HomeMy WebLinkAbout2025-10-07 TranscriptionIowa City City Council Work Session of October 7, 202S
(audio and video recordings can be found at https:,[/citychannel4.com/city-council.html)
This represents only a reasonably accurate transcription through Verbit: AI -Based
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[00:00:20]
[MUSIC]
[00:00:20]
All right. Well, I'm going to call the City of Iowa City work session to order for October 7th, 2025. And I
want to welcome our county supervisors that are here as well. Uh, happy that you all have joined us.
Our item Number 1 is a joint meeting with the Johnson County supervisors about permanent supportive
housing. I think I'm gonna jump in maybe straight to the shelter house and ask them to come up and do
a presentation. So we'll welcome Chrissy Kinganlli.
[00:00:54]
Good afternoon.
[00:00:54]
Good afternoon.
[00:00:56]
Let me see if I can pull this up. Um, I'm not sure how to change the presentation view.
[00:01:07]
Just run it.
[00:01:10]
Maybe not run it, but not show all the notes.
[00:01:12]
There you go.
[00:01:13]
Yeah. Thank you. Thanks, Tracy. Um, t hank you, everyone, for this opportunity to present to you and to
have this conversation about permanent supportive housing, um, and the work that we've been doing
to build capacity for this housing intervention. Um, this afternoon, we're joined by our colleagues from
the Corporation for Supportive Housing. They will be doing a fair amount, the heavy lifting of this
presentation. Amy Stetzel with CSH is here in the room, and then Gabe Schuster is joining virtually. So
with that, I'm just going to turn this over to Amy. Thank you.
[00:01:51]
Great. Welcome, Amy.
[00:01:53]
Thank you. Hi, everybody. My name is Amy Stetzel. I'm the Upper Midwest Director for the corporation
for Supportive Housing. Um, and Upper Midwest means I get to work with folks in North and South
Dakota, Iowa, Wisconsin, and Minnesota on a whole host of things related to increasing housing stability
Page 1
Iowa City City Council Work Session of October 7, 202S
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This represents only a reasonably accurate transcription through Verbit: AI -Based
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for the residents of those states. Um, so we'll talk a little bit more about what CSH is, what we do in the
upcoming slides, but just wanted to give you kind of a little bit of a lens of- of what my role is. So today,
we're gonna be talking about what is supportive housing? How does it operate? Um, what is the need
for permanent supportive housing here in Iowa City, what the data shows us, um, and what more do we
need? And what do we need to protect? And then we're going to be talking about some next steps, um,
in some community planning processes over the next handful of months. So CSH, we're a national
nonprofit. We're headquartered in New York, but we've got regional offices across the nation, and we've
been here in the Midwest, gosh, for 25 plus years. Um, so we have a really strong presence here. But
really, we work to advance affordable housing aligned with services. At the core of it all, permanent
supportive housing is deeply affordable housing connected to deep end services for folks. And really
historically, permanent supportive housing came out of meeting the needs of folks who are chronically
homeless, um, so have really complex health and behavioral health issues. And has over the years, we -
we also work with folks who have IDD or are child welfare involved, but at the crux of it all, still have
those complex health needs. So CSH, um, we do a lot of different kinds of things. We do TA and training,
we do policy work, we do systems change. We're also a CDFI. So we're a nonprofit bank, so we, uh, also
do loans and things like that for communities. Um, and, of course, our focus is in the name. We're
focused on housing, but we're also focused on economic security is a key piece of that. And then the
services, which are really the secret sauce to permanent supportive housing. So really quickly, here in
Iowa, we were able, gosh, a handful of years ago now, Chrissy, um, to collaborate on a fuse initiative
that led to Cross Park Place. This was before I was at CSH. Um, we worked with folks across the state of
Iowa to create definitions and standards for permanent supportive housing. We'll talk about those in a
second. Um, we've been working with partners on the ground to push back against the criminalization
bills that have been coming forward. Um, and we also just finished a supportive housing Academy or
Institute, which was a five month long training series with seven teams across the state of Iowa all about
let's take your dream of what you want housing to look like in your community and turn it into a reality.
So I just want to give a shout out here to my colleagues here in Iowa City that are part of the Iowa
Center for- Center for Excellence and Behavioral Health. They led a, gosh, year and a half long piece of
work that was around, how do we define permanent supportive housing here in Iowa? How do we
measure quality? And Chrissy and I were part of- of that work group. I know Shelter House was seen as,
um, somebody who was seen as a best practice in permanent supportive housing, knowledge expert at
that table. They were called to be a part of that. And we came up with this definition of permanent
support- supportive housing. And so I am just going to- I usually don't read slides. I hate it when people
do that, [LAUGHTER] but I am going to do that here because I think it is really important. So PSH
permanent supportive housing is an evidence -based minimal barrier housing intervention prioritized for
individuals with those complex, multi occurring conditions that meet fidelity to the established
standards that this group also set. Individuals in PSH live with affordability, autonomy and dignity,
through the combination of person centered, flexible voluntary support services, and have a legal right
to remain in their housing as defined by the terms of standard renewable lease. Access to and
maintenance of housing is available to individuals who meet this eligibility criteria and is not based on
housing readiness requirements such as sobriety, behavioral or program compliance. So quickly, what -
you heard what supportive housing is. So what permanent supportive housing is not is a treatment
model or method. It's not time limited, and it's not a group home or some other kind of licensed care
facility. And actually, I just well- they'll come up later, but I wanna say, too quickly, the Center for
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Iowa City City Council Work Session of October 7, 202S
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Excellence and Behavioral Health also did this incredible amount of work setting up standards, um, that -
that folks in Iowa who run permanent supportive housing can go and, like, measure their programs
against. Unfortunately, their contract with HHS didn't get renewed for that, but all of that information is
still on the website. So still accessible, trainings are still there to review, but wanna give them a lot of
kudos because they did a ton of work and are excellent at what they do. So there's two different ways
we can do permanent supportive housing. You can do it as a single site. That's one big building, right?
Where you've got maybe 20, 30, 40, um, tenants or- or rooms in a building. You also can do scattered
site. So what we see often communities is, uh, organizations will buy, uh, single family homes, and then
you can rent those to folks and have the services come to them and wrap around them in the home. So
for development purposes, that can be new development, brand new construction, right? Or you can
acquire a property and rehab it. Or we often hear about something called master leasing, and we have a
handful of organizations that do that. Sometimes they are doing that in partnership with landlords,
where they say, we will take over the lease. Like, this is still your building. You still own it, but we'll take
over the lease and kind of run all the- all of the legwork with the people who live here, make sure
everything is up to snuff, um, and do all the lease pieces of it, um, but you still own it. Otherwise, we -
we also see organizations who actually buy the housing, and then they become the leasing agent. So
what is permanent supportive housing? So this stool, it's so hokey, but we use it all the time. We talk
about this four legged stool- stool. And those four legs, the- the key ones really are housing, uh,
property management, um, and housing management or asset management and support services. But
then the fourth leg that I- I think is just as critical is the project's relationship to a community. How does
it work in a community? How is it integrated? And so again, you can see the model here, but, uh,
permanent- permanent supportive housing is that deeply affordable housing with all these services
around it, whether that's employment services, it could be primary health services, it could be mental
health, substance use, um, parenting, life skills. And then basic good case management comes with that
as well. The relationship piece is really key in supportive housing. These are those quality standards that
our friends at the Iowa Center of Excellence for Behavioral Health put together. I'm not gonna read
through all these, but what I will read through is the five yellow circles, which are the core pillars. So,
again, minimal barrier. You heard this in the definition. Minimal barrier, voluntary, affordable,
integrated, and folks have informed choice. So what we find across the nation, across many studies,
across longitudinal studies is that supportive housing works, uh, when it's done according to the model,
um, tenants stay housed. Tenants have social and community connections. Uh, tenants increase their
income in employment. All these positive outcomes we see that we want for people in our communities
we see with supportive housing. And we also see that it ends chronic homelessness, it ends
homelessness. Um, it's been proven to do so over and over again. So what I- I stole this, I will say this
slide it's kind of- it's got a lot in it, but what I love about it, I stole it from my friends at Minnesota
Housing Partnership [LAUGHTER] and I made it Iowa specific. Um, because what I love about this is it
shows where permanent supportive housing falls in a housing continuum. All of you are constantly
thinking about your full- the full housing continuum in Iowa City in Johnson County. And how do you
have every piece of what you need to make that housing continuum home and work for the people in
your community. And so what I like about where this shows is- is sometimes I know I do this, but
sometimes we talk about these interventions as if they're their own thing. They fit into a puzzle piece
that's bigger. Right? And so you'll see here permanent supportive housing is for our lowest income, um,
the two buckets to the left of the- the leftmost side of this chart, along with, you know, you can see, um,
Page 3
Iowa City City Council Work Session of October 7, 202S
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emergency shelter. There's also rental assistance that red bar goes across the whole way. But
permanent supportive housing goes all the way up there to then it starts to bud into community land
trust work or when it gets a little bit into the- I mean, it's not high income, but it's higher income than
the extremely low income, right? Home ownership assistance. And then the further you go, it's more
kind of the- the more average rental market of- of what folks are experiencing in a community. So these
numbers are for Iowa, and then my friends at Shelter House pulled together specific to Johnson County,
the same- the same side. So you can see that in front of you, as well. Um, and the numbers, I think,
specifically the population bucket there, you can see the numbers of households from Johnson County
that fit into each of those, which is really nice to see. And with that data piece, I'm going to hand it over
to Gabe and Gabe.
