CONFIRMING REAPPOINTMENT OF LIVIA SANTIAGO-ROSADO, MD, MPH, FACEP AS COMMISSIONER OF THE DUTCHESS COUNTY DEPARTMENT OF HEALTH

FAMILY & HUMAN SERVICES RESOLUTION NO. 2026059 RE: CONFIRMING REAPPOINTMENT OF LIVIA SANTIAGO-ROSADO, MD, MPH, FACEP AS COMMISSIONER OF THE DUTCHESS COUNTY DEPARTMENT OF HEALTH Legislators VALDÉS SMITH, MUNN, ALEXANDER, ARNOFF, BRENDLI, KAUL, LAWLER, REDL, RHODES, SHAH and WINSBY offer the following and move its adoption: WHEREAS, pursuant to Resolution No. 2021209, the Legislature confirmed the County Executive’s appointment of Livia Santiago-Rosado, MD, MPH, FACEP as Commissioner of the Department of Behavioral and Community Health for a six (6) year term effective on or about December 28, 2021 through December 27, 2027, and WHEREAS, pursuant to Local Law No. 1 of 2024, Dutchess County amended the Dutchess County Charter and Administrative Code to reorganize the Department of Behavioral and Community Health into two separate departments: Department of Health and Department of Mental Health and to add the Office of Veterans Affairs as a distinct unit of County government, and WHEREAS, pursuant to Local Law No. 1 of 2024 and Dutchess County Charter Article VII, Section 7.01, the term of the Commissioner of the Department of Health shall be four years, and WHEREAS, pursuant to Local Law No. 1 of 2024 and Dutchess County Charter Article VII, Section 7.01, Dr. Santiago-Rosado’s term commenced on December 28, 2021 and expired on December 27, 2025, and WHEREAS, the County Executive has reappointed Livia Santiago-Rosado, MD, MPH, FACEP as Commissioner of the Department of Health, and WHEREAS, pursuant to Article VII, Section 7.01 of the Dutchess County Charter and Section 351(5) of the New York State Public Health Law, respectively, contingent upon the approval of the Commissioner of the New York State Department of Health, such appointment has been made, and WHEREAS, the curriculum vitae of Dr. Santiago-Rosado is attached hereto and made a part hereof, and WHEREAS, the Commissioner of Dutchess County Human Resources has determined that Dr. Santiago-Rosado is qualified to continue to perform the duties of the position of Commissioner of Health, now, therefore be it FAMILY & HUMAN SERVICES RESOLVED, that the reappointment of Livia Santiago-Rosado, MD, MPH, FACEP as Commissioner of the Department of Health is hereby confirmed by this Legislature and deemed retroactive and effective on December 28, 2025 and continuing for a four (4) year term expiring December 27, 2029, contingent upon the approval of the Commissioner of the New York State Department of Health. CA-028-26 CEB/rjw G-0153 3/3/2026 Fiscal Impact: See Attached APPROVED Sue Serino SUSAN J. SERINO COUNTY EXECUTIVE Dos April 22,2026 STATE OF NEW YORK COUNTY OF DUTCHESS ampared the forgoing resolution with the origina esolution now on for inhe office of said cleand which was adored tre said legitar one day or to so r correct transcript of said original resolution and of the whole thereof. IN WITNESS WHIRREOK: IT have hercunto sce my hand and seal of said Legislature this day of AyA! _ 2026. JULA: SHIROSII, CLERK OF THE LECISLATURE SUE SERINO COUNTY EXECUTIVE LIVIA SANTIAGO-ROSADO, MD, FACEP COMMISSIONER ANTHONY J. RUGGIERO, MPA ASSISTANT COMMISSIONER Dutchess COUNTY GovErnMENT DEPARTMENT OF HEALTH MEMORANDUM To: Ron Hicks, Assistant County Executive Prom Antony, user, MA stam comestone or damnstration f Date: February 3, 2026 Subject: Resolution Request for March 9, 2026, Meeting It is with great pleasure to submit a Resolution Request Form and Fiscal Impact Statement for the reappointment of Dr. Liva Santiago-Rosado, MD, MPH, FACEP as the Dutchess County Commissioner of Health to a four (4) year term effective on or about December 28, 2025, through December 27, 2029. Please find attached a copy of Dr. Santiago-Rosado's current CV. Please do not hesitate to contact me on extension 3552 if you have any questions or concerns. Thank you. Resolution Request 1 | Page FISCAL IMPACT STATEMENT E NO FISCAL IMPACT PROJECTED APPROPRIATION RESOLUTIONS (To be completed by requesting department) Total Current Year Cost $ Total Current Year Revenue $ and Source Source of County Funds (check one): Existing Appropriations, •Contingency, •Transfer of Existing Appropriations, • Additional Appropriations, [ Other (explain). Identify Line Items(s): Related Expenses: Nature/Reason: Amount $ - Anticipated Savings to County: Net County Cost (this year): Over Five Years: Additional Comments/Explanation: The position is currently budgeted and sufficient funds are in the 2026 budget. Prepared by: Anthony J. Ruggiero Prepared On: 02.03.26 Dut. pdf SUE SERINO COUNTY EXECUTIVE 22 Market Street Poughkeepsie, NY 12601 Phone: 845-486-2000 DUTCHESS COUNTY GOVERNMENT March 13, 2026 Mr. Bradford Kendall Dutchess County Clerk 22 Market Street Poughkeepsie, New York 12601 Dear County Clerk Kendall: I am pleased to reappoint Livia M. Santiago-Rosado, MD, MPH, FACEP as Commissioner of the Department of Health for a four (4) year term deemed effective on December 28, 2025 by Local Law No. 1 of 2024 of the Dutchess County Legislature and expiring on December 27, 2029. Dr. Santiago-Rosado has demonstrated strong leadership and an unwavering commitment to the mission of the Department of Health and to the residents of Dutchess County. Her dedication to public service and to advancing the health and well-being of our community continues to be an asset to County government. 1 look forward to her confirmation and reappointment by the Dutchess County Legislature on April 13, 2026. Sincerely, Sue Senno Sue Serino County Executive C: Julie Shirioshi, Clerk of the Legislature Rachel Kashimer, Commissioner of Human Resources Dr. Livia M. Santiago-Rosado, Commissioner of Health Anthony J. Ruggiero, Assistant Commissioner of Administration NEW YORK STATE Department of Health KATHY HOCHUL Governor JAMES V. MCDONALD, MD, MPH Commissioner JOHANNE E. MORNE, MS Executive Deputy Commissioner July 2, 2025 Anthony J. Ruggiero, M.P.A. Assistant Commissioner of Administration Dutchess County Department of Behavioral and Community Health 85 Civic Center Plaza Poughkeepsie, New York 12601 Dear Anthony J. Ruggiero: I am pleased to acknowledge receipt of documentation demonstrating Dr. Livia Santiago- Rosado has completed a Master in Public Health from the State University of New York, University at Albany, as required by the New York State Department of Health (Department). As Dr. Santiago-Rosado has satisfied the Department's requirements for a full appointment as the Commissioner of Health for Dutchess County Department of Behavioral and Community Health, the conditional appointment has been lifted. I congratulate Dr. Santiago-Rosado on this important accomplishment, and we look forward to continuing to work with Dr. Santiago-Rosado in the role as Commissioner of Health for Dutchess County Department of Behavioral and Community Health. Should Dr. Santiago-Rosado have any questions, please contact Susan Cuomo-Whitney in the Office of Local Health Services at (518) 473-4223 who is available to answer any questions. Sincerely, Sir a BET MAT James V. Mc Donald, M.D., M.P.H. Commissioner of Health CC: L. Trolio K. Owens-Cody C. Johnson S. Ravenhall Empire State Plaza, Corning Tower, Albany, NY 12237 | health.ny.gov LIVIA MI. SANTIAGO-ROSADO, MD MPH FACEP Lagrangeville, NY 12540 Experienced emergency physician leader with a demonstrated record of thriving in, and improving, even the most vulnerable health care systems. Valued as an astute and compassionate clinician, a data-driven common-sense administrative leader with expertise in operations and practice management. Recognized as a passionate, empathetic patient advocate and an engaging bedside and didactic educator. A strong educational and professional background informed a career of proven leadership in Emergency Medicine, with additional experience and skills in Care and Case Management, Change Management, Medical Informatics, and Quality Improvement. ADMINISTRATIVE APPOINTMENTS Dec 2021-Present Commissioner, Dutchess County Department of Health Poughkeepsie, NY Aug 2019-Aug 2021 Chair and Medical Director, Department of Emergency Medicine Vassar Brothers Medical Center Poughkeepsie, NY May 2017-July 2019 Vice Chair, Department of Emergency Medicine Nassau University Medical Center East Meadow, NY Jan 2006-Feb 2017 Feb 2008-Feb 2017 Associate Director, Department of Emergency Medicine Physician Advisor, ED Care/Case Management NYC Health + Hospitals/Queens (Queens