Elizabeth Clement

(MDCR); Arwood, Steve (MEDC); Barnes, Jeff (DMVA); Behen, David (DTMB); Bowen, Scott (MSL); Brader, Valerie (LARA); Brown, Diane (MGCB); Burton, Diane (LARA); Carefoot, Karen (MDE); Clover Adams, Jamie (MDARD); Comai, Stephanie (TIA); Creagh, Keith (DEQ); Crockett, Tracy (MSHDA); Deloney, Andrew (LARA); Donnan, Chanda (DTMB); Doyle, Maureen (Treasury); Dungey, Cecilia (TIA); Elsenheimer, Kevin (MSHDA); Etue, Kriste (MSP); Evans, Amiee (MEDC); General Gregory J. Vadnais Grijalva, Nancy (DHHS); Hill, Nancy (DIFS); Kalm, Rick {MGCB); Khouri, Nick (TREASURY); King, Rebecca (MCSC); Klotz, Josephine (MSP); Lyon, Nick (DHHS); ‘Mason, Dace (DMVA)'; McDermott, Cristina (MSL); McPharlin, Pat (DIFS); Minix, Connie (DTMB); Quackenbush, John (LARA); Roberts, John (DTMB); Sanford, Shawn (MDCR); Sebenick, Pam (MDOT); Sederburg, Kari (DHHS); Smith, Brenda (MDARD); Steudle, Kirk (MDOT); Sworden, Julie (DMVA); Thelen, Mary Beth (DEQ); Tkaczyk, Judy (DNR); Vaughn, Kari (DEQ); Waalkes, Marie (DTMB); Washington, Heidi E. (MDOC); West, Samantha (LARA); Whiston, Brian (MDE); Winters, Jan (MCSC); Zimmer, Mike (LARA)

Why so long? Sent from my iPad On Jan 14, 2016, at 12:51 PM, Workman, Wayne (TREASURY)

Mayors office working on it. Wayne W on point. Wayne? Sent from my Verizon Wireless 4G LTE DROID

| Do we have numbers from Treasury or the city of Flint that : outlines the extent of past due water bills and do we have any | proposals of how we can assist in addressing that problem? I | know the rate increases contributed to this problem but Iam trying to to determine if we have numbers that outline the problem. | ! xxxEND_PAGE:treasury01_b40_7317_7621_164 Stanton, Terry A. (Ti reasury)

Governor Snyder, Since our meeting yesterday afternoon, we have learned from Miller Canfield that the City of Flint has succeeded in Genesee County Circuit Court in substantially reducing the plaintiff's requested damages in the Shears case. We are working with Miller Canfield and the City to get a solid estimate of the savings, but it appears to be significant. in addition, Miller Canfield believes this decision will have a beneficial impact on the other water rate case (Kincaid). As additional information is available we will keep you updated. Wayne Wayne L. Workman Deputy State Treasurer Michigan Department of Treasury xxxEND_PAGE:treasury01_b40_7317_7621_103 Workman, Wayne (TREASURY)

Exceeding expectations should be the goal. Great work everyone on making this happen today. MLive quote from the Mayor: "I did not expect it (the governor's decision) as quickly as it happened, but I'll take it," Weaver said. "I believed this was what Flint should have. I'm going to keep my positive attitude going forward." http: declares state of ame.htmi xxxEND_PAGE:executiveofficeemails20_b0352_1374_1374_1

letter.docx Colleagues, Here is a cover letter, FWIACC plan and org chart. Harvey is planning on sending this to Mayor Karen Weaver today. If you have any feedback, please provide it immediately, since I’ll be out of pocket starting at 3:15 p.m. (sorry for the late notice). - Meegan Meegan Holland Director of Communications for Gov. Rick Snyder Office: 517-335-6397 Mobilef PPI Twitter: @meholland ~~~ xxxEND_PAGE:executiveofficeemails20_b0218_0509_0509_1

The goal: Assess the extent of the elevated blood lead levels — the number of those affected and the degree to which they’ re affected M@ Get as many people in the affected zip codes tested as possible — can the Red Cross or some other agency with a bus or mobile unit set up for folks to give blood convert over to blood level testing and go into neighborhoods that have low testing rates? HA public health friend of mine said that Genesee County Health workers are stressed to the max. Can we deploy appropriate personnel from other county health agencies to help with inspecting homes for possible other causes? In other words, it won’t do any good to invest more in water infrastructure if we’re finding window sills with teeth marks. | say this NOT to downplay the role that water lead levels may have played. But can we get Habitat for Humanity, for example, to do a massive volunteer effort to eradicate lead paint in homes ... or is that beyond their expertise? M@ Gather experts to assess exactly how extensive the problem is and potential causes. And then convey this ina much more accessible ways. If you want blood level data, you have to scroll down on the DHHS web site, find the headline and then read a long press release. Maybe we’re conveying this information better on the ground, but if not, we need to communicate conclusive findings in multiple ways— graphics, video, informational photo galleries and maybe even a “test” that residents can take to see if their home is at risk in other ways. | know that sounds awfully MLive-ish, but it can be effective.

