What's going on, everyone? Sam here with Layton Sports Garage. We've been 23 top spiners, baseball hobby, eight box case break, number 13. Pick your team style. Read off the list of our names and our teams. We've got Alan V with the Orioles, Ben S Athletics, Ben B Reyes, Cooper B, Marlins, Daniel B with the Phillies, Dave A, Guardians, Derek R, Diamondbacks, Edward P, White Sox Dodgers, Gary A, Giants, Jeff B, Astros, Jared W. Mariners, Joshua H with the Brewers, Kayla S, Tigers, Keith J, Pirates Rangers, Kenneth S with the Nationals, Chris C, Red Sox Angels, Mark L with the Mets, Matt P Cubs, Mitchell H Twins, Robert M Cardinals, that is Samuel S with the Blue J, Scott F Royals, Takumi O Braves, Timothy M Yankees, Todd W with the Reds and Padres, and Trevor W with the Rockies. Good luck here, everybody. Let's do it. Fonest Baseball, stuff is so good, dude. Stuff is so good. Oh dude, I gotta do a Facebook war with somebody after I, oh my God.   What was it about? He posted, like, it was like, usually I'm, I'm someone who always like holds my tongue in terms of like, if someone has like a post that I think is like ridiculous, I usually, but this one was like really ridiculous. He had a Max Christie, Max Christie, plays for the Lakers, he's like a rotation, like a low rotation guy. I know the name. A Crown Royale, Prime Silhouette, there's a Oswaldo Cabrera, Rookie, Blue, Grand Ashcraft, nice one there, 7150 for the Reds, nice one there, Sinsi, True Blue, and Ken Waldichuk. He had a Max Christie, Prime Silhouette RPA, numbered 24 of 25. When I was asking price was, Oscar Gonzalez?  I think, 200. Yeah, 177 and 110 for the last three comps. So, Spencer Steer, there's a purple Oswald Paraza, nice one there for the Yankees, Jose Ramirez and Rafi Divers. So I commented, I just commented 1500 question mark, and he goes OVO question mark.  If you're gonna scare buyers off, even it's OVO. Ichiro, Manny Pichardo and Michael Conforto. And he put 1500 and he goes, Kobe Jersey number 24 of 25. World's Finest, Freddie Freeman. Ryan Mowcastle, nice one there, I guess we got an extra auto in this one. Nice, on the Silver Auto, or the Refractor Auto, excuse me, for the Orioles. Very nice. Gabriel Moreno and Kodai Senga. Is that even a Kobe card? No, no, not even, it's just completely irrelevant to put anybody on that list. But like, the only, the literally the only similarity the two had are they both like the Lakers at one point in time. And he was like, I'd love to see a comp of saying that this is 10%, you know, 10% of what I'm asking. Did you send a picture? Yeah, Wanda Franco on the Refractor. And he's like, Bo Nailer, he's like, he's like, no way you're sourcing because it was from May 30th to a home sold. He's like, no way you're sourcing comp from May. Have a good night. And I was like, Gunner Henderson, nice one there. It's a 250 on the Aqua Blue Vapor. I was like, if it makes you feel anybody, the Paolo sold four days ago for 811. So I'm like, there's no way this is worth a double what you're asking for. Right. And he was like, he's like, if I thought my card was worth 1500, I wouldn't put OBO next to it, or you knew. And I was like, Albert Puhl's headliners Refractor. I was like, no, I'm not new, but asking eight to 10 times what the asking price is is a very weird direction to take. I'll be honest with you. And then he turned comments off because everybody else started playing him. Someone's like, where's Aksh and Kutcher being punked? Siris, there's a Gunner Henderson Refractor. Nice one there. As well, the Cabrera, Fernando Tatsis. What else did somebody say that was pretty funny? Someone's like, did Kobe sign the card? Is that why it's 1500? Rose Gold, Boba Shat to 75 for the Blue Jace. Nice one there, Toronto. Love the rose gold and finance, looks so clean. Refractor, Shae Langlears, going to the A's on the auto. Nice one there, Oakland. Wanda Franco and Gunner Henderson Rookie. For a finest, when you're buying a hobby box, it comes with both inner box and gray. Yes, yes, headliners Derek Jeter. Unless you go to sometimes smaller card shops, like the one I used to work on in Connecticut would open it and sell them both like sell one for half the price, just to sell them to have more inventory. But yeah, when you buy off us, especially if you buy a hobby box, most places will do that. Sometimes if you go to like a smaller breaker, they'll sell individual mini boxes. But yeah, most of the time, you'll get full. That's why I figured both. Same with Bowman's Best, kind of the same thing. Yeah. If it's something like that, we have guaranteed stuff. Yoshida, there's Refractor, Joey Bada, Shae Langlears, Rookie, Brian Bay, Rookie. Pascantino, World's Finest, J-Rod, nice one there for the Mariners, gonna think of it for a sec. I go Airstick Prado. I don't think you're going to the National. That's probably Bieber without us, yeah. Shane Bieber, there's Vaughn Grissom to 125 on the Green Mini Diamond. I mean, yeah, I would say right now, David, I think Oscar Coloss is a whole, he's kind of, he's struggling a little bit. So I'd probably wait till he, I mean, he had some time down in Triple A, too, to kind of reset Adley Rochman. Logan Ohope, there's Refractor, Seas, Azuki, Juan Soto and Paul Goldschmidt. But yeah, I'd say Azup right now, I'd say yeah, Coloss, probably old. Jordan Walker, Rookie, nice one there. It's gonna be a headliners of Bryce Harper for the Phillies. Got Josh Young and Joey Manassas. Should have our auto in here. Superfractor, Corbin Carroll, Superfractor right here. That would be crazy. Jose Ramirez through 199, nice one there. For the Guardians and a Logan Webb. Nice one for the Giants, Logan Webb on the Refractor. I don't think they're Chris B picking up two spots in select H2. That sounds seven to go now on the first one, everybody. Ace and base. Plus we're gonna start seeing more Coloss stuff because he was 22 Bowman, that was his first. 22 regular Bowman and then he got called up so he's in a lot of this year. So he's series one. Robert Cunha, there's a green. Carlos Perez, green wave, 24 of 99 for the White Sox on the auto. Nice one there, Chicago. Riley Green Rookie, Matthew Libertor. Blue Oscar Coloss, speaking of, there he is. That's gonna be the 150, Rookie for the White Sox. Oscar Gonzalez, Hunter Green. Second year Hunter Green now. Juan Grissom, Randy Johnson, headliners. Austin Riley, there's a Corbin Carroll, nice one there. Volpe on top for the Inks. There's a Refractor, Jordon. Francisco Alvarez and Zach Wheeler. Bryce Terrang, Brett Beatty. What is this? That is a Let's Go. It's called Let's Go of Oswald Parazza. That's gotta be a super short print then. Nice one there, congrats, the Inks. That's pretty cool. Let's go, let's go, we got a Let's Go. That's pretty cool. Nice one, congrats again, the Inks. Oswald Parazza on the Let's Go. I wonder what the odds are on that. That's a go for a go. That's a, I mean, I ripped six cases of the other side, not for one of those. This is 23, right? Yes, 23. Kyle Riley, headliners, Nolan Aronado, Boba Shet, and Shintaro Fujinami for the Oakland Athletics on a box three. Hey, what up, Tim? Hey, no problem, Tim, you got it, man. You have the Inks in this, I'm assuming? Yeah, let's go, Tim. Congrats, buddy. Let's go, we got a Let's Go. 1289. 1200? Yeah, it's not bad, honestly. You can also have the recap then, why not, honestly. Michael Toglia, there's a Refractor of Wilson Contreras. Nolan Gorman, base rookie. I feel like those are like the same odds as getting like an orange or... Yeah, probably, I would say so. Yeah, that's gonna be Green Lava Gunner Henderson to 99. There we go, Orioles, grads on that one, that's awesome. Green Lava Gunner on the rookie. I think the second Gunner numbered rookie can toss that in the recap, too. Okay, Rod Garrett Mitchell, this and the next case. It's gonna pull you a goalie then. So yeah, Let's Go is the equivalent of pulling a red. It's about the same odds. Wow, good lord. Paul Goldschmidt to 175, Teal Shimmer. Jay Langlears and Brian Bale. It's not bad, honestly, take that. Any Volpe judge, Gitarados yet today? Yoshida, there's Oswald Paraza, Michael Harris and Nick Prado, I can tell you. I only pulled, I ripped six cases of it yesterday morning on release day. I pulled one Volpe, Green to 99. That was it, let me see if Kyle pulled one today. Nope, there's Acunha, Harris, Vargas, Alvarez, Beatty. Yeah, I don't think he did. No, I don't think Kyle, I don't think we pulled any Volpe's today. I'm assuming Judge will most likely be a redemption because he's got a moments auto in this. Headliners, Mookie Betts, those are sick. You get like one of those per case. You get like a 12 moments on card. It's all like vets for the most part, like good vets. Matthew Liebertore Rookies. We've got speaking of moments, there it is. That is gonna be Ryan Sandberg. Nice Rhino on the moments auto, going to the Cubs. Yeah, these are sweet, I like these. Very cool, that's on that there Cubs. Ryan Sandberg, moments auto. Yeah, so it'll be like Hall of Famers, like Acunha's in it, Judge is in it, I think Otani's in it. Nice. Who will be pulled yesterday? Vigio, the Austin Riley pulled the Super Frafter. Who else was there? Vladimir Guerrero senior was pretty cool. Adley Rushman, Logan O'Hoppe, Brandon Crawford, Josh Young, and Joey Manessas. I'll win the next one, Max Meyer, Jordan Walker Rookie. Got a purple coming up, that's Wilson Contreras, the 250 for the Cardinals. Got Christian Yelich and Freddie Freeman. There's Headliner, it's getting perfect junior. Riley Green Rookie and Oscar Gonzalez. Nolan Gorman refractor Rookie, nice, Cardinals.  Three Rookies, three big Rookies. Walker's still a prospect, great. He started out, he made the roster. There's a Cato Marte to 300 on the light blue for the Diamondbacks. He's been kind of up and down now. Gabriel Moreno, nice one there for the Diamondbacks, refractor auto, that's on that Arizona. There, they're freaking loaded too. Corbin Carroll speaking of, there is Von Grissom. There's a Volpe Rookie. Got a Headliner's body junior, Francisco Alvarez and Zach Wheeler. This one there, that always like starts alive and then when we get down to like, when I'm streaming to myself and my guy right now it's time to restart it. J-Rod refractor, 80 Rookie. Raleigh, Raleigh Green Rookie's refractor, Shet and Fujinami and refractor, Alcinoa. Cremolchuk, Bobby Whitt. Manoa's, they have the extended base in this which is numbers 101 through 125. They're like the shorter printed. They're like, here's Mitchell. It's like one in 44 packs to get an extended base. So there's like variations? Not really, cause none of the guys who are on the extended base checklist are on the regular base checklist.  There's like no, like Giancarlo Stan and there's like no rhyme or reason that anybody who's on the extended base, just randomly inserted. Like, all right. Oh, is that a red? I think we got a red coming up here. We got a red wave. Rookie, Otto, Nick Prado, one of five. Red wave going to the Royals. Grads on that KC, that is awesome. Very nice. Like a red wave all day long. Two five, Nick Prado. Take it. Not the worst name in the world either, he's. He's a, I think he might've been top 100 at one point for a member, to be honest. Devers and Mike Trout. Spencer Steer, Rookie. It's gonna be a DL Hall to 300 for the Orioles. Zekel Tovar to 199 for the Rockies and Aaron Judge, numbered, not bad, not bad, not bad. Shea Langler's refractor. Trotto Concordo. Well, there's a wander to 250 on the Blue Teal Vapor. What's up, Eric? Gabriel Moreno, Kodai Senga. Yeah, you like that? You like T.J. Ford on the thumbnail with the baggy shorts? Headlighters, Mariana Rivera. There's Alex Bregman, Bowden Naylor. Yeah, I found the most ridiculous picture of T.J. Ford I could find and I was like, how can you remake this? And she goes, yes. Shoya Otani. There's Joey Vado, say hi to Suzuki. Yeah, thanks for the gummy bear, for the high bear, Eric. Corey Seeger, J.J. Bladet. Nice, going to the Marlins on that one. So he's one of the weird situations. His base rookies are A's and his rookie autos are Marlins. It's very strange, very strange. But nice, nice one there, Miami. Akunyah, Jordan Alvarez. Got some more orders came in. Brett Takenay, spot in select. I think either Allen picking up a couple of PYT spots There's a rivals of David Ortiz, a rival Reese. A Juan Soto headliners, and as Waldo Cabrera.   