Hospital Center) Jamaica, NY HOSPITAL APPOINTMENTS Nov 2023-Present Northern Westchester Hospital Mount Kisco, NY Attending Physician, Department of Emergency Medicine Oct 2021-Dec 2023 Ellenville Regional Hospital Ellenville, NY Attending Physician, Department of Emergency Medicine Aug 2019-Aug 2021 Vassar Brothers Medical Center Poughkeepsie, NY Attending Physician, Department of Emergency Medicine May 2017-Dec 2020 Nassau University Medical Center East Meadow, NY Attending Physician, Department of Emergency Medicine Livia M. Santiago-Rosado, MD 2 Jul 2003-Dec 2019 NYC Health + Hospitals/Queens (Queens Hospital Center) Jamaica, NY Attending Physician, Department of Emergency Medicine Jul 2003-Jun 2011 NYC Health + Hospitals/Elmhurst (Elmhurst Hospital Center) Elmhurst, NY Attending Physician, Department of Emergency Medicine ACADEMIC APPOINTMENTS March 2022-Present New York Medical College Valhalla, NY Distinguished Visiting Professor May 2020-Present Touro College of Osteopathic Medicine Middletown, NY Adjunct Clinical Associate Professor, Department of Primary Care Instructor, Early Clinical Experience and Physical Diagnosis courses Aug 2019-Aug 2021 Vassar Brothers Medical Center Poughkeepsie, NY Chair and Core Faculty, Department of Emergency Medicine May 2017-Jul 2019 Nassau University Medical Center East Meadow, NY Vice Chair and Core Faculty, Department of Emergency Medicine Jul 2003-Dec 2017 Icahn School of Medicine at Mount Sinai New York, NY Assistant Professor, Department of Emergency Medicine POSTGRADUATE TRAINING Jul 2000-Jun 2003 Mount Sinai School of Medicine New York, NY Resident, Department of Emergency Medicine Jul 1999-Jun 2000 Saint Vincent's Hospital and Medical Center New York, NY Intern, Transitional Program, Department of Medicine EDUCATION Jan 2022-May 2025 University at Albany, School of Public Health Albany, NY (Online) Master's in Public Health Aug 1995-Jun 1999 Columbia University (Vagelos) College of Physicians & Surgeons Livia M. Santiago-Rosado, MD 3 New York, NY MD, May 1999 Aug 1991-May 1995 Harvard University Cambridge, MA AB, summa cum laude, Biological Anthropology, June 1995 HONORS AND AWARDS Alumni Award for Contributions to Emergency Medicine Department of Emergency Medicine Alumni Day, Icahn School of Medicine at Mount Sinai. 2021 2020 Northeast Group Medical Director of the Year Award, Team Health For outstanding leadership and dedication to our community throughout 2018 Honoree, Hispanic Counseling Center 41 Annual Gala, Nassau 2018 2018 2018 2018 2016 2014 2014 2013 2011 2011 Honoring individuals and entities advancing and enhancing care for Latinx communities. Certificate of Recognition, Office of the State Comptroller, New York. In recognition of stellar service. Citation, Nassau County Legislature, Nassau County, NY. In recognition of leadership and dedication to improving the health and wellbeing of the residents of Nassau County. Certificate of Recognition, Town of Hempstead, Nassau County, NY. In recognition of dedicated service. Certificate of Recognition, Incorporated Village of Hempstead, Nassau County NY. Commendation for service to our community. Certificate of Recognition, NYC Health + Hospitals/Queens Patient Safety Program "Queens Hospital Patient Safety Partner" LEAN Certification-Green Training Certificate of Recognition, Queens Hospital Center Patient Safety Program "For Outstanding Initiative in Patient Safety" T-System Excellence Award for Productivity Awarded to the ED leadership team Attending Physician of the Year, Department of Emergency Medicine, «For excellence in leadership, exemplary professionalism and invaluable service to the Department of Emergency Medicine" Finalist, ED Case Management Program, Dorland Health "Case in Livia M. Santiago-Rosado, MD 4 2010 2007 2007-2009 2006-Present 1996-1999 1995-1999 1996 1995 1995 1994 1991-1995 Awarded at the National Press Club in Washington DC to the Emergency Department Case Management team, for which I am the Physician Advisor. Citation of Merit, American Hospital Association-Mckesson Quest for Quality Prize Awarding committee recognized throughput and flow in the ED Visiting Professor, Universidad Autónoma de Guadalajara Developed and taught week-long program of original lectures and workshops on salient topics in Emergency Medicine Mount Sinai School of Medicine's Fifth Pathway Program Lead Elected to Admissions Committee and as Site Coordinator for Emergency Medicine at Queens Hospital Center American College of Emergency Physicians, Fellow Joseph Collins Foundation Scholarship National award for excellence in scholarly and artistic endeavors Class President, Columbia College of Physicians and Surgeons Elected four consecutive years by the Class of 1999 American Academy of Dermatology Scholarship National merit award for scholarly excellence Phi Beta Kappa, Harvard University National honors society recognizing superior academic achievement liller Scholarship, Harvard Universit warded on the basis of merit and financial nee Paisner/Harvard Club of Rhode Island Scholarship Scholarship based on merit and leadership abilities John Harvard Scholarship, Harvard University 1991-1995 Elizabeth Cary Agassiz Scholarship, Harvard University Awarded to female students at the highest levels of academic achievement LICENSURE AND CERTIFICATIONS 2022 Advancing Cultural Competence (ACC) in the Public Health & Health Care Workforce Certificate 2019-2024 2005-current 2002-current Florida State Medical License #ME139627 Board Certified, American Board of Emergency Medicine Drug Enforcement Agency, Certificate BS8234697 DEA/SAHMSA X waiver granted 2021 2001 2000-current 1999-current 1999-current NALS provider New York State Medical License #218504, NPI 1437166915 PALS provider ACLS provider, ATLS provide PROFESSIONAL MEMBERSHIPS 2021-Present New York State Association of County Health Officials (NYSACHO) 2019-Present Society for Academic Emergency Medicine (SAEM) 2019-Present Academy for Women in Academic Emergency Medicine (A WAEM) Livia M. Santiago-Rosado, MID 5 2019-Present 1997-Present 2017-Present Academy for Diversity & Inclusion in Emergency Medicine (ADIEM) American College of Emergency Physicians (ACEP) American Academy of Emergency Medicine (AAEM) PROFESSIONAL ACTIVITIES AND COMMITTEES 2026-Present Eastern Dutchess Rural Health Network Advisory Board 2025-Present New York State Association of County Health Officials Board of Directors 2024-Present Co-Chair, New York State Association of County Health Officials, Emerging Issues Committee 2023-Present 2023-Present Executive Board, Harvard Club of the Hudson Valley New York State Master Plan for Aging, Health and Wellness Subcommittee 2023-Present Data Modernization Initiative Strategic Planning Team, New York State Department of Health 2022-Present 2022-Present 2022-Present 2021-2022 Executive Committee, Poughkeepsie Children's Cabinet Executive Committee, Dutchess County Criminal Justice Council Member, Public Health Practice Council, New York Medical College Member, Strategic Planning Team, American College of Emergency Physicians 2021-2021 Physician Liaison, Community Care Team, Vassar Brothers Medical Center 2021-2021 Founder and Co-Chair, Throughput Committee, Vassar Brothers Medical Center 2020-2021 Physician Liaison, NY MATTERS (Medication Assisted Treatment in the Emergency Room) Program, Vassar Brothers Medical Center 2020-2021 Founder, Women's Action Committee in the Emergency Department, Nuvance EM Residency 2020-2021 Chair, Subcommittee on "Practice Management Lessons from COVID-19: Recommendations for Operations and Flow", "Cultural Awareness and Non-Discrimination Policy" Subcommittee, Emergency Medicine Practice Committee, ACEP 2020-2021 2020-2021 2020-2021 2020-2021 Nuvance Health Leadership Academy Nuvance Health Physician Council Women in Leadership Regional Champion, Northeast Group, TeamHealth Operations Optimization Steering Committee, Project PIVOT, Nuvance Health 2020-2023 2020-2021 2020-2021 2020-2021 Member-At-Large, New York ACEP Board of Directors Clinical Coordinating Group, Nuvance Health Emergency Department IT Governance, Nuvance Health Chair, COVID-19 Toolkit Subcommittee, Emergency Medicine Practice Committee, ACEP 2020-2021 Co-Chair, Emergency Department Social Work Policy Subcommittee, Emergency Medicine Practice Committee, ACEP 2019-2020 Chair, Food and Drink Policy Subcommittee, Emergency Medicine Practice Committee, ACEP Livia M. Santiago-Rosado, MD 6 2019-2021 2019-2021 2019-2021 2019-2021 2019-2021 2019-2020 2019-2021 2019-2020 2018-2019 