Good evening. This is Susan with the Monroe County Women's Commission. It is Thursday, August 20th. It is 5-34, and we'll go ahead and get started. The commission shall serve in an advisory role to assist residents, businesses, and the government of Monroe County in addressing issues of gender equity. The mission is to advance the status of women and marginalized genders in all areas of county life. first order of business is to send out. Are you sent out the minutes? Did we have any? Commission or maybe I fixed that so and. I still owe us may though. Or the one that we got is just for June, July. July. Do we have a motion to pass July's minutes? I will move to approve July minutes. I second. Five minutes. Commissioner updates will start with Jennifer. Do you have any general updates we won't cover later? No, I don't think so. I do not. Commissioner Hardesty. I have a freedom school steering committee update, which is just something that I am working on in the community. So we have a plan now to begin engaging with the community via some community events this fall. And we have a mission, and it's to educate students about black history and culture, deepening their understanding of the past, its impact on the present, and their role in shaping a better future. So we're very excited about this. So we're beginning things off. kicking things off with a meeting for any interested parents and their kids to learn about what this program is going to be and the activities that we have planned for this fall. And that meeting is happening at the Monroe County Public Library downtown branch on Sunday, September 13th from three to four p.m. in combo room meeting room one B slash C. So I do have a community. Um our habitat for humanity. We build on September 26th. If anybody would like to donate or join, you can go to habitat for humanity. Join my team. My name is Jennifer Bell. Thanks. Julie. Did you have anything else now? Um my only updates. Update is I did talk to Commissioner Yarrow earlier this I did have a proxy for them, but I don't know what happened to them. So I did want to announce that I know Saturday's pride. I guess we should say that. But additionally, because everybody I think knows that I am on the Monroe County Fire Protection District Board as well, and we have of our community cookout, which they scheduled for this Saturday, August 22nd at 2026 from 11 to three. It is out at Monroe Fire Station 21, which is at 9094 South Strain Ridge Road. It's open everybody and they usually are have a lot of fun and they are doing the food paid the donation collection for Smithville Food Pantry and Grace Center Food Pantry. usually are a lot of fun, especially very family oriented and. Great, highly recommend ever. If you ever have a chance to go meet those people there, the firefighters and staff and board were all amazing. We should make a little bit more about Bloomington Pride Fest because it's happening all afternoon and into the evening on Saturday. I don't know what I was like. I don't even know what time it starts. What time does it start? It's like one ish to you. Yeah, two to what? Just go to Kirkwood. Yeah, that close in the street, right? And I think the weather is going to be nice. Hopefully it's going to be great. will come up in old business. Let's, I know we didn't introduce ourselves when we started. Why don't you just, so this is. Yes, just introduce yourselves and then we'll introduce ourselves. Okay, my name is Suki. I'm a third year medical student here at the IU School of Medicine Bloomington campus. My name is Sage. I'm a second year medical student here at the IU Bloomington Medical School campus. My name is Julie Hardesty. I'm a member of the Women's Commission, but I'm also a librarian at Indiana University. My name is Jennifer Belton, Women's Commission. I work at the VA, the Veterans Administration here in Bloomington. Molly with the Women's Commission. I work in know who I am. I'm Susan slash Gus. Well, I'm the chair and most of us have been on the commission for many, many years, it feels like. And a lot of time we have in the past, we, like I asked you, I mean, this has been like a year in the making. I feel like, you know, had people come and present. And like I've said, it's like, it always seems unimpressive because no one ever comes or watches. But if like, We do get like a lot of people view us on because they're all recorded on cats and they go up online. So it's always nice, you know, to one of our big things is to try to amplify voices of programs that are going on in the community just so to get the more of the word out. And obviously the clinic fits the bill perfectly and it is such a great program and project that, that's why I was hoping you guys could come share with us and that actually I'm going to have an ask as well that I realized. So you guys, so they're going to, TSD, sorry. So can you promote Sage Sweeney? Cause she's going to, they're going to present, do a presentation for us. Thank you. All right. Ready? I'm ready. Awesome. We're ready. So I already introduced myself. My name is Sage. I am second year medical student and one of the medical student chairs for IUSM's Gender Diverse and Queer Clinic. And Suki is our third year chair. So we're going to share a little bit about our clinic today. So first, some general information about what the Gender Diverse and Queer Clinic is, or the GDQC. So we are a IU Health student-run clinic that provides free health care services to those that are uninsured or underinsured, both in Bloomington and in Indiana at large. We focus on safe and affirming primary care for LGBTQ patients. Some of our services include preventative care and health screenings. labs including cervical cancer screening blood panels urine panels mental and sexual health care resources medication management gender affirming care and we'll get into some of our other offerings as well a little bit later. But first I want to talk about So some health and equity challenges facing our LGBTQ population nationwide. So LGBTQ individuals face a lot of barriers to care. They're two times as likely to rely on Medicaid as primary insurance compared to non-LGBTQ adults and more likely to cite cost as a reason for delaying healthcare. They face discrimination or fear of discrimination, which can discourage individuals from pursuing healthcare. And we have a historic last year report of LGBTQ competent health care providers in our country. So a little bit on health care disparities. In terms of physical health, LGBTQ adults face greater cardiovascular disease risk. incidence of eating disorders and disorder eating habits and higher risk of sleep health issues, to name a few. In addition to sexual health disparities with homosexual men, men who have sex with men, being at increased risk for certain STIs. Interestingly, receptive anal partners are at greater risk than contracting HIV in comparison to receptive vaginal partners, and this is due to thinner lining of the anal canal. So just anatomically how we're built can put us at higher risk for certain diseases. And then in terms of mental health disparities, LGBTQ individuals are more likely to experience mental health conditions, anxiety, depression, suicide, suicidal ideation, and substance abuse compared to cisgender heterosexual peers. 