Oh, geez.  So I guess that's the whole thing for, was it a crisp ball state form commercial, or does it? Yeah, yeah. Kind of the same idea, yeah. Oh, Vaughn, I have the best thumbnail for Tuesday. It is awesome. It is freaking awesome. Just wait until the Tuesday thumbnail. It is insanely good. That goes for everybody. The Tuesday thumbnail is absurdly awesome. Absurdly awesome. You're giving yourself a lot of... Well, I'm giving, I can't look at the idea that Halley executed it like perfectly. Baskin-Siena, Mookie Betts refractor, McPrado, Carlos Correa. Talking up that much though, you got a lot of... It is, no, I stand by it, dude. It is the best thumbnail Halley has ever made for me. There's Jacob Bagram, 2125 for the Rangers, green mini-diamonds, Bryce Harbour, Juan Soto. I'll show you it at some point too. Hadley, Logan O'Hoppe, headliners Devers, Goldie, and Josh Young, good pack there. Hard to see it in Tuesday. Yeah, sure. I'll be surprised with the royals. Fair, fair, fair. Jordan Walker, Simeon Woods Richardson for the Twins refractor, Joey Meneses, Signelech, and now we're cooking on TikTok at 47 people. What about TikTok? It's gonna be a green Ryan Mountcastle, going for the rainbow of this, 71 to 99. Going off to the Orioles again. Jose Calderon, all right, I can make that happen. Nice one there for the Orioles. Free man Riley Green, I can make a Jose Calderon. Thumbnail happened for sure. Blue, true blue, Lubebop for the White Sox to 150. Dave Winfield, headliners, and Oscar Gonzalez. What's up, Jimmy? Are you playing Simeon Woods Richardson in high school? That's pretty sweet. Lenin Sosa, refractor rookie. Me and Sean have a new like inside joke from TikTok. Someone just came in randomly and goes, what's your favorite kind of plane? I'm like, what? Christopher Morellin goes, I like the Boeing 737. Like, all right, Z-Kill Tova. I'm like, I don't really think about that. Gunner Henderson, Wilson-Carras. The one that gets me the point A to point B. Yeah, right. Safely, safely. Tovar, there's a boba shut to 100 on the lava. Aqua Paraza, Brandon Crawford. I would say Corbin Carroll, Adley Rochman, Gunner Henderson, Jordan Walker, Christopher Morell, Alvarez, Brett Beatty, Kodai Senga. There's a lot of chases in this. Michael Taglia, that is gonna be Brett Beatty. Speaking of, very nice on the refractor auto. Nice one there for the Metz, Gretz Metz, Brett Beatty on the rookie refractor auto. No one, Gorman, J-Rod. Yeah, Josh Young, I forgot about Josh Young. He's probably one of the top ones at this point. Tati's, headliners. Yoshida, Mazatake Yoshida is in here as well. Michael Harris, another one. There's up, speaking of, there's Yoshida. Green, Katel Marte, 99 for the Diamondbacks. Ryan Beyo and Michael Harris. Yeah, Barry Zeta would be a huge chase in this. I'd probably also say that Ryan Roland Smith, huge chase in this as well. Eric Gagne. So there's a lot. Yeah. Yeah, Josh Young's guard is going crazy right now. Yeah, Volpe, forgot about Volpe, Volpe of course too. Yeah, it's not, it's not good in the classes. There's like 15 really good guys in this. Really good rookies. It's pretty solid. Compared to like last year, we had like five, like five, there's Cal Mitchell, Hunter Green and Austin Riley. Hey, what up Robert? Yeah, I appreciate that man. Yeah, I think Lane was there today. Anthony Volpe, Teal Shimmer, Josh Young to 175. There you go, congrats Rangers. Speaking of, there he is in the Teal Shimmer. He could throw that in the recap as well. Corbin Carroll, Francisco Alvarez. Do you want like any like number of the big rookies? Yeah, I'll tell you on some of them. If it's like super, super high number, probably not. There's Worlds Finest, Rhonda Pugna, Zack Wheeler and Logan Webb. Ah, good one, Jeremy. Sergio Roma. Sergio Roma was a man, dude. He's good. Brett Beatty, rookie. I forgot, I think this is, I have to, I honestly, I think I have to agree with you, Don. That's Jonathan Ronda, Blue, Miguel Vargas to 150. You guys call her match for the Dodgers. Like he's another, Vargas is another solid guy in this one too. Rats on that one there, L.A. Shane McLeanahan. Ziko Duran, Cal Ripken. Cause dude, I think a box of this right now. It was yesterday, it was like 180. Yeah, that's fantastic. Yeah, I was looking at the box. It's gone up a little bit. Yeah, I had to imagine it's only gonna stay there for about a day. Well, there's Gunnar Anderson at 250 on the purple.  Nice one there. Ken Waldechuff, Bobby Whit Jr. Posey for Giants MVP, Stardrill for Pirates MVP. Yeah, I went Koch for Pirates MVP. And then I went, I went Willie Mays for Giants MVP actually. Hey, what up? What up, Smack? We had him at 180 for the first day, I think we had him at 180 or 190, something like that. Mastake Yoshida, nice one there. Refractor Rookie, Tovar and J-Ram. Of course those went up probably right on release. They generally will fire up, but. Spencer Steer, DL Hall. There's Nick Prado, Rookie's, Space and Base. Clemente for Pirates, yeah. Surprise, you guys didn't go Koch on that one to be honest. Akunya, nice one there. Oh, they were two 20 last night, nevermind then. There's E-Guy Rosario, Refractor Rookie on it for the Padres, Grats on that one, Padres. Aaron Judge and Manny Machado. I feel like maybe you, I forget what that exact number was. We were talking about it yesterday after, before you went live for us and after I was live. Vladimir Guerrero Jr. Conforto, Gabriel Moreno. There's Light Blue, Spencer Steer to 300. Nice one there for the Reds. Kodai Senya and Alex Bregman. Still, I mean, even at 220, that's still dollar for dollar. I mean, that's not, you're paying one pen of many bucks essentially, which is really good. There's headliners, Shohei. So, Naylor Rookie and Joey Bado. Rajai Davis for Pirates A's. Dude, I kid you not. Starling Marte has been the answer for like three different Immaculate Grids that I got wrong and I'm so pissed about it. Benny Pascantina, Rookie Refractor, Space and Base. Bryce just got bean, oh, that's not good. Nailed that, not good at all. Bobby Witt to 199 on the teal. Where's my yellow card, dude? Forrest, where's my yellow card at? Cause it's not here right now and I'm a little, a little on edge about that.  Did someone take it? Did someone throw it away? What happened? I, it was there last time we... It was there yesterday. It was there yesterday morning. Fernando Tatsis to 250. It was there all the way. So we got someone through. I'm kind of gonna be pissed about that. Christopher Morale, I'll just make a new one. Shoya Otani, Hobby By as Refractor. You'll never have the same quality. Gunnar Henderson, right. It will never be just a pure yellow card we pulled randomly out of the pack. Oh, Sean hit it. Oh. That sounds about right. What a bot. There's Headliners, Nolan Ryan, nice one there. Oswald Paraza and Brandon Crawford. Back out for him to hide it, honestly. Sean, all right, Forrest, did you like what I did to Matt today? That was pretty hilarious. Gold, World's Finest, Cedric Mullins, 31 of 50. Going to the Orioles, nice one there. Congrats, Orioles. Michael Harris, Green Waves, 78 or 79 of 99. That's going to the Braves, nice one there, Braves. That's kind of nasty. Not gonna lie, thank you. Couple other people took some spots, appreciate it. That is nasty. Get that into a mag for you, congrats on that. Nolan Gorman, error, error. My absolute body bag, Matt, today. There's a big hit in sorting and shipping as well, I know that, big hit. Kyle Mitchell, Shane Bieber refractor, nice one there. Big hit, maybe. Garrett Mitchell, people thought it was hilarious. Oh. Falling on the floor, sides hurting. Yeah. This is Mazataka Yoshida. Alec Thomas, there's another extended base for the Diamondbacks, Brian Bay, and Michael Harris, Rookie. Let me tell you, that's exactly what happened. Yeah, oh man. There's Headliners, Adrian Beltran, and then we got Rookie, Christopher Morel. Nice one there, refractor, base auto. Congrats on that one there, Cubs. Nick Prado. Oh, I don't think so. I wouldn't say it's probably the high. I mean, it's, yeah, I was gonna say it's more like the affordable one for baseball, for sure. Adley Rushman, Kareya, and Bricehart, Hatha. Yeah, I would say it's more of the affordable one, which is good. Adley, Ohapi, Hunter Brown to 300 for the Astro. Juan Soto, Paul Goldschmidt. Yeah, that's exactly what I said to Donnie. He asked me like, how would you compare it to football? And I said, it's like a mosaic. If it was on-card autos, there was more numbered stuff. Jordan Walker, Rookie. There's headliners, Bricehart, Josh Young, and Joy Maness. Yeah, it's exactly what it is, basically. I'd say more comparable to mosaic football, because you get two autos for mosaic football box versus one in basketball. Box, good luck here, everybody. Soon we got Muto, Logan Ohapi, refractor. Christian Ellich, and Freddie Freeman, especially at the Chrome set then. I don't know, I mean, Gilded was really good. That's kind of a Pascantino. That's kind of a anomaly. There's Riley Greene and Oscar Gonzalez. Purple, Wanda Franco to 250. Nice one there for the Rays. Got Hunter Greene, Austin Riley. Ooh, redemption. That could be big. That could be big. Come on, let's see it. Did receive a 2000s, top spinus, world spinus, autographed parallel of Jayrod. There we go, Mariners. Julio Rodriguez. That's awesome. Let's go, man. Congrats on that, Mariners. Who had Seattle in this one? That is gonna be Jared W. Let's go, Jared. I know Jared just bought the Mariners and a couple other binders breaks, so, congrats on that one there, Jared. Doing well, man. Get that into a Mac, worry, buddy. It's Corbett Caron, Francisco Alvarez, and a Max Meyer refractor, so a couple of nice rookies in that. Yeah, that's what I was saying, Forrest. Volpe, Rookie. Bass, there's a Randy Johnson headliner, Zach Wheeler, Logan Webb, friend, Brett Beatty. Green Wave, Wanderfronka, or Green Lava to 99 for the Rays. Teal Shimmer, Joey Manessus, Rookie to 175, and Shane McClanahan. For a scale of one to 10, how hilarious was that video I sent today? And I will not stand for anything less than a 10. Tell you that, maybe a nine. That's could have been longer. Jordan Walker refractor, we've got blue, Ketel Marte to 150. Nice one there, for Shintaro, if we do not. Lee over McGuero, refractor, bass auto, nice one there for the pirates. Grats on that, pirates. Very nice, very nice. A bunch more spots coming in, thank you guys, appreciate that. Ken Waldechuk, and Bobby Whitt. Scale of one to 10, Forrest, how funny was that video I sent in the Fortnite group chat? Please answer Forrest, so he stops asking, jeez. Nolan Arnaut is one of his liners. He killed two of our two, that was awesome. I can't take it anymore, right? Miguel Vargas, Hunter Brown, refractor, Nolan Arnaut. Raffy Devers, Mike Trout. D.L. Hall, that's gonna be Spencer Steer on top, two rivalries, Juan Soto for the Padres. Ooh. Aaron Judge, that's like a 7.5, what do you mean 10? Mark McGuire, rivalries, that was kind of optimistic. I hope for a 10 or a nine, would be fair. Our headliners, Ichiro and Michael Conforto. I was just putting, I mean you could see it on the top cam, I was just putting like the bass over here, and then I handed over to Donnie on my left for his top loading stuff and, well, sleeving and top loading and magging stuff. Do a quick recap here, everybody. Making it to an eight, let's go. Josh Young to 175, Gunner Henderson to 99. Let's go, Oswald Paraza, super short print. Leo Baguero, Andorra, Christopher Morale, and E. Guy Rosario, Brett Beatty, J.J. Blodet, Gabriel Moreno, Ryan Sandberg moments, Logan Webb. Oh, I got you, Shay Langlears, Ryan Mountcastle, Miguel Vargas to 150, Graham Ashcraft to 150, Green, Ryan Mountcastle, Green Wave, Carlos Perez, got a Red, Nick Prado, one of five, Red Wave. We have the J. Rod Redemption, nice one there, World's Finest, and then we have Michael Harris as well. That'll do it for the break, guys. Thanks again for the film. Coming up next is number 14.