2017-2020 2017-Present 2017-2023 2017-Present 2016-2017 2016-2017 2014-2017 2014-2017 2014-2017 2014-2017 2014-2017 2014-Present 2014-2017 2013-2017 Co-Chair, Emergency Department Steering Committee, Vassar Brothers Medical Center Founder, Community Outreach Committee, Nuvance EM Residency Quality Performance Improvement Committee, Vassar Brothers Medical Center Opiate Stewardship Committee, Vassar Brothers Medical Center Next Gen ACO Committee, Vassar Brothers Medical Center Chair, Death Certificates Subcommittee, Emergency Medicine Practice Committee, ACEP Invited Mentor, Opportunities for Women in Leadership (OWL nentorship grant-funded program for women in Emergency Medicine New York ACEP Co-Chair, Social Emergency Medicine Advocacy Workgroup, American College of Emergency Physicians Clinical Lead, Medicaid Accelerated eXchange Action Team, New York State Medicaid Delivery Systems Redesign Incentive Program (DRIP), Nassau University Medical Center Social Emergency Medicine Committee, American College of Emergency Physicians Councillor, ACEP Council Member, Council Reference Committee, 2018 New York ACEP Board of Directors Chair, Emergency Medicine Practice Subcommittee, Practice Management Committee, New York Chapter, American College of Emergency Physicians Access to Care Workgroup, NYC Health + Hospitals/Queens Co-Chair, ASAP Clinical Work Group, GO (Epic) ASAP Team, NYC Health + Hospitals Process Owner, Value Stream Steering Team, ED Flow Project, NYC Health + Hospitals/Queens ED-Inpatient Value Stream Steering Team, NYC Health + Hospitals/Queens Center for Medicare & Medicaid Innovation Enhanced Care Management Grant, Physician Advisor Workgroup Member and Co-Chair (2016), NYC Health + Hospitals Delivery System Reform Incentive Payments (DRIP) Committee, Queens Hub, OneCity Health, NYC Health + Hospitals High-Risk Patient Review Committee, NYC Health + Hospitals/Queens Accountable Care Organization Emergency Medicine Practice Committee (EMPC), American College of Emergency Physicians Communications Committee, NYC Health + Hospitals/Queens Editorial Board, The Pulse monthly publication, NYC Health + Hospitals/Queens Subject-Matter Expert, Power Provider, Epic Implementation Team (HHC GO ASAP module), NYC Health + Hospitals/Queens Livia M. Santiago-Rosado, MD 7 2012-2017 2012-2017 2012-2017 2011 2011-2017 2011-2017 2010-Present 2009-2012 2008-2017 2007-2008 2006-2009 2006-2008 2006-2008 2006-2017 2006-2017 Emergency Department Care/Case Management Steering Committee, NYC Health + Hospitals/Queens Chronic Care Value Stream Steering Team, NYC Health + Hospitals/Queens Smategic aspirine Working Group, Heat Hand talospital: Corporation. City of New York Clinical Information System Expert Working Group, NYC Health and Hospitals CHF Guideline Advisory Committee, NYC Health + Hospitals/Queens Practice Management Committee, New York Chapter, American College Airway Management Advisory Committee, NYC Health + Hospitals' Institute for Medical Simulation and Advanced Learning (IMSAL) NYC Health + Hospitals/Queens Emergency Management Committee and Emergency Management Core Group NYC Health + Hospitals/Queens Therapeutic Hypothermia Committee Education Committee, New York Chapter, American College of Emergency Physicians NYC Health + Hospitals/Queens Ambulatory Care Committee Admissions Committee, Mount Sinai School of Medicine's Fifth Pathway Program NYC Health + Hospitals/Queens Pharmacy and Therapeutics Committee NYC Health + Hospitals/Queens Transfusion Committee PRESENTATIONS AND LECTURES 2025 2025 "Health is Wealth", The Vital Women of Washington Heights Podcast "An Insider's Guide to Local Health Departments", Biology Seminar Series, Bard College, Red Hook, NY 2024 Commencement Address, "Find Your Niche", Sixty-Fifth Commencement, Dutchess Community College, Poughkeepsie, NY 2024 "Understanding Nutrition as a Social Determinant of Health", Caring as 2024 "Liftin Ommunis Pod Our Youth: Understanding Youth Behaviors" 2023 "Heal Disparies & Soday termians of italy draduate Medical Education Lecture Series, Nuvance Health 2023 "A Journey to Public Health", Connect & Mentor Series, New York Medical 2023 2022 2022 "A Post-Sinai Journey. " Alumni Career Reflections, Department of Emergency Medicine, Icahn School of Medicine Mount Sinai 'What The Pandemic Has Taught Me About Being a Public Healt Commissioner" Panelist, on "What Have We Learned?': Twenty-Thirc Te Symposium on COVID-19, Tour Schooler Osteopathie Me din R. and from Women Who Raise and Lift Us' Keynote Speaker, Dutchess County Chamber of Commerce Livia M. Santiago-Rosado, MD 8 2022 2021 2021 2018 2021 2021 2020 2020 2020 2020 2020 2019 2019 2019 2019 2018 2017 2017 2016 Poughkeepsie, NY "Working through COVID-19 as an ER Doctor and Health Commissioner" Presenter, Catskill Hudson Area Health Education Cente •Career Planning: Fellowships in EM Panelist, EM Residency Conference, Vassar Brothers Medical Center "The Butterflow Effect?: How the Hospital Can Back Up the ER Waiting Room" Kickoff, Throughput Committee, Vassar Brothers Medical Center "EM-101: How Emergency Physicians [Should] Learn and Think, and Why" EM Residency Conference, Vassar Brothers Medical Center "Plight of the Pelvic Exam: Can It Really Be Dismissed?" Panelist, Society of Academic Emergency Medicine (SAEM) Scientific Assembly 2021 "COVID-19 Vaccines: The Real Story" Panelist, Nuvance Health Equity, Diversity & Inclusion Employee "Know Your Health: COVID-19 Facts and Impact' Panelist, Community Town Hall, presented by Nuvance Health ir conjunction with the Dutchess County Department of Health and the Poughkeepsie School District "Ocular Emergencies" EM Residency Conference, Vassar Brothers Medical Center "Emergency Severity Index" EM Residency Conference, Vassar Brothers Medical Center "COVID-19: Our Classmates on the Frontline" Panelist, Harvard University 25" Reunion Program Careers in Emergency Medicine Panelist, Emergency Medicine Interest Group forum, Touro College of "Utilizing LEAN Principles to Optimize Organization of Trauma Room Supplies" *Congestive Fear a presentation at ACEPO Scientific Assembly, Denver CO. EMS CME, Vassar Brothers Medical Center "Dizziness and Vertigo" EM Residency Conference, Nassau University Medical Center "Sepsis" EM Residency Conference, Nassau University Medical Center "EM-101" EM Residency Conference, Nassau University Medical Center "The Sepsis Challenge" The Gerald W. Shaftan Trauma Multidisciplinary Conference Invited Lecture, Nassau University Medical Center "Sepsis" Invited lecture, SUNY Stony Brook, School of Health Technology and Management, Stony Brook NY "Sepsis" Livia M. Santiago-Rosado, MD 2015 2014 2013 2013 2012 2012 2011 2011 2010 2010 2008 2008 2007 2007 Invited lecture, SUNY Stony Brook, School of Health Technology and Management, Stony Brook NY "Sepsis: Recognition & Management" Presentation to the Board of Directors, NYC Health + Hospitals "Everything You (NEver Wanted to Know About Observation" Invited lecture, Grand Rounds, Queens Hospital Center "Observation: The QHC Experience" "Acute Coronary Syndromes" Invited lectures, ED Care/Case Management, Physician Advisor Training, Health and Hospitals Corporation Elmhurst Hospital Center, Elmhurst, NY "To Err is Human: Human error in EM", Queens Hospital Center "Improving hospital flow and the patient experience" Presented to the Medical Executive Committee Queens Hospital Center, Jamaica, NY American Heart Association ST-Elevation MI (STEMI) Project Launch Panelist, New York City Mission: Lifeline New York Academy of Medicine, New York, NY "Care/Case Management: A New Patient Care Paradigm" Presented to the Department of Internal Medicine Queens Hospital Center, Jamaica, NY "Care and Case Management: ED Perspective" Invited lecture, Health and Hospitals Corporation's Emergency Department Case Management Kick-off Kings County Hospital, Brooklyn, NY "Approach to Shortness of Breath" Presented to the Department of Internal Medicine Queens Hospital Center, Jamaica, NY "Alumni Perspectives on Healthcare in America and Beyond" Invited speaker, MB Connects panel Moses Brown School, Providence, RI "Introduction to Emergency Medicine" Presented to the Physician Assistant Program Invited lecture Mount Sinai Emergency Medicine Academic Retreat Bronx, NY "A New Triage Paradigm" Presented at the Academic Meeting of the Department of Emergency Medicine, Mount Sinai School of Medicine New York, NY "Hypertensive Emergencies" Presented at the Universidad Autónoma de Guadalajara, Guadalajara, México Livia