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Not Responsive i sce acacia erate ter braint ne tatniai nate neRnTeNetalRioin pn SemimcaTberaietalgi Sa etaKe tasers ce ace eer eee ca a eae LL ae Rie a Ect RICE they’re affected <!--[if !supportLists]-->n <!--[endif]-->Get as many people in the affected zip codes tested as possible — can the Red Cross or some other agency with a bus or mobile unit set up for folks to give blood convert over to blood level testing and go into neighborhoods that have low testing rates? <!--[if !supportLists]-->n <!--[endif]-->A public health friend of mine said that Genesee County Health workers are stressed to the max. Can we deploy appropriate personnel from other county health agencies to help with inspecting 1 xxxEND_PAGE:dhhs03_b0683_2361_2362_1 002362 homes for possible other causes? In other words, it won’t do any good to invest more in water infrastructure if we’re finding window sills with teeth marks. | say this NOT to downplay the role that water lead levels may have played. But can we get Habitat for Humanity, for example, to do a massive volunteer effort to eradicate lead paint in homes ... or is that beyond their expertise? <!--[if !supportLists]-->n <!--[endif]-->Gather experts to assess exactly how extensive the problem is and potential causes. And then convey this in a much more accessible ways. If you want blood level data, you have to scroll down on the DHHS web site, find the headline and then read a long press release. Maybe we’re conveying this information better on the ground, but if not, we need to communicate conclusive findings in multiple ways— graphics, video, informational photo galleries and maybe even a “test” that residents can take to see if their home is at risk in other ways. | know that sounds awfully MLive-ish, but it can be effective.

Just received the Flint letter via email. Please prepare a response to it. Thanks Rick Sent from my iPad Begin forwarded message: Rothstein ceils a@are- “ltd. com Lawrence Reynolds" dreunclils

2 of 2. This is the response. Sent from my iPad Begin forwarded message:

1 of 2 emails. The next is the DHHS response. Just making sure you are all in the loop. Sent from my iPad Begin forwarded message:

Begin forwarded message:

ichigan Health Department Hid Evidence of Health Harm Due to Lead Contaminated Water: Allowed False Public Assurances by MDEQ and Stonewalled Outside Researchers 3 20 Siidhariha Ba Decemb ry Ariicles 5 After missing warning signs of spiking childhood lead poisoning that occurred a few months after switching to a corrosive river water source in 2014, outside pressure forced officials at the Michigan Department of Health and Human Services (DHHS) to closely scrutinize their data in July 2015. They discovered scientifically conclusive 1 xxxEND_PAGE:executiveofficeemails19_b095_264_277_01 evidence of an anomalous increase in childhood lead poisoning summer 2014 immediately after the switch in water sources, but stood by silently as MDEQ officials repeatedly and falsely stated that no spike in blood lead levels (BLL) of children had occurred. DHHS employees later stonewalled efforts by outside researchers who questioned MDEQs statements, withheld damning documents but released incomplete data suggesting that there were no problems—DHHS officials ultimately fessed up only after incidence of childhood lead poisoning skyrocketed above 10% in the two Flint zip codes with highest water lead risk during summer 2015! DHHS Pressured to Examine Data in mid-July 2016 DHHS’ engagement in the Flint water crisis, started in early 2015 with two phone calls from Lee-Anne Walters to a state lead poisoning nurse in Lansing identified only as “Karen.” When asked about the phone call last night, Walters said she was at first expressing concern over high water lead measurements in Flint, but on the second call she was in tears because her son’s blood lead had increased to 6.5 ug/dL. According to Walters, “Karen” stated that “He is barely lead poisoned. If CDC had not changed their lead poisoning standard from 10 down to 5, we would not be having this conversation.” Angry, Walters protested that Karen was minimizing the problem, at which point “Karen” cut her off and said “I am working with kids in their 4o’s and 50’s. It is just a few IQ points...it is not the end of the world.” FOIA e-mails demonstrate that Karen Lishinski (DHHS) acknowledged receiving phone calls on the dates Walters called (the caller’s name is redacted in the FOIA), but elsewhere Lishinski acknowledges to colleagues that the last time she actually worked with a child who had blood lead above 45 ug/dL was in 2009. The next time the Flint water issue was apparently raised at DHHS, was July 23", when Linda Dkykema (DCH) sent out an e-mail titled “R.E.Director’s Office Assignment- 2 xxxEND_PAGE:executiveofficeemails19_b095_264_277_02 Flint- need update ASAP” on the heels of the meme Misinformed from the Outset: MDEQ Garbage-in All but Ensures DHHS Garbage-out The Director’s Office update was tainted and probably doomed from the start, because Dykema logically reached out to MDEQ’s Steve Busch for background who provided her the following insights: “The city of Flint recently conducted drinking water testing throughout the city with special attention to those areas known to have old service lines. The city water supply is in compliance with the lead rule.... DEQ has not seen a change in the city’s compliance with the lead rule since switching to the Flint River source....Regarding the home with high drinking water lead levels: some years ago the supply line that serves the neighborhood was replaced, but somehow this house was not connected to the new line, such that the family’s drinking water supply was coming