snafus with my health connect largely And now that's being held as a reserve Wearing my old hat. I think that's a good thing And the state needs reserves, but maybe doesn't need all of it And the budget adjustment this year in terms of global commitment funds with the 24 million dollar increase If you look at the devious administration budget, it's gone up 34 million dollars in the last two or three years So there's money you can spend and maybe this is the way it has to be spent But maybe it isn't and I'm just kind of trying to weigh the equities here of folks that are In the situation like you are and other folks that I know That is there a different balance or are we just up with that? Yeah, I mean most I mean, I know so many people who just go without because they can't afford it Whether the millions of dollars it doesn't and the thing to remember is that when you talk in all those figures Which you're right. We pay them. We're the payers for all those things and I'm just People just look at me and they just they just say the heck with that. I can't afford it anymore And that's the real problem Yes, tail We're building up on your point This really bothers me Because the more it becomes an affordability issue and it becomes an acute affordability issue It's tax time where I get reminded every year That we're actually trying to go in the direction of people must have health care to try and make that mandatory um When I apply for certain benefits I have to turn in my income tax return To get the benefits which also shows that I have health care it's even got a Spiral effect where um If you don't do one thing everything unravels all the way down the spiral staircase so There's even more at risk here And I see that every tax season as an example if you Let's say you don't have health care You fill out your taxes So you have to fill out the taxes It's going to be listed as you don't have health care. You're going to get a penalty If you did get the penalty if we go that direction What happens down the road as far as everything else or what let's say the person decides I'm not going to fill out my taxes until the last minute, but they got other benefits that Are now going to be affected because they didn't apply Does that make sense it does but it's a legislative decision We're not going to decide whether there's a penalty or not here at the board So that proper discussion would really be over in the legislative committees Yeah Yeah, you're going to see numbers show up here in your charts. That's kind of reflect that If as a population issue, so yeah Yep, I just wanted to highlight that no did some message heard log clear any other public comment If not, I guess we want to thank our friends from diva and from wakely on the phone We've learned a lot We've tried to cram a lot into our heads in a short period of time and we need a little time to digest this information So we look forward to coming back to this next week and we will Try to get some responses to you by the end of this week Great. Thank you very much. Thank you So we're going to transition and uh Move on to a discussion with uvm about mental health So I thought I saw dr. Gome step in Who is leading the team? Okay And whenever you're ready to take it away, thank you very much. You hear me, okay? We can all right. Thank you I will chair the mullin members of the green mount care board on behalf of the uvm health network colleagues I want to thank you for the opportunity to provide the third quarterly update on our inpatient psychiatric planning project I'll start with an overview today. And then I'm going to hand it off to my colleague core director of strategic and business planning She's going to give you an update on the data analysis from our last update That'll be followed by eric miller our senior vice president in general counsel who will give you a little bit more detail on the IMD rights And then it'll be followed by robert paratini Chair of the department of psychiatry and co-chair with me on this project and I'll close out the presentation So again just to set the stage for what we're trying to achieve with this initiative Is to provide analysis engagement and planning necessary To achieve a desired Increate to design and create a uvm health network in patients psychiatric facility that will substantially improve access To inpatient mental health care is part of our integrated delivery system here in the state Again, we're trying to do this by designing creating a health network wide inpatient facility On the central medical center campus that will substantially improve access to inpatient mental health care We're trying to anchor all of this in a data-driven evidence-based process to the degree possible And most importantly to provide a forum for interested stakeholders so that you can provide input into the planning process And we have as we've mentioned in the past identified a team of stakeholders that meets quarterly the inpatient planning stakeholders group And that that group is ongoing at this point We're also trying to create opportunities to share the information publicly including public forums legislative briefings media relations, etc Again, just the outline of how this process is structured. We do have an overarching Steering committee that meets quarterly. We have a psychiatric inpatient capacity planning committee And then we have a stakeholder engagement through pips We are in completing the first phase of this project and we will be entering phase two And we'll be focusing more on the design and operational requirements So with that, I'm going to hand it over to Eve. That's going to give you a refresh on the data analytics Good afternoon I just wanted to go back to the current state This is the inventory of the number of adult inpatient psychiatric beds that we have available Around the state and this is a slight update from the slide that we presented to you Last time that we were here We have included that the numbers really haven't changed. There are still 137 general adult inpatient psychiatric beds But we did include 63 focused beds that are available At the Brattleboro retreat and at the VA and we thought Important to add those again to this list and this was included in our in our report So importantly of those 137 beds 45 are the level one designated beds and about 92 are General if you will inpatient for adult inpatient psychiatric needs And if you remember from our last presentation when we look at the number of those beds That are currently covered today under that IMD waiver. That number is about is 63 So it's very little less than 50 percent of all those general inpatient psychiatric beds Are covered under that IMD waiver today Our estimate of the number of additional adult inpatient Psychiatry beds that we need has stayed pretty stable At least this for this phase of the analysis So i'll remind you of how we got to that that final number of 29 to 35 additional beds We looked at those patients who received inpatient psychiatric treatment But had to wait in our eds for long lengths of time often Before they got that bed and so the five to nine bed component of that total estimate was the number of beds We needed to reduce delays for those patients who did receive inpatient psychiatric care But had to wait sometimes a long time to get to that bed So five to nine days Then the second component if you recall was using the most recent 12 months of actual data for patients in our eds Who came to our eds finding that segment of patients who would have Likely would have taken an inpatient bed had one been available and we called that the unmet need group And again if we modeled their arrival in the ed If you recall we looked at their length of stay and assumed that their length of stay was that lower cutie group We randomly selected from that distribution curve Long story short we came up with 18 to 20 beds for that unmet need group Um And then we looked at forecasted growth in inpatient In inpatient patient days from our intelligent partner sg2 And we came up with six additional beds that were needed and i'll remind you this This six beds reflected uh four percent a very modest four percent growth In inpatient days and that reflected sg2's Believe that we'll see an increase in shift in care from inpatient to outpatient That we'll see Reduced length of stay from new treatment modalities that will will come onto the scene and so on and so forth So that is the reason for the modest growth rate in contrast sg2's forecast for growth on the outpatient side is nine percent So you can see how that how that works there Just a quick Recap of what's going on and we mentioned last time that 80 percent of the patients who come to our inpatient psychiatric units Come through our eds So if we break down what's going on in the eds another way to look at this Is that unmet need group remember we went to great lengths to to say not everyone who comes to our eds Needs inpatient care. It's a it's a very small subset and If you recall what we did was we took all the patients who came from the That group of patients who stayed in the ed for 28 hours or more And one out of five who came from the 12 to 28 hour group that was backed by By some chart reviews and so on and so forth So that number of patients was 617 over the 12 month period But I wanted to emphasize that if you look at the number of patients who are coming to our eds with a psychiatric condition in the Um in the other part of the group that's four out of five in the 12 to 28 hour And all of the patients coming to our ed in the less than 12 hour group That um turns out to be about 10 000 visits over that same 12 month period You might recall that we modeled what the impact of having about 26 extra beds would have been On that group during the 12 month period had we had these beds around And what we saw across the state was about a 55 percent reduction in the number of patient hours for these patients in the eds finally we turned our attention recently to looking at Some of the assumptions that we used in our analysis and relaxing some of those And here's one slide that we shared with our pips group where we talked about what if we could decrease the length of Stay on average by one day for all of the patients that are in that unmet need group And what we found is if we On average reduce that length of stay by about one day We could decrease the need for For these additional beds by about one and a half to two beds. So very helpful But not um, you know, not a big driver in that that pretty large additional bed need number The other thing we did was we looked at and by the way, this length of stay adjustment would be either for You know improved treatment modalities But it also could be addressing some of the barrier Days issues, you know, when we looked at barrier days at the medical center What we found across that group of patients Was that there were some barrier days, but that barrier days again weren't a huge driver and In the additional bed need what we found over for the medical center was over the period of a year Reducing the barrier days that we saw Would have freed up two beds out of all the beds at the medical center Just defined barrier days. Oh sure Barrier days are the number of days between the the time that a patient Is ready for discharge Until the time that they are actually discharged You're welcome The other thing we looked at and let's we'll talk about for a minute is that those those IMD beds that They're at risk of of being lost You can think of that those IMD beds is really being a one for one either Addition to the number of additional beds that we would need So if we take away if if we lose a bed that's today covered under the IMD waiver It would add to the additional bed need So that's really a straight one for one That add All right, speaking of of IMD It's important