M. Santiago-Rosado, MD 10 2007 2007 2007 2007 2007 2006 2006 2005 2004 2003 2003 2002 2002 2002 2001 2001 "Acute Coronary Syndromes" Presented at the Universidad Autónoma de Guadalajara Guadalajara, México "Ophthalmologic Emergencies" Presented at the Universidad Autónoma de Guadalajara Guadalajara, México "Derangements in Carbohydrate Metabolism" Presented at the Universidad Autónoma de Guadalajara Guadalajara, México "Congestive Heart Failure" Presented at the Universidad Autónoma de Guadalajara "Orthopedic Emergencies: Parts I and II" and Hands-on Workshop Presented to the Department of Internal Medicine Queens Hospital Center, Jamaica, NY "Vertigo and Dizziness" Presented to the Department of Emergency Medicine Elmhurst Hospital Center, Elmhurst, NY "What Everyone Should Know About Emergency Medicine" Presented to the Department of Internal Medicine Queens Hospital Center, Jamaica, NY "Beware of the Dog: Animal-Borne Infections" Presented to the Department of Internal Medicine Queens Hospital Center, Jamaica, NY "Food-borne Illness" Presented to the Department of Internal Medicine Queens Hospital Center, Jamaica, NY "Blunt Trauma and Traumatic Arrest" Presented to the Departments of Emergency Medicine and Surgery Elmhurst Hospital Center, Jamaica, NY "Easy as pi: Your Career in Emergency Medicine" Presented to the Department of Emergency Medicine Mount Sinai School of Medicine, New York, NY "Acute Papillary Muscle Rupture in Blunt Trauma" Presented to the Departments of Emergency Medicine and Cardiology, Elmhurst Hospital Center, Elmhurst, NY "Unrecognized Myocardial Infarction" it one, intre eney Medicine and Cartingy. Presented to the Department of Emergency Medicine Mount Sinai School of Medicine, New York, NY "Carbon Monoxide Poisoning" Presented to the Department of Emergency Medicine Mount Sinai School of Medicine, New York, NY "Introduction to Therapeutic Hypothermia" Presented to the Department of Emergency Medicine Jersey City Medical Center, Jersey City, NJ "Zoonoses and Food-borne Illness" Livia M. Santiago-Rosado, MD 11 Presented to the Department of Emergency Medicine Mount Sinai School of Medicine, New York, NY 2001 "NSAID and Aspirin Hypersensitivity" Presented to the Department of Emergency Medicine Mount Sinai School of Medicine, New York, NY 2001 "Acute Adrenal Insufficiency" Presented to the Department of Emergency Medicine Mount Sinai School of Medicine, New York, NY 2001 "A Near-Miss: Review of Childhood Psychiatric Disorders" Presented to the Department of Emergency Medicine Mount Sinai School of Medicine, New York, NY 2000 "Diagnosis and Acute Management of DKA" Presented to the Department of Emergency Medicine Mount Sinai School of Medicine, New York, NY 2000 "Pontine Hemorrhage" Presented to the Department of Emergency Medicine Mount Sinai School of Medicine, New York, NY 2000 "Analgesia and Abdominal Pain: Misconceptions" Presented to the Department of Emergency Medicine Mount Sinai School of Medicine, New York, NY RESEARCH AND PUBLICATIONS 2026 Gonzalez M, Cady W, Santiago-Rosado L. Recruiting and Managing Volunteer Health Professionals, in Markenson D & Reilly M (Eds.), Health Care Emergency Management: Principles and Practice, 2°° ed. In press. 2025 2023 Levine L, Smith A, Ghattas A, Conflitti J, Santiago-Rosado L. "From Crisis to Coordination: An Overdose Response Grounded in Harm Reduction, Surveillance, and Cross-Sector Collaboration in Dutchess County." Statewide Harm Reduction Symposium, Albany, NY. St. Germain C, Santiago-Rosado L. Meet PHIL: The Dutchess County Public Health Innovation Lab. Oral presentation. NYS Public Health Partnership Conference, White Plains, NY. 2022 Kadish A, Halperin E, Murray KM, Swift R, Etienne M, Freeman S, Unni EJ, Gelman I, Santiago-Rosado L, & Schnabel-Ruppert P. (2022). Twenty- Third Symposium on COVID-19: What Have We Learned? How Can We Use What We Have Learned?. Retrieved from https://touroscholar.touro.edu/covid19 symposia/23 2022 Santiago-Rosado L. "What Workforce Issue? Enter Applied Emergency Medicine." Empire State EPIC 40-02(22): 14, 21. 2022 Kaminsky J, Greenstein J, Friedlander A, Livshits D, Sokup B, Jones M, Fombonne B, Vigh N, Warshaw D, Hardin J, Sumner B, Khalid W, Livia M. Santiago-Rosado, MD 12 2021 2020 2020 2020 2019 2019 2019 2018 2018 2018 2018 Mastanduono A, Zapolsky N, McLean M, Steinberg E, Curato M, Jeong J, Jones M, Kanter M, Santiago-Rosado L, Zapata LC, Hussain A. "Perspectives in Post-Pandemic Employment for Emergency Medicine Trainees." Abstract presented at CORD Annual Meeting, San Diego CA, March 2022; and SAEM Annual Meeting, New Orleans LA, May 2022. Santiago-Rosado L. "What Happened to My ED?: The Post-COVID Dumpster Fire." Empire State EPIC 39-01(21): 5-7. Santiago-Rosado L. "Frequent Flier Files." Empire State EPIC 38-01(20): 3-4. Chung A, Berwald N, Cardell A, Curato L, Lema P, Mehta N, Mills A, Rodriguez E, Salama M, Santiago-Rosado L, Saxena M, Shah K, Van Tuyl L, et al. "Opportunities for Women in Leadership." Empire State EPIC Special Coverage on COVID-19: "An Open Letter to All New Yorkers from the Emergency Department Front Line". Emergency Medicine News, April 28, 2020; 42(4C) doi: 10.1097/01.EEM.0000662548.51770.e2. news/Fulltext/2020/04281/Special Coverage on COVID 19 An Open I etter_to.4.aspx Santiago-Rosado L, Reis N, Betts M, et al. Utilizing LEAN Principles to Optimize Organization of Trauma Room Supplies. Ann Emerg Med, 2019; Santiago-Rosado L, McLean M. Reports of the death of the pelvic exam are greatly exaggerated. Common Sense 26(5):12-13. McLean M, Santiago-Rosado L. Plight of the pelvic exam. Emerg Med J 2019;36:383-384. Santiago-Rosado L. "GCS 16" Empire State EPIC 36-02(18):23-4. Boutin A, Santiago-Rosado L. "Scribes, Outside the Box." Empire State EPIC 35-04(18):5-8. Santiago-Rosado L, Lewison C. Tracheal Trauma. StatPearls Publishing, LLC. PMID: 29763191. Santiago-Rosado L, Lewison C. Trismus. StatPearls Publishing, LL.C. PMID: 29630255. Livia M. Santiago-Rosado, MD 13 2018 2017 2017 2016 2014 2014 2013 2013 2011 2005 2002 Reis N, Olsen D, Santiago-Rosado L. An Acute Motor Axonal Variant of Guillain-Barré Syndrome. Poster presentation, ACOEP Spring Seminar, San Diego, CA. Santiago-Rosado L. "Is This the New [York] Normal?" Empire State EPIC 35-02(17):8-10. Breen L, Santiago-Rosado L. "Press Ganey, ED PEC, HCAHPS, ED CAHPS: What's the Story??' Empire State EPIC 34-04(17):8-11. Habib G, Tan T, Santiago-Rosado L, et al. "Cardiology-driven observation protocol leads to over-use of stress testing among patients younger than 40 years presenting to the Emergency Department with chest pain." Poster presentation, New York ACEP Scientific Assembly, Bolton Landing, NY. Santiago-Rosado L, Cantos C, Norris M. "An Emergency Department Care Management Program: Creating an Alternative Disposition Pathway to Enhance Patient Safety." Poster presentation, National Association for Healthcare Quality annual conference, Nashville, TN. Dushaj K, Javaid M, Sever S, Ally I, Ochieng P, Bajracharya B, Lewison C, "Risk factors for unplanned sad related readis on vehim 30 ays of is harge: poster preselatied. International Forum on Quality & Safety in Healthcare, Paris, France. Santiago-Rosado L, Cantos C, Norris M. "Development and Optimization of an Emergency Department Care Management Program." Poster presentation, Patient Safety Expo 2013, New York City Health and Hospitals Corporation, Goldwater Campus, Randalls Island, NY. Dushaj K, Javaid M, Ochieng P, Bajracharya B, Lewison C, Santiago- . "Risk Factors for Unplanned 30-Day Readis, in ora presen. on, antos far Services ed Suens Hospital Center Research Day, May 2013. Santiago-Rosado L, Simons M, Jagoda A. "Head Trauma" in Trauma: A Comprehensive Emergency Medicine Approach, Legome E and Shockley L, eds. Cambridge University Press. Santiago-Rosado L. Syncope: Step-by-step through the workup. Consultant. June 2005; 759-768. "Healing Hands" in Svahn D, Kozak A, eds. Let me listen to your heart: writings by medical students. Livia M. Santiago-Rosado, MD 14 1995 1994 "Is it in their genes?: statistical determination of genetic influence on obesity in a Western Samoan population." Senior honors thesis, Harvard University. Leadership Alliance Summer Research Program Brown University, Providence, RI Restructured and interpreted data on obesity in Samoa; created and implemented biostatistical algorithms for data analysis. 1993 Summer Medical and Research Training (SMART) Program Baylor College of Medicine, Houston, TX Gathered and interpreted data regarding feeding behavior as part of ongoing clinical trial in the Pediatric Gastroenterology department. 