[00:12:34]
Can folks in the room hear me?
[00:12:35]
Yeah, we totally can.
[00:12:37]
Welcome.
[00:12:38]
All right, great. We can go to the next slide, please. So when we- first of all, my name is Gabe Schuster.
I'm a senior program manager at CSH on our Dayton Analytics team, which is a small team situated
within a slightly bigger national team called Strategy and External Affairs. What that really means is that
I get to work all over the country on projects where data plays a particularly important role. Um, and a
lot of my portfolio relates to work that we call needs assessments. I head up the national needs
assessment work that we do at CSH. So thinking about the extent of supportive housing need
nationwide, uh, and then also do a lot of work translating that methodology down to the local level,
where we do strategic planning with communities around the need for supportive housing based on
local data rather than what is necessarily accessible on the federal or, you know, state by state level.
And so when we're doing that strategic planning, we talk often about reaching functional zero or, you
know, solving homelessness in terms of reaching functional zero. And this really has three main
parameters, uh, and we describe that as, you know, when the experience of homelessness is brief, rare,
and non recurring. Uh, it means that we can preempt homelessness wherever possible. That might be
through programs like prevention, but also through more holistic processes, like improving housing
stability and affordability across the board. Um, brief in that when a household does fall into
homelessness, they're quickly met with the resources they need to retain housing or re -attain housing
and nonrecurring in that once a homeless household is housed, they stay housed. And one important
piece here is that it's an ongoing process. Uh, it involves with the community. It's not a one and done,
like, mission accomplished type of situation. Uh, we need to always be addressing the needs in the
community to maintain functional zero. Go to the next slide. Uh, so our needs assessment work. We
broadly are thinking about three main things, uh, that feed into our needs assessment. We look at data
from different systems, um, that work with households or individuals with needs consistent with
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Iowa City City Council Work Session of October 7, 202S
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supportive housing. Uh, we compare that with a lot of research, both on the national level and local data
through community feedback around the rates of need. So for chronically homeless individuals in a
community, what share of those individuals do we think have needs consistent with supportive housing
and so on? And then, lastly, you know, the sort of final step is thinking about cost. So once we look at
that model, we think about everything that's going on in the community. Um, we then also want to do
some financial modeling and projections around what it would cost to, uh, bring those units to bear and
then also to sustain them in terms of ongoing operating and service costs.
[00:15:42]
So in Johnson County in Iowa City, we're taking the same approach at the local level. Um, we're looking
at the need for permanent supportive housing across a number of different sectors, but with data really
relying on homeless system data from the homeless Management Information System or HMIS, um,
which allows us to look at very detailed data about who is experiencing homelessness and some of the
characteristics of those households. Um, but when we look at that data, we really want to ground it in
the community experience. So we have, uh, been holding a number of sessions with various
stakeholders and organizations that deal with things like behavioral health, physical health, the criminal
justice system, and so on, to think about what they see in terms of the clients that they interact with,
um, and how that can help us refine our estimates around the need for supportive housing locally. Um,
and then there are three primary data types that we think about. So look at how many people are in
those systems. Um, we look at, in this case, really the chronic and non -chronic homeless adult
individuals. We also think about homeless family households and then homeless transition aged youth
who probably have slightly different service needs, you know, than adult individuals. And then we look
at those rates of need. So what do we think, um, what share of those populations have needs consistent
with supportive housing? That gets combined with data that we have around the inventory locally. So
what housing exists today and how it's functioning. Things like utilization rates, turnover time, um, to
see if, you know, before we calculate out a final gap number, is there a capacity to functionally expand,
um, the supportive housing provided by the system through things like improving efficiencies at the
local level. Um, and then what we're left with after that process is, you know, the gap, you know, what
more supportive housing is called for. You can go to the next slide. So on that front, you know, the state
of PCH inventory in Johnson County is that it's operating at a really powerful clip. Um, what we see is
around 90% utilization by the permanent support of housing that is administered by Shelter House. And
this is pretty much a functional maximum. So people will see that and say, Well, you know, there's 10%
to be gained there in terms of hitting 100% utilization. Um, we don't really ever see 100% utilization
because there is always going to be some downtime in units when a tenant moves out, it can take time
to match a new tenant into that unit. There may be need to do repairs or updates to a unit, same as, you
know, when anyone moves out of their apartment. Uh, nationally, we see that utilization for PSH is a bit
lower than what it is in Johnson County. It's around 84% as a national average. The only standout piece
to that locally is, uh, the Veterans supportive housing Bash program in Johnson County operates at
about 55% of, uh, utilization. But of course, this is a system that is limited in terms of the population it
can serve. So they have- I think it's around 90 something units, um, but they can only serve veterans. So
the remainder of those units are, you know, expected to be a bit more underutilized. Next slide. All
right. So locally, we've been leveraging three years worth of data from HMIS, the homeless
Management Information System. Johnson County is part of the balance of state for Iowa continuum of
Page 5
Iowa City City Council Work Session of October 7, 202S
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care, so it gets lumped in with a lot of other places. But we've been able to work with HMIS to get
Johnson County specific data. So they were able to pull for us, uh, data on the populations and
households served in emergency shelters, transitional housing, prevention, street outreach over the
past three years. And these are unduplicated households. So, uh, we make sure that when households,
you, maybe touch a system, they move back out and then experience homelessness again that we're not
double counting those. Um, and what we see there is, you know, not too far off from national standards.
About 23% of those households experience chronic homelessness, um, nationally and statewide, that is
22%, so just very- very slightly, really insignificantly over what we see as a national average and an
average in Iowa more broadly. Um, it's worth calling out, however, that, you know, this is really a lower
bound of people who experience homelessness because this is just the folks who have contact with the
system. Um, so, of course, if people aren't enrolled in any of those programs aren't entered into HIS,
they are missed. Um, f those households, 1093 households, 77% were only individual households, 14%
family households, 7% were transition aged youth, and 1% of those were parenting youth. So family
households where the head of household is 18-24-years-old. So, as I said earlier, we do a lot of
stakeholder sessions as part of this process to think about what we see in the data and also to help us
refine our estimates. Around the share of those populations that have needs consistent with supportive
housing. So in these sessions, we look at preliminary numbers that are coming out of the model, discuss
the total need that we're seeing. We break that out by household type and intervention. We also
conduct a number of interviews around how the system functions to determine if there's room for more
efficiency to leverage resources differently, and really think through, like, what are the local challenges
and local development paradigms? Because ultimately the result of this work isn't just to put out a
number and say this is how much supportive housing is needed. But to pair that number with
recommendations for how to reach that. Um, so the number itself is- is really maybe 50%, probably less
than the total result of the work, how do we get there? Those recommendations that come through a
lot of qualitative data, a lot of conversations with the community is- is a big bulk of this process. So with
that said, um, the preliminary findings that we see in the models it's around a need forjust about 300
units of supportive housing. Um, the first steps that we take in our modeling are to look at rates of need
from our national needs assessment for those same populations and then do some adjusting based on
the community input and feedback that we have. So those tweak the rate of need estimates that we
feed into the model. Uh, and then we do account for annual unit turnover and potential for any system
efficiency improvements. So annual unit turnover, how many units currently do we expect to come
online over the course of the year through natural turnover? Um and then if there is room to serve more
folks with the existing inventory, which as I touched on, we're pretty much operating at maximum
capacity. Um, of those 300 units, we're seeing that about 260 or so would be for individual adult
households, and about 40 would be for families.
[00:23:30]
1 had a question about this. 261 units in the 36 units for families versus individuals. Is this specific to our
community?
[00:23:43]
Yes, it is.
Page 6
Iowa City City Council Work Session of October 7, 202S
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[00:23:44]
Okay. And Johnson County totally, not just Iowa City.
[00:23:50]
That's correct.
[00:23:51]
All right. Thank you.
[00:23:56]
And I think with that, I'm going to pass it over to Chrissy.
[00:24:05]
Thanks, Gabe. So, in part, um, I just want to just predicate the next portion of the conversation with the
reality that this is the projected need to right size permanent supportive housing for Johnson County.
This is predicated on the existing capacity that we've been working to maintain, which is 61 bedroom
units across two different single site projects and 130 units of housing, supportive services through
scattered site and using specialized vouchers.
[00:24:43]
O kay.
[00:24:46]
We thought that it'd be helpful to look at, um, the costs that have been associated in developing
permanent supportive housing in our community and looking specifically at the most recent project that
we worked on and opened in 2022, the 501 project. Um, I'm known for utilitarian naming of projects.
Um, so the 501, it's a three store building, over 24,000 square foot feet, new construction project. We
broke ground in the spring of 2021. It was placed into service in June of 2022 and fully occupied by the
end of August. It was a very aggressive construction timeline. Um, we have our general contractor there
to thank for that. Um, the building is built to trauma and form design specifications, just like Cross Park
Place was. It is 361 bedroom units, includes offices for program staff, private meeting rooms, clinic area
for our embedded primary and behavioral health clinicians from University of Iowa hospitals and clinics
and the College of Nursing. Um, there's laundry, computer workstations, multipurpose congregate
areas, um, and very importantly, a hot room for bedbug mitigation. That project from land all the way
through construction completion in 2022, cost 7.57 million. Um, to source that project, we used multiple
funding sources, and you can see that on the right side of this slide, National Housing Trust Fund, which
the Iowa Finance Authority administers. It's a conditional loan, so not repayable debt, thankfully.