41% of LGBTQ youth report seriously considering suicide in comparison to 13% of their cishet peers. And a lot of these health disparities are often attributed to the minority stress model. So LGBTQ individuals experience unique stressors related to discrimination and victimization, such as bullying and harassment that can compound some of these disparities over time. So in terms of Bloomington in specific, there were a few founding research publications put out that demonstrated a lack acute competent care in southern Indiana in particular. So less than half of transgender and gender non-binary survey respondents reported having a LGBTQ welcoming healthcare provider. Those who had an LGBTQ welcoming health care provider and a competent provider were more likely to report their health as excellent or good and to report quality of health as excellent or very good compared to individuals without an LGBTQ welcoming provider. Some common themes arose in some of these surveys regarding health care experiences, including discrimination and validation and distrust. And then this is a clip of the paper that I'm describing, which was published by IU medical students regarding the research in this area. So the survey included 85 participants and was created by one of the founding members of the GDQC. Her name is Keely Newsome. She's a physician now. And this survey demonstrated the need for gender inclusive LGBTQ competent care in order to bridge the health care disparity gaps that we're seeing in southern and central Indiana. So Suki is going to share some more. So as Sage said, one of our founding clinic members conducted a survey on not only the rate or really the self-described health of LGBTQ folks in southern Indiana, but they also conducted a study on IU medical students perceived competency in this area. So they did a study on the frequency of IU medical students asking about their partners, about their patients, sexual orientation and gender identity during the course of a patient interview or a patient interaction. They found that the number of students asking about sexual orientation and gender identity significantly decreased with every year of training. Reasons that these students cited included believing that this is irrelevant to the encounter, limiting inquiries to patients with sexual health complaints only, and negative influence from their attendings. However, it's been pretty demonstrated that discussing the sexual orientation and gender identity of patients can allow for more patient-centered care, even in contexts where it may not seem necessarily relevant. This can improve patient physician trust and sexual and gender minority health as a whole. Okay yeah so. That was, those were studies that were conducted by medical students. We sort of cite those as our founding studies and kind of like as a reason for existing. There's other studies that exist that show that the self-assessed LGBTQ care competency of healthcare professionals tend to, they tend to rate themselves lower in this field rather than in fields, or rather than in discussing cisgender patient concerns. The knowledge gap permeates all facets of healthcare, so not only is it about sexual health as we've discussed, but the trust relationship that can come along with having these discussions with your provider can really improve healthcare and improve the patient relationship in all facets of healthcare and all aspects of healthcare. aspects of the patient relationship. So the point of the GDQC is not only to provide gender affirming care, but it is to cultivate skills in future physicians and to cultivate affirming skills as well as patient relationship skills and communication skills in our students. research has consistently shown that additional education about sexual orientation and gender identity is needed at all levels of medical training, not just in the medical school curriculum, but beyond. And our findings show that the hidden curriculum of, well, hidden curriculum, quote unquote, about health care for minority populations can be really powerful and can really improve students' understanding of their patients and really improve that patient-physician relationship. We hope to model acceptance of and respect for LGBTQ patients. through our clinic, and we believe this could go a long way for countering bias and distrust in health care and ultimately help address health care disparities in the LGBTQ community in Indiana. A little bit of basic info about our clinic. We meet once a month, second Sunday of every month, at the IU Health Clinic on South Roger Street. So when we say underinsured, we mean folks whose insurance is not accepted by IU Health because we are related to IU Health. We cannot accept patients who have insurance that would be accepted by IU Health. We tend to make exceptions for urgent cases or for folks that have been consistently seeing us but recently obtained insurance but still have an appointment on the books. These are kind of in the weeds, but we really do try to be flexible. For those who are insured and get in contact with us, we have three physicians that we can sort of vouch for in their gender-affirming care competency. So Dr. Cassandra Dishman-Kessler is the primary physician that works with us. She was the physician that helped us found the clinic, and we work out of her clinic, and we really could not do this without her. But her, Dr. Rebecca Cohen and Dr. Laura Knudsen are three physicians that work with us in the clinic, and they're also physicians that we refer patients to if they are insured because We know that we can count on them to provide Compton LGBTQ care. In the clinic, medical students do the majority of the work. The patient comes in, we take the vitals, we discuss, you know, whatever might be bringing them in, and then we present the issues to the staffing physician, and then the student and physician will go back in together. So every patient will see a physician, of course, but it is kind of the medical students that do the kind of the upfront patient interaction first. So we do everything a primary kidney can do, prescriptions, screenings, long-term medication management. A new development for us that has been really huge and exciting is that we now can do on-site lab draws. So we can do blood draws. We can do urine samples. We can do swabs for STI screens. So we can check on hormone therapy levels, general health maintenance, like cholesterol, you know, lipids. STI testing and pap smears. So we could do a lot and it is really, really exciting that we can offer a more whole and kind of like holistic healthcare model. Then for things that we can't do, referrals to specialists, we have connections to gender affirming care in Indianapolis for surgery and such that we can't provide here. We are trying to build our list of mental health counselors that we also have, that we also know are LGBTQ affirming and safe to send