Item 10: Health Working Group Report — original pdf

Backup

CITY OF AUSTIN LGBTQ QUALITY OF LIFE COMMISSION | HEALTH WORKING GROUP CITY OF AUSTIN Building a Healthier Austin A Public Health and Quality of Life Framework for LGBTQIA2S+ Austinites LGBTQ Quality of Life Commission Health Working Group PHASE I FINDINGS & DRAFT POLICY DIRECTIONS August 2026 WORKING DRAFT Prepared for review by Commissioners, Work Group members, City staff, and members of the public. Draft policy directions do not represent official Commission recommendations unless formally adopted. PHASE I WORKING DRAFT | AUGUST 2026 | 1 CITY OF AUSTIN LGBTQ QUALITY OF LIFE COMMISSION | HEALTH WORKING GROUP Executive Summary Austin has a strong record of LGBTQIA2S+ civic leadership, and the public record shows persistent needs in health, housing, access to affirming services, disability inclusion, aging, safety, and social connection. The Health Work Group is developing a practical framework that treats health as more than clinical care. Where people live, the air they breathe, the services they can find, the systems that recognize them, and the community ties they can rely upon all shape quality of life. The Work Group's first four meetings moved the project from a spreadsheet of ideas toward a long- term policy framework. Phase I identifies three priority initiatives and a focused set of draft directions that can be researched, refined, and converted into Commission resolutions, budget recommendations, or departmental requests. The central finding Austin should build on services and public assets that already exist, improve coordination before creating duplication, and ground new investments in current data and community partnership. Three Priority Initiatives ● Commission a new, scientifically rigorous LGBTQIA2S+ Quality of Life Study that preserves useful comparisons to 2021 while improving reach, accessibility, and methodological transparency. ● Evaluate an LGBTQIA2S+ Community Resource & Navigation Hub, using existing City-owned space first and coordinating services through public-private partnerships. ● Continue advancing the LGBTQIA2S+ Cultural Center as a distinct civic institution focused on history, arts, culture, education, and preservation. Supporting Draft Policy Directions The Work Group is also developing concepts involving preferred names and pronouns in City systems; disability inclusion; healthy aging and recreation; family-building benefits; residential air quality near major highways; inclusive emergency preparedness; and accountable use of existing public assets. Status of this report This document separates verified public facts from attributed public comment, planning estimates, and draft policy judgment. It does not claim that a site has been selected, a partner has committed, funding has been appropriated, or a recommendation has been adopted unless the cited public record says so. PHASE I WORKING DRAFT | AUGUST 2026 | 2 CITY OF AUSTIN LGBTQ QUALITY OF LIFE COMMISSION | HEALTH WORKING GROUP Contents and Reader Guide Section Topic 1 2 3 4 5 6 7 8 9 Purpose, charge, and approach What Phase I found Principles for future recommendations Priority Initiative One: updated Quality of Life Study Priority Initiative Two: Community Resource & Navigation Hub Priority Initiative Three: Cultural Center Draft policy directions Implementation and fiscal stewardship National models and research standards 10 Next steps Appendix A Potential resolution concepts Appendix B Selected references How to read the evidence ● Verified fact: supported by an official record or an identified authoritative source. ● Attributed fact: reported in public comment, Work Group discussion, or another identified source and not independently established here. ● Planning estimate: a preliminary range used for discussion, not an appropriation, bid, vendor quote, or commitment. ● Draft policy direction: a Work Group concept for research and refinement, not an adopted Commission position. PHASE I WORKING DRAFT | AUGUST 2026 | 3 CITY OF AUSTIN LGBTQ QUALITY OF LIFE COMMISSION | HEALTH WORKING GROUP 1. Purpose, Charge, and Approach The Health Work Group was established to produce research, recommendations, and potential resolutions within a six-month timeline. Its work is organized around three connected areas: acute health and direct services; community health, chronic illness, and disability; and mental health and intergenerational connection. A whole-person view of public health Public health is shaped by far more than healthcare alone. Housing, transportation, disability access, emergency preparedness, parks, cultural connection, economic opportunity, environmental conditions, and social support influence whether people can live safely and thrive. The Work Group therefore treats departmental boundaries as implementation questions, not as limits on the community's lived experience. Research reviewed during Phase I ● The City's 2021 LGBTQIA+ Quality of Life Study and its underlying methodology and recommendations. ● Commission recommendations and public meeting records concerning data collection, emergency housing, the Cultural Center, and related community needs. ● The May 2026 preliminary findings from the LGBTQIA+ Cultural Center feasibility study. ● Municipal and nonprofit