I know we're asking you for a

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ton of information. Um but if it's possible um I'd like to see if we can get a comparison of uh real data driven as we've introduced these GLP ones. Have we seen a reduction in some of those

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other um health, you know, cardiac instances, um diagnosis of type 2 diabetes, you know, so that we can kind of get a better idea too if the um juice is worth the squeeze. Council Martinez,

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>> I just want to make a comment and um just I've noticed that when folks or when women mostly are on ompic, they they achieve a certain weight and you know because it is cosmetic and then they get off of it and for a little bit but then they go back. So it's just

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going to be a reoccurring thing that continues to happen. Um, so I'm really glad that we're looking at that and then I really hope that this um that that medication is available but after they complete a certain wellness program that we are looking at creating.

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Anyone else? Meeting adjourned. See y'all in 5 minutes.

Part: 2

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All right. Mic test. One, two, one, two. Oh, much better now. So I guess Let me know. I could help. Nobody told me. I don't have I don't have Okay, good evening. Apologies. Thank you

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for waiting. We're going to get started. Everyone could please take your seat. We will get started. Good evening and welcome to your Fort City Council special called council meeting which is the election canvas. Today is Tuesday, May 12th and I will

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call our meeting to order. Mayor and council, you have received the certifications of the tabulations of the official election returns from Tarant Denton, Parker and Wise counties for the bond, charter, and special election held on

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Saturday, May 2nd, 2026 for the purpose of adorum tax supported public securities, amendments to the city charter, and electing ing a coun city council member to fill the vacancy for council district 10.

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Mayor and council, I will present uh the results on the slides. For proposition A, it passed with 59.7% of the vote. Proposition B passed with 60.89% 89% of

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the vote. Proposition C passed with 62.64% of the vote. Proposition D passed with 57.53% of the vote.

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Proposition E passed with 64.65% of the vote. Proposition F passed with 59.10%. 10% of the vote. Marin council of the certified results

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that all of the bond propositions were approved by the voters. Next will be the charter amendments. Proposition G passed with 55.29% of the vote.

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Proposition H failed with 51.34% voting against. Proposition I passed with 58.72%. Proposition J passed with 55.85%

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of the vote. Proposition K failed with 55.07% of the voters voting against. Proposition L failed with 50.65%

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of the voters voting against. Proposition M failed with 57.66% of the vote voting against. Proposition N passed with 69.22%

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of the vote. Proposition O passed with 76.49% of the vote. May council, the certified results show that propositions G, I, J, N, and O were

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approved by the voters. Propositions H, K, L, and M were not approved by the voters. Next will be the council district 10 special election had two uh candidates

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and Chris Jameson with 51.05% of the vote was elected to serve um the remaining term for district 10. Mayor and Council, next will be speakers

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on the ordinance and resolutions for um approving the canvas and then we will take action on each individual item. >> Thank you, Janette. Our first speaker is Adrienne Smith, followed by Bob Willoughby. >> Adrienne Smith, District 6. I am one

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with the people before the canvasing for the most recent election votes or f final determined. Let's be clear on one thing. This wasn't a win for our city by any means considering we are $49.3

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million in the negative for the fiscal year 2027 and operating costs. This is a reflection once again of a bad governance by way of the mayor, s city city manager and city council.

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Also, an individual lied on Tuesday, May 5th, 2026 during the budget work session when when she stated everything was passed by the voters. This is far from the truth as we've heard and doesn't reflect the data currently reported by

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the Taran County Elections Commission. I will make it a priority of mine like I've consistently done to follow every dollar that's allocated from this massive fraudulent bond disguised as improvements for our city.

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I feel if if you feel proud about this fraud that's passed, shame on you. In closing, I encourage all who work in various city departments that your positions are under

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threat by way of of the city manager. Why else would he require more power and control unless he's been influenced by outside sources or those who are doing or or or those who are doing things to undermine his city.