our patients to. And then we also provide on safe sex practices, trans rights, and community resources. We give out a lot of stuff, a lot of safe sex supplies, naloxone, masks, things like this. So we have really tried to become integrated into our community. It's really important to us that we are like integrated in Bloomington and that we know what already exists here so that we're not providing something that's redundant and that we can point people towards resources that we can provide. So we have met with and spoken to all of these Different organizations here and we really feel that it's important to educate our patients on what there is out there. So HIV testing and prep. There's positive link path for you provides birth control all over Indiana. We have connections with the Hoosier Health Food Bank, Indiana Legal Services, as well as the Maurer Law School, County Health Department. We also partner with the Indiana Rural Health Association, and they are able to assist people with insurance navigation. We've been in contact with the Mobility Aided Lending Library. Overall, we just want to show that we really believe in a holistic health care model where health is not just about your physical health, but also your food security, housing security, mental health, all of these things that kind of come together that are necessary for someone to live through health and wellness. So we really tried to make sure that we were aware of the community resources that we have and that we are giving out these, that we're giving out information so that people can utilize everything that's available to them. In terms of funding, we get a majority of our funding through the IU Foundation Women's Philanthropy and Queer Philanthropy Circle. We actually just got another grant about a month ago for about $14,000 from them, which we are really, really excited about and grateful for because it allows us to expand our lab practices and expand the amount of supplies that we can stock and give out. We also started focusing on raising community donations in the last year or so, year and a half, I think in 2020. I would say the second half of 2025 and the first half of 2026, we raised about $5,000, which was really huge for us. This is primarily from local donors. We have a drag show fundraiser at the back door at the end of every sort of school semester. So every May and December, we've had two so far, and we're going on our third, which is really huge for us. Shout out Keller for organizing. So this is a really fun way to, again, engage with the community, raise some money, and spread some awareness about our So we're really excited about the way that things are going. We're really expanding our services, and we're expanding our funding sources as well. So future goals, something that we're currently working on is partnering with the IU pharmacies to get discounted prescription costs and cover medication costs for our patients. So we can work out a deal with these pharmacies and pay a discounted cost. on behalf of our patients if they're not able to afford their medications. Some kind of long-term goals as well is providing its print transportation assistance to patients. We've actually had patients come from South Bend to come to our clinic and several patients coming from South Bend. And so we're trying to figure out how to fund gas cards or Uber vouchers for people so that they can make it so that that's not a barrier for them. Of course, we're always looking to increase funding. We're hoping to increase clinic days. Our capacity is not huge. You know, we're able to see about five or six new patients a month and five or six follow-up patients a month. And so for the last few months, we've been fully booked and we're pretty much booked for September and pretty close to being booked for October. So we're trying to increase our capacity however we can because we know that with the cuts to Medicaid that are happening that we may we are seeing an increase in demand and we're seeing an increase in patient increase. So we really want to be a consistent source of quality health care. a little plug for our drag sale fundraiser on December 11th at the back door. It's sponsored by Stonewall Sports in Indianapolis, as well as some local business sponsors that we have every year. So we do a raffle. We charge, I think, $10 for admission. And it's really huge for our community engagement. It's a really fun event. We have a ton of fun, of course, every time. So spread the word. Yeah. Oh, they're so good. Oh, they're so good. Yeah. So we get like a bunch of local drag queens to come in and do shows. And then we also host our own little raffle. We crocheted little boobs and penises. And they give them out as like little key chains. And those were really fun. But we also have family friendly. Well, it's not true. It's at a bar. So it's not it's not family friendly. I won't say that. it's a really fun event and we really like to engage their community and yeah we're just hoping to keep expanding and one more note that I want to say before we end is that even though that we are focused on LGBTQ health care because that is a huge disparity in our country right now we see anybody we see any patient any problem as long as they meet our insurance requirements. We're absolutely very happy to provide primary care to any Cishet patient in our community or in Indiana because we just believe that primary health care is a right for everyone and everyone and anyone. So you certainly don't have to be LGBTQ to come and we'd be very happy to help you out no matter what. So yeah. I would say that 75% of our patient population is LGBTQ, but there is a solid quarter of people that are just seeking primary care and come into clinic. You are not a part of the community. Yeah, we're very happy to run lipid panels or check your cholesterol or your blood pressure or help you with your diabetes medication or whatever it may be. So yeah, we just want to emphasize that point as well. I think that's pretty much all we've got. Thank you. Yeah, please, any questions? Thank you so much. Thank you. Thank you. You probably know the answers already. And I say that because Jennifer and I met while working at Planned Parenthood many years ago. But I'm trying, I mean, like, so what, and I was trying to figure out the difference between, you know, the services the clinic offers versus, you know, Planned Parenthood. But you're like saying it's primary care, so it's more than just services that Planned Parenthood or even the health department Yeah, right and then what about I don't know what health nut does anymore. So what is But they do it all they have psych services dental. They do it all they have a pharmacy there also Yeah, we sent a few patients We've given patients health nuts information because we don't have an OBGYN GYN on site and things like that So health that's able to provide more specialty services than we are for sure. Would you say scale also? Would you say that are they LGBTQ plus friend like? I would assume, but I mean, I don't actually I don't want to assume, but I would say so. Yeah, we've