1992 Directed Behavioral Research Harvard University, Cambridge, MA Developed protocols and collected data to study cotton-top tamarin monkey behavior. RELATED PROJECTS & ROLES Advisory Board, Eastern Dutchess Rural Health Network This broad coalition address systemic solutions to address gaps in care and health equity among rural populations within the county. Board of Directors, New York State Association of County Health Officials Direct policy and activities to benefit and augment the work of local health departments, thereby supporting prevention efforts and health promotion throughout the State. Leadership Council, Poughkeepsie Children's Cabinet This non-profit brings together dozens of stakeholder organizations to establish and align "cradle to career" supports for children and youth in the city of Poughkeepsie. Member, Poughkeepsie Healthy Black & Latinx Coalition Organized local organizations around community-minded activities and projects and care paradigms that consider social determinants of health. Nuvance Health Leadership Academy Nominated by hospital administration, among 20 participants selected to be enrolled in this provider-specific longitudinal leadership training program involving synchronous and asynchronous instruction, as well as individual and group projects. Emphasis on health care administration and finance, communication and engagement, and collaborative leadership. Throughput Committee, Vassar Brothers Medical Center Founded and co-chaired the hospital's first Throughput Committee, encompassing a wide array of participants from the C-suite to environmental services, case management, med- Livia M. Santiago-Rosado, MD 15 surg nursing, hospitalists and ED clinicians. Created a LEAN-based value stream to define and approach the operational components that define hospital flow and throughput and initiated projects to support streamlined hospital flow. Nuvance Health Physician Council Represented my institution and field in this comprehensive hospital-system steering group comprised of physicians representing seven hospitals and over a dozen specialties. Opiate Stewardship Committee, Vassar Brothers Medical Center Created an ED-based opioid stewardship program to support the goals of system initiatives to decrease opioid prescribing across the continuum of care. Within 14 months achieved an overall 65% reduction in opiate doses prescribed from the ED that continues to be sustained. Emergency Department Care Management, Physician Advisor, Queens Hospital Center; Co-Chair, Physician Advisor Workgroup, NYC Health + Hospitals Support the goals of the Center for Medicare & Medicaid Innovation Grant for Enhanced Care Management. Develop standardized evidence-based guidelines to optimize care for high-risk and otherwise vulnerable patients. Conceptualize and deploy educational programs for staff at all levels to increase awareness of, and adherence to, care guidelines. Coordinate quality assurance activities. Collaboratively develop and disseminate standardized model of ED Care Management. Emergency Department Flow Project, Process Owner, NYC Health + Hospitals Identify high-impact interventions to support improved flow. Participate in visioning activities to promote patient flow, including workflow design, standard work and step- wise implementation at the facility level. Establish project goals and timelines promoting front line staff participation and engagement with prompt implementation. Emergency Department Scribes Champion, NYC Health + Hospitals Conceptualize and promote a pilot utilizing scribes to improve flow and documentation in the ED. Secure administrative support, approval by legal counsel, and funding. Initiate and maintain communication with stakeholders in health information management, information technology, and administration to ensure seamless implementation. Oversee quality assurance and metrics related to the performance of scribes in the ED. Co-Creator, Trauma Alert Program, Queens Hospital Center Develop and implement a formalized, multidisciplinary Trauma Alert program to achieve prompt response for patients with moderate to severe traumatic injuries arriving in a non- trauma center ED. Obtain buy-in from participating departments including General Surgery, Radiology, Anesthesiology, Respiratory Therapy and Administration to ensure a seamless coordinated response. Director of Education, Queens Hospital Center Emergency Department Livia M. Santiago-Rosado, MD 16 Coordinate educational endeavors for the department; supervise and evaluate rotating residents and medical students; instituted and supervise daily Morning Report cases; created and currently organize and moderate monthly Journal Club meetings. Medical Student Education: Managed EM rotation for medical students from Icahn School of Medicine at Mount Sinai and St. George's University (SGU). Resident Education: Instituted a robust four-week EM rotation for IM residents. Led multiple didactic sessions and hands-on workshops with the IM residents as an integral part of their daily "Noon Conference". Rotator Handbook: In order to further formalize the rotation experience for both residents and students, I developed a rotator handbook that covers topics of interest to the rotators that are crucial in Emergency Medicine, as well as providing additional materials to supplement their learning. Physician Assistant Education: Hosted a primary clinical site for rotating PA students from Touro College, York College and Stony Brook University. Continuing Education: Established a daily Morning Report to be part of our weekday morning routine. Physicians, PAs, and rotating students and residents are assigned to deliver a brief discussion directed to staff at all levels. Triage: Instituted the use of the Emergency Severity Index (or ESI system) to guide our triage decisions. Developed a teaching module to explain the basic structure of the system which became a pre-requisite to perform triage functions in the Department. Journal Club: Established a monthly departmental Journal Club as a forum for discussion and ongoing education, and to facilitate faculty board recertification. OTHER ACTIVITIES 2001-Present Mentor Recruited to participate as mentor to a resident becoming junior faculty through New York ACEP's Opportunities for Women in Leadership (OWL) program • Elaine Rodriguez MD Participated in minority student mentoring program through Columbia College of Physicians and Surgeons' Campaign for Diversity and as Assistant Professor at Icahn School of Medicine at Mount Sinai • Bryan Medina MD • Tiffany Fieldings MD Mentored residents in Emergency Medicine and Internal Medicine • Anita Vashi MD • Nalin Ranasinghe MD • Ghassan Habib MD • Mary McLean MD • Alanna Dompkowski MD • Miriam Bello MD Livia M. Santiago-Rosado, MD Faculty development mentorships Melissa Nelson-Perron MD Jesse Wolstein MD Jonathan Epstein MD Frayda Kresch MD Cheryl Lewison MD Jessica Berrios MD Kashif Creary, RPA-C, MPP Rasheed Davis, RPA-C, MA 2008-2010 Master of Ceremonies Emergency Nurses' Week Program and Awards Ceremony, QHO Women's History Month Celebration. OHC 2001 Actor and Playwright, Second-Year Resident Play, Mount Sinai Hospital Authored the script for traditional resident satirical production; actively participated with featured role 1990-present Spanish-English Translator Translated multiple legal, academic and medical documents after successful completion of the Federal Court Interpreters written examination 1995-1999 Actor and Singer, Bard Hall Players, Columbia University Performed in several theatrical productions and musicals 1988-1995 Volunteer Medical Interpreter Spanish-English interpreter in medical settings at Miriam Hospital in Rhode Island, Texas Children's Hospital and Massachusetts General Hospital PERSONAL Native proficiency in spoken and written Spanish. Elementary proficiency in French. Married to Mark C. Stillman, MD. Children: Mariana Santiago Stillman, 18 years; Diego Santiago Stillman, 16 years. References provided upon request. FAMILY & HUMAN SERVICES RE: RESOLUTION NO. 2021209 CONFIRMATION OF APPOINTMENT OF LIVIA SANTIAGO-ROSADO, MD AS THE DUTCHESS COUNTY COMMISSIONER OF BEHAVIORAL & COMMUNITY HEALTH FOR A TERM OF ON OR ABOUT DECEMBER 28, 2021 THROUGH DECEMBER 27, 2027 Legislators GARITO, PULVER, BOLNER, and CASWELL offer the following and move its adoption: WHEREAS, the County Executive has appointed Livia Santiago-Rosado, MD, FACEP FAAEM to be the Commissioner of