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Be mindful of who you're talking to and don't be afraid of being a whistleblower if you feel your misdeeds if you feel misdeeds are taking place within your city department. And again, um, as it relates to this bond, it's only one proposition I

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supported, and that was Proposition D. Although it could have been more, should have been more, but I think you all use that as a means to get favorable means for the other propositions passing. Um, I was against this bond totally. I will

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be against future bonds. again. Um I would ask you mayor as the chair don't know how much longer you're going to continue uh want to occupy that seat but it would be

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considerate if you all would provide some type of information as to where this money is going because this is the third bond within eight years. Mayor Parker, the third bond within eight years, we had a billion dollars plus. The two pre

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previous bonds didn't do do a thing for our city. And no one has anything that they can show me that they did. Okay. Is this working? >> Yeah. Okay. What I understand is that

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this is on the agenda. It's got a place for us to sign up and speak. I guess we have the re reason the right to speak if there's something wrong. That's what we're here for. And this is my complaint. I believe the charter and

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bond should be enulled 100% naturally unless you have over 12% of the city voting 4% and that is your fault. There's only 4%. I blame y'all for this. 96% did not vote in the May second bond charter or

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election. Reason why lack of publication by mayor and city council. Now you see this billboard that's developers. They put up a constantly. They put billboards up bringing people into Fort Worth to sell. They want a return on their money and

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billboards work. You don't never see a billboard up saying mayor and city council wants a pay raise. I don't think you'd ever put that up there. Now, on your meetings, the top left corner, this is all you put out. A little sign says Fort Worth meeting. You know, neighbors

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don't know anything because community centers do not have marquees. And also, not only you don't want people to know, definitely you don't know. I caught the assistant city manager removing my sign on the right that says vote no May the 2nd. Now, I've seen a lot of your signs,

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Mayor Parker, and places like that during election day along with Moon and a lot of other candidates. Nothing wrong with that. That's just letting people know as a website opposition. If you want this to be a fair one, you rehold it and you let opposition speak too because this was a scam. Just like when

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we added two more council members, the same thing back then. They didn't advertise. They didn't put it on billboards. And that's where you're not doing. But builders do. And also, these builders sent me four rounds of postcards when they wanted to redo what, like $600 million into the Tarant County

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Convention Center. They sent out mails and mails that saying, "Vote yes. Vote yes." Council didn't even hold a charter meeting. Nothing. They only slid it through. I only know about it because Adrian pointed it out. That was a good catch. He pointed it out. You're not

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transparent. You're not to be trusted. I think the whole thing should be done if you want to do it right. And you should put it on billboards and you should have more than 10% before you change anything. It's not right to spend the people's money like this. And that's about all I could say on that one till the next one there. Thank you.

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But can we start with the first item 26 >> 26-5967 an ordinance canvasing the bond election. Council members, you've received the returns of the May 2nd bond election and a copy of the ordinance canvasing said returns. At this time, I can receive a motion. I had one from

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council member Crane, who is a second. Got a motion and a second. Council, please vote. Canvas carries. Next, we'll Oh, that's okay, Janette. Sorry. 26-5968. Resolution canvasing the charter election. Council members, you've received the returns of May 2nd charter election and a copy of the resolution

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canvasing the returns. This time, I can I can entertain a motion. Got a motion and a second. Council, please vote. Motion carries. Council at this time is 26-5969, a resolution canvasing the special election for filling the vacancy for

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council district 10. You've received the returns of the May 2nd special election for council district 10 and a copy of the resolution canvasing the returns. This time I can I can entertain a motion. >> Motion and a second. Please vote. No, they all went at the same time.

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And motion carries. Council, at this time is an opportunity to hear directly from council member Alan Block to make outgoing remarks. But I think before we let Allan have the floor, um I'll open it up to council members to also give an opportunity to speak. Um, Council Member Beck and then Council Member Larsdorf

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>> just like >> he looks nervous. >> Should be. He should be very nervous. Um, I said that I was going to sit up here and say that Allan was the worst person I've ever sat next to. Um, but that would be a lie. Alan Bllelock is one of the best people that I've had the

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opportunity to sit next to. And I'm getting a little emotional because I'm really going to miss you. Um, Alan, I hope that you work on saying your pledge of allegiance. Um, because you will not have me next to you to remind you how to do it or to to give you hell when you