talked to them and they are. Yeah, yeah. Yeah, yeah, yeah, yeah, for sure. We provide similar services, definitely. And you know, we met with them in the kind of beginning to kind of discuss how we could kind of complement each other's services. I would say that we provide maybe more specialized service, but we absolutely, you know, endorse their clinic as well. And we just, you know, hope that we can kind of work together to cover the population. Do people, is it a good response to Sunday services? Because in a way, I'd be like, how many people are open on a Sunday? Does it work for you or against you? Because I don't know. I'm just curious. I mean, I would say that most of the time Sunday can be convenient for people because they don't work. But on the other hand, we have a significant amount of patients who do work on Sundays. They do work weekends. So it's not ideal, of course, to be open just one day a month. And so we're hoping to expand that because it can be inconvenient. But because we're only open one day a month and because now we're booked out, if someone does need a more urgent visit or something like that, Health Net may be a better option in terms of just accessing services quicker. But yeah, we're hoping to be a little bit more flexible in the future. So how long, I may miss this, how long has the clinic existed? When did it start? October of 24. So we are on our second year now, operational. Is that in, when you're, When you're looking at other places to connect up with is that like a constant like what what services are are showing up in the community and and that's a constant conversation that's kind of. Yeah we around yeah so we have a lot of help from our fellow medical students so we have a few committees set up so that it's not just. Suki and our and our co-chairs are running everything so we have a partnership committee and they're really the ones in charge of Making those connections and maintaining them so that we like have a yeah I'm just, are you all still having to go out and look for things, or are other services coming to you and being like, hey, we're here to? They're starting to come to us, which is really great. That's awesome. Yeah, we recently, several months ago, we had SCAP come to a clinic and just leave some resources and business cards and discuss what they offer, what we offer. So it's been great to get a little bit more established in the community over time and have people kind of know about us sometimes before we know about them, which is amazing. that we're using. But yeah, our Partners Committee, as Sage said, is dedicated to building community partnerships. One thing that's really cool, too, one of my favorite recent examples, Stone Belt contacted us and was interested in figuring out how can we help each other. And in addition to talking about what services we could provide for each other's populations, we have educational talks that we do for medical students. Researchers clinicians professionals in the field come chat with medical students about topics that might be underrepresented in our curriculum. So through that connection we made with stone belt. We actually had one of their sexuality educators come talk with us about the topic of sexuality and intellectual and developmental disabilities and how to open those conversations up with patients that might be interested in talking about sex but haven't been presented with that opportunity before. And that was just one of my personal favorite connections that we've made so far because that's not a conversation at all that we're having in school. So it was really cool. You guys have a navigator on site if people want to sign up for insurance? who are not currently insured? So we have them, we on our like sort of intake form, we have them indicate whether or not they would like to be connected with the Indiana Rural Health Network. And then we send our patient's phone number to the Indiana Rural Health Network and they take over from there and reach out. So AHEC is the one who's setting them up for insurance, correct? Yeah, yeah. What about the med student participation? Is it picking up or is it kind of like like you have a wait list for appointments? Is there a wait list for students interested in? serving and being there. Med students are busy so sometimes it is a little bit it's a little bit pulling teeth to get people not know like people are pretty enthusiastic and every med student class that comes in we have more and more people say that like the clinic it was a big reason that they chose Bloomington because yes it's really a lot most recent year and it was really cool yeah we're having like the Inc we're doing first years right now. They people have to apply to be part of our clinic to be part of the committees and stuff. And a few of them have indicated that this is a big reason why they choose Bloomington, which just makes us really, really happy. This design, you know this. Yes, yes, yes. Our Dean Dean Hitler is pretty supportive of the clinic and I think that you know having the clinic here is a big boon for Bloomington. It gives students of really big really in. like important exposure to patients and really really useful clinical experience. Not only the fact that it's. Underrepresented like portion of health care but it's just you know an experience it's it's a chance to interact with patients so. Yeah, I think we have, we staff our clinics pretty well. I would say we have a significant amount of medical students from all four classes that are coming to help out. And yeah, as we expand, we need more and more of them. So getting fully staffed can be a little difficult sometimes, but we have a bunch of students that are interested and dedicated and really good at helping out. One thing that was really cool, our last clinic, we had, I think there were 12 students and we had 11 patients on the books. So for every patient, there was at least one medical student in attendance at clinic, which I thought was really cool. And you said this is giving med students experience. Is it counting towards getting the degree? I'm not quite sure how the medical degree works. Not exactly. There's not a requirement that they're fulfilling. But as an extracurricular activity, as a volunteer activity, we do count our volunteer hours. So this counts towards that. And it's definitely an experience that is significant to a lot of people to talk about later when they're applying to residency and stuff. So we do definitely think there's a material benefit to students. One other thing that I'll just bring up briefly is that we're hoping to start some academic research with our patient population. So getting, you know, our names on some papers is always a big boon for medical students as well, having some academic work. And then, of course, it's really beneficial to the clinic to understand who is our patient demographic, Why do they come to our clinic? What barriers exist to them for health care? What reasons do they cite as either barriers to health care or barriers to other things in their lives, such as issues with food and housing insecurity? So