Housing Trust Fund of Johnson County with the support of everyone in this room. Um, we have both a
grant and repayable loans. So we are supporting debt service through that, um, that support, CDBG
home grants, private giving, and commercial financing. I'd say, going through this experience, I would
never advocate for doing commercial financing for a permanent supportive housing project again. Uh,
we were responding to a great sense of urgency and need to build capacity and create additional
permanent supportive housing units. Following our experience with Cross Park Place, we saw the
Page 7
Iowa City City Council Work Session of October 7, 202S
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transformative impact that we were having, the lifesaving impact that we were having, and we did all
that we could to bring these 36 units online as quickly as possible. Thankfully, the East Central region,
which, of course, no longer exists, was ALPA very significant in helping us. They played a significant role
in helping us to be able to pay off and retire that debt in addition to quite a number of local private
donors. Working with our general contractor on this project, just recently, looking at the numbers, I
asked, what would it cost to build this same project if we were to go forward in 2026. And he estimated,
if it was the same site, the same land, everything staying the same, $10.2 million for 36 units. So
significant increase in our development costs there. An additional component to bringing permanent
permanent supportive housing online has been the reality that we fully furnished the units. Um, so we
had a budget for 501 of 475,000. That was a furniture for all the units, the common spaces, work areas,
clinical spaces, um, the technology in the building, safety requirements. And that was sourced through
grant from the Johnson County, private gifts, and then grants from civic organizations, private
foundations and corporations. The part that we really want to lean into and make sure that we're not,
um, missing here is to ensure that folks understand the significant ongoing costs of permanent, uh,
supportive housing. So the building is one thing. Bringing that building online is one thing and building it
for the intended purpose and to last, but then it gets into the reality of the annual operating and
supportive services budgets and how to source that. So for operations, we're looking at single site,
permanent supportive housing facilities. Those facilities are staffed 24/7. Um, for Iowa City, that's a
code requirement. I think it's still a code requirement. Even if it wasn't, I would require that if we were
bringing a building online, it should be staffed 24/7. That's really a protection for our tenants. Um, it has
been very important, not something to be missed there. You also need to be looking at property
management and facility maintenance. The buildings, the units get a lot of wear and tear, heavy wear
and tear. So these are significant expenditures for a permanent supportive housing provider. Um,
supportive services, just generally. The case manager to tenant ratio, best practice is 1-12. We maintain
that 1-12 ratio. We rely on deep partnerships, longstanding partnerships with University of Iowa
Hospitals and Clinics Adult Psychiatry and University of Iowa College of Nursing to provide both the
behavioral health and primary healthcare services embedded in our buildings. It's at no cost to our
tenants. We're not paying for that. They've been able to figure out how to source and resource that
work, um, and it is a key part of ensuring that we have a high fidelity program. So when looking at the
costs, those annual operating costs, trying to break it out in ways to wrap my head around, I looked at
the average per tenant cost at 5:01. So the average per tenant cost annual cost is $23,120.
[00:31:08]
Um, that's for a project if I remove any debt service out of that. So if we don't include debt service as
part of our- our operating costs, um, that's at 23,000 point. That pencils out to a little over $830,000
annually for the, um, operating and supportive services budget to support 36 tenants in a 36 one
bedroom unit multifamily building. To source that, uh, we've relied on a combination of different
resources, project based vouchers. The partnership with Iowa City Housing Authority has been vital to
our community's ability to bring permanent supportive housing online. We would not be able to do this.
The fact that they were standing by us from the very beginning of these initiatives and removed local
restrictions so that only those federal restrictions applied meant that people who had been homeless
for decades now could qualify for that rental support and access housing. So it really has- they are a core
partner and stakeholder. Um, then that in combination with tenant rent. So tenants do, uh, they are
Page 8
Iowa City City Council Work Session of October 7, 202S
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responsible for paying up to 30% of their income. Um, and then the other components, we rely right
now on HUD Continuum of Care funding for the supportive services and operating portions of our
budget, and private gifts and fundraising to cover the gaps. Um, I will say that going forward, if I had the
ability to just, like, draw a dotted line through that HUD Continuum of Care for you right now, I would or
red X. All indications are that changes in HUD policy and practice will no longer support this work. Um,
so that, um, I'll get to that in a second, but that's a major challenge. But on the good news side of this,
and most importantly, is the impact that we've seen in our community from permanent supportive
housing. Permanent supportive housing works. It is transformative. It delivers. On the left side, you see
the national outcomes, those indications of changes in public systems. So incarceration rates decreasing
by 52%, more than 83% remaining housed for at least one year, emergency room visits declining by 57%
and emergency detox services declining by 87%. Locally, we do not have all of, at least currently, all of
the data analysis methods of being able to collect and update this data consistently. We would love to
build that capacity. But what we do have are some data points that we can share with you tonight. And
in every- in every way, we are exceeding those local- those national trends. So working with Iowa City
Police Department, we were able to analyze the last two years or the two years prior to housing for
Cross Park Place tenants. Um, their arrest records compared to the most recent two years in housing,
and that's a change of, um, 68% decrease. When we first, uh, looked at tenants at Cross Park Place after
opening in 2019 by one year in, when the city had more data, um, data analysis capabilities through
grant funding, we worked with Iowa City PD at the time, and the change in incarceration rates was a
decrease of 73%. So we're holding steady in these areas, and 98.8 almost 99% of our tenants are
remaining housed for at least one year. Another part of this, uh, housing stability metric is the fact that
for our single site projects, out of the 60 units, since January of 2019, we've housed 93 individuals in our
single site projects. Only one person in that entire time has exited to homelessness. So to say that
permanence supportive housing delivers, uh, is an understatement. It is an intervention that ends
homelessness. It has broad public cross system benefits, and it transforms lives. It saves lives. Um, we do
have just a couple of case studies that we could look at on the changes in medical services and
hospitalization utilization. Uh, these are dated. Again, we love the capacity and the data sharing
relationships to be able to, uh, continuously have this information. Um, you can see on the left hand
side, Tenant 1, prior to housing, you know, significant medical costs being incurred over $200,000. Uh,
about one year into housing that decreasing to $957. That's a change of 99%. Tenant 2 similar change of
74%. And specifically, across the two individuals, a 78% decrease in emergency room visits. So whereas
these indicators, these metrics have profound implications for our partners for the different systems? I
wish that there was a way to really bring this home for you as to what it makes the difference it makes
in the actual person's life and the people who we're working with and their quality of life and how
dramatically it changes over what is a really, relatively short period of time. Also say, one of the, uh,
foundations of permanent supportive housing is that engagement is voluntary. Sometimes people want
to kind of pick away at that, 100% of our tenants over time, as they build rapport with our staff, with our
partners, 100% are engaging in some aspects of ongoing care and service. And it's their choice, which is,
uh, profoundly different than what they're used to. So the challenges. Um, there's quite a number of
challenges. Again, predicating this on, we have 60 units in single site of permanent supportive housing is
our current capacity, 130 through scattered site. The reality of the housing market in Johnson County
does not really lend itself very well to, uh, development through scattered site. Uh, we have an inelastic
housing market and a high tolerance for vacancy rates. Development timelines. They're timelines,
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Iowa City City Council Work Session of October 7, 202S
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they're not immediate, versus the imminent need and the sense of urgency that I know that we're all
feeling here in our community. It compels us to consider intermediary interventions, but how to balance
those interventions without compromising the long term goal and solution to ending homelessness.
Another reality, we have near term funding cliffs, COVID response dollars, Home -ARP- Home -ARP, and
SLFRF. Those funds are currently being used to support 105 households. They're receiving supportive
services through scattered site, utilizing specialized vouchers. That funding ends by December of 2027.
We have imminent changes in HUD priorities and practices. Uh, if advanced, that will place 84 formally
chronically homeless individuals, um, at very high risk of losing their housing. We will not have the
resources to continue to maintain their housing and support services. So specific timelines as soon as
July of 2026, if these policy changes are enacted, we as a community, lose $515,000 that is being used to
support 60, um, permanent supportive housing households. And by January of 2027, another 265,000
that is supporting another 24 households. Um, to kind of tie things back to the process, uh, that we've
been working through and partnering with corporation for Supportive Housing and our stakeholders
community wide, um, the needs assessment and the community planning, we're deep into this process.
Some of the initial data has been shared with you. So we are now into the community planning,
broadening out those conversations that October through December quarter, looking towards the first
quarter of 2026 with having some initial, um, documents and materials, recommendations ready to
share out, uh, with the community, um, and facilitated conversations to start considering and reviewing
what the different investment strategies might be based on the policy interests that all of you have. Um,
and that I think ties out our presentation, and I'm very happy to, uh, take any questions that you have.
And I'm sure Amy will and Gabe as well be available.
[00:40:45]
1 have just a very localized question. It's the second to last slide where you talk about the challenges.
What was the, um, actually, there we go. Thank you. It was the 2027 amount. And we can send this out.
[00:41:05]
1 just have a question when the CSH member was talking about the data shows that 1093 individual
engaging with our homeless system last year. But the recommendation is to create only 261 for
individual and 36 family for permanent supported Unit. Can you clarify how the recommendation was
calculated? And specifically how many of the 1093 people were identified as chronically homeless or
likely to, uh, need long term supportive housing versus those who only need short term support.
[00:41:50]
Gabe, would you be able to respond to that?
[00:41:52]
1 am happy to. Can you folks hear me?
[00:41:54]
Yes.