to remember that the really great work that eve and her team have done Has been intended to identify the statewide Need for additional inpatient beds It hasn't been intended by itself to tell us how much of that need Should be met through new beds on the cbmc campus in order to do that We need to start taking account of a whole host of other factors But really high on that list of other factors is the sustainability not just of any new inpatient unit But the sustainability of cbmc as a community hospital And in order to assure sustainability, we need to make sure that we don't do anything That would jeopardize cbmc's ability to draw on federal funds For the treatment of its Medicaid eligible patient population That in turn leads us back to a deeper dive into the institution for mental disease or IMD Exclusion and so we'll take a few minutes to talk about that Let me start with the rule federal funding under Medicaid Isn't available for services provided to an adult inpatient at an institution for mental disease Now this so-called IMD exclusion has been baked into Medicaid since its inception in 1965 And in fact predates Medicaid in some other prior funding statutes And now decades later it's easy to lose track of why it's there It served a purpose that was laudable and important then and remains laudable and important now And that is it promotes parity and it disincentivizes institutionalization And that remains as important today as it was in 1965 But it also does something now that it did then which is it shifts the burden of the Paying for mental health care from the federal government to the states And that's the conundrum that we're dealing with right now You look at the rule and the first question you need to ask is okay. What's an IMD? So we've put that up here. It's a hospital or a nursing home With more than 16 beds that's primarily engaged in the treatment of people with mental disease Think Brattleboro retreat classic IMD think Vermont psychiatric care hospital in Vermont is the two biggest IMDs Obviously CVMC has more than 16 beds and that's going to remain the case for the foreseeable future So the thing that we need to focus on in determining the implications of this rule is What does it mean to be primarily engaged in the diagnosis treatment of care of folks with mental disease? And so it brought us up here to the test that is that is included in the state Medicaid manual What the state and ultimately CMS is going to ask is Is the overall character of a facility one that is of a Mental hospital as we would normally think of it And as only lawyers can in order to discern whether something is has the overall character of an IMD They have a five factor test Before we go through this five factor test. I want to make something really clear I believe that whether we added 17 beds 25 beds 32 beds The overall character of CVMC is very likely to remain one of an acute care Community hospital that looks a lot different than the Brattleboro retreat or Vermont psychiatric care hospital And if you look at the factors you can see why an IMD is typically licensed as a psychiatric facility Accredited as a psychiatric facility and is very often under the jurisdiction of the state like the pch's None of those things are true. At least is the regs to find them for CVMC But we still need to focus on these last two factors because our regulators do and because they have become important in the Decisional law that helps determine whether an institution is determined to be an IMD And we focus most closely on this question The last factor of whether or not more than 50 percent of the patients in the facility Are there for the treatment of mental illness Now in order to determine this you don't look at the number of beds that are designated for physical health versus mental health You don't even look at the average census of patients in the facility over a year Over a month over a week Instead the state and CMS will look at the number of patients in the hospital on the day The determination is being made as to whether or not the facility is an IMD And they look your denominator is the total number of inpatients Your numerator is the total number of inpatients there for psychiatric care And if you are above 50 percent you are at risk Of being determined to be an IMD when that factor is considered With all of the others that need to be taken into account when determining the overall character of the facility Now Eric can I ask a quick question? Is that uh, does that final factor come out of the case law or is that in the regs? That's in the regs Final factor is in the regs But I would say it's taken on outsized importance in some of the decisional law That might be because some of the others are kind of easy. It's check the box. Are you licensed? Are you accredited? This uh, is a little bit, uh Squishier a factor and as a result it's probably where the battle is joined and therefore where the The decisional law gets produced if that makes sense. Yeah, that makes sense Because you could certainly see that if you're talking about a smaller community-based hospital whose Census maybe varies quite a bit on the inpatient side Over time that what day you pick can start being key That's exactly right in a minute. We'll turn to cvmc and I'll give you some You'll get a really graphic illustration of how that can play out and even a medium-sized Hospital So There is nothing in the state medicaid manual that says how often it needs to be Determined there's nothing in the state medicaid manual that says that it has to be Every year every five years or that really provides any Additional significant guidance on for instance when the survey would take place When the determination would be made and As a practical matter, I think that this comes up so seldom At least in vermont where most of our institutions are very clearly an imd Or an acute care hospital that there hasn't been a robust Process built around it here or in many other states and so we don't have a lot of guidance on that to be honest with you Is there a reconsideration in an appeal process? So there is not a reconsideration an appeal process built into the regulations but in talking with folks who Think about these things for a living and represent clients who have to navigate these I do understand that very often if in the unlikely event in the unfortunate event They hit you on a bad day where your med medical surgical census was low and your inpatient psych Census was high As with many things cms related there may well be A period during which you can take corrective action in In an attempt to cure the problem in a sustainable way going forward, but again that's based on knowledge that is Not codified anywhere, but it's just gleaned from folks who practice in this area around the country I wanted to include the last bullet point here because It's easy to lose track of this The implications of being deemed an IMD are not simply that you lose federal Medicaid funding for the mental health care that you provide at the institution The consequences are that you lose federal funding through Medicaid Sorry for all of the care that you provide at the hospital You can no longer draw down federal funds for Medicaid eligible cardiac patients the hip fracture The pneumonia and you can see why as a result it is Of existential importance that we get this right with respect to the number of beds at cbmc So with all that background in mind, here's the question How many psychiatric beds when added to the 15 existing beds would put cbmc at risk of being deemed an IMD And as you can imagine, there are a whole bunch of factors that go into answering that question The easy ones are taking a look at the historical Census on the inpatient med surge and psych side and we'll look at that in a second the more difficult ones involve projections What is our medical surgical census likely to look like in the future? That's determined in part by some things that are beyond our control national and local trends regarding how And where care is delivered But it's also really important to keep in mind that it is based on some things that are within our control This board has already heard a little bit about the uvm health networks Care delivery optimization process through which we are trying to make sure that we deliver high quality care As close to patients homes as possible And so when we think with the numerator and more importantly the denominator of the IMD equation is going to be going forward We're thinking hard about our efforts to keep care local to keep care in our community hospitals like cbmc Where that's appropriate? We're also of course going to look at projections regarding inpatient psychiatric occupancy in the future And that depends on a whole bunch of factors Including how many beds are there in the system if there are fewer beds in the system Our occupancy rate of whatever beds we build is going to be higher If there are more we might be able to keep it at a more manageable level So we're trying to think about and model that as well Then of course we're thinking about whether or not if things got tight We do have the flexibility to take inpatient psychiatric beds offline for certain periods of time in the unlikely and And if med surge censuses fell in an unpredictable way or in a way that wasn't forecast And then not finally but last for our purposes when you're thinking about the number of beds This is distinct from IMD. You got to think about staffing efficiencies We all know that staffing a new unit is going to be one of the major challenges We face and doing it efficiently is an even greater challenge And what our facilities planners have told us is that With some exceptions eight bed increments promote staffing efficiency and therefore Help our ability to run this in a sustainable fashion going forward So does the architecture go into that? Absolutely and the architecture plays into it the programming of the beds in terms of the acuity of the patients who are being treated plays into it But all of those factors tend to converge on eight bed increments according to the folks at Hulsa that we're working with So when you take all of this and more in mind and begin to apply it to CVMC here is what you find CVMC is licensed for 122 beds But we know that what you're licensed for is not a terribly important part of the equation here They are staffed for an average daily census of 57 patients plus or minus and they flex up or they flex down as the census requires Really important to keep in mind that this is an average Anna noon and I were talking before we came in today and for the last several weeks Their census has been in the high 70s and low 80s virtually every single day And so 57 is the long-term average But over the last few weeks and months we've seen in patients patient censuses much much higher than that You see how that breaks down Of the 15 patient beds we have an average census of 12 to 13 Now you need to remember that some of those are semi private rooms and so 12 to 13 is very often An effective 100 capacity in those 15 beds given the treatment milieu and the needs of the patients And then a medical surgical census of 44 to 45 And if we were in a world where you could look at the average as you look at this and say 44 minus 12 you can build about 31 32 new beds without risking Flipping your your over the 50 percent mark. But because the the factors that we just discussed You can't do that Instead we need to look at is how these censuses fluctuate The bottom of the chart in the bottom the blue lines are the medical surgical census at CVMC for a period from 2014 to 2018 The red lines are the inpatient Psychiatry census during that same period And what you see is that while they both fluctuate a little the medical surgical census is much much bouncier over time And the inpatient psych is a little bit smoother over time And if I were to take this chart and kind of restate the challenge that's in front of us It's this How many more beds could we add without risking that the red line becomes taller than the blue line on