getting to know the patient population a little bit better is also a really big goal of ours, because it helps inform us how we can support them. One more. I can ask about. I'm wondering about for you because you were talking about patients needing transportation help and you're looking around trying to figure out ways to get that help for them. Is there is there kind of like a grant writing committee that's part of this that's looking at trying to get grant funding for things like that? We have our finance committee and they're in charge of one thing that I also there's everything about this clinic is so awesome. But all of our grants are student procured, which I think is really special. There's no there's no professional like helping us raise these grants. And so I think it's a really awesome achievement. All of our funding is student procured. And so That's one of the goals for the committee this year is trying to diversify where some of our funding comes from. As Suki mentioned, so far a lot of it is through IU Affinity Giving, the Women's Leadership Council, and Queer Philanthropy Circle, and then community funding from our fundraiser. And we always have a philanthropy link on our website that people can donate to at any time, but that's a big goal of our finance committee this year is trying to diversify some of our funding sources. It occurred to me that the Indiana State Chapter of the National Organization for Women might be, I know in the past that now has specifically funded transportation to go vote, so that's kind of a thing at the national level that they've been interested in. transportation needs for voting. So transportation needs for health care. I could see that. I was thinking the same thing, funny enough. So and there's no there's no there's no county chapter here anymore. We did have a county chapter for now, but the state still has Indiana State. What was it called again? National Organization for Women. And there's an Indiana State chapter. Thank you for sharing. That definitely sounds like our values might align. It would be good to get in touch. They would want to know about you. Yes. Thank you. That would be great. It was huge. I mean, we're always looking for connections because some of us come from out of state. We're all pretty busy with our schoolwork, obviously. So we're always looking for a connection or a recommendation for funding or community resource or whatever. So we're super open to hearing any suggestions that anyone has. tell sorry did you guys have well so tell us how like where can we find information about i know you so you have a website social media yeah um we have our instagram gdqc underscore b town is that right b town now um our website is gdqc bloomington dot square space dot com So yeah, I mean we also have Facebook under the same name you can get in touch with us through any of those avenues our appointment Booking link is on our website as well as other contact information if anyone Wants to get in touch. We're always available. We will also be tabling at Bloomington pride if anyone wants to come chat We're always at Bloomington pride Indie pride Spencer pride We're happy to talk if anyone wants to come chat about the clinic. We'll have lots of stickers. Thank you. Lots of stickers. Thank you, Susan. Lots of business cards and pamphlets and all of the above and a big old poster about all of our offerings. So even if you don't want to come talk to us, you can come read about what we do. Can you drive by? Mm-hmm. Jennifer's probably already there going, I wonder how I can get involved. I was just gonna extend. I'm speaking for myself, but I'm speaking probably for even the ones who aren't here, but I would lend my time, resource, anything that I can do, outreach, and come hang out with you guys with whatever you need. He's a nurse, too. I mean, with lots of experience. Lots of experience. That's amazing. Thank you so much. I really appreciate that. When this is a finance meeting, I want to come to the finance meeting, because I have a lot, like, I mean, there's a lot of us, I think, that would, I would certainly, as you know, I've been, and I know it's hard to figure out how to handle donors that aren't student, or not donors, but volunteers, that aren't students that aren't affiliated with IU Health that can help, but I know they're, you know, I mean, I certainly would, Marty, like, how can I get involved with finance? Because, you know, great writing experience is just the resources. And I know it's it's difficult to add that time into it, but I know I would certainly be happy to help in any way. Yeah, definitely. I was going to say we so appreciate that. And I guess two things. One, currently working on trying to partner with the nursing school so that we can I mean, benefit to the nursing students and to our patients as well to see a more complete care team. And so that's something that we're currently at social work. We have reached out to social work. Yeah, I don't think that the we haven't been able to like under what it was because there's something about because I remember there was Emily's sibling and there was something weird when we tried to connect with them regarding I think it was because our patient population isn't students, and they're like, I don't know exactly what it was. I remember there was some barrier that partnerships encountered. It can be like a legal thing where, so at our clinic, the only people that are allowed to be at the clinic are people that are covered by malpractice insurance through IU School of Medicine. So we have tried to partner with social work. So it's something that we're working on still. It's sometimes hard to get in touch with everyone. I was talking about this with actually Finley a couple days ago, and just in this way, and just in this sense of, I want to support, I want to amplify, but also sometimes I'm like, in the political climates that we're in, it's like, how do you get out there, but also kind of fly under the radar? Is it frustrating, that is? A part of that question for me is how committed, and I know Dr. DK is a big advocate and supporter, is that how much support has IU Health committed to? Or is it something you worry about? We don't have to talk about it. I can't speak too much to the internal workings of IU Health. There are sometimes some moments where we are a little concerned, you know, for the future. I will say the Bloomington campus has been supportive. for, you know, for the vast majority of what we're trying to do. But it's really just, you know, at a state and national level when we start seeing things like the government trying to get involved in curriculum and funding is just when we start to get worried because the school has certain things that they have to comply with. I don't feel like our existence has been threatened at all and we work on one of our priorities for that reason is independent funding so that we can make sure that we secure funding outside of the school were something to happen to. the amount of support that the school and IU Health is able to provide. And I also will say, we are medical