Correspondence between

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

| 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

And if you wanted a little light reading—frarn the NRDC—their notice of intent ta sue

Importance: High Fyt— This was passed along by 4 few people wha have recaived, Begin forwarded message: Date: October 22, 2015 at 6:39:37 PM EDT

Importance: High ENE This was passed along by a few people who have received, Begin forwarded message: 5D Date: October 22, 2015 at 6:39:37 PM EDT

A, come on, just throw thern under the bus one tire... McBride reports that at the meeting this morning in DC that Kildee and Stabeniow ganged up to throw the state under the bus...

Team, Here’s the release announcing the Flint Water Task Force. Members met this morning and had considerable input in this. Our plan is to issue the release around 2:30 p.m. Please let me know if you have suggested changes. Thank you! Dave Gov. Rick Snyder announces Flint Water Task Force to review state, federal and municipal actions, offer recommendations Experts in public health, water management, environmental protection to focus on steps to protect residents LANSING, Mich. — Gov. Rick Snyder today announced the creation of an independent advisory task force charged with reviewing actions regarding water use and testing in Flint and offer recommendations for future guidelines to protect the health and safety of all state residents. Task force members include experts in public health and medicine, water management, and environmental protection from both sides of the aisle, and will be co-chaired by Ken Sikkema of Public Sector Consultants and Chris Kolb, of the Michigan Environmental Council. Also serving will be Dr. Matthew Davis of the University of Michigan Health System, Eric Rothstein, of the Galardi Rothstein Group and Dr. Lawrence Reynolds of Mott Children’s Health Center in Flint. “Transitioning back to the Detroit Water and Sewerage Department-Great Lakes Water Authority is a good first step to protecting public health in Flint, but it’s not the last step,” Snyder said. “Bringing in outside experts to evaluate our actions and help monitor and advise on potential changes to law, procedures and practices will be key to continuing work on the comprehensive action plan and ensuring safe drinking water for all the residents in Flint and all of Michigan.” Snyder said the administration will fully cooperate with task force members, saying he wants an unbiased report focusing on steps taken in the past and recommendations that could improve practices to ensure all residents have access to safe, clean water. xxxEND_PAGE:executiveofficeemails20_b0053_0098_0100_1 Ken Sikkema is a senior policy fellow at Public Sector Consultants, where he specializes in public finance, environment, and energy policy. Prior to joining the firm, Sikkema served in both the Michigan House and Senate, culminating with four years as Senate majority leader. He has also served as both an adjunct and visiting professor at Grand Valley State University. Chris Kolb is president of the Michigan Environmental Council, a statewide coalition of 70 environmental, public health and faith-based nonprofit groups. Before joining the MEC, Kolb represented Ann Arbor in the state House for six years and served six years on the Ann Arbor City Council. He has been president of the MEC for six years. Matthew Davis, M.D., M.A.P.P., is professor of pediatrics and internal medicine at the University of Michigan Health System and professor of public policy at the Gerald R. Ford School at the University of Michigan, having joined the faculty in 2000. Davis also is a professor of health management and policy at the School of Public Health. He previously served as the chief medical executive of the Michigan Department of Community Health/Department of Health and Human Services. Eric Rothstein is a national water issues consultant and principal at the Galardi Rothstein Group. He served as an independent advisor on the creation of the Great Lakes Water Authority. Rothstein also has served as Jefferson County, Alabama’s rate consultant and municipal adviser for litigation related to the county’s bankruptcy and issuance of $1.7 billion in sewer warrants and led strategic financial planning for the City of Atlanta’s Department of Watershed Management. He has more than 30 years of experience in water, wastewater and stormwater utility finance and rate-making assessments. Lawrence Reynolds, M.D., is a pediatrician in Flint who serves as president of the Mott Children’s Health Center. He received his medical degree from Howard University College of Medicine and has been in practice for 36 years. He has served as president of the Genesee County Medical Society and the Michigan Chapter of the American Academy of Pediatrics. He has been honored for his humanitarian and advocacy efforts on behalf of children from the Community Foundation of Greater Flint. Snyder has said reconnecting with the authority is a critical step to resolving water quality issues and addressing related health concerns. It will not immediately resolve the city’s problem with lead service lines or aging infrastructure. It will take time for pipes in Flint to become coated with the phosphate corrosion control. To best protect public health, state and local authorities will continue to carry out steps outlined on Oct. 2 ina comprehensive action plan, including continued testing, the use of faucet filters and providing residents with accurate information about steps to eliminate lead exposure. The Michigan Departments of Environmental Quality and Health and Human Services are continuing to provide free water filters, free lead testing through the state laboratory for Flint water customers, and hiring additional staff to conduct health exposure monitoring for lead in drinking water. HE Dave Murray Deputy Press Secretary | Executive Office of Governor Rick Snyder Murray @ michigan gov 517-335-6397, office “mobile Hiigandmurray xxxEND_PAGE:executiveofficeemails20_b0053_0098_0100_2 xxxEND_PAGE:executiveofficeemails20_b0053_0098_0100_3