nearly any given day over the course of the year And so we put that question to three different groups within the The three different experts within the group of folks who are helping us think about this problem First we had the folks from house our facilities planners Look at the question And they looked at historical data like this and they overlaid Different numbers of new beds basically lengthened the red lines by the uh by different increments 15 20 25 30 To see when the reds started getting taller than the blues Then we asked eve and her team including zack sullivan to do A miniature version of what we did for the needs analysis Which is build a computer simulation model that takes historical data And into which you can input different projections about the future And it produces a table of probabilities that on any given day at any number of new beds You're likely to spike over the 50 mark And then we asked a group from manette health Which is the lawyers and policy experts that have been helping us navigate the imd rules more generally To do an analysis based not just on the probabilities But on their experience with similar clients across the country And after taking all three of those analyses into account, we became quite comfortable With the conclusion that at cvmc we can add 25 new beds To the 15 existing beds and have an inpatient unit totaling 40 beds divisible by eight That will not create an appreciable risk that cvmc Will be deemed an imd Will not meet the entire unmet need in the state as identified by eve's analysis, which said we need 29 to 35 beds But that we think will still make a very important difference in cvmc's The uvm health networks and the state of vermont's ability to treat Our mental health patients who are currently not getting the care in the right place and right time And allow cvmc to meet its mission of serving both physical and mental health care needs of the central vermont population That's where we came down that that's what our these analyses have shown And i'm happy to answer any questions before turning it over to bob to talk about Programming considerations questions for eric That's a quick one. With this number of this 40, does that include you had a possibility of Taking some beds off line as the med surge unit came down. Is this assumption that these would be online all the time? This is the 25 new beds May depend on our Certainly depends on our ability to manage the med surge census and the inpatient Psychiatry census Whether or not it would require us to take beds offline depends in part on how successful We are in keeping the med surge census at the place. We believe it needs to be I think it's fair to say that if we build a 40 bed unit There may be points in time and the system will need to learn to Anticipate to this and we will need to learn how best to predict and react to this That we may need for short period of periods of time to say there's an empty bed But i'm sorry. We're not able to take that this patient at this time But that the periods during which that is true are so Small compared to the overall that this is a really this is the right decision and right trade-off To make in order to serve the most number of people most of the time Not that I am aware of Chairman mollett, um, I know that there are lots of folks working hard on this at Retreat at other places around the state We are in constant engagement with colleagues who Provide non-hospital based care to continue to try to maximize community and other services To either reduce lengths of stay or reduce the number of people who need inpatient care Um But I think we can anticipate that if we build something short of the number of beds Identified as the need that our occupancy rates within the beds that do get built will continue to remain pretty high But we'll still be able to make an appreciable difference on the way times and the lack of care currently Good afternoon We've reviewed the Analysis that tells us how many beds we ideally would build to reduce wait times And we've overlaid on that the imd restrictions that will limit us a bit to 25 additional beds And now the question becomes if we have 40 beds How do we program them? How do we configure them? To do the best job possible For our design goals, so we don't have the answers to these questions yet But we're entering the planning phase where we intend to answer When we intend to answer these and we have some design goals um, one of them obviously is That we want to reduce the wait time in the emergency department to no more than four hours For people who have had an assessment And have been determined to need inpatient care as the next level of care And that that is a major driver of our planning obviously We also want to build the beds and staff the beds in a way that maximizes our ability To manage any psychiatric or medical presentation that may come to the emergency department So we we want to have as broad a competence and capability as we possibly can We have to do this in an efficient cost-effective way So that it's sustainable And importantly we have to do it in a way that minimizes the risk of harm to other patients and staff And this this is an unpleasant reality that You know is it is hard to talk about but At vpch, it's a high rate of staff entry. This is a dangerous job at sometimes And our design has to take into account ways to minimize That harm to to anybody The initial process has been to look at ways that we would divide people by clinical characteristics into the Subunits that constitute workable units. These are units that are seldom larger than 16 beds And maybe are going to be an eight bed increments and maybe smaller than eight beds And just how would we divide? Is there a rational way to divide? We we looked at the The ways that this is done Had other places and in our places and we conclude that The way that most hospitals subdivide populations Correlates with measures of behavioral control Aggression violence and and risk to other patients and staff So we want to design the units to ensure the safe management And we want to maximize personal independence and freedom from restraint So we do not want a configuration that relies on seclusion or physical restraint or chemical restraint The design has to minimize that while ensuring safety And we want to if we have these behavioral categories, we want to decide how many beds are logically assigned to each behavioral category How many people do we have in these categories? And that would drive the number of beds we would build in each one when we looked at the The ways this is done nationally and regionally we weren't able to improve on what has evolved over many decades in vermont and elsewhere The basically stratifies people in a way that corresponds to the existing shepherds in three units The shepherds in six unit and what is now the vermont psychiatric care hospital So shepherds in three is a low security unit Shepherds in six can manage a degree of behavioral Discontrol and aggression and vpch is designed to manage any level of behavioral control and aggression CVMC just for reference is a mix of Of what is now at Shepherds in three and six and I think if they had had the opportunity to Configure architecturally they would have divided in a rational way But just because of the urgency of hospital demand They're accommodating what they can We divided uh, we we relabeled these Groups into a tier three tier two and tier one tier three corresponds to shep three tier two to shep six tier one to vpch And I just as a footnote want to acknowledge the comments from one of our Community participants who pointed out that Tier one can be a little confusing because we already have a nomenclature of level one that many people are familiar with And um level one is a is a term used by the department of mental health for its contracted units For a determination that more resources resources are needed for a particular patient So there's a different reimbursement for that care. It's it's a technical term that is a dmh term We want to make it clear that we're trying to Describe people clinically and not As a legal mechanism, but for all practical purposes if you're familiar with level one tier one and level one are basically the same thing so I I just Feel like I should explain that Because it came I got that feedback and I I don't want to the intention is not to confuse anyone the intention is to clarify We did two independent literature reviews. We did not find other stratification models in the literature and We do know that in Larger urban areas with many Psychiatry beds in large populations that units are configured in a specialized way They there may be geriatric units mood disorder units psychotic disorder units um And we uh, we don't think we have the luxury of creating that kind of subspecialized care because The next person who has a need for hospitalization may not fit where there is an empty bed In a specialized unit. So we are opting as a design goal To maximize our ability to care for any diagnosis Any associated medical problem within reason And to separate mainly by behavioral need It happens that the behavioral Characteristics of the patient correlate to the kinds of clinical program that we would use so Um, and I'm going to just point out the different the characteristics quickly of the different tiers um Tier one corresponding to vpch today or level one if you know that term um Are often psychotic disorders mainly a brain injury. They may have uh associated substance use problems or medical problems They have poor Commonly or as a tendency have poor behavior control They can be threatening. They can be violent. They can be aggressive They can have potential sexual aggression and very limited personal boundaries The tier two Is tends to be the same diagnostic categories But the behavioral discontrol is less the physical danger is less the uh, and uh It's a it's a lighter version of tier one And tier three tend to be uh People with depression personality disorder sometimes substance use disorders anxiety disorders associated commonly was with high suicide risk but There is not usually a behavioral dysregulation The patients are verbal They're able to work together in a group. Um, they can engage in treatment and conventional psychotherapeutic treatments and reflection and um, they are More easily able to associate together and work together in a therapeutic environment So the uh, you might now say well Why don't we just create the same level of security for all of these tiers and maximize the flexibility of the use of any beds And one simple, um answer to that is it is much more expensive to build A tier one bed than a tier three bed and most of our patients are tier three not tier one So we're going to have to struggle with the question of how to if we build 40 beds How many of them will be tier three? How many of them will be tier two? How many will be tier one and we we plan to that will be part of the process in the Phase two planning and we will engage others Uh in that conversation will engage stakeholders broadly to To look at that question We also are eager in the tier one and tier two To have mechanisms to separate aggressive patients. So It's not necessarily Necessary to create small units if there's a way to simply separate people who are in conflict and may May be aggressive with each other We don't have a way of actually measuring the number of people who are presenting with each tier But there are some correlational Characteristics that Zach Sullivan and Eve's group have used with us And we'll vet those data and use that to assign the the number of beds to each tier In this phase two We will begin in programming facilities programming process which also will lead and involves identifying every space needed the size of the space The contiguity of the space How spaces are associated in principle And that table of spaces and sizes Will be used by the architect later to actually configure a potential floor plan or space And we will have to integrate with the cdmc master facility plan to make sure