students through the School of Medicine, obviously, but the clinic is associated with IU Health because it is a clinical service. So we sort of exist in both worlds, and that can be kind of an advantage because we can provide a clinical service and an educational service. And so we have a pretty good sort of like a reason to exist in both spheres that is pretty well demonstrated. So, you know, I do feel like we have a pretty decent amount of support from our institutions right now. And especially the most important part is really support from the students because that's kind of what we need to keep going is staff and engaged folks. And so as long as the community and the students are engaged and enthusiastic, I think we're going to be good. You know, I mean, we're the women's commission for the county, and we advise the county commissioners and the county council. So it occurred to me, like, is there anything that the county could do to support? I'm contemplating things like space or storage or, you know, I don't know, sharing that you exist as part of Monroe County information. Sharing that we exist is probably the number one thing. We really just want to make sure that people know that we're there, especially as I said before, our name can perhaps seem to kind of put us into a narrow area. But again, we want to emphasize that anyone that is without health care right now, which is a growing number of people, is very, very welcome to come to our clinic and receive services. So we are always looking to just amplify the word and make sure that people know. That would seem like something that Monroe County would be interested in trying to let people know about that are in need of health care. Okay so let me bridge the gap now and you guys don't have to stay but I want to talk about the data and policies committee that we have and the reason why here's my ask will be so we have two committees that are a part of the Women's Commission it's just the way we divide up our workflow we have policy and data which we just combined recently and then outreach which we have and And so a part of, one of the things that we just accomplished over the summer was that we had, we worked with a graduate class at the O'Neill School and they did a cohort project for us because one of the big things that I'm a big fan of is data. And so we recognize easily that there is, no data on women and amazing, I mean hugely marginalized gender. So we, you know, trying to figure out who we serve through collection of data. So the project was with this cohort was, you know, collecting a survey and collecting data for us. Well, it was, they had a 12 weeks, it was very small. We have their report. It was pretty great. But one of the things that we're doing is it's called it's phase two. So we have left The survey open, it's run through Qualtrics, et cetera, et cetera. We're working on data collection. Our campaign theme is Every Voice Matters, help shape the future of women and marginalized genders in Monroe County. Obviously, a big part of that is access to health care for that. I was like this week, I was like, oh, well, of course, I need to work with them to get help, to have the QR code up at the clinic or to wherever, to the survey, because this is the people that we're trying to access. And I know, I mean, I've had a couple of the conversations with people that I would, in the community that, you know, are hesitant about surveys. You know, hesitant about doing, you know, I mean it is anonymous. It is, you know, there is no, really I think the most specific data that I'm interested in is zip code, where they live just because, you know, in a GIS map I want to know where people live so you know how far they are from services, XYZ kind of thing. Yeah, so that was probably one of my things is, you know, I was either going to try to come down and maybe, hopefully, if I can, during PrideFest and just bring a QR code. Please do. Like, and, you know, just try to get, again, just, because it does. I mean, this is very, you know, they go together. I mean, we'll eventually have our report. Is this the report through the MCEC? Monroe County Health Equity Council. No, OK. Yeah, this is our the data doesn't exist. Yeah, yeah. And so I just ask because I knew they also had like grad students working on something or other. So. I mean, it just it was like, oh, of course. And I actually did present it today at the commissioners meeting where I came and gave them. So we're an advisory body, so we don't get to act necessarily on our own, but we get to amplify and be mindful of anything that's happening out there to make sure all the voices are heard. One of the big projects that we have been focusing on for many years is the jail, to make sure, I don't know if you are even aware of what's happening. I know you guys are very busy in your school, but the jail has been sued multiple times by the ACLU for you know, unlivable conditions, XYZ. And so they are working on either repairing or building or, you know, all these things that they need to do. And so just one of the things that we've been focused on is really just in the policy development, is this gender, you know, are women and marginalized genders, how are they addressed currently? How are those, you know, when you build, are you considering all these factors in this kind of thing? So, I mean, we, of the gender equity rubric. Yeah, that's it's separate from that that work, but it is it could be related depending on what they're trying to figure out. So there's a gender equity rubric that's mostly mostly focused on policy development. So considering considering women and marginalized genders in creating creating policy creating new, I guess new law. or is this something that you guys developed or something that exists? Oh, that's amazing. Yeah, we put it together and shared it and it's out there. So I don't know that it's been used to this point, but yes, it's there. So that's really cool. I actually, Susan, I just sent you when you were talking about data and numbers, totally agree. I sent you, we put together a 2026 so far report essentially on what we've accomplished, how many patients we've seen, how much funding we've raised, things like this. So if that interests you, I just emailed it to you. And in terms of the academic work, we are working on now setting up a database of our patients to know who they are, where they're coming from, all these numbers and things so that we can also, as you said, understand where they're coming from, who they are, what they need, and why they're here type of thing. So yeah, it sounds like our interest are definitely similar and that our data is probably overlapping. Yeah. Yeah. And there is none. Yeah. There, I mean, there is, I mean, nothing at this level. You know, there's nothing, you know, because this feels very micro. There really isn't anything at the macro level either. And it is, you know, I mean, it's just important to know who is here, how we can serve them. And we would love to share. if that QR code have it at our table. No, I haven't. That's why I was like, oh, I'm going to go make