models for needs assessments, community centers, cultural facilities, older-adult programming, and service navigation. ● Survey and demographic-measurement guidance from the National Academies and professional survey-research standards. ● Los Angeles building requirements and implementation materials addressing enhanced filtration near freeways. Phase I is a foundation, not a final verdict Some concepts are ready for resolution drafting. Others require briefings from City departments, legal review, cost analysis, community engagement, or confirmation that a reported implementation gap still exists. The Work Group should not confuse a good idea with a complete record. That dog will not hunt at Council, and it should not hunt here either. PHASE I WORKING DRAFT | AUGUST 2026 | 4 CITY OF AUSTIN LGBTQ QUALITY OF LIFE COMMISSION | HEALTH WORKING GROUP 2. What Phase I Found Austin has a baseline, and it is aging The 2021 City-commissioned study used a community-based mixed-methods approach. It included 2,149 completed survey responses from 89 ZIP Codes and 220 participants in town halls, stakeholder interviews, and focus groups. The report documented barriers involving culturally competent healthcare, housing, employment, public benefits, and government services, with unequal burdens across race, gender identity, age, and ability. Source: City of Austin, 2021 LGBTQIA+ Quality of Life Study Service coordination is a recurring need The 2021 report recommended investment in an LGBTQIA+ community center and described the value of co-locating health and social services. Phase I discussions and attributed public comment likewise emphasized a trusted, low-barrier location where residents could find multiple organizations, food and emergency assistance, housing navigation, and support outside conventional business hours. Culture and direct services require distinct missions Austin's Cultural Center work now has a formal feasibility record. A direct-service Hub may collaborate with or share selected functions with a Cultural Center, and the two should not be treated as synonyms. Clear missions will protect governance, funding, programming, public expectations, and measures of success. Existing public assets may change the economics Existing public assets may change the economics The May 2026 preliminary feasibility update evaluated the Guadalupe Fire Station, the historic Municipal Building, and the nonprofit ASHWell Clinic site. All three were deemed viable, with the Municipal Building first floor scoring highest in that preliminary exercise. The update also found that City-owned space could reduce acquisition costs and support phased improvements. Since that preliminary evaluation, the site discussion has advanced. On August 17, 2026, the LGBTQ Quality of Life Commission hosted a pop-up cultural center at City Hall and unanimously recommended the historic North Austin Fire Station No. 6 at 3002 Guadalupe Street as the future site of the Austin LGBTQIA+ Cultural Center, subject to relocation of the Austin Fire Department Arson Unit. The Guadalupe site offers several advantages relevant to health and quality of life. It is City-owned, has a standalone civic identity and a secure gated parking area, and is approximately one block from the planned 29th Street Austin Light Rail station. Austin Transit Partnership projects approximately 1,504 average weekday boardings at 29th Street Station by 2045, including about 1,440 passengers accessing the station by walking or bicycle. The location would provide direct light-rail connections to UT, downtown, South Congress, and East Riverside while retaining parking and the potential for accessible passenger and paratransit loading. The gated lot also creates an opportunity for phased health and community-service infrastructure. The City could evaluate utility connections capable of supporting visiting mobile medical and preventive-health clinics, veterinary services, food and nutrition programs, benefits and resource PHASE I WORKING DRAFT | AUGUST 2026 | 5 CITY OF AUSTIN LGBTQ QUALITY OF LIFE COMMISSION | HEALTH WORKING GROUP navigation, and other mobile providers. This could allow services to operate within a secure City property while visitors access the Cultural Center through a controlled entrance, providing greater privacy and flexibility than curbside mobile services. During the August 17 meeting, Commissioners also heard public testimony emphasizing the need for both cultural space and a community services or navigation hub. These functions need not be mutually exclusive. A phased Cultural Center at the Guadalupe site could combine cultural programming and community gathering with health access, navigation services, disability-inclusive programming, aging services, mobile providers, and emergency-preparedness functions as partnerships and funding develop. The May feasibility scoring remains useful background, but it preceded the Commission's site recommendation and does not fully reflect the Guadalupe property's future light-rail access, projected station use, secure parking, mobile-service potential, or opportunities for intergenerational and disability-inclusive programming. Potential policy direction: Support implementation of the Commission's August 17 recommendation and evaluate the