that any planning that is done for the new Psychiatry and patient services that doesn't unduly Compromise future planning for other services at cbmc We'll begin looking at the financial impact including the capital needs and in the process of designing the The the programming for various units will have will be able to identify a staffing plan And the the financial cost of the actual operating cost I believe that's the end of my part and I'm happy to answer questions if I can So we are committed to the original timeline of three to four years for the full process We are still honestly articulating the key milestones Some phases have taken a little longer than we anticipated As an example the data analytics phase took a little longer than we anticipated We hope by the time we come to you for our next quarterly update that will be very synced with that timeline for you I haven't worked on projects. It's Usually you might have Things that take a little longer in one phase that might be able to expedite another phase So it would just be helpful to have some type of timelines that we can Actually try to anticipate what we might actually see in the finished product Understood Questions from the board Just to follow up to Kevin some so when you present this timeline that next time we meet Can you also have that kind of showing in the integration with the master facility plan so that we can get some sense as to whether They're trotting along at the same pace. Yes, that's the intent So we're trying to sync up our overall master facilities plan with this initiative And that we can't do one without the other and that we have to understand The most opportune location for this particular facility or unit So that's the intent is to bring those two pieces together. Absolutely Jess Every presentation is a concept closer to trying to help this problem that we have in the state, so I appreciate that My question actually is tying together the IMD and the programming I'm just wondering as you were talking about some of the programming we're wondering given the IMD concerns Would you be thinking about the replacement of patients with long lengths of stay right in cdmc That's going to reduce some of your flexibility to take patients online So i'm just wondering is that a fact Tier one tier two tier three bed placements in cdmc if you have or if there are more tier ones or more geriatric patients that are Harder to discharge Reduce some of your flexibility to balance the bed surgery And the site for the bed, so just wondering if that's part of the It will have to be the the In parallel to creating the new beds, we also have to address the patient flow issues and and there are some opportunities there You know, first of all, we have to do that anyway Because it's inefficient to keep people in a hospital who could be cared for in a less expensive and less intensive environment the Just coming back to a question that eric actually Answered and I thought I would add If we do replace the middle sex secure residential facility That will have a significant impact on the on our bed need Because we have calculated the number of beds needed Based on a status quo and the status quo is that there are people at vpch who are waiting in an acute care setting that is really designed for Assessment stabilization and other hospital functions who really could transition to a different place With a less intensive at least less intensive medical component so I see that as a ray of hope in the In the dilemma of trying to juggle the incoming need and the outgoing need But I think the bottom line is that we're going to have to keep paramount A flexibility because we don't know what the future brings And we're going to have to adapt to whatever happens today. Whatever happens in real time As patients are seeking hospitalization Thank you. I guess we'll open it up to the public for questions or comments Ken Yes, I think As a person who's participating some of the meetings I really have to say that This is a really strong team of working hard To figure out pieces of the puzzle And you know, it's like it One of the realities is when you have a good team You actually should expect more or not less And it's a weak team You kind of ah, well, whatever If you added dr. Ronsted to the group, it would be like a five person basketball team And they kind of have everything they have You know clinical expertise. They have legal expertise. They have very good administrative and communication skills And they're really being very thoughtful Which one will throw the elbows? We'll get to that I said they're good, but they're not perfect The the issue that I would raise is and I think the chair Picked up on this right away, so it was good You know, it gets There's a balance between being incredibly thoughtful and thorough And somehow not building in the reality that there's a crisis here and there's a sense of urgency You know, there are seven members of the sitting in frontier And representing different communities and in your communities over the next year you have people Going to your local emergency rooms and potentially Getting stuck there If it was pneumonia as somebody mentioned or it was heart disease or cancer The notion that you have folks sitting in the emergency room for days represents a true crisis and I think the one thing that this team doesn't have yet maybe Is speed Which is very important for a team to have and so I turn to the board and say Uh, perhaps some thought could be given as almost a one-year mark in this project is going to be reached To figuring out how to build speed in the time table Is just not acceptable in some ways to say well, it's going to be four years Because when you say it's going to be four years, it's going to be five years It's a little bit like in the legislative session, which many of you are familiar with Everything should get done In a timely fashion, but it's the last week of the session where 75 percent of work and decisions get So I hope that you really do put a focus on this question of timetable um, this is not This is not simply A project which is very important and a lot of good works getting done But there's a real crisis out there Which is frankly as people I think on the board have said it's a disgrace and to some degree You are the managers of this project and you either can build incentives into having speed in the project or disincentives and I just would ask you as the Year ends year one to figure out how to build in urgency and incentives And speed to move this project along even faster than it is because there's a real crisis out in the communities And it will only get worse in my opinion. Not better between the time Now and whenever the door is open on the new facility Thank you for those comments so I can I think everybody in the state was just it could magically Happen overnight we know that can't happen. I think that People are trying to do the best they can we we encourage I wouldn't say speed because we don't want any errors in speed But we encourage that it be accomplished as soon as possible with the best possible results so And I'm pretty sure that everybody That I'm looking at understands that dr. Bromstedt Yes, I'm speaking from the public perspective because I'm not up there and I actually agree 110 percent with mr. Liebertof the obvious counterbalance is The vermont way and the vermont culture which is to make sure That we engage people appropriately to kick the tires on this plan. I can guarantee you Even without a fifth member this team could go off and in a very short period of time Design what would be a really credible solution and Get shovel in the ground what we would lack in that is the kind of discourse and back and forth and Frankly important input into what this looks like So we've got to balance those two things Ken, but we're not going to take our foot off the gas pedal We're going to try and do that balancing act, but end up solving this crisis as quickly as we can Thank you, dr. Bromstedt Other yes in the back so I just want to acknowledge that in the planning process and I think john alluded to it There has been and have been considerable conversations with community partners in reaching some of the conclusions that they're reaching and Well, I think eric was alluding to the implications for the bed count based on IMD and whether we continue to get a IMD waiver and if there are other beds that drop off I think it's important to recognize that All of this calculus is predicated on having the strong community-based system That to the greatest extent possible Diverts individuals from coming into the bed In the first in a patient bed in the first instance and then having the capacity to take people out as quickly as possible so That's that's one point I want to make and I think that there's a been a clear acknowledgement on the part of the health network that this activity cannot exist in a vacuum And I expect that that impact is part of the active planning process that has taken place and will take place secondly, and I guess recognizing the that The network is in fact responding to the charge from the green mountain care board I want to acknowledge that they're basically answering the question that you ask but without Meaning to be disrespectful You've only asked half the question Because all of the patients that they are talking about are adults And the reality is that we have a significant problem with children who require psychiatric care and these beds are not Being talked about for children So just as an example on monday because that's the last state I have data for because we track And I work at the Howard center in chipmunk county. So we work with folks who are Involved in the activities that we've been discussing so on monday We have 17 patients waiting for an inpatient placement Five of those were adults in the er And two of those were adult children in the er But we have 10 children waiting in the community Because when children show up in the emergency room In crisis They're typically coming with a family member And the family member is acknowledging that they have reached their limit in terms of knowing how to deal with this psychiatric crisis But they're not kept there they're sent back home To wait until a placement can be found and i'm not blaming the hospital for that i'm just acknowledging that there is a tapped out resource i.e. families which are being asked to carry the burden Of caring for their psychiatrically challenged children that they've already acknowledged They don't have the capacity to do Because we have an inadequate amount of psychiatric inpatient beds for children And so I would ask the green mountain care board to keep that in your frame of mind As you're thinking about Conversations in your regulatory room going forward Thank you. It's an excellent point reminds me Of all the discussions that we had when I was on the education committee about Students who a lot of frustrated School of issues who didn't think that kids were getting the correct treatment fast enough And so I'm sure this is not just a burlington problem. It's a state-of-the-art problem One that's going to have to be addressed Any other questions or comments from the public? Seeing none. I want to thank the team and uh, I would bet on this basketball team any day Thank you Is there any old business to come before the board Seeing none is there any new business to come before the board? Seeing none is there a motion to adjourn It's been moved in second to adjourn all those in favor signify by saying aye. Aye. Any opposed? Thank you everyone. Have a great rest of the day


If you could sacrifice one year of your life for the next 50 years to be free, then you must do it. So be patient, take your time, and understand that your first year is gonna be spent learning. So be patient, be patient, be patient. I can't believe I'm trading for nine years. I can't believe how fast the pipe flew, but now looking back on it, I am very, very grateful that I learned how to trade the right way because now it's gonna pay dividends for the rest of my life.