stickers. You said it as an email, though, too. You could email it to them. Yeah. I do a lot of printing maybe for them. I would like to get you guys hooked up with Dr. Gloria Howe at the Black Culture Center because I think that the LG plus could help our community and knowing that you were there. Yeah, please. Yeah, we would love that. Yeah, what is your presence like within the cultural centers on campus? I mean, the Black Culture Center, the at the beginning we kind of we made the rounds and we put out just like some materials on the on the campus but the thing is most of the students are insured I think many I'm not certain about this anymore. I think they have to be insured too. I think we do. I think it's just grad students. OK, so that might not be correct. Generally, they have the student health clinic that a lot of them use. Yeah, the students have the student. And many are insured by their parents. So we kind of realized. For Medicaid, Medicaid is their primary insurance. Some, when they come here, if they're coming from like us, century 21 scholars, they already qualify for Medicaid. So that would be their primary insurance. Yeah. So we kind of realized over time that the students aren't necessarily our target demographic. Regardless of that, though, we do try to extend information whenever we can. And so do you consider the Student Health Center to be LGBTQ plus friendly? They have a specific gender affirming care Center that one of our volunteer physicians actually helped to get started. So they actually do have really comprehensive Services and provide a lot of affirming care Yeah, yeah, it is really cool in the IU affinity grant day that Keller one of our co-chairs and I presented at this year in Indianapolis there actually was a physician I I cannot remember his name off the top of my head, but from the Student Health Center. And he had a very similar poster to ours about procuring funds for gender affirming care services for students. Yeah, I mean, it's just crazy. I know this because I work at the med school too. I just you know this is such. I mean it is a great and it has so much room to grow, but I also know how crazy busy. Everybody is already limited by our own time. Just just like such a shame. But just the biggest bummer. Yeah, it's really frustrating. Yeah. And that's why I do think that I mean, it was a medical student conceptualized and founded, which I think is really special. But as we're talking about ways to collaborate with other members of our community there are people who in theory would be able to dedicate more time than we have. Immediately I'm like because I started a non-profit myself last year you know I'm like so what needs to happen is it needs you to go out to you know you know I mean technically if you're like okay so someone out there in the community starts a non-profit you know that is engaged so that way it some of the work comes out of you and it is becoming like, you know, so it comes out of just in the med school and now it's like, can be, yeah, that way, you know, we can, you know, people could, you know, work on the finance team, still work with the school, but there are other partners that can lighten the load. Yeah, no, I mean, it's a really wonderful idea. To be completely honest, it's never fully occurred to me that we could have outside partners that, I feel like it has been just such an exercise like hybrid independence. You have your blinders on in school. This is our whole world is this little bubble right now from a fire hose and multiple fire hoses yeah I love that idea because I have I I've thought about it before when I'm thinking about like oh I just like wish that we had more time to do. Yeah like I don't even we don't even don't even have time to think about. I feel like we're in a really awesome spot right now because we've we've expanded our patient base like our clinics are fully booked we're offering our lab services we've secured the funding that we need to continue existing over the next couple years and so I feel like I mean if there were ever a time to explore something like that it's probably now it's at the it's this isn't county but with the city they've got the volunteer network so that's where they post volunteer opportunities that are available in the community. So if that is something that you have, you know, the capacity to have committees that are, you know, filled with folks in the community that want to volunteer, that would be one way to. That has been, I, we have. Thank you guys for coming. Let me know what I can do. They have my information. Dr. Gloria, I can't remember. Gloria Howe. Yes. She's the director of the Neal Marshall. Are you writing that down also? Awesome. Thank you. Thank you. You too. But yeah, there definitely is no shortage of interest. We have people emailing us, DMing us on Instagram all the time, which is truly incredible. And it is just what we're talking about. It's really heartwarming to see. It's only frustrating in the sense that we are trying to figure out how to better create opportunities. You know, we've had undergrads ask about volunteering, but we can't have them in the clinic. So we're like, okay, you know, the places where we could use help is like in fundraising and in spreading the word. So we're trying to figure out like established ways. But yeah, again, like because we're just, you know, we're only limited by our time. So we try to, I would say that we've really, at this point, it took probably about a year to like really keep our heads above water and figure out our processes to a point where the clinic is smoothly operating. And because we scaled up pretty significantly within the last six months with labs and stuff, it was, again, a significant challenge just to figure out how to operate from the day to day. And so now that we have done that, now that we have created kind of like a foundation of logistics and stuff, Now it's maybe a time that we can expand to the community in a way that we really hoped to. So it's really, it is really, really heartwarming to like have people reach out and for you guys to invite us and things like this. It's really, we've always, we want to be involved in the community like this. It's a value that is like very deeply held. So it's really exciting to have these conversations. I'm also thinking like, well, cause you're, one of your stick, one of the big things that, you know, we've been talking about here, is period poverty, of course, you know, and so, you know, it's like, you know, how much can you add on, you know, and it's like, oh, well, you know, maybe, you know, those kind of things because healthcare in general and access to everything is, I don't know, hard. How you, how that all gets done and, you know, when you're volunteering your time, I understand, like, you know, it's hard and busy and, trying to find motivation sometimes when you're drowning in a million other projects is, you know, it's a lot, but. Exactly. So. We are too. We really wanted to do this. We did. It's hard, you know, but we're really happy to be here. I mean, we're all volunteers to come here and