Guadalupe Fire Station as a phased cultural, health, navigation, and community- services hub, including coordination with Austin Transit Partnership and planning for accessibility, secure mobile-service infrastructure, and emergency preparedness. Source: City of Austin, Cultural Center Feasibility Study, May 2026 preliminary findings, City of Austin LGBTQ QoL August 17, 2026 – Recommendation to Designate the Guadalupe Fire Station as the Future Site of the Austin LGBTQIA+ Cultural Center and Advance a Funded Implementation Plan, Austin Transit Partnership, Austin Light Rail Phase 1 Final Environmental Impact Statement, Appendix D: Transportation, December 2025 PHASE I WORKING DRAFT | AUGUST 2026 | 6 CITY OF AUSTIN LGBTQ QUALITY OF LIFE COMMISSION | HEALTH WORKING GROUP 3. Principles for Future Recommendations Future recommendations should be evaluated against the following principles. ● Build upon existing City services whenever practical. ● Leverage partnerships before creating new programs. ● Use existing City-owned facilities before pursuing acquisition or new construction. ● Minimize additional City staffing through collaboration and shared resources when service quality and accountability can be maintained. Improve measurable health and quality-of-life outcomes. ● Be informed by research, data, lived experience, and material counterevidence. ● ● Reflect responsible stewardship of taxpayer resources. ● Advance equity, accessibility, dignity, privacy, safety, and belonging. ● Assign a responsible lead, timeline, reporting requirement, and measurable outcome. What success would look like ● Residents can find accurate help without being sent from door to door. ● Organizations collaborate without losing their independence or duplicating services. ● City systems use a person's voluntarily provided name and pronouns where lawful, safe, and operationally appropriate. ● Older adults and people with disabilities can use City programs without having to choose between accessibility and affirmation. ● Housing and facility policy accounts for environmental health and emergency resilience. ● Austin's LGBTQIA2S+ history is preserved and shared through a durable civic institution. ● The Commission can measure progress instead of relying on anecdotes alone. PHASE I WORKING DRAFT | AUGUST 2026 | 7 CITY OF AUSTIN LGBTQ QUALITY OF LIFE COMMISSION | HEALTH WORKING GROUP 4. Priority Initiative One Update the LGBTQIA2S+ Quality of Life Study Recommend that the Commission develop a resolution requesting a new LGBTQIA2S+ Quality of Life Study using a scientifically rigorous, community-informed mixed-methods design. The project should preserve selected 2021 questions for longitudinal comparison while updating measures, outreach, accessibility, and privacy practices. Recommended research design ● A probability-based or probability-informed Austin and Travis County household component, where feasible, to strengthen population-level inference. ● A large community oversample recruited through paid digital outreach, trusted organizations, health providers, libraries, colleges, senior and disability networks, events, and neighborhood partners. ● Compensated focus groups and interviews with populations likely to be missed or underrepresented, including Black and Latino residents, transgender and nonbinary people, youth and older adults, people living with HIV, immigrants, people with disabilities, veterans, and people experiencing housing instability. ● Multilingual, mobile-friendly, screen-reader-compatible, telephone, paper, and assisted-response options. ● A shorter instrument than the 156-question 2021 survey unless pretesting establishes a clear need for comparable length. ● Public documentation of sampling, recruitment, weighting, nonresponse, limitations, privacy protections, and incentives. Measurement safeguards The National Academies recommends clear concepts, standardized measures, respectful administration, attention to disclosure risk, and an option not to answer sensitive identity questions. The next Austin study should adopt those principles and pretest its measures with the communities most affected. Source: National Academies, Measuring Sex, Gender Identity, and Sexual Orientation Planning estimate Budget concept $300,000 to $350,000 is a preliminary planning range for a stronger study with paid outreach, accessible and multilingual participation, incentives, and qualitative research. It is not a vendor quote or an appropriation. Competitive procurement and a written scope should establish the actual cost. PHASE I WORKING DRAFT | AUGUST 2026 | 8 CITY OF AUSTIN LGBTQ QUALITY OF LIFE COMMISSION | HEALTH WORKING GROUP 5. Priority Initiative Two LGBTQIA2S+ Community Resource & Navigation Hub The Hub would improve health and quality of life by connecting people with services, information, organizations, and opportunities through one coordinated, welcoming point of access. Its job is coordination, navigation, and direct support, not cultural preservation. Potential functions ● Housing and emergency-assistance navigation ● Food pantry and basic-needs support ● Mental-health and affirming-care referrals ● HIV prevention, care, and long-term survivorship navigation ● Legal clinics and benefits assistance ● Workforce and financial-stability