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get it wrong. And I won't have anyone to hold me accountable either. So, um, Lord, help us on on our pledges. But in all seriousness, Allan, it has been a true pleasure to work with you. And I mean that so sincerely. I hate to see you go. Um, it's not too late or it actually might be a little too late at

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this point. We just voted. Um, but I wish you the best of luck. I know you're going to do great things down in Austin for the city of Fort Worth. Um, and I know that all of us here have drilled into your head um, how important local control is. So, I know that you will be our fierce advocate um, in the state

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house. So, thank you so much for your service to Fort Worth and thank you for being my friend. >> Councilor Larsdorf. Thank you, Mayor. So, first of all, I didn't know you didn't know the pledge, so I don't know if I want to say any of this these nice things. might want to revisit that. But

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um it truly has been an honor to serve alongside you, especially as my partner in crime up north uh reminding the city that there is part of Fort Worth north of 820. So I appreciate your guidance and your counsel. I think it's no secret we have very different ways of accomplishing things. I'm very much uh

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Leroy Jenkins has go out there and then think about it later. Uh and you're much more methodical and strategic and so I appreciate your guidance and counsel as we've gone through the last couple years and uh keeping me out of trouble. Um, I appreciate it. I know Leanne Guzman also appreciates it. Um, District 10 was

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incredibly lucky, I feel like, uh, in this election because they actually had two really good candidates. Um, and so once again, District 10 is going to be properly represented or properly represented. So, Chris, congratulations to you. Really looking forward to working with you. Um, I I I think the

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North is we keep we keep getting lucky with the right people except for maybe in District 4 with me. But um nonetheless, I really think uh we really should be thanking Mindy um and of course your kids. I know you'll do the same here in a minute. If not, this is your reminder to put that down in your notes. Uh but thank you for allowing him

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to serve in this capacity. Um we know it's not easy sometimes, especially if you're on social media and you read comments. Uh but every minute that we give to the city is a minute that we take away from our families. Um and you you strike me as the person that we would not want to spend our time away

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from. Uh, so I know it meant a lot to Allan to be able to sit up here and he could not do it if it wasn't for your support and your kid support. Uh, so thank you for loaning us Allan over the last few years. Um, Allan, we're going to miss you. You're not going to go far because you know we still have a lot of

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work to get done. Uh, I'll leave it at that, but um, uh, I know you won't miss the circus that this could be sometimes. U, but I hope you know that you really did leave a major imprint on Fort Worth as a whole as well as District 10. So, thank you for your leadership,

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>> Nettles. >> Yeah, Alan, I don't have a lot of remarks, but it's been great working with you. Um, you are a big guy with a big heart, and um, uh, we have spent time together in out

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of town having conversations and you always often say, "Don't be mad at me, Chris. have to vote a certain way and I know you mean that from your heart and so it's been a pleasure working with you and I wish you well at the state house and don't forget about us. We're going

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to be coming down there. So hopefully we actually sending a good person down there that they don't turn against us. Look forward to working with you again. Thank you. Alan, >> that's where Martinez. >> Alan, um, I just wanted to share, you know, my remarks are usually brief, but

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I I really do appreciate all your help along the way. And when I came in, you answered all the questions that I had and helped uh, you know, uh, educate me on, you know, the history of of the district when you represented the areas

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um, in district 11. And so, just I really appreciate you. You're a wonderful man and in a wonderful family man. You I've gotten to to know your family. Um I'm going to miss you as a neighbor. Uh I know this is not a

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farewell to see you later and I wish you the best of luck and and look forward to working with you when you're down at the state. So thank you for everything. Council member Flores. Okay, there we go. All right. I was debating whether or not

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to say anything because you and I have already talked, but do want to take the opportunity to say again um really appreciate your levelheadedness on things here on council for the most part and um enjoyed our our discussions, right? They weren't debates, but I

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really appreciate the ability of someone to have good discourse even when we disagree on things, going through the traps, you know, checking one another's logic. Always appreciated that about you. Um, appreciated your stewardship of your district. You were always on top of