for us even, like, you know, all these projects and ideas that we have and want to do. And, you know, it's hard when, you know, it's hard coordinating and being motivated even when they are passion projects to do so. But I will probably do some stuff and either print off and leave for you guys to put down at the tent for tomorrow or Saturday. I don't know what day it is. So, and then eventually we'll be able to put all of our stuff out, too, and I don't know. Sounds great. Absolutely. So much going on all the time. Give them some, they want stickers. What's it going to say? I don't know, yeah. Flip through them. So like our nice shiny stickers. I know, those are before I got involved. The good stickers. Those are the expensive stickers, though, and that's crucial. And even cheap stickers, anyway. It's cost money, man. Is there such thing as a cheap sticker? No, it turns out. Thank you. Did you know, and Maria might have mentioned it if she was here tonight, What is the vending machine that they have over it gather it is for you know about it. Yeah contraception and free contraception and other. Sexual health. So awesome yeah has it was it. May of last year or the May before? It was, it's only been about a year maybe, yeah. I know they had an event at Gather sometime this year to talk about it, but one of our commissioners was a part of making that happen. That's really cool. We should add to our, I know because we, Path for You is normally our go to in terms of, do you know where, do you guys know where they sourced their stuff? I wonder, is it passed for you? It might, yeah. I mean, HAP, and then who is the representative that was there? I would have to look at that. I would have to look through my email. Another organization. Totally blanking. We should add it to our... Like a refugee organization, but I think that's totally wrong. Oh, like Exodus, maybe? Exodus. I'll figure it out. Maybe. We give out similar stuff. We have male and female condoms, latex and latex-free lube. We have some Plan B, limited amount, but we have some Plan B, things like this. Yeah, so whatever people need sexual health-wise, we try to cover. You know, it's too bad. still makes me mad that the clinic closed here with the with the house because that would have been a great partnership yeah I think they closed so somewhere around the time that we opened and I was like there was still information online about them and so I like showed up at the door and I was like wait this is locked yeah but if there was ever anything that you know for expansion purposes bringing something like that back and me today. Well, we won't make you stay any longer. I mean, we don't have much. So much. It was so nice to meet you all. Thank you so much for listening and for letting us speak. Thank you for your work. Of course. Thank you for yours. Yes. What's the report show, the graduate student report that they put together? What does it show? quite a bit behind. Is it like about access or the data that exists for women's health? I'm trying to think of... It's always access. Distrust in local government. You can take that. If you want, take it and just drop it off to me some other time if you read it. I can bring it back to you tomorrow. Yeah, whenever. Yeah, take it. Thank you. Yeah, rising utility and energy costs. So real. OK, yeah, for sure. Thank you. Thank you guys. OK, have a good one. Oh, trash. What was that? I got food with something. Thank you. Bye. Bye. One of my favorite parts about working as a med school Well, yeah, I mean, it's always makes you feel hopeful, you know, like people still out there doing the work. And, you know, it's the way I feel about, you know, when I work with artists or like, you know, people in different cultures that, you know, living outside the norm and still fighting the good fight makes me feel amazing. I will talk more about, I just, yeah, so I did present today on the project and how we're working towards phase two. I gave the commissioners a bound copy of the report and the phase two data collection information. I did in my head think, oh, I wanted to go down to pride. I know a couple, I figured they would be helpful. letting me be there to try to collect data. And then I know another business, I know a business that's going to be down there that would probably be Caveat mDoor, which would probably let me put a QR code and information at their table, even though I haven't. Just to try to keep going on collecting more data. I just became an owner of the survey. And the survey currently is open until October 1st. So we have quite a bit of time to still collect more information. And even in the report, one of the suggestions was just, you know, ongoing because you want ongoing collection. It's never going to, you know, but you do need to put end dates on it sometimes so people actually feel like they need to do it. So, um, that's all I have about what I've done. Do you have any parts of the data or policy? Because we haven't met yet. No, I just all I've all I'm trying to do is find a time for us to meet. So I sent I sent a suggestion for meeting time and we'll see if that works for the two committees to meet together. And hopefully that'll get us going. Any updates for like outreach that you want to share? We're going out on Sunday. And Julie was kind enough to bring us some donations. So Jennifer and I are going to meet up. I'll check in with Tiana. We'll do it for longer. So we'll have like a bigger report. I still owe everybody like that plan of who we're going to hit. But I figured we might as well just hit Seminary Park again. But we're going to bring surveys with us too. Awesome. Yeah. We owe you a comprehensive update. I was just going to say there is a, I don't remember, but there is another, I think Kathleen was talking about it when she was here or we talked about it later, but there is somebody out there in the community already doing this kind of, yeah. So it would be a good idea to, you know, yeah. work with them and no reason to recreate wheels and, you know, just to be able to continue to provide support. I don't recall Kathleen mentioning that when she was here. I don't think she did. I think it was after. I'll text her. I'll call her and text her. I'm sure we're not doing double work. I'm willing to do double work, but collaboration is always great. I don't even remember what's on the agenda, but no new business, any public comment. Jodi was on there, she's still there. Anything else? I have nothing else and we're actually, there's only three of us now, so we're not a quorum anymore anyway. I do know, I feel like I announced, we know this already, The next meeting September is not here. It is going to be in showers. I think that was being announced like awhile ago, but I will verify that later and make sure that you know everyone is. Yeah. But it will be on the same third Thursday at 538, but it won't be in this. They have budget hearings going on at that time. Anything else? I gotta go to the comedy attic. Maria Bamford. Anyway, it is 642, 643. I'm gonna call this meeting adjourned if that is okay. And thank you for coming.