services ● Youth, older-adult, disability, and caregiver programming ● Emergency-preparedness education and continuity-of-care planning ● Shared offices, meeting rooms, technology, and scheduled service hours for nonprofit partners Public-comment themes to carry forward Public speakers have described a center with 24-hour access to shelter or assistance, space for multiple organizations to lease or use, and no routine law-enforcement presence inside the facility. These are attributed community priorities, not adopted operating rules. Each requires additional work on service model, staffing, safety, liability, legal authority, emergency response, cost, and governance. Facility and operating direction ● Inventory vacant, underused, relocating, or potentially available City-owned facilities before considering acquisition or new construction. ● Use a nonprofit-led or shared-governance model if analysis shows it offers better flexibility, fundraising capacity, trust, and operational independence. ● Minimize new City staffing without creating an unfunded shell or weakening accountability. ● Adopt a 'No Wrong Door' service-navigation standard with clear referral ownership and follow- through. ● Define privacy, data-sharing, safety, accessibility, nondiscrimination, and performance standards in any operating agreement. PHASE I WORKING DRAFT | AUGUST 2026 | 9 CITY OF AUSTIN LGBTQ QUALITY OF LIFE COMMISSION | HEALTH WORKING GROUP 6. Priority Initiative Three Advance the LGBTQIA2S+ Cultural Center The Cultural Center would preserve, celebrate, interpret, and share Austin's LGBTQIA2S+ history while serving as a permanent civic home for arts, culture, education, and historical legacy. Distinct mission Cultural Center History, arts, culture, education, archives, exhibits, performance, public programs, and civic memory. Community Resource & Navigation Hub Navigation, direct support, coordinated services, shared providers, basic needs, health, housing, legal, workforce, disability, youth, and aging resources. Success is measured through preservation, access, participation, education, cultural impact, and institutional durability. Success is measured through service access, completed referrals, stability, health outcomes, reduced barriers, and user experience. A cultural institution may generate some earned revenue and still require operating support. A human-services hub requires dependable operating funds, clear service agreements, privacy standards, and accountable case coordination. What the preliminary City record establishes ● The core space program calls for approximately 4,000 to 7,500 net usable square feet. ● Additional highly desirable spaces could add about 4,000 net usable square feet. ● The Guadalupe Fire Station, historic Municipal Building first floor, and ASHWell Clinic site were deemed viable in the preliminary review; the Municipal Building first floor scored highest. ● The preliminary estimate is $2 million to $4 million for renovations and furniture, fixtures, and equipment, plus $3 million to $7 million if acquisition is required. New construction would cost more. ● The preliminary study favors a nonprofit-operated model as likely the most viable and sustainable, while noting that a City-run model is feasible with substantial long-term support. Important boundary These are preliminary feasibility findings, not final site selection, funding authorization, property availability, operator commitment, or a guarantee that the same estimates will apply after design and due diligence. Source: City of Austin, May 2026 preliminary feasibility findings PHASE I WORKING DRAFT | AUGUST 2026 | 10 CITY OF AUSTIN LGBTQ QUALITY OF LIFE COMMISSION | HEALTH WORKING GROUP 7. Draft Policy Directions Preferred names and pronouns across City systems Direct the City Manager to inventory resident-, customer-, employee-, patient-, victim-, witness-, contractor-, and public-facing systems and identify where voluntarily provided names and pronouns can be securely stored and appropriately used while preserving legal-name fields when required. The review should be technology-neutral and include privacy, disclosure, interoperability, records retention, emergency operations, and staff training. LGBTQIA2S+ disability inclusion Conduct an intersectional accessibility review of City facilities, meetings, websites, communications, recreation, shelters, emergency services, contracted programs, and engagement practices. Include blind and low-vision residents; Deaf, deafblind, and hard-of-hearing residents; people with mobility, speech, cognitive, intellectual, developmental, psychiatric, and episodic disabilities; neurodivergent residents; and people with chronic illness. Healthy aging and inclusive recreation Request a Parks and Recreation Department briefing on senior-center inclusion, recurring staff training, chosen-family recognition, accessibility, and the feasibility of an LGBTQIA2S+ older-adult recreation and social-connection pilot. Family-building benefits Request an implementation report on inclusive family-building and fertility benefits for City employees, including eligibility, reimbursement, administrative guidance, vendor practice, appeals, communications, and any barriers that may have unequal effects on LGBTQIA2S+ employees. Treat