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things. That's very important, you know, for a council member. And, uh, you know, it didn't go unnoticed, right, in my opinion. And, uh, your friendship. going to miss uh you know the breakfast that we had been having those good discussions over you know good text breakfast but u I know you'll do great

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things when you get down to Austin uh you're only one guy hopefully you can straighten some of that stuff out down there okay don't forget about uh small people here in Fort Worth while you're down there >> crane

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There we go. Thanks. Uh, thanks, mayor. Hey, Alan, I'll make this short and sweet. Um, I've appreciated your friendship. Uh, we've spent a lot of time together. Uh, I won't divulge a lot of the stuff we've talked about. I don't think I can talk about it publicly on a dis anyway, a lot of the things that

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we've discussed. Um, but appreciate you and your heart and your willingness, uh, with counsel in a lot of different ways, uh, getting me to sometimes look at things a little differently and understand things a little bit differently. So, I know we have a, uh, a

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good representative going to Austin for us, uh, here to fight for Fort Worth down in Austin. And, uh, I just appreciate the person that you are. Got a great family. Uh, got to spend time with y'all as well. and just you've got great friends and you've done a lot of

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great things. So, I just appreciate you and we'll go hunt some dove down in Argentina in September and have some fun. Appreciate it. >> Rhill Allan, thank you so much for your service on council and you were a great guide to me when I first was elected and

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even beforehand I could call you and ask questions and I just appreciated your cander um and appreciated your levelheadness truly. Um and Mindy, thank you so much for sharing him with us. um he was my lunch buddy and I'd share my chips and my cookies with him. Probably I shouldn't have but

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um but I I truly I appreciate your friendship and I appreciate um the hard decisions that we've had to make together but being able to talk those through and um you've always been very wise and I appreciate that. Best of luck in Austin. That's for peoples.

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Aato, my friend, we have had some uh good trips together and some good conversations, but I will tell you that no one is going to miss you more than Reggie Zeno because you're leaving me alone on audit

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and finance. >> Council member Hall. >> Okay. Um, Alan, it's only been 11 months since I I met you. So, um, but I will tell you from the very beginning, um, we were able to have some tough conversations and I appreciate, um, I

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think Carlos said and Macy as well with regards to level-headedness, but I appreciate your calm. Um, I know that anytime I had a question or wanted to look at something objectively or just hear a different perspective that you and I could have um an a thoughtful um

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conversation. And so I appreciate that and I too um echo everyone's sentiments with regards to the luck that we have in favor and that you'll be in Austin representing us. So it is goodbye but um just temporarily because we will be back in Austin and we'll be calling on you.

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Thank you for your service and I look forward to our partnership. >> Thank you, Mia. Allan, as you can tell from your colleagues on council, we truly will miss you. For those that have been paying attention to council meetings, you knew when we were a contentious meeting because Allan would be leaned back in his chair with his his

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nose kind of towards the air. He's kind of adjusting his glasses and he would just sort of take in take it all in. Um, some people may not understood that was his process of really listening to people. And you really have done that service above self at all times. you spent countless hours away from your girls and from Mindy. Um I don't know

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why you're going to trade a beautiful view for an extension 2 office at the back of the Capitol. Um but we're going to be great to have a freshman there that we can love and respect. Um all of Fort Worth should really thank you for your service. This is not an easy job and you have taken in stride and are well loved across the entire community.

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So again, Godspeed, my friend. We're excited to get to continue to work with you and thank you on behalf of the city of Fort Worth for your service to the city. We love you. And now you get to talk after we made you cry. It's a little dusty in here. Now I feel like I need to reorganize my

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speech, but I will go through in order. I just want to say good evening to everybody. Thank you for being here. Uh serving the residents of district 10 and prior to redistricting district 4 on the Fort Worth city council has been a one of one

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of the greatest honors of my life. As I conclude my service, I do so with deep gratitude, tremendous pride, and real optimism for the future of our city. When I first ran for this office, I made a commitment to focus on the fundamentals that mattered most to the

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families and businesses in District 10. Safer neighborhoods, better roads, strong public safety, responsible growth, economic opportunity, and above all, a city hall that listens and responds to residents. Together, we