the Department of Behavioral & Community Health for a six (6) year term effective on or about December 28, 2021 through December 27, 2027, and WHEREAS, pursuant to Article VII, Section 7.01 of the Dutchess County Charter and Section 351(5) of the New York State Public Health Law, respectively, contingent upon the approval of the Commissioner of the New York State Department of Health, such appointment has been made, and WHEREAS, the curriculum vitae of Dr. Santiago-Rosado is attached hereto and made a part hereof, and WHEREAS, the Commissioner of Dutchess County Human Resources has determined that Dr. Santiago-Rosado is qualified to perform the duties of the position of Commissioner of Behavioral & Community Health, and WHEREAS, Dr. Santiago-Rosado resides in the Town of LaGrange, County of Dutchess, now therefore é it, RESOLVED, that the appointment of Livia Santiago-Rosado, MD., as Commissioner of the Department of Behavioral & Community Health is hereby confirmed by this Legislature effective on or about December 28, 2021 through December 27, 2027, contingent upon the approval of the Commissioner of the New York State Department of Health, and it is further, RESOLVED, that the salary for Dr. Santiago-Rosado as Commissioner of Behavioral & Community Health shall be commensurate to that of the position of Commissioner of Department of Behavioral & Community Health contained in the 2021 Dutchess Adopted County Budget. APPROVED CA-132-21 TJ/kvh G-1652-B 11/10/2021 Fiscal Impact: Attached MARCUS JA MOLINAR COUNTY EXECUTIVE Date... DEL 8202L STATE OF NEW YORK ss: COUNTY OF DUTCHESS This is to certify that I, the undersigned Clerk of the Legislature of the County of Dutchess have compared the foregoing resolution with the original resolution now on file in the office of said clerk, and which was adopted by said Legislature on the 2nd day of December 2021, and that the same is a true and correct transcript of said original resolution and of the whole thereof. IN WITNESS WHEREOR, I have hereunto set my hand and seal of said Legislature this 2nd day of December 2021. Beg Wage mus LAID ON THE DESKS 7/15/2024 GOVERNMENT SERVICES & ADMINISTRATION RESOLUTION NO. 2024135 RE: LOCAL LAW NO. 1 OF 2024, A LOCAL LAW AMENDING THE DUTCHESS COUNTY CHARTER AND ADMINISTRATIVE CODE TO REORGANIZE THE DEPARTMENT OF BEHAVIORAL AND COMMUNITY HEALTH INTO TWO SEPARATE DEPARTMENTS: THE DEPARTMENT OF HEALTH AND THE DEPARTMENT OF MENTAL HEALTH AND TO ADD THE OFFICE OF VETERANS AFFAIRS AS A DISTINCT UNIT OF COUNTY GOVERNMENT Legislators TRUITT, HOUSTON, POLASEK, GARITO, GORMAN, MC HOUL, TRAVELPIECE, VALDES SMITH, ATKINS, KEARNEY, and LAWLER offer the following and move its adoption: RESOLVED, that the Legislature of the County of Dutchess adopt Local Law No. 1 of 2024 which has been submitted this day for consideration by said Legislature. CA-076-24 CEB/rjw G-1899-A 7/2/2024 Fiscal Impact: None APPROVED She Serno SUSAN J. SERINO COUNTY EXECUTIVE Dato 9/4/2024° STATE OI NEW YORK SS: COUNTY OF DUTCHESS This is to certify that I, the undersigned Clerk of the Iegislature of the County of Dutchess, hare compared the foregoing resolution with the original resolution now on file in the office of said clerk, and which was acopted by said Legislature on the 120 day of August 2024, and that the same is a true and correct transcoipt of said original resolution and of the whole thercof. IN WITNESS WHEREON, I have hereunto set my hand and scal of said legistare this Rush Vager RE: LOCAL LAW NO. 1 OF 2024, A LOCAL LAW AMENDING THE DUTCHESS COUNTY CHARTER AND ADMINISTRATIVE CODE TO REORGANIZE THE DEPARTMENT OF BEHAVIORAL AND COMMUNITY HEALTH INTO TWO SEPARATE DEPARTMENTS: THE DEPARTMENT OF HEALTH AND THE DEPARTMENT OF MENTAL HEALTH AND TO ADD THE OFFICE OF VETERANS AFFAIRS AS A DISTINCT UNIT OF COUNTY GOVERNMENT. BE IT ENACTED by the County Legislature of the County of Dutchess, State of New York as follows: SECTION 1. Legislative Intent. The Legislature hereby determines that the Department of Behavioral and Community Health should be reorganized, such that two separate departments shall be created: the Department of Health and the Department of Mental Health in order to coordinate the services set forth herein in an efficient manner, and to elevate the current Division of Mental Hygiene, from a division within the Department of Behavioral & Community Health to a distinct Department of Mental Health. The Department of Health shall be under the supervision of a Commissioner of Health and the Department of Mental Health shall be under the supervision of a Commissioner of Mental Health. The Legislature further determines that the Director of Veterans Services, formerly the head of a division of the Department of Behavioral and Community Health, shall direct the Office of Veterans Affairs, which shall be a distinct unit of County government. SECTION 2. Articles VII of the Charter and Administrative Code of Dutchess County, entitled, "Department of Behavioral and Community Health" are hereby amended and renamed to "Department of Health." All references in Articles VII of the Charter and Administrative Code, as well as any other references in the Charter or the Administrative Code to the "Department of Behavioral and Community Health" or to the "Commissioner of Behavioral and Community Health," or the "Acting Commissioner of Behavioral and Community Health" shall be amended to "Department of Health" and to "Commissioner of Health", and to "Acting Commissioner of Health" respectively. Notwithstanding the foregoing, the County of Dutchess shall remain a "Health District," as defined by Article 3, Section 340 of the New York Public Health Law. The Commissioner of Health shall retain all the powers and duties conferred or imposed by law upon a county commissioner of health. DUTCHESS COUNTY CHARTER SECTION 3. Article VII, Section 7.01, of the Dutchess County Charter is hereby amended to read as follows: Section 7.01. County Health District; Commissioner: Appointment; Qualifications; Term. The County of Dutchess shall be a health district. There shall be a Department of Health inder the direction of a Commissioner of Health, who shall be appointed by the County Executiv subject to confirmation by the County Legislature. At the time of his/her appointment, an throughout his/her term of office, the Commissioner shall be and remain duly licensed and entitled to practice medicine in the State of New York and shall have such other qualifications as may be required by law. He/she shall be appointed on the basis of his/her professional experience and other qualifications for the responsibilities of his/her office. He/she shall be directly responsible to the County Executive, and shall be entitled to written charges, a hearing, and any other rights afforded in the Public Health Law or applicable law before he/she may be removed during the term for which he/she shall have been appointed. The term of the Commissioner shall be four years. The term having commenced December 28, 2021, shall expire December 27, 2025. A new term shall commence December 28, 2025, for four years, and every four years thereafter. SECTION 4. Article VII, Section 7.04, of the Dutchess County Charter is hereby amended to read as follows: Section 7.04. Deputy Commissioners and Staff. The Commissioner of Health shall have the power to appoint such Deputy Commissioners, assistants and employees of his/her department as shall be authorized by the County Legislature. At the times of their appointment, and throughout their terms of office, all Deputy Commissioners of Health, if any, assistants and employees shall have such qualifications as may be required by law. All Deputy Commissioners, assistants and employees of the department shall be directly responsible to, and serve at the pleasure of, the Commissioner, except as otherwise provided by this Charter, the Administrative Code or applicable law. SECTION 5. Article VII, Section 7.05, of the Dutchess County Charter is hereby amended to read as follows: Section 7.05. Acting Commissioner. The Commissioner of Health, subject to approval by the County Executive, shall designate in writing, and in order of succession, starting with a Deputy Commissioner followed by other deputies, if any, and assistants, who shall be Acting Commissioner of Health in the event of the Commissioner's absence from the County or inability to perform and exercise the powers and duties of his/her office. Such designation shall be filed with the County Clerk and the Clerk of the County Legislature and may