reported individual cases as leads for verification, not proof of a systemwide conclusion. PHASE I WORKING DRAFT | AUGUST 2026 | 11 CITY OF AUSTIN LGBTQ QUALITY OF LIFE COMMISSION | HEALTH WORKING GROUP Draft Policy Directions, continued Residential air quality and healthy housing near major highways Recommend that Council direct the City Manager to evaluate options for improving indoor air quality in newly constructed and substantially renovated residential developments near major highways, interstate corridors, and other significant sources of transportation-related air pollution. The evaluation should review the City of Los Angeles benchmark, which requires MERV 13 filtration for outside and return air in mechanically ventilated buildings within 1,000 feet of a freeway, together with current public-health and building-science guidance. Austin should determine what is appropriate for local climate, development patterns, legal authority, system capacity, energy use, maintenance, cost, and enforcement. Source: Los Angeles Department of Building and Safety, filter guidance Source: City of Los Angeles, Ordinance 184245 legislative file Inclusive emergency preparedness Evaluate accessible alerts, shelter practices, continuity of medication and durable medical equipment, service animals, sensory needs, communication access, chosen-family considerations, identity documents, and affirming treatment during emergencies. The review should identify responsible departments and contract standards rather than leaving inclusion to goodwill alone. Leveraging existing public assets Direct the City Manager to establish a repeatable process for notifying relevant departments and commissions when City facilities become vacant, underused, scheduled for relocation, or candidates for adaptive reuse. Require preliminary condition, accessibility, operating-cost, legal, and availability information before a facility is promoted publicly as a viable commitment. PHASE I WORKING DRAFT | AUGUST 2026 | 12 CITY OF AUSTIN LGBTQ QUALITY OF LIFE COMMISSION | HEALTH WORKING GROUP 8. Implementation and Fiscal Stewardship A staged approach 1. Confirm authority, responsible department, and existing work. 2. Hear from affected residents and subject-matter experts, including contrary views. 3. Define the service or policy outcome before selecting a facility or technology. 4. Develop capital and operating estimates, including accessibility, maintenance, staffing, security, data, insurance, and evaluation. Identify partnership and procurement options. 5. 6. Draft resolution language with a report-back date and measurable deliverables. 7. Review for legal, fiscal, media, and reputational risk before public release. Questions every proposal should answer ● What problem is being solved, and what evidence establishes it? ● What was foreseeable, what has the City already done, and what remains within City control? ● Who owns implementation and ongoing operations? ● What is the full cost, not merely the startup cost? ● What existing service, asset, contract, or partner could do the job? ● What is the strongest reasonable objection or competing priority? ● How will the Commission know whether the policy worked? Fiscal rule Capital funding without a credible operating model is a ribbon-cutting plan, not a public service plan. PHASE I WORKING DRAFT | AUGUST 2026 | 13 CITY OF AUSTIN LGBTQ QUALITY OF LIFE COMMISSION | HEALTH WORKING GROUP 9. National Models and Research Standards National examples should inform Austin's choices, not substitute for local analysis. The most useful models share four qualities: a clear public purpose, transparent methods, community participation, and an implementation path. Needs assessments and recurring data ● Seattle used a citywide needs assessment and follow-up engagement to identify priorities and reach groups underrepresented in initial responses. ● Miami-Dade County partnered with academic and community organizations on a multilingual needs assessment and action plan. ● Other counties and cities have combined online surveys with targeted focus groups, interviews, and recurring community-health data collection. Community-center models ● The DC Center, Dallas Resource Center, Houston's Montrose Center, and Chicago's Center on Halsted illustrate different mixes of navigation, health, behavioral-health, food, legal, youth, older-adult, workforce, meeting-space, and community programs. ● The best lesson is not to copy a floor plan. It is to define the local mission, governance, service agreements, and measures before choosing the building. Cultural-facility models ● San Francisco and Seattle demonstrate how cultural institutions, public art, history, cultural- space programs, and direct-service organizations can complement one another without requiring one entity to do everything. Evidence standard For the next phase, each external example should be documented with an official source, date, responsible agency, program status, funding model, available outcomes, and material limitations. A promising press release is not the same thing as a proven program. PHASE I WORKING DRAFT | AUGUST 2026 | 14 CITY OF AUSTIN LGBTQ QUALITY OF LIFE COMMISSION | HEALTH WORKING GROUP 10. Next Steps Recommended Work Group sequence ● Confirm the report's