[00:41:55]
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Iowa City City Council Work Session of October 7, 202S
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Great. Um, so that is correct, 1093 individual households had contact with the homeless system in 2024.
We- and our estimates right now is around 300 units of supportive housing need tied to those
households. We don't estimate that, you know, every household that experiences homelessness has a
need consistent with supportive housing, uh, because there are going to be other interventions that
work for those households to help them re -attain housing that don't necessarily come with the same
intensity of services, um, or sort of permanent supports that really define the permanent supportive
housing model. So of those, you know, households that we saw, uh, 220 of the 1093 were chronically
homeless individuals, um, so and about 626 were um, non chronically homeless individuals. On top, we -
we don't estimate that 100% of chronically homeless individuals have needs consistent with supportive
housing either. Uh right now, the model puts the estimated need in that population around 90%, and we
do also have some estimate around need for non chronically homeless individuals or households,
because sometimes the assessment criteria, um, miss, you know, where there might be sort of deeper
service needs.
[00:43:34]
Mm hmm. Thank you.
[00:43:37]
Um, thank you very much. That was a wonderful presentation, everybody. Uh, I was curious. I, um-.
[00:43:48]
Will you get closer to your mic please?
[00:43:49]
Sorry about that. I saw that, uh, the scatter site or excuse me, the single site like 501 and Cross Park
Place, et cetera, had a higher success rate. Is there something, uh, is that like consistent data, or is that
just kind of like what we see in Iowa City?
[00:44:14]
Well, for success in housing stability, scattered site versus single site.
[00:44:19]
Yeah. Yes. No, thank you.
[00:44:19]
We can talk about local.
[00:44:21]
That's a great question. I- I will say the success that Shelter House is seeing is phenomenal. And
nationally, we do see a high- we usually- Gabe, what would you say? I would think I feel like it's in the
late, like, 80%, early 90% of- of folks who stay housed for at least a year across the nation. It's just the
data that, um, and we can send you links to all of this data as well, but the data that we see over and
over again just shows like Chrissy says, it works. It works. It works. People just stay housed.
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[00:44:56]
Is- is there something to the fact that the- mean, I know that a great deal of thought went into the
design of both of those buildings. So I would assume that has some positive impact.
[00:45:07]
Single Site versus scattered site. Why is there- is there a national difference in success?
[00:45:12]
Yeah.
[00:45:13]
That's the question.
[00:45:15]
Is that the question is between single site and scattered site or with a trauma informed design?
[00:45:20]
Yeah. I think that's what I was asking if there is a national trend of the single site versus scattered site
success.
[00:45:28]
Oh, sure. Gabe, do you have that information handy at all? And we can- we can definitely circle back
with you and see what the differences there with that, for sure.
[00:45:41]
1 will say that, uh, locally, um, our experience has been that when we are in scattered site, individuals,
the households have multiple neighbors that are not- they haven't had the same lived experience. They
don't have the same invested interest in helping people remain housed. We're working with landlords
that do not have the same mission as we do. So these kinds of, um, differences, uh, do have an impact
over time, and primarily we see non renewal of leases.
[00:46:13]
Okay.
[00:46:13]
Yeah.
[00:46:14]
Somewhat related to that. What is the, I guess, right proportion or right size of these multi, I'll call them
a multifamily unit, but I'll uh, multiple like the 501 project.
[00:46:26]
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True.
[00:46:26]
1 mean, 36 is obviously, um, works for what you're doing now, but is it more efficient to have more or do
we run into more problems when the units get larger, or do you have a sensibility both what works here
and maybe what other communities are doing that works best?
[00:46:41]
Yep, and I'd invite Amy in a sec, I can respond and if you want to add anything too. So right now, our
experience would definitely be that 24 units is not efficient, uh, from a cash position, 36 units gets us
much closer as long as we have the project based vouchers, and we're remaining -maintaining utilization
of the units occupancy. Um, a higher number of units would probably get us closer to cash flowing, and
we'd want to look at, you know, if we cannot count on sources like HUD Continuum of Care, what is the
right size from a cash position to be able to cash flow the operations and supportive services? But then,
at what point do you have too high of a concentration of individuals? And then can you design around
that to create space, uh, and place for folks that you don't have the impression of too many people? So
in a high end, we've worked with partners in Mecklenburg County in North Carolina. They have over 200
units, I think, in one location, and they've figured out how to make that work. When I say that number
to my team, they just kind of look at me like, what? [LAUGHTER]
[00:47:49]
But, Amy, do you have anything to add?
[00:47:50]
No, I think what Christy really raises is a key piece of this is that you have to really be mindful of math of
how to make the cash flow work. Um, and so that's a critical piece of it, from an operating standpoint to
i- if you're building is light tech as well. But then the other piece of it is the higher you get, the -the more
folks you have who have high complex needs that are concentrated, that also means you need to have a
lot more staff. And so we've seen big projects that have worked really well because they had the- the
staffing to- to do it well, to do the program to fidelity. I've also seen supportive housing projects that
were, say, 50 really high need child welfare involved families, and they did not have the staffing
structure, and it didn't- it wasn't good. Um, and so there were lots of complications with that. So there's
cash flow, questions that come into play, there's staffing and operations, questions that come into play
there as well to kind of figure out what that magic number is.
[00:48:54]
1 have a question for you, um, since you're working with, uh, you know, PSHs all across the nation, what
are some of the- because we know HUD funding is at risk, um, and the philosophy behind, um, it is not
right, because we're seeing the results, as you all have shown. What are other funding sources that, uh,
folks are utilizing? Are there any through other federal outside of HUD or HHSs? I know that our ECR is
no longer, and not sure what the new funders will do, but are there other opportunities for funding?
[00:49:36]
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Yeah. Yeah, thank you for that question. I think, um, we are figuring that out in real time, I think, and
looking into that deeply at CSH as well, because the reality is those COC funds across the United States,
the average percentage of continuum of care funds, what communities use that on is permanent
supportive housing, and what they want to do is cap it at 30%, which would just decimate supportive
housing across the nation, as you all know. So I will say that we have states who've passed sales tax.
That's just targeted- that's state dollars targeted, um, for housing. Or they've created state housing
vouchers that are not connected to federal rules. Um, we see some things like that, I think, leaning into
Housing Trust Fund. I will say, um, here in Iowa, and others can speak to this much more eloquently. But
with the new change with the behavioral health system, it's really fascinating. I was at the Iowa Housing
Conference, and the person who was speaking was like, you know, of all the 2000 calls we've got since
just the start of this in July, the number three thing we're asked for is housing. And so my hope is that
they really hear that and take it to heart and start realizing that they need to be investing, using
Medicaid dollars to help pay for housing, housing navigation, [NOISE] models like that we see across the
nation that work. Um, but- but those are the- I think those are some of the pieces I've seen states lean
into is- is essentially it's state dollars that have been passed.
[00:51:18]
The services part, we're very fortunate that the University of Iowa psychiatry, as well as the nursing
school, is contributing or is a part of the process. So that was great to see. Again, when I think about the
services part, I was at your, um, or at the presentation last year. Mayor Pro Tern and I was there in Des
Moines, where CH- CSH shared about HHS and how some of that, um, more providers are needing to
partner with HHS to fill in the gap or to provide some of the services components if folks are eligible.
Can you speak to that a little bit?
[00:52:05]
When you say H- is that the Housing Stabilization Services program?
[00:52:08]
No. Health and Human Services.
[00:52:10]
Yes.
[00:52:11]
Yes.
[00:52:11]
Okay.
[00:52:12]
I'm assuming I have notes I can find it-
[00:52:14]
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Okay.
[00:52:15]
-from there.
[00:52:16]
Oh, I'm- I'm not recalling that. Do you want to speak to that real quick? Yes. Sorry.
[00:52:23]
I- I'll just say that recently, leadership from HHS was in Johnson County and both, um, really within the
most recent Housing Iowa Conference and within the meeting that they attended here in Johnson
County. And conversations with leadership at Iowa Finance Authority, and the message clear- is clear.
It's not for HHS to figure out. Um, all site should be turned to Iowa Finance Authority. Uh, they
abandoned the Center of Excellence and behavioral health, and advancing the standards for permanent
supportive housing, and walked away from permanent supportive housing. So, um, I would say that's
the current temperature.
[00:53:02]
Sure.
[00:53:02]
And intent, with a lot of very political ease, sandwiching around both sides.
[00:53:09]
Great. Thank you.
[00:53:11]
1 have a question for- about the vets. You indicated that some of the housing that is specifically for vets
is underutilized, and we're looking at a project here coming up that, um, suggested that that's a gap that
we need to fill is the vets who need housing. So is the discrepancy because of staffing capacity, or is it
something else?
[00:53:44]
1 don't want to speak for the housing authority, but, Tracy, keep me honest. The- the housing authority
has worked very aggressively to, uh, bring the VA Healthcare Center and the resources that they have,
the supportive services part of that, to support the VASH vouchers, the Vet -specific vouchers along. A
couple of years ago, we were awarded case management for, um, uh, veterans needing permanent
supportive housing. And we were able to significantly increase the utilization rate at that time, working
closely with the housing authority. But we have time -sensitive limits on how long we can support
veterans that needs to then transfer over to the VA. And I believe that the initiative here to establish
units and dedicate those for those VASH voucher holders is, uh, to try to bridge that gap and that
tension point that we're seeing with our federal partner. Does that- thank you.
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[00:54:48]
No great.