Good afternoon, as you know, we have an announcement to make in a tragic homicide case and a development today. You'll hear from Police Commissioner Kishan Tsu, followed by Mayor Eric Adams, followed by Chief of Detectives James Essig, followed by Bronx District Attorney Darcelle Clark. Also here we have Timothy McCormick, Chief of Bronx Detectives, as well as Ralph Sozio, the United States Marshal for the Southern District of New York, who is part of the US Marshals NYPD Future of Apprehension Task Force. Commissioner? Good afternoon everyone, thank you for being here. Following the swift work of your NYPD detectives, we're here to announce an arrest in the absolutely senseless killing of Kiara Tay earlier this week in the Bronx. Taken into custody before two o'clock this morning was 15-year-old Matthew Godwin. He has been charged with her murder. You've seen the video, Mr. Godwin is the subject who pulled the trigger while riding on the back of the moped. Instead of hitting his intended target, however, he ended the life of a totally innocent, completely uninvolved, 11-year-old girl. I won't say she was in the wrong place, because why shouldn't an 11-year-old child be able to stand outside in broad daylight? The teenagers who took Kiara's life, a sixth grader who, as her father said, didn't even have the chance to grow up, they shouldn't have been there. They have devastated a family while at the same time ending their own lives as they know them. Let me say this to Kiara's parents, Yehisha and Sofpini. The NYPD is far from finished. As I speak, your investigators are continuing to search for the criminal who was operating that moped. And I assure you, he too will be brought to justice. New Yorkers, the second suspect is 18-year-old Omar Bojang, also from the Bronx. I believe we have his picture here. As always, I urge anyone who might have any information about this horrendous crime or his whereabouts to please contact Crime Stoppers at 1-800-577-TIPS. We are talking about two teenagers who stole the life of an 11-year-old child in our city. There is absolutely no justification for this tragedy.  And shootings and murders are no longer the top stories. Mayor Adams. Thank you, Commissioner and the detectives and law enforcement who were involved in bringing the individual to justice. And I also want to thank DA Clark, who has been a real partner in our pursuit to deal with the violence. That we are experiencing in the Bronx. Look, listen to the numbers, 11, 15, 18, 11, 15, 18. Over and over again, we're seeing 11, 15, 18. Not only as the shooters, but the victims. Those numbers we hear over and over the pattern that we are observing. They have engulfed the violence in our city and we must put it to an end. And this is what we're dealing with over and over. Kids killing kids. Illegal guns as easy to buy as candy in comic books. They are everywhere. I've stated this before and I will say it again. I have never witnessed the willingness to carry the easy access and the willingness to use it the way we are seeing right now. Omar is still at large and we need the public to help us find him. His friends, his family, whoever knows where he is, he should turn himself in to justice. I want to thank the Crime Stoppers with a combined $10,000 in a reward that was put out to assist in bringing the shooter and that helped us but also the driver of the motorcycle or moped. There's no words that can express how we're feeling. It's beyond anger, it's beyond frustration, it's clear betrayal. We're doing everything we're supposed to do as the police department. The numbers are just horrendous.  Those numbers are just alarming to think about but there's an endless flow. Police officers are realizing that as soon as they take them off, new guns are being produced and placed on our streets. The heroic actions of our law enforcement agencies and combined effects is just keep fighting against the easy flow of guns in our city and in our country. Just this week, ATF did a report that showed gun buying in this country has tripled since 2000 and it's spiked sharply in the last three years, tripled. 11.3 million guns were produced in 2020 alone. It's unfathomable when you think about the number and volume of guns. We're running out of baby formula in the city to keep children alive, but we're not running out of guns to take their lives. That is what our country has become and this young man is no stranger. Omar is not a stranger to law enforcement. He himself is a victim of gun violence. Shot twice, arrested for gun possession and wanted for robbery. Same pattern over and over again. The same body of people doing the same actions. Be part of the same revolving cycle of justice system that we're seeing. And this time, his actions took the life of young Kiara. It's a brutal cycle of neglect, of violence and victimhood. A revolving door that place our children in harm's way. Our children are dying and gun violence is the key cause of it. It's the number one killer of our children. Every year 18,000 children in teens are shot, killed or wounded. And approximately 3 million are exposed to gun violence. This is not on TV, this is not on video games. This is in their neighborhoods, in their schools, on the street corners. This is the legacy that we're leaving our children. And still, we're being held hostage by a gun industry that's putting profit over public safety. And our kids are paying the price with their lives. D.A. Clark said it best, we're losing a generation, one bullet at a time. We love our freedom as we all state, but you can't be free if you can't go to school, if you can't go to church, if you can't sit in a restaurant, if your babies can't go to the park. When I went to the hospital that night and spoke with the parents, they stated we don't allow our child to go out. Let her go out this one time and she never came home. It's unimaginable when you think about it. Our children are having the entire childhoods taken from them. Can't go to the park, can't go to the store, can't attend events. You have to sit home because they don't feel safe enough to go out. We're betraying these youth, we're failing them, we're taking everything from them. We're leaving them nothing, not even their lives. Well, I'm going to stand, I'm going to stand for them. And I'm asking New York to join us as we stand for these children. It's time to end this senseless gun violence. We're going to continue to do our job, but we have to get these dangerous people off the street and keep them off the street. DA? Good afternoon, everybody. Jimmy Essig, Chief of Detectives. To my right is Chief Timmy McCormick, the investigative chief and Petro-Detective Bureau Bronx. To his right is Lieutenant Sherwin O'Toole, Bronx homicide detective. To his right is Lieutenant Chris Popovic, the 4-1 precinct detective squad supervisor. So on Monday, May 16th, at approximately 4.50 PM, a 13 year old male was being chased by two males on a scooter at Fox Street and East 165th Street in the Long Beach section of the Bronx. The male attempted to gain entry to 1015 Fox Street, which is an assisted living facility. He was unable to gain entry and began to run southbound towards Westchester Avenue. At which time, one of the males on the scooter, who was in a rear passenger, discharged a firearm at him in the despicable daylight shooting. This reckless and irresponsible behavior resulted in an unattended, innocent 11 year old being struck in the stomach by a stray bullet causing her demise. Detectives from the 4-1 precinct, Bronx homicide, gun violence, and the Intelligence Bureau collected and poured through numerous videos which were obtained and they were able to identify the individuals. At 1.30 AM this morning, members of the regional task force responded to a Hotel 95 located at 1275 Pugsley Avenue in the Bronx. There they apprehended, without incident, the male who we believe is the shooter. He was with his mother at the time. That person is Matthew Godwin, male 15 years old with a date of birth of 3, 13, 2007. He is arrested and charged with murder in the second degree, manslaughter in the first degree, and a criminal possession of the weapon in the second degree. He has no prior arrests, but his previous contacts with police include October of 2019 as a 12 year old.  Last summer there was a series of violence acts perpetrated by these gangs which resulted in the murders of a 13 year old, a 16 year old, and a 19 year old. Godwin also was a victim of a shooting January 6, 2022 in front of 900 Bronx Park East. There were no arrests in that case. We are still actively looking for and seeking the public's help in apprehending the driver of that scooter. That wanted person is Omar Bojane, male 18 years old of 2115 Honeywell Avenue Apartment 4D. He is a money well gang member, which is a subset of those 800 YGs. His previous arrests include one gun arrest in June of 2020, which went to the youth court. He also has an arrest warrant for a Bronx robbery pattern where there were three incidents where he and another display a gun robbing individuals. All occurred in the housing and Webster Avenue in the Bronx and all his victims were lured there using social media. He is also known to us with two previous shootings. In April of 2020 in front of 921 East 180th Street, he and another male were shot in the leg. That other male was a 27 year old blood gang member. In November 2020 in front of 2260 Crotona Avenue, he was shot in the leg during exchange of gunfire between Bojane and rival gang members, Third Side. That's an open case right now in Family Court. This is still a very, very active case. I'd like to thank the U.S. Marshals for their help and apprehending today. Ralph Scosio, Darcelle Clark and her staff were great. And again, the detectives who did a great work in this tape, they're still a very active case and we're investigating. But we're asking for anyone with information for this shooting or for the whereabouts of Mr. Bojane to call Crime Stop is at 1-800-577-TIPS. With that, I'd like to turn it over to the Bronx District Attorney's Office. That's a good one. I don't know. They'll get it for you. I want you to be as tall as possible. Yeah, you got to be able to see me. I vertically challenged. That's not doing much, though. Good afternoon.    