scope, terminology, and three priority initiatives. ● Request briefings from Austin Public Health, Parks and Recreation, Human Resources, Emergency Management, Development Services, the Office of Real Estate Services, Technology, and other responsible departments as appropriate. Invite disability, aging, housing, HIV, mental-health, legal, cultural, and service-navigation experts, including community members with lived experience. ● ● Convert the most mature concepts into draft Commission resolutions with responsible departments, report-back deadlines, fiscal notes, and measurable outcomes. ● Maintain a separate evidence file with sources, counterevidence, unresolved questions, and implementation risks. ● Return to the Commission with a concise Phase II package rather than a longer list of unranked ideas. Questions requiring resolution before adoption ● Does the Commission want one updated Quality of Life Study covering the City, Travis County, or a larger regional geography? ● Should the Hub include direct shelter operations, 24-hour navigation, an on-call partnership, or another emergency-access model? ● Which services require City provision, contractual funding, co-location, referral agreements, or independent nonprofit operation? ● What facility information can be made public without overstating availability or creating premature expectations? ● What operating and capital commitments are realistic within the City's budget horizon? Looking ahead The goal is not simply to produce individual recommendations. It is to build a durable framework that future Commissioners, City departments, and community partners can update as Austin changes. Austin has an opportunity to show that LGBTQIA2S+ health is reflected in the neighborhoods we build, the parks we share, the air we breathe, the services we provide, the history we preserve, and the way government treats people with dignity. Government is a process and a service. This Phase I report is the foundation for the work ahead. PHASE I WORKING DRAFT | AUGUST 2026 | 15 CITY OF AUSTIN LGBTQ QUALITY OF LIFE COMMISSION | HEALTH WORKING GROUP Appendix A. Potential Resolution Concepts 1. Updated Quality of Life Study Request a scientifically rigorous, community-informed study with transparent methods, accessible and multilingual participation, paid outreach, qualitative research, and longitudinal comparison where appropriate. 2. Community Resource & Navigation Hub Direct an evaluation of a coordinated service hub, using existing City-owned facilities first and defining governance, service partners, emergency access, operating costs, privacy, safety, and accountability. 3. LGBTQIA2S+ Cultural Center Continue implementation planning consistent with the feasibility process, while distinguishing preliminary site viability from availability, selection, funding, and operator commitment. 4. Preferred Names and Pronouns Inventory City systems and establish technology-neutral requirements for voluntary names and pronouns, legal-name retention where necessary, privacy, disclosure control, training, and implementation reporting. 5. Disability Inclusion and Healthy Aging Review City programs and facilities at the intersection of LGBTQIA2S+ identity, disability, chronic illness, aging, accessibility, recreation, emergency response, and chosen family. 6. Residential Air Quality Evaluate enhanced filtration, ventilation, site design, maintenance, and disclosure practices for residential development near major transportation-pollution sources, including the Los Angeles MERV 13 benchmark. 7. Family-Building Benefits Report on implementation, eligibility, guidance, appeals, vendor practices, communications, and any unequal administrative barriers affecting the City workforce. 8. Inclusive Emergency Preparedness Establish cross-department standards for alerts, shelters, medication continuity, disability access, service animals, chosen family, privacy, and affirming treatment. 9. Leveraging Existing Public Assets Create an inventory and notification process for vacant, underused, relocating, or potentially reusable City facilities, with condition, accessibility, legal, operating-cost, and availability information. PHASE I WORKING DRAFT | AUGUST 2026 | 16 CITY OF AUSTIN LGBTQ QUALITY OF LIFE COMMISSION | HEALTH WORKING GROUP Appendix B. Selected References ● City of Austin, LGBTQIA+ Quality of Life Study (2021) ● City of Austin Open Data, LGBTQIA+ Quality of Life Study responses ● LGBTQ Quality of Life Advisory Commission Recommendation 20240708-06, Cultural Center feasibility ● City of Austin, LGBTQIA+ Cultural Center Feasibility Study, May 2026 preliminary findings ● City of Austin Boards and Commissions Recommendation Archive ● National Academies, Measuring Sex, Gender Identity, and Sexual Orientation (2022) ● Los Angeles Department of Building and Safety, MERV filter guidance ● City of Los Angeles, Ordinance 184245 legislative material Document note This report is a Work Group draft prepared from prior meeting notes, the policy spreadsheet record, public documents, and updated primary-source review completed in August 2026. External models named in the narrative should receive source-by-source verification before they are relied upon in final resolution findings. PHASE I WORKING DRAFT | AUGUST 2026 | 17