[00:54:50]
1 just want to go back to the assessment again. Does the assessment include data on- on language access
and culture barrier faced by immigrants family when trying to access existing housing or shorter?
Because we see many families struggle long-term due to the systemic barriers like language, credit,
immigration status that keep them out, uh, from both housing and data. I would love to understand that
better. Do you assist that?
[00:55:20]
Geoff, did you hear that question? Abe still with us?
[00:55:27]
Yep. Uh, what I understood if someone could just reiterate, what I heard was a question around
whether or not, uh, sort of culturally relevant practices were a limiting factor in access to the supportive
housing and system efficiencies.
[00:55:40]
Yes.
[00:55:41]
Yep, you got it.
[00:55:42]
Great. [NOISE] Um, it is not something that has cropped up in the conversations we've had thus far, that
said, it's something that has cropped up in you know, pretty much every community that I have worked
with. So it is something that I think is really consistently in the recommendations that we put forward.
But the particularities of what those recommendations will look like for Iowa City, I think will really be
fleshed out in the next phase of stakeholder conversations that we're going to be having. Um, and I
would say that we are really open to any resources around community groups that might, you know,
want to participate in those conversations as well beyond just the providers and sort of system -level
players that we've been talking to.
[00:56:32]
Sure.
[00:56:34]
Yep, and I would just add to that. I think that's where this data is a great jumping off point, where then
we add a lot more of the contextual nuance and color to what really needs to happen on the ground,
and definitely pieces like that.
[00:56:48]
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Iowa City City Council Work Session of October 7, 202S
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Sure, of course. Yeah, I just want to highlight that. Many- in many cultures, homeless- homelessness
does not always look like sleeping outside. It looked like families living in overcrowded apartment or
rotating between- between friend and families or, like, sleeping in another area that, you know, could
be like an office where is not typically will be count on the outreach- street outreach and all this. And
also even, like, evaluating them by the current, you know, like homelessness system. Uh, you know,
even when we want to recommend them to supporting housing, whether it's like Gravity Housing or
anything else. So many times, they are not scoring high because the trauma that they're going through
has never been- the people in the US who suffer from that, they have a specific thing that the system
built to calculate that. But for the immigrants, they have their own issue, but the system never created
was immigrant center. That's why most likely we see them, uh, like don't score high so they can get the
benefit of the Gravity Housing or the eviction preventions.
[00:58:02]
Yeah. Yeah, thank you for raising that. We had a county in Minnesota, Ramsey County, who took some
of that into account, as far as just, um, tra- trauma history and historical genocide, things like that to
take into account to have the score be higher for folks who do reach that system, because I totally hear
what you're saying. And that's something we can definitely work through and speak to, as well.
[00:58:29]
Yeah, okay.
[00:58:30]
Can you please repeat where that was?
[00:58:32]
Ramsey County, Minnesota, St. Paul. Yep.
[00:58:36]
Yeah.
[00:58:36]
Um, I just wanted to return to the financial question earlier. I think we know that, you know, we're
pretty much on our own. I don't think the state or the federal government is coming to help us.
[00:58:47]
Right.
[00:58:48]
And if I was kind of doing the math correctly at the 36 units and not being eight million, but now up to
10 million, it's, you know, closer to, like, 86 million just for newly built construction if we were to try and
hit the 300. That's very napkin kind of math because obviously family versus single family, that kind of
thing. But just speaking to, like, $100 million, you know, I guess, venture. Have you thought about, like,
where and how that could look? I mean, we have, you know, the whole county and city representation
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Iowa City City Council Work Session of October 7, 202S
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here in Iowa City. It doesn't really bear out in the data that we're presented today in terms of if we're
looking across the county, it's obviously beyond just Iowa City. But a lot of our services are here. Have
you gotten to that point at all, and what that could look like?
[00:59:45]
You mean how to source it, where to place it?
[00:59:48]
Where to place it and I think to source it, you know, that's going to be a really big question, but if we
were just looking at how are we going to take care of ourselves?
[00:59:57]
Yeah. Well, if we were to do something, and again, a lot can be done through design and creating space
in place. Um, you know, is this a campus kind of an initiative that we were looking- we would be looking
at, at least for single adults in combination with some very intensive medical supports. There are some
models across the country, specifically Denver has a model with a combination of permanent supportive
housing units and medical respite beds in the same building, and the hospitals contribute to that
because of the offsetting decrease in expenses that they're able to realize. I think that there's a lot to be
discussed as a collaborative, as a community, across stakeholders. And some opportunities for
something really innovative. And then even getting into the- so there's the ticket price, which is very
substantial for the built. But the ongoing operations and supportive services, different investment
strategies that have been employed across the country, pay for success models, social innovation bond,
social impact bond, different ways of financing this work that achieves the outcomes that we're looking
for.
[01:01:08]
That's a good segue to a question I was having. Can you go to the case study slides?
[01:01:15]
Sure.
[01:01:15]
1 think it's easy to say permanent supportive housing is something like everyone up here is interested in.
It's just the how, where, and how do we pay for it questions that are the big questions. And what does it
look like? Yeah, that one right there, and thinking about this math here, realizing that there's a really
important stakeholder who's a financial beneficiary who's not here.
[01:01:36]
1 think you, uh- I think you took the question right out of my mouth. Go for it.
[01:01:40]
Yeah. Can you speak to that? About- I mean, our local emergency rooms are sure saving a lot of money.
What's- what's their engagement?
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Iowa City City Council Work Session of October 7, 202S
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[01:01:50]
So they're not saving money. They're just not spending their resources on these people, right? The
emergency rooms are still open.
[01:01:59]
Sure.
[01:01:59]
There's a substantial, profound benefit. And I just- because we've been-.
[01:02:04]
You're being nicer.
[01:02:05]
Well, we've received that feedback but I want to make sure-
[01:02:08]
Yeah, they're no longer writing off 90% of their-
[01:02:10]
And we do have another data point where unreimbursed medical costs after a year in Cross Park went
from one million dollars down to 16. That has value. We've not been successful in being able to translate
that value into a more robust investment, right? But we're very grateful for the investment that we do
have with these champions that are providing these clinical services, and we need to protect that. But
UIHC is a key partner. They're a key pull factor for our community that, uh, informs the demand and
need for this housing intervention that is targeted for individuals with complex, uh, health needs. So
how to bring them into the conversation and engage and be a part more robustly of the financial
solution to sustaining this work that is there is a benefit to their overall operations, right? Because these
folks that, you know, years ago, when we started talking about permanent supportive housing, we were
identifying these individuals, these frequent system utilizers, it's a very bad term. But, you know, they
were, uh, 10% of the population that we're requiring 90% of the care and the investment. And when we
remove those individuals from these emergency -type healthcare and carceral system responses, you
know, what does that do overall for the benefit of the community, let alone the benefit of the
individual? I don't know if I'm answering your question, Josh, but-
[01:03:41]
The conversation that I wanted to hear started. Yeah.
[01:03:44]
But I will say to you, and I was going to say this to the mayor's comment as well, but there is a host of
communities that are working with their hospitals. Hospitals are providing flex service funds that service
providers can dip into to provide these critical services to keep folks who are high utilizers, folks who are
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Iowa City City Council Work Session of October 7, 202S
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high cost, folks who are uninsured, to keep them housed, keep them stable, keep them going to, you
know, their doctors' appointments, keeping them on the behavioral health that they need, right? And so
there's definitely multiple models out there and examples we can share with all of you of communities
that have done this.
[01:04:28]
It'd be helpful. Thank you.
[01:04:29]
1 want to add, as well, our work to investigate, explore data sharing capability and cap it- appetites
across our community, across sectors. UIHC is very invested and key in that work, and I see that
capability if we're able to, um, develop that over the next couple of years, and those partnerships is
being very instrumental to building that investment in that partnership.
[01:04:58]
Can I hop in on that? Given that the, um, Center for Excellence and Behavioral Sciences has been closed,
is that a place where UIHC could help fill that gap in terms of being able to do that type of research and
create- helping sustain those standards and continue that data?
[01:05:16]
So they haven't been closed. Just the portion of the contract that was supporting permanent supportive
housing was ended.
[01:05:24]
Okay.
[01:05:24]
Thank you for the walked away from. It was a little too general.
[01:05:28]
No, no, no, I just wanted to make sure.
[01:05:29]
Yeah. No, I'm glad you did.
[01:05:30]
1 don't know what the role of UIHC could be in supporting that work. It seems like a natural partnership.
[01:05:39]
Yeah. And then I have one question. Actually, one of the pieces that you mentioned about different
models is master leasing. And you talked about it a little bit, and it immediately went to my mind as the
challenges that could be with that. But I was thinking also about um, you know, what if there's larger
properties, right? That could be renoed or that are there that could actually create, like a campus model
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or what have you. Is that something that has been in the conversation number one? And then number
two, in terms of thinking about sort of what's the win -win for those types of partnerships, what would -
how do you make that attractive to somebody who owns the property? What- what do they get from
this? Do- do they get a tax write-off? Do they- are they able to- how can we think about these
partnerships creatively? Because I do see that it probably is- I would imagine that master leasing, if it's
on individual properties, as much as it actually fits with their strategic plan about affordable housing and
helpful housing across a spectrum embedded in neighborhoods. The need is so great that it seems also
that it would be more cost-effective to think of a larger property and be more creative about it. So I just
wondered if that's something that has come up. And if you could speak too, just talk about that-
[01:06:57]
Straight leasing in general.
[01:06:58]
Yeah.
[01:06:58]
Yeah.