All, Need your review of this document. It’s our response to Detroit News story they’re prepping for tomorrow. Per Sara, Dan will call Jarrod shortly to discuss what we’re proposing to do here. Thanks, b xxxEND_PAGE:executiveofficeemails20_b1674_4097_4097_1

Good afternoon, Sara asked me to share with you the D£0's planned reaction to the U.S. EPA’s press release about the Flint water situation, which is attached. Please fet us know Hf you think we are missing anything, Dave Regarding the EPA announcement: “Wie are glac ic have the continued technical support and counsel from our federal partners. We have been working closely with the US. EPA on the challenges in Flnt, including its added presence on the city’s technical advisory and the Governors 10- point plan. This is weloarne news and we anticipate it will helo us implement the Governor's strategy.” xxxEND_PAGE:executiveofficeemails20_b1669_4087_4087_1

Accountable Please see below. We're going to address by noting that this move to was something that community had supported as well, that we know Darnell cares deeply about kids and the residents he serves, but that primarily we're focused on future and all the steps we are taking in collaboration with all parties to ensure that Flint has safe drinking water and we're protecting public health, and that we will be conducting a full after action review. Let me know ASAP if anyone has any concerns with that or other tweaks/ideas, otherwise, that's what we're going with. Thanks and best, SW Sent from my iPad Begin forwarded message:

West Michigan Update 10/9/2015 Anne’s hearing grumblings from business and residents about the Flint water situation. There is a mistrust of the reporting of the issue — comments including: it’s been blown out of proportion; how do we know what’s really going on; why do ‘we’ have to pay for Flint’s mistakes...... Not Responsive xxxEND_PAGE:executiveofficeemails20_b0049_0088_0090_1 Not Responsive xxxEND_PAGE:executiveofficeemails20_b0049_0088_0090_2 Not Responsive xxxEND_PAGE:executiveofficeemails20_b0049_0088_0090_3

FY]

We need a better update system re Flint Water. | saw in the press this am that DHHS announced yesterday that water filters would start being given out today. This should have come internally with more detail. | had press questions last night. Overall, we should have a daily report on Flint until our recommendations are fully implemented. For example: 1. What are the water test results from the public schools? 2. How many free test have been requested? How many have been done? How many remain and how long have they been waiting? What are the results - no lead, lead consistent with history, higher levels? 3. How many filters have been distributed? How many unfulfilled requests? 4. New blood test results? Especially in the two zip codes. 5. Analysis of tech advisory group 6. Analysis of the GLWA vs. Flint River vs. KWA. Thanks Rick Sent from my iPad xxxEND_PAGE:executiveofficeemails20_b0372_1421_1421_1