Here are some COS items to cover: ee eee ee Not Responsive a ON AMARWHN wn fe} a NBs xxxEND_PAGE:executiveofficeemails20_b0268_0946_0946_1

Good afternoon Governor and team, Just wanted to give you a heads up about a release DHHS is issuing today with updated blood lead level testing. About 500 more people have been tested since the last release, and eight more people had elevated levels. The format and information is similar to the previous release. DHHS plans to issue such updates every three weeks for the time being to show transparency, remind people that testing is available if they are concerned, and that free filters and replacement cartridges are available. I’ve pasted the release below. Have a nice weekend, Dave December 11, 2015 MDHHS releases latest round of Flint blood lead level data LANSING, Mich. — The Michigan Department of Health and Human Services today issued its newest summary report on lead testing in Flint. According to preliminary data, 39 of 1,836 adults and children tested had elevated blood lead levels since Oct. 1. “As testing continues, our focus remains on helping families reduce all potential exposures to lead,” said Dr. Eden Wells, MDHHS chief medical executive. “We are working closely with the Genesee County Health Department to provide information and offer tools in the community, and encourage families to explore the resources that are available to them.” Both capillary and venous blood tests are included in the report, and people who have had multiple tests are counted only once. Tests and their results cover the time since the state action plan was put in place on Oct. 2, and capture the number of elevated blood lead levels greater than 5 micrograms per deciliter. xxxEND_PAGE:executiveofficeemails20_b0064_0122_0123_1 MDHHS is working closely with local partners to offer resources and distribute important lead testing and prevention information. Additional state funding has allowed for Genesee County Health Department (GCHD) nurses to work with families when an elevated blood lead level is detected. These families can also choose to have the nurse coordinate an environmental health investigation in their home to identify lead exposures, which could be lead from paint, soil, plumbing, and other sources. To support these efforts, the state is coordinating with its Medicaid health plans and provider communities on enhanced screening and testing. In addition to mandated testing at ages one and two for the Medicaid population, MDHHS has recommended blood lead testing for any child younger than six years of age in Flint who has not previously been tested. The state, in coordination with GCHD, developed and issued a Health Alert Network (HAN) notification for local providers to help ensure consistent messaging and protocols among primary care providers. Free water filters and replacement cartridges are still available to Flint residents. For a full list of loeations and hours of distribution, or to view the full blood lead level report, visit The summary will be updated as more data becomes available. To help residents properly install water filters, and to demonstrate how to replace tite original when it expires, MDHHS has crestetl an instructional video on its ¥rnz7y HHT Dave Murray Press Secretary | Executive Office of Governor Rick Snyder xxxEND_PAGE:executiveofficeemails20_b0064_0122_0123_2