[01:06:59]
Thank you.
[01:06:59]
I- I think it's a really fascinating model because I think what it does is it keeps- um, the thing with
supportive housing is that they're not only excellent service providers, they're incredible property
managers [LAUGHTER]. And so you're doing this dance of walking with a tenant and- and being with
them in the moment of, okay, you're going through the hardest time of your life, essentially. Yet, at the
end of the day, you still need to pay your rent, right? And so they're able to marry that really well. And I
think what master leasing does is it provides the ability for folks who are very much trauma -informed,
relational, come from that aspect to be a property manager in that way. So I know Humility Homes in
Davenport. They do a ton of master leasing where they've established relationships with landlords over
years in the community to say, we will guarantee and make sure you get your rent every month if you
let us be- be the people that run the show here. And- and they handle kind of wear and tear and- and
have kind of a working relationship.
[01:08:04]
Is that one of the- I'm sorry to interrupt. Is that one of the seven groups?
[01:08:08]
Yeah-
[01:08:09]
1 was at the conference -
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Iowa City City Council Work Session of October 7, 202S
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[01:08:10]
Oh, wonderful. Yeah-
[01:08:10]
So I was like wait I-, yes, that is very familiar.
[01:08:13]
And- and so we can connect you with them. They have a really successful model doing it that way. And
so the landlord's happy they're getting their rent paid. They're not having to- essentially, they're not
having to deal with a renter at all. Somebody else is doing all of that work, including all of the repair.
Um, but- but the other piece of it that they're doing is they're making sure somebody stays house that
probably would get evicted normally. Um, from a larger building perspective. I don't know the answer to
that. Like, if there's I'm thinking, like, a four -class. I could see, like, master leasing working there. But I
don't know about a bigger- a bigger one. I'd have to look into that and- and get back to you on that, but
it's- it's a great idea.
[01:08:55]
1 was thinking-
[01:08:55]
Yeah.
[01:08:56]
New construction so expensive.
[01:08:57]
It is-
[01:08:58]
Something that was already large enough.
[01:08:59]
Yep. Absolutely. I think the- that's part of all of this conversation is that we can't- we can't build our way
out- build our way to where we need to be. And so it's gonna be what are all the different pieces we're -
we're bringing to the table on this acquisitions property.
[01:09:16]
Uh, I was, um. I can jump into real quick. Um, jumping back to a supervisor, Fixed Moral rises, sort of
back of the napkin sort of penciling. So my same apologies if I have these numbers wrong. But just
thinking about some of the hardcore dollar and cents kinds of things for just the- if- if I did this correctly,
the supportive services part of the permitive supportive housing. Would pro- if we hit the- with- our full
need. Am I correct it would be probably an annual cost of between four and 4.5 million for that part of
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Iowa City City Council Work Session of October 7, 202S
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our shelter? I mean, that's just one part of our local shelter services. But is that- that what we need to
be having in our minds to be thinking about for what that would take? And I know that's real
speculative.
[01:10:03]
I'm- I'm not confident I'm tracking the math, but that- that-
[01:10:06]
1 just-
[01:10:06]
It could be right. If you penciled it out, I hadn't.
[01:10:09]
Yeah, it I was like 800- 832,000, 1 think, was what the current-
[01:10:13]
The 36 and then a few- yeah.
[01:10:15]
Then if I multiply-
[01:10:16]
If that's.
[01:10:16]
1 might have used 60 as my number, so it might be bigger than that. So anyway- but yeah. So its- we're
talking something in that- in that ballpark of a commitment that we would need to make. Because if we
just have the building without the services, you know, what we heard today. And I think what we have
probably already all knew is that if you don't have those two things together, then you don't get the
success that we want to see and that we have been seeing. Correct?
[01:10:35]
Yeah.
[01:10:35]
Right. And so then what are the different sources of- of being able to-
[01:10:39]
In ongoing kinds of things. So yeah, okay. Thank you. Just wanted to make sure I had the picture.
[01:10:44]
Yeah, totally.
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Iowa City City Council Work Session of October 7, 202S
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[01:10:45]
So I was thinking about, you know, master leasing as well. Um when I think about master leasing, I think
uh- and not to um, uh, disparage the practice at all, but it basically is just a subsidization of landlords
who then make a lot of our money and just for profit, you know? Um, where I've seen other models kind
of like globally, they mix in permanent supportive housing with a broader, robust public housing system
or social housing system in Europe. Where it's mixed income and the- the higher end of the scale is still
municipally owned, but then it's used to subsidize the- the lower 30% AMI type of thing. So um, I know
that this would involve um, more building or buying and managing properties. But I don't know if you're
familiar with anybody who's used that model of kind of like a mixed -income way of uh- so instead of the
money that gets paid in the rent, going to some landlord's, like, house by a lake or something.
[01:11:47]
Right,.
[01:11:47]
It goes to uh- back into the system, back into the care of the community.
[01:11:52]
Yeah. That's a really good question. I'm trying to think of co op models that- it's kind of that same idea. I
don't know if- have you heard it? Okay.
[01:12:00]
Ye p.
[01:12:01]
1 can look into that. I- I mean, I think- I- those that European model has come up in different- in different
ways. Absolutely. I think I totally agree with you. And I think what I struggle with consistently all the time
is that we have federal housing vouchers that go unused across the nation. And it's just money sitting at
the table where we have people who can't afford housing. And so I totally hear you. And I'm like, how
do we get people into housing? How do we- cause not all landlords have the house at the lake. They're
the mom and pop shops who have a couple of different properties, you know, that they're- that they're
using, as well. But- but I think it's a really- I mean, I think it's something we can absolutely look into and
have a bigger conversation about, for sure.
[01:12:46]
Yeah, and, um, I was also- uh, I- Ihad heard generally that it's uh, a little bit more difficult to convert
existing buildings into permanent supportive housing because of uh, you know, a lot of thought and care
goes into the design of the place to be trauma informed, to have the clinics and the- the hot room for,
you know, that type of thing. So um, I'm wondering uh, if you could speak to that if you see struggle with
that when people try.
[01:13:20]
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So, I- I think it depends on the population that you're- you're gonna be serving. You know, I think there
are some populations that- I mean, if we had all the money in the world and all the time needed, it'd be
incredible to do trauma and form [LAUGHTER] design every single time. That's why we should be doing
hands down. And we've got hotels that could be converted into housing right now. And so um, I think
we're doing a hotel -to -housing conversion right now in Dickinson, North Dakota. And we have- in- in
that case, there's just a ton of families that are experiencing homelessness that are ending up in the DV
shelter that haven't experienced any of that violence. And so they just need a place to land. And so I
think for them, it's- it's working out because um, they- they definitely have, I'm sure, experienced
trauma of some type or source, but they're not long-term, chronically homeless folks who have been
experiencing severe mental health or substance use for a long, long time. Um, so I think it depends on
your population. I think it also just depends on the resources you have available um, too.
[01:14:29]
Yeah.
[01:14:30]
But, yeah, I totally hear you that. I think I love the trauma -informed design aspect of-
[01:14:34]
Absolutely. And while I have you, um, I was thinking about the I think back in the slide where it talks- it
was kind of showing, like, what the next uh, steps are.
[01:14:45]
Mhmm.
[01:14:45]
Um, you know, for these next couple of months, and then the next couple of months. So uh, and I heard
um, you all saying that the number of units is about 50% of the equation or less um, than in terms of,
these are the amount of units we need. But there's so many more factors other than just building units,
and that's it, obviously. And even the wraparound services.
[01:15:06]
Yeah.
[01:15:07]
So uh, I was wondering what types of things can we expect? What is the scope of the suggestions going
to be? Is it going to be as specific as you should build this many units here and this type of unit there?
Um, these are the amount of units that should be in each location, or is it just going to be a little bit
more general? And also, what can we do right now to prepare ourselves to inevitably make that step?
[01:15:35]
Yeah, totally. Those are great questions. I don't know. Missy, do you want to speak to that? And we -
we've done this type of work across the nation. And so I've done plans with communities that are like,
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Iowa City City Council Work Session of October 7, 202S
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we want a 30-page plan that includes a legislative agenda. And so we've done that. [LAUGHTER] Um,
we've also done more kind of what do you all- like, almost, like, beginning conversations around, how do
you all want to set up a system where you're consistently having uh, conversations about how to do this
and do it differently? And it's just us helping you set up those conversations, and then you run the show.
Or do you want us to bring examples and- and have conversations with you all to say, okay, we're gonna
have an action about how um, to get folks with high barriers into housing. We're going to talk about
how we set up expungement clinics or whatever- you know, really specific things. Like how our police
are engaging with folks who are living in encampments. You know, lots of different kinds of actual um,
actions and pieces around that. So I think it- I think this next piece of the work is really um, - you know,
we want to say, how do we- how do we as a community in- in Johnson County and Iowa City- I think
really it's- it's up to all of you what you want this to be. And what it would mean for you to take
whatever comes out of this and actually walk with it and run with it. Um, so I think those are the next
pieces. You know, we never want to [LAUGHTER] come into a community and prescribe. Like, here's -
here's what's going to work for all of you. I think it's- it's all of you coming to the table and say, this is
what we need, this is what we don't need. This is the system we want set up. Yes, we do want actual
recommendations, or no, actually, we want you to set up an implementation kind of systems. And we'll
figure out those key kind of um, policy levers and other things we need to pull from there. Is that helpful
at all? Okay.ls that right? Okay. [LAUGHTER] Or would you add anything?