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made meaningful progress in every one of those areas. Great things. Worth is special because of its people. District 10 is filled with hardworking, engaged, community-minded residents who care deeply about their neighborhoods and the future of this city. It's been

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my privilege to advocate for you to fight for your priorities and help shape the next chapter of one of the fastest growing cities in America. One of the defining challenges and opportunities of my time on council was growth. North Fort Worth has grown at an incredible

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pace. For too long, infrastructure has struggled to keep up. So, we made it a priority to change that. During my time in office, we helped advance more than 281 million in transportation investments and more than 137 million in

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critical water infrastructure by the city alone. Those investments leveraged with hundreds of millions more from Tarant County Tech and our federal partners. I want to especially thank Lauren Priier and the entire transportation and public works team for their leadership and rel

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focus on delivering these projects. Also want to thank county commissioner Manny Ramirez for his partnership help moving critical critical infrastructure forward. Today we deliver major improvements across far north for Worth from Golden Triangle and Aendale

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Hassllett Heritage Trace Bonds Ranch and beyond. We also advanced major water and sewer capacity projects north side three and four Cindera Ranch water tower and key transmission lines ensuring long-term reliability for our growing community. These are long overdue

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investments and they are laying the foundation for safer travel, reduced congestion and responsible growth. We also made District 10 a major engine for economic development. Together, we help support and attract nearly three billion in investment, bringing thousands of

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jobs and strengthening Fort Worth's future. That includes projects including including McMaster Car, IT Logistics, Lextron, Embrier, Arot, MTU Maintenance, Mercedes-Benz Financial Services, MP

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Materials, Atom Industries, Winstron, and more. I want to thank Jessica Rogers and the city's economic development team along with our partners at the Fort Worth Economic Development Partnership including Robert Allen and Chelsea Griffith for their work in bringing these

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opportunities to Fort Worth. Also want to thank Fort Worth Aviation and our partners at Hillwood whose long-term vision has helped make Alliance one of the most successful economic corridors in the country. Brofield, Fort Worth Alliance Airport to the Alliance Logistics Corridor. District 10 has

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become a nationally recognized hub for aviation, logistics, manufacturing, and innovation. The same time, we continued pushing for everyday needs. Residents asked for more grocery options, uh brought in two Kroger, new Kroger's, and

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uh we're now bringing in our second HB, more retail, more restaurants, and more services closer to home. Public safety remains a top priority throughout my service. As our community grew, we worked closely with police and

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fire leadership to ensure services kept pace. We supported the North Division Police Substation, expanded resources, and improved operations, helped reduce response times in all categories by more than 10%.

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specifically thank police chief Garcia, former Chief Neil Nos, Deputy Chief Kjura, and Commander Gory of North Division. Uh our neighborhood police officers and programs like Code Blue for their commitment to keeping our community

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safe. Also want to thank the men and women of Fort Worth Fire and EMS who serve with professionalism and courage every day. We also work to ensure that growth is done the right way. That means balancing development with strong neighborhoods, infrastructure, parks, and quality of

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life. I'm proud of our work on community investments like the Tinsley Track Park, Sara Springs Library, and the Betsy Price Community Center. I want to recognize Dave Lewis and the parks and recreation team and library director Madori Clark, her team for their work

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expanding these community amenities across North Fort Worth. But none of this happens alone. I want to thank Mayor Parker for her leadership and partnership. I'm grateful to my colleagues and past and present,

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especially to the late council member Gina Bivvens for her service. Also want to recognize former mayor Betsy Price, Mike Monree, and Kenneth Bar, and former council members Carrie Moon, Jungus Jordan, Dennis Shingleton, and Zim Zimmerman. Each of them have provided

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valuable leadership, institutional knowledge, and guidance to me, and I'm grateful. Gonna go off script here and now make some comments about all of y'all. Cut the mic.

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I'll just I'll just go around the room. Carlos, I've always appreciated your logical approach. She has a technical mindset coming through. Uh I've enjoyed our conversations, our time together, uh

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when we've we've breakfast or an after hours. U I've value you and your friendship and just thank you for being who you are. Michael, I think you already said it.