What if they are shut ing or can’t get there? Where’s the rellef coming from? is the Filnt Transit Authority willing to axtend complimentary transpertetion? Who is gning to exmlain to the recipients how the filter fits on their faucet? | know from experience that my wife never grew up building things out of Erector Sets, and she’s terrible at reading “part a atteches to part b with two bolts enclosed in the third packet, Don't use the ones marked only for Delta faucets oh, you get the point. ” dust a suggestion from a syntax point of view, the construction of the first sentence appears to allay anyone whoisa DHHS client and anyone who is a Flint resident to receive a water filter. Itisn’t clear that it applies to a person whois a Flint resident who receives public assistance and not to other Hint residents. Secondly, don't forget that other Hint residents alse should be entitied to a water filter and although the press release is about DHHS clients, we don’t want to create additional confusion. A thraw-away line about the other residents might be wise.

| don't want to just forward this email to Wyant, but Governor just ask to make sure that he had all this info. Does Dan have all this? Begin forwarded message:

How come we find this out from the TV reporter? Don’t they tell the RTAB anything?

So we don't forget the money; Flint is now running a $14,000,000 deficit in the WaterFund due to two lawsuits that have gone against the City. It has reduced what they can bill some folks have stopped paying believing they will be getting big credits or refunds. Also water cont be shut off for nonpayment under one suit Sent from my iPhone Begin forwarded message:

Follow Up Flag: Follow up Flag Status: Completed So we don't forget the money; Flint is now running a $14,000,000 deficit in the WaterFund due to two lawsuits that have gone against the City. It has reduced what they can bill some folks have stopped paying believing they will be getting big credits or refunds. Also water cont be shut off for nonpayment under one suit Sent from my iPhone Begin forwarded message:

Importance: High xxxEND_PAGE:dhhs02_b1279_4776_4778_2 004778 You will be receiving a meeting notice from Beth Emmitt for a meeting with the Governor this afternoon. Listed below are areas that we should provide him an update on engagement; if not yet engaged, then we need to engage asap. 1. Emergency management — similar to disasters, is there some form of action we can engage for this situation to help manage 2. Chief Medical officer — should be speaking with Hurley 3. WIC-re water and formula — status update 4. Drain commissioner — how do we expedite KWA Looking at a 1 pm meeting — let me know if you have questions on the above. Thanks ALS xxxEND_PAGE:dhhs02_b1279_4776_4778_3

Importance: High Please see attached and below fust in case ... sounds like we should have follow up conversation with MSP team and make sure we're coordinating with DEQ, DHHS and Treasury.

State Action in Flint Importance: High FYi- And for the record, NG ONE fram the Senator's office reached out before they put this out, though | know such action was alluded too. And t do try to make sure Angela on cams tearm always gets a heads up on key things we’re daing.

Quick recap on the interactions this week from the MDHHS side on the Flint water issue. Today the City of Flint issued the attached “Lead Advisory” for residents to be aware of lead levels in drinking water and issued suggestions from the Genesee County Health Department as to what residents could do to reduce risk. These include: -- flushing cold-water pipes by running water for approximately 5 minutes, --using only water from the cold-water tap for drinking, cooking and making baby formula --installing a water filter that is NSF-certified for lead removal. We worked with the Genesee County Health Department throughout the week to get them in a more pro-active mode to provide this guidance publicly and to encourage citizens to have the City test their water if they were concerned about the quality of water at their home. The health department also issued this fact sheet ; on Thursday providing additional information on the issue. MDHHS epidemiologists continue to review the “data” provided by a Hurley hospital physician that showed an increase in lead activity following the change in water supply. While we continue to review this data, we have stated publicly that Hurley conducted their analysis in a much different way than we do at the department. Hurley used two partial years of data, MDHHS looked at five comprehensive years and saw no increase outside the normal seasonal increases. The Hurley review was also a much smaller sample than MDHHS data as ours includes all hospital systems in Flint as well as outside laboratories. We have also provide the attached data chart that outlines if the elevated blood lead levels were being driven by a change in water, we would have seen the elevated levels remain high after the change in water source. We have also communicated that for WIC beneficiaries in Flint with documentation of unsanitary water, they may be able to receive ready to feed formula and have encouraged families to contact WIC to see if they are eligible for this formula. SNAP beneficiaries are able to purchase bottled water with their SNAP funds. Talking points from MDHHS are attached as well. Thank you, G xxxEND_PAGE:deq24_b095_0257_0257_1

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