be revoked at any time by the Commissioner by filing a new written designation and order of succession. The Acting Commissioner of Health shall have all the powers and perform all the duties of the Commissioner. SECTION 6. Article VII, Section 7.07 of the Dutchess County Charter shall be deleted in its entirety. SECTION 7. Article VII, Section 7.08 of the Dutchess County Charter shall be deleted in its entirety. SECTION 8. Article VII, Section 7.09 of the Dutchess County Charter shall be deleted in its entirety. SECTION 9. Article VII, Section 7.10 of the Dutchess County Charter shall be deleted in its entirety. SECTION 10. Article VII, Section 7.11 of the Dutchess County Charter shall be deleted in its entirety. SECTION 11. Article IX of the Dutchess County Charter shall be renamed, "Department of Mental Health" and shall be amended by the addition of the following sections: Section 9.01. Department of Mental Health: Commissioner; Appointment; Qualifications; Term. There shall be a Department of Mental Health under the direction of Commissioner of Mental Health, who shall be appointed by the County Executive, subject to confirmation by the County Legislature. At the time of his/her appointment, and throughout his/her term of office, he/she shall possess the qualifications prescribed by the Mental Hygiene Law, the New York State Commissioner of Mental Hygiene, or any other applicable law, and he/she shall be appointed on the basis of his or her professional experience and other qualifications for the responsibilities of his or her office. He or she shall be directly responsible to, and serve at the pleasure of, the County Executive. Section 9.02. Powers and Duties; Director of Community Services. The Commissioner of Mental Health shall be the chief administrative officer of the department and shall be designated the county Director of Community Services. At the time of his/her appointment, and throughout his/her term of office, he/she shall possess the qualifications prescribed by the Mental Hygiene Law, the New York State Commissioner of Mental Hygiene, or any other applicable law. Except as otherwise provided in this Charter, he/she shall have all the powers and perform all the duties conferred or imposed by law upon a county commissioner or board of mental health or hygiene and a county director of community services, and shall perform such other and related duties required by the County Executive or the County Legislature. Section 9.03. Community Services Board; Powers and Duties; Vacancies. There shall be within the Department of Mental Health a Community Services Board which shall be advisory to the Department of Mental Health. Its composition, duties and responsibilities shall be as set forth in the Dutchess County Administrative Code and Mental Hygiene Law. Section 9.04. Deputy Commissioners and staff. The Commissioner of Mental Health shall have the power to appoint such Deputy Commissioners, assistants and employees of his/her department as shall be authorized by the County Legislature. At the times of their appointment, and throughout their terms of office, all Deputy Commissioners, if any, shall have such qualifications as may be required by law. Except as otherwise provided by this Charter, the Administrative Code, or applicable law, all Deputy Commissioners, assistants and employes of the department shall be responsible to, and serve at the pleasure of, the Commissioner. Section 9.05. Acting Commissioner. The Commissioner of Mental Health, subject to approval by the County Executive, shall designate in writing, and in order of succession, starting with a Deputy Commissioner followed by other deputies, if any, and assistants, who shall be Acting Commissioner of Mental Health, and thereby also Acting Director of Community Services, in the event of his/her absence from the County or inability to perform and exercise the powers and duties of his/her office. Such designation shall be filed with the County Clerk and the Clerk of the County Legislature and may be revoked at any time by the Commissioner filing a new written designation and order of succession. Each Acting Commissioner shall, at the time of his/her designation, and throughout his/her term of office, possess the qualifications prescribed by the Mental Hygiene Law, the New York State Commissioner of Mental Hygiene, or any other applicable law. The Acting Commissioner of Mental Health shall have all the powers and perform all the duties conferred or imposed by law upon a county commissioner or board of mental health or hygiene and a county director of community services. SECTION 12. Article XXX, Section 30.06, of the Dutchess County Charter is hereby amended to add the following: Section 30.06. Office of Veterans Affairs; Director of Veterans Affairs: Appointment; Term; Qualifications. There shall be an office of Veterans Affairs under the direction of a Director of Veterans Affairs, who shall be appointed by the County Executive, subject to confirmation by the County Legislature. She or he shall be a veteran of the armed forces of the United States and shall be directly responsible to and serve at the pleasure of, the County Executive. She or he shall have all the powers and perform all the duties now or hereafter conferred or imposed upon her or him by law and perform such other and related duties required by the County Executive or County Legislature. DUTCHESS COUNTY ADMINISTRATIVE CODE SECTION 13. Article VII, Section 7.05 of the Dutchess County Administrative Code shall be deleted in its entirety. SECTION 14. Article VII, Section 7.06 of the Dutchess County Administrative Code shall be deleted in its entirety. "Department of Mental Health" mento enta Heale and heDdeche a due Secini tradise pre vida as renamed Meetings. There shan be in homemanie or end heat Board unpointment Aricers Board whose members shall be appointed by the County Legislature in the manner and for the term provided in the Mental Hygiene Law for Community Mental Health Boards. Each member of the Community Services Board shall continue to hold office for the balance of his or her other respective term, at the conclusion of which the applicable appointive provisions of this Code shall become effective. The Community Services Advisory Board shall elect annually a Chairman, Vice-Chairman, and a Secretary from among its members. Meetings of the Community Services Advisory Board shall be held at least quarterly at the call of the Chairman of such Board or the Director of Community Services, on three (3) days' written notice, mailed to such board members. Vacancies in the membership of said Board, occurring otherwise than by expiration of term shall be filled by appointment by the County Legislature for the unexpired terms. Section 9.02. Community Services Advisory Board: Powers and Duties. The Community Services Advisory Board shall, in consultation with the Director of Community Services, prepare recommendations for meeting the mental health needs of Dutchess County. Copies of the recommendations shall be transmitted to the County Executive for his or her evaluation and referral within sixty (60) days to the County Legislature and the State Commissioner of Mental Hygiene. The Community Services Advisory Board shall have and exercise such other powers and duties conferred upon such Board by the County Charter or this Code. SECTION 16. Article XXX, Section 30.06, of the Dutchess County Administrative Code is hereby amended to add the following: Section 30.06. Veterans Affairs. 1. The Director of Veterans Affairs shall inform military and naval authorities of the United States and assist members of the armed forces and veterans, who are residents of this County, and their families, in relation to: a. Matters pertaining to educational training and retraining services and facilities; b. Health, medical and rehabilitation services and tacilities; c. Provisions of federal, state and local laws and regulations affording special rights and privileges to members of the armed forces and veterans and their families; d. Employment and re-employment services; e. Other matters of similar, related or appropriate nature; f. Assist families of members of the reserve components of the armed forces and organized militia ordered into active duty to ensure that they are made aware of and receiving all appropriate support available to them and are placed in contact with the agencies responsible for such support, including, but not limited to, the Division of Military and Naval Affairs and other state agencies responsible for providing such support; g. Perform such other duties as may be assigned by the State Director of Veterans' Affairs; and h. Such other services as may from time to time be allowed or deleted by state statute, rule or regulation. 