A bullet that ripped through the hearts of all of us here in New York City. But today, today we have now taken the first step in getting justice for Kayara. We now have a suspect arrested who is awaiting arraignments right now on the charges of murder, manslaughter and weapons charges. We will continue to fight for Kayara. So at this moment, there's some relief for her family and our community, but only some relief because there's still another who is being sought for this terrible crime. But also, the tragedy here is that we're talking about a gunman who is too young to be called a gunman because he's 15 years old. A 15-year-old who possessed a gun, fired a gun on a busy street at 5 o'clock in the afternoon with no thought about his own human life or that of anybody else in the community. It's incomprehensible, but it's no longer incredible for what's happening to us in the Bronx. This year alone, we've had 25 children, 16 years or younger, arrested for possession of a gun. And we've had 24 17-year-olds arrested for gun possession. Kayara, unfortunately, was the second child in the Bronx, killed by gunshot this year, also fired by a teen. We've had 16 children, 16 children, 16 years or younger that have been shot. 11 of them were under 15, and 5 of them were under 14. We have to focus on gun violence all the time and every time. So I'm asking the community, please, if you know something, say something. Give up, Mr. Bojang. To Mr. Bojang, turn yourself in because we are going to continue to look for you. And I want to thank NYPD and the Marshals and all of our law enforcement partners because we are making sure that we can do all we can to get justice for Kayara and to make our community safe. Please, please help us. And the parent of Mr. Bojang or whoever's responsible for him, it's your responsibility as well. Turn him in because he's being sought after and he's in danger. He's in danger because of what he did to Kayara and to all the others. The community is not safe as long as he is out there and wanted. You have a responsibility for your own child or family member to bring them in safely. Let's get this done right. Please, enough is enough. We know who the intended target was. It was a 13-year-old who was being chased over there. Karen, do you know him? He's being charged in criminal court right now. He's being charged as an adult in criminal court right now. In South Jamaica? It's a real concern and we all need to be part of the solution. And as the DA stated, one of the best things that mother can do right now for her son is to bring him in. Turn him in. And we're saying to all of those good families that are in our city, which is the overwhelmingly number of people in this city, that we're going to do our job as a police department. We need to get to those who are getting in the way of preventing this flow of guns in our city. It's time for the federal government to have a real look at this. We just gave you the numbers three times the rate of guns of being produced and sold in our city. It is imperative that we all get involved in preventing these levels of violence that we're witnessing. Particularly, they're happening with young people. So there's a lot of concern, but we're not going to surrender the violence. I say this over and over again. We are going to turn this city around and we're going to make sure these children are not being exposed to this level of violence. Josh, ABC. I have one very granular question and I want to start a bigger question. That's still part of the investigation. You heard the history, the history of the gangs up there. As far as motivation, there's no justifiable cost to shoot out there in broad daylight, pull a gun and shoot. But that's part of the investigation with the motive. There's one thing I want to point to before the commissioner responds to that. This is what we're finding fascinating. The shooters are about nothing. All of these cases when you start digging into it, it's about an argument. It's about a dispute. It's about being disrespected on social media.  That's not your territory. There's nothing when you look at these shooters, it's not rooted into anything. It's really just rooted into some of this is mental health issues, but it's not something as real crisis that's caused someone to be shot. Well, I think it goes to what we all keep saying we need neighborhoods and communities and families to step up. You have to turn these people in. We have a number of resources. The city has a number of resources for these youth, for these children to take another path, take that opportunity. But if you don't take that opportunity, we will never stop doing everything we can to stop you. No, they don't live there. They live over at 900 Bronx Park. They got that room the night before May 19th. We could summarize that, yes. Antoine. Scooters are a big problem in our city and also in the Bronx. And I know working with my counterpart on patrol borough Bronx, he's working very, very hard to enforce the laws as it relates to scooters. The method of transportation, cars and scooters with violence, it goes hand in hand in. And they're doing their part as a proactive measure to stop the violence by stopping the cars and whatever violations they can find will take them and seize them. Can I just add something to that? Just so you're aware, we have a number of enforcement efforts that we are putting in place before the summer months come because we know this is a problem between the ATVs and the scooters. So we're doing a significant amount of traffic enforcement and we're seizing those vehicles when we can. The gun has not been recovered as of yet. We're still looking for the gun as part of our ongoing investigation. The second part was at the hotel. If you visited the 13-year-old, does he explain at all what these tensions are? The 13-year-old did come in with his parent and he spoke with us. But we still haven't determined the cause of the shooting. And then lastly at the hotel, was there resistance earlier? We've heard that it was some resistance. He might have put up a fight, maybe tried to run away. So the U.S. Marshal described the regional fugitive task force arrest in this case? Good afternoon. The regional fugitive task force is comprised of United States Marshal deputies and NYPD detectives. Through their investigation, tracked the suspect to the hotel. They arrived to the hotel, figured out what room he was in, knocked on the door. They didn't answer the door. The door was breached. At that point the suspect was in the room with three other juveniles and the arrest was made. The other three were released. The mom was there as well? Correct. Were they close to leaving town or just hiding out? At this point I don't know. Greg and Klothi, can you just describe going back to the room and finding this guy in the hotel? Was this a crime stopper? Or did you guys track him there? And why isn't the mother being charged? Do you believe that they were running away from the office? Well, as far as the mother being charged, that's still part of her investigation. We know she was there. We know they don't live there. We know they rented that room the night before. The second part of that, the first part of that question. I'm sorry. First part was how did detectives get the idea that they were the first and the last? As I stated on Monday, this was going to be a slow and tedious process. We're both my homicide and 401 detective squad investigators, amongst other investigators. We tracked the perpetrator for approximately just over two miles where we were able to get very good facial images of him. And we were able to use police sources to identify him. Did you guys get to the hotel to use a crime stopper tip or how did you guys track him? No, they were tracked not to a crime stopper step. The U.S. Marshals were the MIT personnel who were able to track him to the hotel. Can you elaborate on how they were tracked? Not at this time. I'm not going to go into that. I'm going to take one or two more on this. Dan Rivoli. I heard you say you do not recover the gun. Do you know where the shooter obtained the gun and then specifics in that case? And then generally when guns are recovered, whether used in a crime or just recovered in legal possession, do you then see where they get this gun, roll it out and try to find who's selling or paying it off? Yeah, we don't have the gun as of yet, so we won't trace it. All our guns that have serial numbers, they are traced. And then they are followed back and up. We'll see in a place of origin who sold at time to crime. And then between our joint firearms task force or our firearms task force, they will develop a case and see if we can roll up who's trafficking those guns into New York. All right, this is our last question here. John Doyle, CDS. Do you have a comment on the number of shootings involving kids in the Bronx in the past year? Specifically, what are you doing in the Bronx to suppress the violence ahead of the solo run? We rolled out our summer 40 plan. There's a number of Bronx precincts that are part of that summer 40 plan. We have enhanced deployment in those areas. We have a dedicated inspector in the borough who is responsible for suppressing gun violence and being able to determine where we need to pivot our resources if something is not effective. We have supervisors that are in charge of those precincts as well and those details to ensure that we are doing everything we can and getting the information and intelligence we need to be effective. All right, thank you everyone. Thank you. I want to respond to that for one moment, which is important. The commissioner just stated what we have done traditionally, we've dropped the weight of this on the police department only. We're not doing that. They're rolling out their summer plan, but every agency that's involved with young people also must produce a plan to complement what the police department is doing. The Department of Education, summer youth employment, DYCD, we are not saying to the NYPD that this is your crisis only. By the time someone carries a gun, discharges a gun, we already fail as a city. And so what we're doing that's different is we're asking the police to be on the front line as they normally are, but I'm going to all of my agencies and say how are you part of complementing the Bronx plan? That's the goal here and that is what's different than what has been done previously. Everyone must be on board because we have to prevent as well as apprehend those crimes that are taking place in the city. Okay, you can just say right now. Break for 10 seconds. Same position, please. No, actually we were at the conference. They saw that I was there. They know that I'm into health, so they threw down their protein bar for me to be able to drink. I didn't get a chance to thank them. I had to get up to the Bronx, but I appreciate the commitment to my nutritional values. I'll ask the latter first. No, I have not carried a firearm and as I stated before, if I feel the need to do so, since I'm able to do so, I will. I don't feel the need to do so. I'm very fortunate that my brother is playing an active role in protecting me and so I am pleased with the security that I have and I feel confidence. Okay, thank you. All the cameras will get you if you're 10 miles over. A real win. You know, we started out the year in January. People felt as though we were not going to make any inroads in Albany, but I knew differently that we were behind the scenes talking with people. We didn't feel that we needed to have a public discussion, but behind the scenes people were aligned with our mission. Sometimes the loudest is not the majority. This is a huge win. We know speeding is a contributor to many of the fatalities and injuries. And we also know that at night, many of the speeders are taking place. And so this is a big win for us and we're really excited about getting that done. Well, thanks, Senator Garnadas, who played the crucial role in carrying the bill in the Senate. Yes, sir. Yes, yes. Because we have to be honest about what we're facing, because if we're not honest about what we're facing, then everyone is not going to be on board. So I am calling on the business communities. When I sit down with them, I say I need you to do paid internship programs. I need you to be part of the summer youth employment. I need to mentor in programs.  So if I'm not honest with New Yorkers of what we're up against, then I'm sending a false impression. I have to be honest. This is an FDR moment. You explain exactly what we're dealing with. And then you show the plans we are going to implement to address what we are dealing with. We're dealing with the gun crises. And we're not alone. I was with the Atlanta mayor. We had dinner. He was here in New York. And he told me that the governor just passed a piece of legislation that you no longer have to do any checks to buy a gun. Now people are going to be just carrying their guns openly. Chicago just implemented a curfew for young people. Detroit, St. Louis. This is engulfing big cities across America. And I'm saying to New Yorkers, this is what we're dealing with. Here are our plans. And I need all New Yorkers to be part of that plan so we can make our city the safe city that we know it could become.