[01:17:38]
1 would just say it- it evolves, right? It's supposed to be an evolution uh, engagement with our
stakeholders.
[01:17:44]
Yeah, that's right. Just to piggyback on that real quick. I mean, in terms of next steps um, what are you
envisioning in terms of a timeline? Because I think, you know, obviously, you've- you've got us all here
now, but I know- yeah, and that's kind of what I was wondering if you go back to.
[01:18:02]
Yeah, we are- so wha- I know this is quick. But we were thinking it'd be ideal if we could start having
those conversations Oct- I know October, November, especially November, December, start getting
really, really busy. Um, so we're gonna try to get as many conversations on folks' calendars as we can
uh, between now and the end of the year, knowing that's gonna probably bleed into the beginning of
two- 2026. Um, but then, really, we'd love to have to come back to everyone you talk to and all of you
with kind of this draft if their draft recommendations. Draft kind of structural pieces, by the end of
March in 2026, to say, hey, did we hear you right? Or does- what doesn't make sense? What did we get
wrong? What are we missing? Um, and then including all of that feedback. Um, that would kind of
finalize those recommendations and that plan. And some proposed investment strategies that would be
being finalized through May and then presented final in June. So that's what we're thinking.
[01:19:10]
1 ask um, because I know and sometimes in planning efforts, there's, like, you know, a committee or
something that helps you know- to um, Counselor Wieland's um, comment about what can we do to
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Iowa City City Council Work Session of October 7, 202S
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prepare ourselves now? I'm just wondering if it's worthwhile to put some folks together now with
Shelter House and with you all to start kind of sifting through some of this so that come, you know,
March or April, June, like, we're ready to kind of have something off the ground or something like that.
[01:19:41]
Yeah.
[01:19:41]
1 mean, we could figure out who or what that is,
[01:19:44]
if that's how folks in North Liberty, and-
[01:19:46]
That's right.
[01:19:46]
Coralville.
[01:19:48]
That's exactly my question.
[01:19:49]
Can I get on that? And, Chrissy, maybe- this is probably more for you. But has Coralville been involved in
this at all, or University Heights? Those are both places that are bus accessible to Iowa City, and certainly
seemed to me that they ought to be involved.
[01:20:03]
That was my question.
[01:20:04]
Um, no, they haven't. And we would ask for your help in enlisting their support and engagement. Um, I-
[01:20:13]
I'm 27 years into this and not successful in-
[01:20:16]
Yeah. I would just say- say when the meeting is gonna be, and we can try to bring people there. But 1-1- if
they're not invited, they won't participate. So we have to invite them.
[01:20:28]
There's a joint entity meeting coming up, right?
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[01:20:30]
Yeah, the 20th.
[01:20:32]
We don't have an agenda for yet.
[01:20:34]
And both of those communities have affordable housing on their lost, right?
[01:20:40]
University Heights. I think-
[01:20:43]
You're thinking North Liberty?
[01:20:44]
1 was thinking- yeah, I said North Liberty.
[01:20:46]
Oh, you can start at University Heights.
[01:20:48]
No. Sorry.
[01:20:49]
It's okay.
[01:20:51]
Somebody's got it on their list.
[01:20:53]
Somebody's got it on their list.
[01:20:54]
North Liberty and Coralville.
[01:20:55]
Yeah.
[01:20:56]
Yeah.
[01:20:56]
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Iowa City City Council Work Session of October 7, 202S
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Those are the two I was thinking of.
[01:20:58]
Yes, ma'am.
[01:20:59]
That is a good point. The joint entities might be a great opportunity to do this.
[01:21:03]
That's Monday the 20th, right?
[01:21:05]
Yeah, it's-
[01:21:05]
October 20. So it does sound like there's a proposal on the floor right now um, of a committee. Just
wanted to maybe get some thoughts on that a little more. The folks are thinking that that's how we
should be moving forward.
[01:21:19]
Yes.
[01:21:20]
Yeah, I think also, I wonder what steps forward we could do right now in terms of staff engagement and
um, giving direction and prioritization to our staff to utilize their time to do a lot of this work. Uh, I don't
know if that's something we need to do to try- yeah.
[01:21:41]
What would they do right now?
[01:21:43]
What would they do? Uh-
[01:21:44]
1 mean, I'm just saying in terms of, like, what- what action steps would they have right now?
[01:21:52]
Um, I'm not sure. I mean, they were talking about, um-
[01:21:55]
Well, there's vouchers.
[01:21:57]
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Iowa City City Council Work Session of October 7, 202S
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Yeah, beginning to explore some of those uh, answers to the questions that we brought up about.
Because, you know, they know the ins and outs of um, our budgets and our expenditures. Uh, so some
collaboration meeting with CHH- CSH Shelter House, other folks.
[01:22:18]
There's also a monthly meeting um, that the county hosts called System of Care where Christy- Chrissy
and Aaron and others are usually there, and this topic comes up frequently. Bruce has staff at all those.
[01:22:34]
Yeah. So systems of care used to, you know, it- it was really reconvened to try to figure out a project.
And I- and I don't know if, you know, if- if they've identified, you know, one area that they want to do.
But that's how the Guiling Center was created from that meeting. It had a different name back then,
but-
[01:22:56]
And also like, today we had a meeting with the county and us uh-
[01:23:00]
There is two bass here. That's what I believe. There is bass for long term, figuring out what we're gonna
find Br meal solution. But also, we need to talk about the winter is coming, like, the winter shelter, how
can we use that right now? We are like, we open it early, we continue, like, not close it after I think
March or something like that, remain still open. Just to hold the bible on the street right now. So we
should talk about that also as, you know, I don't know, it's 530.
[01:23:33]
1 do know that the Winter shelter is there an anticipated date? For that opening, if you can share that
with us, please?
[01:23:43]
December 17.
[01:23:44]
So we've offered November 17. We believe we have the building at that time. We haven't received any
information as far as the sources of funding that would be available to add time to the winter season.
[01:23:59]
So you refer? Because I think our contract that the city has with you all in December December is in
December. Our contract is in December, is that correct? Yes.
[01:24:08]
There is a mechanism to extend it that exists in that contract.
[01:24:12]
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Iowa City City Council Work Session of October 7, 202S
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They're doing it early.
[01:24:13]
But there's also a gap that exists on that project with the existing timeline, adding more time to it
increases that funding gap. And really, we would love an opportunity to have this conversation and
make plans and move forward and address concerns about the possibility, you know, what about
further utilizing the winter shelter space, but it really it may be one of those imminent or emergent
necessary things to consider. But there are costs to doing that, very significant costs that I would hope
you would not want to um, compromised have compromised the long term um, potential impacts that
we have through a permanent solution.
[01:25:01]
Yeah. This has been part of a conversation, and um, you and your team came and spoke at the county,
and we did have the breakdown, and I thought that that was sent actually to city council as there's line
items for what the county was willing to pay and then asking if we could cost share that gap. And I do
believe that was communicated. I guess I'm.
[01:25:23]
And so, has that city manager might have some Yeah.
[01:25:26]
Yes.
[01:25:30]
Yes, I did- I did get a letter after your meeting, and I believe the response was to share the contract that
we have. So we have a service agreement with Shelter House for that winter shelter. We contract for 15
weeks at a specified cost. And then if there's an agreed upon extension of those 15 weeks, so in this
case, we're looking at going to 17 or 18 weeks, I think that would be, we would pay a prorated share of
our expense. So our commitment is, to the winter shelter is kind of flexible. But as Chrissy mentioned,
since we're not paying 100% of that cost, while our share increases, it also increases the gap that they
need to fill, which would be through other local governments County, Coroville, North Liberty or
through private donations that would be difficult to raise.
[01:26:26]
My understanding of the ask was that we had agreed that we would be willing to potentially cover 50%
of that gap cost, and we were asking if the city would cover the other 50%.
[01:26:37]
And we would, we would be covering the two weeks share unless there's.
[01:26:42]
Oh about folks.
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Iowa City City Council Work Session of October 7, 202S
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[01:26:45]
How many weeks early?
[01:26:48]
So, we cover 15 weeks at a cost of I'm going to speak in generalities of roughly $110,000, 15 weeks. And
our agreement with the shelter house that was passed by counsel a couple years ago, indicates that if
there's mutual agreement to extend that to 16, 17 or whatever the duration would be, we would simply
take a pro rated weekly share and add that to the to our contribution to the 110,000.
[01:27:17]
So I guess we haven't seen that penciled out, but we would because what it's sounding like is, first of all,
no, which is fine. And that it would be your share but not covering the actual gap.
[01:27:30]
1 don't know that I hear or no. I hear that the council had already created an agreement that I think it
might just be hove, you know, the counting and suggest review and maybe understand before we get
into some more dialogue on it.
[01:27:44]
Thank you.
[01:27:45]
Yes.
[01:27:45]
And I think we're covering so just so I went off of memory here now. Um, when you talk about that,
what we're covering, we're covering the city already is do you recall, like, what percentage of the actual
cost per week?
[01:27:59]
1 have information, but not at my fingertips. I mean,.
[01:28:02]
That's a supportive housing in my mind.
[01:28:05]
Yeah. Yeah, no problem. But, I mean, I mean, it's significant. Correct. I think we can circle back to this,
but we'll be sure to get that contract over to you all so you can discuss it. And then certainly we can
have someone come and explain it.
[01:28:18]
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Iowa City City Council Work Session of October 7, 202S
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Thank you. And I think just to clarify for this council, I think our understanding this counciI's
understanding is that the city did want to extend it for two weeks for that early open date. As far as our
service agreement.