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Interestingly enough, you know, just to to go back, when I first got on council, Michael, Elizabeth, Chris, Jared, and I spent a lot of time talking together and

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and uh kind of learning the ropes and and actually creating, I think, great friendships. And I I really valued all that time together and getting to know all of you. Back to you, Michael. I think on council, you and I have probably spent more time together uh

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than any other two people. Well, maybe besides from Maddie and Macy who have this running club thing, but I think >> Yeah, I'll I'll keep a pin in that one. Charlie,

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ready, fire, aim? Uh, you know, it it's been so great serving with you. You know, I appreciate, as you said, you know, we have different approaches. You're you're far more tactical to my strategic

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approach, but I think we've complimented each other extremely well, and we've done some great things on council. I just want to thank you for your friendship and being such a great guy. Uh I know you've had some, if anyone's had, you know, wrenches thrown at them,

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it's you. and and uh you you and your family overcome all of it with such grace and dignity. I'm just uh proud to call you friend. Deborah, Japan was awesome. Uh you know, we've you know, that's two trips that we've

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been on together. I have enjoyed your company. I've enjoyed getting to know you. I appreciate your thoughts and energy and effort and your your willingness to to reach out to the community every day. I think it's wonderful and I'm I'm proud

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to know you. Mia, you know, you know, we met right after you were elected. I've appreciated all our conversations. Uh you're intelligent, thoughtful. uh you care deeply and and it's been a real

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pleasure working with you. Macy, I appreciate you so much on council. Uh you're levelheaded. Uh you're you're considerate. You're thoughtful. Uh but you're also direct when you need to be.

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You bring great perspective and and I appreciate all the time we've spent together. Chris, I mean, we've had a lot of fun. Don't agree. Now, you left out. I I I told you I know you have to vote some

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ways sometimes for your people, and I said I will never hold it against you. It'll never be personal. And I appreciate you, you know, responding in the same way. Uh, I've I've enjoyed being able to work with you and and and uh just enjoyed

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your time, Elizabeth. I mean, who would imagine that you and I sitting next to each other would have so much fun. Um, I truly truly truly appreciate your friendship. I truly appreciate all our

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time together. Uh, I appreciate the ribbing back and forth on the pledge. Uh, it's a it's been a a great time. I hope to continue all of these friendships as we move forward, but I really

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appreciate yours. Janette, it's been such a pleasure sitting next to you. You're so thoughtful. You're so kind. Uh, you care so deeply, and it shows. uh you put in the effort, you put in the work, and and uh I I think the old

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District 4 residents that that moved on to District 10 are lucky to have you. Uh you've been great, and I appreciate you immensely. That brings back to Mayor Maddie. Uh you've been incredible. You have uh

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exhibited grace under fire uh so many times in this chamber and in the previous chamber. Uh you have had the distinct pleasure, we'll call it that, of hurting these 10 cats that all want

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to go in different directions. And uh you've you've been a good friend. You've been uh a great sounding board. and and I just really really appreciate you and your leadership for this city. I think you've done wonderful things.

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So now I'm going to get a little bit back on my script. Uh I I wanted to make some quick comments to our city staff. wanted to, you know, Jay, uh, you and the city manager's office, Janette, the

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city secretary's office, Leanne and legal, and Patrice and audit, you know, all of our assistant city managers, department leaders, and every city employee. I just want to give you a heartfelt thank you. Your professionalism, dedication, and commitment keep Fort Worth running every

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single day. I especially want to thank my team, Tara Hol and Jacob Walker, for their incredible service to District 10. You showed up every day for our residents, and this district is better because of your work. Also want to

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recognize Beth Ellis, Sandy Bro, and Sammy RP, and many other staff members, advisers, and community leaders who contributed throughout this journey. To the residents who serve on boards, commissions, HOAs, and community groups, thank you for stepping up and helping

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move our city forward. And to the many friends and supporters who stood with me from the beginning, my partners on the Heritage HOA board, Brian, and Jennifer, Barbara, and the Vows community, Rick, Joe, Jerry, Wanda, Ruth, Kenya, Curtis, Bill, Beverly, Scott, Cindy, and so many