Good morning, team. Here’s a new draft of the Flint Task Force response letter incorporating suggestions from Rich. Please let me know if there additional changes | should make, or if you think there are points that need to be included. Our goals is to have a letter that can be shared later today. Thank you! Dave Flint Water Advisory Task Force Members, Thank you for your correspondence on Dec. 7, and, most importantly, for your hard work to promote public health and protect our residents as we move forward. Your efforts are both respected and appreciated. As acknowledged in your letter, we have taken many steps to address the challenges in Flint as they relate to reducing lead exposure. | am pleased to see the progress since October, and recognize there is more work that must be done to ensure that this progress continues. At the state level, there has been a confluence of efforts between Michigan Departments of Environmental Quality and Health and Human Services to coordinate with the Genesee County Health Department, local schools, and our partners in the non-profit community. These partners are making progress, and we know we can always strive to improve practices and communication for continual improvement. You make a solid suggestion about establishing a person who is independent of any one of the involved state agencies or organizations to serve as the point person to coordinate the ongoing work. | am recommending that Harvey Hollins, director of the Office of Urban Initiatives, carry out this effort. Harvey is well-versed in the issue and the challenges faced by our cities and will be effective in this role. He will be assisted by senior members of our executive team to ensure you will have the continued support and cooperation that you need. We also have retained Chris DeWitt, a veteran communications specialist, to strengthen community outreach efforts to make sure residents have access to the information they need. | also support your suggestion of a dashboard to make information about our work and progress more accessible to the Flint community. These are critical measures that can be used as we look the challenges and progress in Flint, but also can be a part of efforts moving forward in other areas of our state. It’s important that people have confidence that we are working to address any problems and will take the necessary actions to improve interaction among city, state and federal agencies. We also will continue to work with the medical community to consider how we can work together on wraparound needs of children who might experience health problems. xxxEND_PAGE:executiveofficeemails20_b0580_1869_1870_1 People in Flint and across our state deserve safe, clean water. | want them to be confident that the water coming out of their tap is safe for their families. And | want them to trust that their government — at all levels — is working effectively to protect them. | thank you again for investing your time and expertise to this vitally important effort. Regards, xxxEND_PAGE:executiveofficeemails20_b0580_1869_1870_2

Good evening team, Here is a draft response to the task force letter that | think covers the needed ground and designates Harvey for the role suggested by the task force members. Please let me know if we are missing anything, or if there are points you want me to make, realizing that this letter will be distributed to the public. Thank you for your assistance. Dave Flint Water Advisory Task Force Members, Thank you for your correspondence on Dec. 7, and, most importantly, for your hard work to promote public health and protect our residents as we move forward. Your efforts are both respected and appreciated. As acknowledged in your letter, we have taken many steps to address the challenges in Flint as they relate to reducing lead exposure. | am pleased to see the progress since October, and recognize there is more work that must be done to ensure that this progress continues. At the state level, there has been a confluence of efforts between Michigan Departments of Environmental Quality and Health and Human Services to coordinate with the Genesee County Health Department, local schools, and our partners in the non-profit community. These partners are making progress, and we know we can always strive to improve practices and communication for continual improvement. You make a solid suggestion about establishing a person who is independent of any one of the involved state agencies or organizations to serve as the point person to coordinate the ongoing work. | am recommending that Harvey Hollins, director of the Office of Urban Initiatives, carry out this effort. Harvey is well-versed in the issue and the challenges faced by our cities and will be effective in this role. | also support your suggestion of a dashboard to make information about our work and progress more accessible to the Flint community. It’s important that people have confidence that we are working to address any problems and will take the necessary actions to improve interaction among city, state and federal agencies. People in Flint and across our state deserve safe, clean water. | want them to be confident that the water coming out of their tap is safe for their families. And | want them to trust that their government — at all levels — is working effectively to protect them. I thank you again for lending your time and expertise to this vitally important effort. Regards, xxxEND_PAGE:executiveofficeemails20_b1463_3694_3695_1 xxxEND_PAGE:executiveofficeemails20_b1463_3694_3695_2

| don't think that is necessary. | was just checking. Sent from my iPhone

Are these sent to the Gov and if sa, how often?

Rich - Per our conversation. Dan/Beth - FY!

The emergency management coordinator for Genesee County is Ms. len Bayer, who reports to Sheriff Pickell. Ms. Boyer’s contact information follows: Office - 810-424-4403 Cell i Emall Regarding the City of Flint, the city is required to maintain a Support Ernergency Operations Plan, which is current. MSP does not have a cory available, but the District Coordinator believas the representative for the city is the mayor. Patil xxxEND_PAGE:executiveofficeemails20_b0257_0594_0594_1

| thought this was a good example of something we could do to restore confidence in Flint. We have a ton of water experts in Michigan. Maybe we should adopt different testing protocols if our university experts say it's a good idea or that the federal guidelines are no long best practice. Going above and beyond seems like a good idea to be given everything that has happened. xxxEND_PAGE:executiveofficeemails20_b0585_1880_1880_1