[01:28:31]
Yes. And, of course, that's come with funding. Yeah.
[01:28:34]
Go, and we would fund it.
[01:28:36]
Already does, yes. Already does. So it sounds like for the joint entities meeting, we're going to, um add
some permanent supportive housing on there, it sounds like. And we'll have to work out the particulars
on how that would look like outside of this meeting. So is there someone from this what I would say is
certainly we'll want to involve maybe one or two city councilors and two of the county supervisors. Do
we want to identify those two right now, and then we can move forward from happy to be. This is, to
discuss the Agenda item. The agenda item for October 20, just to figure out what will be on there. We
don't have time to do that dialogue right now.
[01:29:27]
Oh, I see what you're saying, just for that.
[01:29:29]
I'd be happy.
[01:29:29]
I'd be happy too.
[01:29:30]
1 would be happy too.
[01:29:31]
1 would be happy too.
[01:29:32]
Okay. So I'm going to let the county figure out theirs. I think I heard two from us.
[01:29:40]
Mr. Mayor, I believe the agenda deadline is Friday, so we will want to move quickly.
[01:29:45]
So we'll get so we can put it on the agenda. It's gonna be here at the city. So we'll put the item on but
the particulars will need to be worked out prior to the 20.
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Iowa City City Council Work Session of October 7, 202S
(audio and video recordings can be found at https:,[/citychannel4.com/city-council.html)
This represents only a reasonably accurate transcription through Verbit: AI -Based
Transcription & Captioning Services. For greater detail please refer to the meeting
recordings.
[01:29:55]
So we can discuss that tomorrow morning and nail down our assignments.
[01:30:00]
Okay. So you all can figure out your too, I guess, for the county, for the city, we just it sounds like anyone
else besides Mayor Pro Tern Sala or Councilor Weiner, Weiner line want to be a part of this. Alright.
Anything else on this agenda item for permanent supportive housing?
[01:30:21]
So I just want to clarify the next step so there's no, like, confusion. So we have created a committee to
decide what is going to be on the joint entities meeting. And after the joint entities meeting where we
reach out to Coroville, North Liberty University Heights, then.
[01:30:43]
Potentially that could because we heard interest for having those other communities apart. The reason
we're bringing it to the joint entities meeting. So if there, I would actually invite the shelter House to be
a part of that discussion to, you know, make sure that that is the right move to have a commission or a
committee created as well as CHS, but I'll leave that up to shelter House. I think that would be the best
next step while you all are having that discussion.
[01:31:17]
And in the meantime, our collectives, if we all give, you know, head nots or collective staff could begin
to look at hypothetical funding strategy in the future, or is that something for after the.
[01:31:29]
Probably something for after the meeting. But I like where your head's going. I jump the gun. I also want
to say thank you so much for all of hard very much, thank you.
[01:31:39]
Yeah, thank you.
[01:31:40]
And home for being here. Com.
[01:31:43]
And I was going to say, too, I love what you're thinking, as well. I think I love folks who are action. So I
appreciate that. We're going to be having a series of conversations with stakeholders that include
government staff, that include nonprofit staff, that include hospital folks, that include law enforcement.
And so, those will be getting on people's calendars, and information from that will help with that
financing piece. But I would love I mean, in past communities we've worked in, we had access to some
city staff that was super helpful to be like, Hey, does this make sense what we're hearing or have you
Page 34
Iowa City City Council Work Session of October 7, 202S
(audio and video recordings can be found at https:,[/citychannel4.com/city-council.html)
This represents only a reasonably accurate transcription through Verbit: AI -Based
Transcription & Captioning Services. For greater detail please refer to the meeting
recordings.
done a housing assessment recently? Can we look at that, you know, things like that. So we can talk
about that more off line as well. But Great.
[01:32:28]
Alright. Well, much gratitude for you all coming and doing this presentation today. Thanks for the
individuals that kind of highlighted this to be on our agenda. Thanks to the county supervisors for being
here today and of course, I really appreciate my fellow counselors for their continued support of really
unhoused, because housing, I know that we really do believe it's a human right, and we want to work
towards really that solution of no one is unhoused in our community. So thank you all.
[01:33:03]
I'm glad that's a conversation we're having. Yeah. We could be having to convince each other that this is
a problem. Yeah. Yes. We don't have to do that, so I'm very thankful for everybody. Good point. Yeah.
[01:33:14]
Yes. Alright, thank you all for coming. Yes.
[01:33:19]
Mr. Mayor. See you guys soon. I know you have a couple proforma items left on your agenda. I would
just ask for the county's purposes, since we're going to utilize your minutes. I would just ask that the
clerk indicate in the minutes that the county was dismissed at 5:36 P.M.
[01:33:35]
Great. And we'll ensure that we include all the county member names, the board of supervisors names.
Thank you. Thank you, sir. Yes.
[01:33:44]
Thank you.
[01:33:46]
Yeah, good. You have some. All right, we're going to continue with our agenda. We're gonna move on to
item number two, clarification of agenda items. Relatively short agenda. Hearing nothing. We're gonna
move on to very Absolutely.
[01:34:39]
This is so silly because I should know this. With clarification of agenda items, is it simply to say you want
to pull something out or or is this a place where I can ask a question about an agenda item?
[01:34:50]
It is a place where you can ask a question, but if you have to determine if that question should be saved
for that is more of a um I don't know, it's not really a question about the item. It's more of a question?
No.
Page 35
Iowa City City Council Work Session of October 7, 202S
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recordings.
[01:35:08]
1 have a question specifically about the content of an agenda item. Okay.
[01:35:14]
So, actually, with this what was it?
[01:35:16]
Oh, my gosh. In the consent agenda, it is the item dealing with the safe Bird?
[01:35:23]
Yes.
[01:35:24]
Community?
[01:35:25]
Yes.
[01:35:26]
1 just wondered there's one piece in the resolution that talks about, you know, protecting birds. And
what does that look like?
[01:35:39]
Let's see.
[01:35:39]
1 know, like, I have seen and heard from a lot of neighbors about they get upset with cats roaming
around, and so is it that we're gonna I don't.
[01:35:48]
So would that be something that staff can come back.
[01:35:52]
We don't have to talk now.
[01:35:53]
Yeah. You can just make note that that's a question that you're gonna ask and if staff can prepare to
answer that. Alright. Any other agenda items? Here and now, we're gonna move on to item number
three. Information packet discussion, September 18. Moving on to September 25?
[01:36:16]
No.
Page 36
Iowa City City Council Work Session of October 7, 202S
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recordings.
[01:36:20]
Moving onto October 2. 1 will just say that we already clarify one agenda item fort he joint entities
meeting, which will be held here at City Hall 430 on Monday, October 20. Are there any other items that
this council wish to throw out there for consideration for Majordy?
[01:36:41]
1 think I do. No, it's okay. Umh umh.
[01:37:00]
Yeah. Any other items? Okay, here and none. We're going to move on to item Number 4, which is
University of Lowa Student Government Updates, and don't see them present. We're gonna move on to
item Number 5, which is Council Updates on Assigned Boards, Commissions, and Committees.
[01:37:24]
Economic Development Committee met met, sorry, last week and got a wonderful presentation from
Rachel Kilberg Varley on TIF and how it's been utilized in our community over the past and its benefits.
So, of course, that is recorded for anyone to watch. If you have questions about it, we're happy to
answer them.
[01:37:43]
Well, since you talked about TIF, I do wonder if we would we know it'll often backtrack. But joint
entities, would there be any benefit to having, you know, just talking about loss? You know, just a brief
overview for.
[01:38:03]
1 think that's a good idea. I think that's to give us the ability to talk about it. Yes. Mm hm.
[01:38:08]
It could be a key or it could be a large part of permanent supportive housing, too, if it passes. So I think
that's pretty germane.
[01:38:15]
Possible. Yeah, I could have somebody from the lost committee just come and give a short presentation
on how their campaign is going. I think that would be appropriate, and they'd be the appropriate people
to come and speak.
[01:38:25]
And then folks obviously comment from there. Are folks okay with that? Sure. That would be who will
invite? Okay. I don't hear any objections. So we'll go with that.
[01:38:36]
Invitation to Greater Iowa City to talk about it since they're doing the campaign. Is that what we're
thinking? And then other communities.
Page 37
Iowa City City Council Work Session of October 7, 202S
(audio and video recordings can be found at https:,[/citychannel4.com/city-council.html)
This represents only a reasonably accurate transcription through Verbit: AI -Based
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recordings.
[01:38:42]
1 assume that's who you were referring to.
[01:38:44]
Yeah, that's okay. Thank you. Ah but I just put a word to it, so I appreciate that. Okay.
[01:38:50]
Can I say something that was in the IV?
[01:38:53]
A. So, yeah. So let us I know I jumped in on a previous agenda item. Any more updates on boards and
commissions, and then we'll go back to item number three. Hearing more updates. We're going to go
back to item Number 3, and Are there any of the information packet discussions either September 18,
September 25, or October 2 that anyone wants to address?
[01:39:23]
1 guess for October 2, 1 just want to highlight, not to address anything, but I want to highlight as of
October 25, the waiting list for Section 8 was 2503, and that include 1125 Iowa City residents. So still we
need more affordable housing.
[01:39:47]
Okay. Anything else from item number three? Alright. With that, we have no other items on our agenda.
We are adjourned. See you at 6:00 PM. [MUSIC].
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