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more. Uh, I appreciate all of the support you've given me over the years. I want to thank the POA and the 440. I want to thank the North Fort Worth Alliance, uh, Rusty and Jake, and so many others. Thank you for believing in

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the vision and helping make it possible. Most importantly, though, I really do want to thank my wife, Mindy, and my daughters, Taran and Brena. Public service requires sac sacrifice, and not just from those elected, but from the families who

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support them. Your love, your patience, and your encouragement made this ex experience entirely possible. And finally, to the residents of District 10, thank you. Thank you for your trust. Thank you for your engagement, and thank you for the opportunity to serve.

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Whether we agreed on every issue or not, I always work to represent you with integrity, transparency, and a sincere commitment to doing what is best for our community. While I'm stepping down to run for Texas House, I'm not stepping away from Fort

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Worth. This town is my home. I'm going to be watching what y'all do. And uh y'all keep doing good work. I'll always continue to ad advocate for the city and the people who make it great. And I'll leave District 10

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knowing it will be in capable hands. Incoming council member Chris Jameson is ready to serve, ready to lead, ready to build on the progress we've made together. Chris, congratulations. I wish you nothing but success. Thank you all again. It has truly been the

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honor of a lifetime. Thank you, Alan. And um and to your family, to Mindy. We appreciate you guys coming tonight. We know that you're really going to miss Tuesday nights. Just admit it, Alan. At this time, I'm going to have Janette um come to the podium and I will also

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come down and join her to present um our official council member elect certificate of election to Chris Jameson and conduct the swearing in ceremony. Chris, this is the easiest thing you're going to do. You're going to accept an election certificate and then we're

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going to swear you in. Sound good? Excellent. There you go, my friend. Congratulations now. The Yeah. Yeah, we're done. Yeah, exactly. I think you're going to stay here and Janette's going to do swearing in. Correct. You can bring your family up. Perfect. Chris, please raise your right hand and

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repeat after me. In the name and by the authority of the state of Texas. I, Chris Jameson, >> I, Chris Jameson, >> do solemnly swear I will faithfully execute the duties of the office >> solemnly swear that I will execute the duties of the office

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>> of council member district 10 >> of council member >> city of Fort Worth of the state of Texas >> city of Fort Worth of the state of Texas >> and to the best of my abilities preserve >> best of my abilities preserve >> protect and defend >> protect and defend >> the Constitution and laws of the United

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States and of this state >> constitution of the United States and this state. >> So help me God. >> Help me God. >> Congratulations Chris. Chris, welcome to city council. And as we transition, Alan, come join me for one more gift from the council here,

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Alan. As a recognition for your service on the city council, we are providing to you the Bronco Buster, which is a as a Remington replica. And as it might be important to you to note that when Mayor Pro Tim Gina Bivvens was retiring, she

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marched in my office one day with her hand on her hip and she goes, "I don't really care what y'all say or do. I just want one of those Remingtons." I think it does represent your service here on council and we are so grateful. And also, Mindy, I don't know if you want me to apologize or you can say

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thank you. You have this beautiful portrait to go above your fireplace, my friend. We love you, Alan. Yeah, >> while I have a hot mic, thank you, mayor. Thank you all. It it's been an honor, a privilege, and uh a pleasure to

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serve with each and every one of you. >> Point of order. >> Thank you, council, and to the Block family. and and welcome to our new council member Chris Jameson to the dis. We're so happy you're here, friend. You're in for a great meeting this evening. This meeting is adjourned. We're actually going to adjourn into

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executive session. Thank you. City council will now convene an executive session on the following matters. Seek the advice of its attorneys as authorized by section 55.071 of the Texas Government Code. Deliberate concerning real property matters as authorized by section 551.072 of the Texas Government Code. Deliberate

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concerning economic development negotiations as author as as authorized by section 551.087 of the Texas government code and deliberate concerning security as authorized by section 551.076 and section 551.089 to the Texas

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government code. Thank you.