2. The Director of Veterans Affairs shall also hold the title of the County Director of Veterans' Services Agency as set forth in Article 17 of the New York State Executive Law and he/she shall be a veteran. 3. The Director of Veterans Affairs may from time to time add or delete such programs as allowed by statute, rule or regulation. SECTION 17. SEQRA Determination. It is hereby determined, pursuant to the provisions of the State Environmental Quality Review Act, 8 NYECL Section 0101. et seq.. and its implementing regulations, Part 617 of 6 NYCRR, that the adoption of this local law is a "Type II" Action within the meaning of Section 617.5(c)(26) and (33) of 6 NYCRR. and, accordingly, is a class of actions which do not have a significant impact on the environment and no further review is required. SECTION 18. SEVERABILITY. If any clause, sentence, paragraph, subdivision, section, or part of this law or the application thereof to any person, individual, corporation, firm, partnership, entity, or circumstance shall be adjudged by any court of competent jurisdiction to be invalid or unconstitutional, such order or judgment shall not affect, impair, or invalidate the remainder thereof, but shall be confined in its operation to the clause, sentence, paragraph, subdivision, section, or part of this law, or in its application to the person, individual, corporation, firm, partnership, entity, or circumstance directly involved in the controversy in which such order or judgment shall be rendered. SECTION 19. Effective Date. This local law shall take effect immediately upon full compliance with all the requisite statutes and laws applicable to its adoption and promulgation. RECEIVED STATE OF NEW YORK DEPARTMENT OF STATE ONE COMMERCE PLAZA 9 WASHINGTON AVENUI ALBANY NY 12731-0001 KTTPS://DOS.NY.GOV KATHY HOCHUL GOVERMOR WALTER T. MOSLEY SECRETARY OF STATE October 24, 2024 County of Dutchess 22 Market Street Poughkeepsie, NY 12601 RE: County of Dutchess, Local Law 1 2024, filed on 9/11/2024 Dear Sir/Madam: The above referenced material was filed by this office as indicated. Additional local law filing forms can be obtained from our website, www.dos.ny.gov. Sincerely, State Records and Law Bureau (518) 473-2492 of State The foregoing Resolution No. 2024135, Local Law No. 1 of 2024, A LOCAL LAW AMENDING THE DUTCHESS COUNTY CHARTER AND ADMINISTRATIVE CODE TO REORGANIZE THE DEPARTMENT OF BEHAVIORAL AND COMMUNITY HEALTH INTO TWO SEPARATE DEPARTMENTS: THE DEPARTMENT OF HEALTH AND THE DEPARTMENT OF MENTAL HEALTH AND TO ADD THE OFFICE OF VETERANS AFFAIRS AS A DISTINCT UNIT OF COUNTY GOVERNMENT, was laid on desks on July 15, 2024, and considered on August 12, 2024. Roll call vote at that time resulted as follows: AYES: 24 Atkins, Brendli, Caswell, D'Aquanni, Drago, Faust, Garito, Gorman, Houston, House, Johnson, Kaul, Kearney, Lawler, Metzger, Munn, Page, Paoloni, Polasek, Rolison, Travelpiece, Truitt, Valdés Smith, and Versaci NAYS: ABSENT: 1 McHoul Resolution adopted. The County Executive held a public hearing on the foregoing Local Law on August 29, 2024, and signed it into Law on September 4, 2024. The effective date of the Local Law was September 11, 2024. Government Services and Administration Roll Call District Name District 7 - Hyde Park and Pleasant Valley | Truitt* Yes District 25 - Amenia, Washington, Pleasant Valley & Millbrook District 3 - LaGrange District 16 - Fishkill and Beacon District 9 - City of Poughkeepsie District 6 - Town of Poughkeepsie District 14 - Wappinger and Town of Poughkeepsie District 17 - Town and Village of Fishkill District 18 - City of Beacon and Fishkill District 20 - Red Hook, Tivoli, and Rhinebeck District 21 - East Fishkill Present: Absent: Vacant: 12 District 24 - Dover and Pawling Resolution: Motion: Houston* Polasek* Valdés Smith Atkins* Kaul Versaci McHoul (C) Page Munn Caswell House (VC) Total : 12 Yes Abstentions: No No 2024135 A LOCAL LAW AMENDING THE DUTCHESS COUNTY CHARTER AND ADMINISTRATIVE CODE TO REORGANIZE THE DEPARTMENT OF BEHAVIORAL AND COMMUNITY HEALTH INTO TWO SEPARATE DEPARTMENTS: THE DEPARTMENT OF HEALTH AND THE DEPARTMENT OF MENTAL HEALTH AND TO ADD THE OFFICE OF VETERANS AFFAIRS AS A DISTINCT UNIT OF COUNTY GOVERNMENT AUGUST 8, 2024 Roll Call Sheets District Last Name YES NO District 7- Hyde Park and Pleasant Valley District 25 - Amenia, Washington, Pleasant Valley & Millbrook District 3 - LaGrange District 16 - Fishkill and Beacon District 9 - City of Poughkeepsie District 1 - Town of Poughkeepsie District 2 - LaGrange, Pleasant Valley & Town of Poughkeepsie District 4 - Hyde Park and Town of Poughkeepsie District 5 - Town of Poughkeepsie District 6 - Town of Poughkeepsie District 8 - City and Town of Poughkeepsie District 10 - City of Poughkeepsie District 11 - Clinton, Pleasant Valley, and Rhinebeck District 12 - East Fishkill District 13 - East Fishkill and Wappinger District 14 - Wappinger and Town of Poughkeepsie District 15 - Wappinger District 17 - Town and Village of Fishkill District 18 - City of Beacon and Fishkill District 19 - North East, Stanford, Pine Plains, Milan & Red Hook District 20 - Red Hook, Tivoli, and Rhinebeck District 21 - East Fishkill District 22 - Beekman and Union Vale District 23 - Pawling, Beekman and East Fishkill District 24 - Dover and Pawling Present: Absent: Vacant: Motion: Truitt Houston Polasek Valdés Smith Alkins Gorman Travelpiece Lawler D'Aquanni Kaul Brendli Johnson Kearney Metzger Paoloni Versaci Faust McHoul Absent Page Drago Munn Caswell • Garito Rolison House Total : Yes No Abstentions: _ 2024135 A LOCAL LAW AMENDING THE DUTCHESS COUNTY CHARTER AND ADMINISTRATIVE CODE TO REORGANIZE THE DEPARTMENT OF BEHAVIORAL AND COMMUNITY HEALTH INTO TWO SEPARATE DEPARTMENTS: THE DEPARTMENT OF HEALTH AND THE DEPARTMENT OF MENTAL HEALTH AND TO ADD THE OFFICE OF VETERANS AFFAIRS AS A DISTINCT UNIT OF COUNTY GOVERNMENT AUGUST 12, 2024 Family and Human Services Committee Roll Call District District 16 - Fishkill and Beacon Name Valdés Smith* Yes District 9 - City of Poughkeepsie Atkins* District 20 - Red Hook, Tivoli, and Rhinebeck Munn* District 3 - LaGrange Polasek* District 12 - East Fishkill Metzger* District 2 - LaGrange, Pleasant Valley & Town of Poughkeepsie Arnoff (C) District 19 - North East, Stanford, Pine Plains, Milan & Red Hook Drago District 24 - Dover and Pawling House District 6 - Town of Poughkeepsie Kaul (VC) District 17 - Town and Village of Fishkill McHoul District 5 - Town of Poughkeepsie Shah District 14 - Wappinger and Town of Poughkeepsie Winsby Present: Absent: Vacant: 10 2 Resolution: Motion: Total : 10 Yes Abstentions: No ABSENT ABSENT No 2026059 CONFIRMING REAPPOINTMENT OF LIVIA SANTIAGO-ROSADO, MD, MPH, FACEP AS COMMISSIONER OF THE DUTCHESS COUNTY DEPARTMENT OF HEALTH Roll Call Sheets District Last Name YES NO District 16 - Fishkill and Beacon Valdés Smith District 9 - City of Poughkeepsie Atkins District 20 - Red Hook, Tivoli, and Rhinebeck Munn District 3 - LaGrange Polasek District 12 - East Fishkill Metzger District 1 - Town of Poughkeepsie Redl District 2 - LaGrange, Pleasant Valley & Town of Poughkeepsie Arnoff District 4 - Hyde Park and Town of Poughkeepsie Lawler District 5 - Town of Poughkeepsie Shah District 6 - Town of Poughkeepsie Kaul District 7 - Hyde Park and Pleasant Valley Darrow District 8 - City and Town of Poughkeepsie Brendli District 10 - City of Poughkeepsie Johnson District 11 - Clinton, Pleasant Valley, and Rhinebeck Kearney District 13 - East Fishkill and Wappinger Giles District 14 - Wappinger and Town of Poughkeepsie Winsby District 15 - Wappinger Faust District 17 - Town and Village of Fishkill McHoul District 18 - City of Beacon and Fishkill Rhodes District 19 - North East, Stanford, Pine Plains, Milan & Red Hook Drago District 21 - East Fishkill Caswell District 22 - Beekman and Union Vale Tresca District 23 - Pawling, Beekman and East Fishkill Rolison District 24 - Dover and Pawling House District 25 - Amenia, Washington, Pleasant Valley & Millbrook Alexander X X X X X ABSENT X X X X X X X X X X ABSENT X X X ABSENT X X X X 22 Present: ____ 3 Absent: ____ Vacant: ____ Resolution: ____ Motion: ____ 22 0 Total : ______ ______ Yes No Abstentions: ____ CONSENT AGENDA: RESOLUTIONS 2026043, 044, 045, 046, 047, 048, 049, 050, 052, 055, 056, 057, 059, 060, 061, 062, 063