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In 2004, Michelle was appointed secretary of the New Mexico Department of Health, the largest department in state government, with more than 3,800 employees and a $440 million budget. As secretary, she pushed to improve access to medical care and minimize poor health outcomes related to environmental conditions through the promotion of a proactive "precautionary principles" environmental model for public bodies and institutions.
Today, Michelle continues her work and advocacy in the area of health, long-term care and public policy serving as a commissioner with the New Mexico State Bar, on the Board of Directors of Total Community Care in Albuquerque, and as a small business owner, having co-founded Delta Consulting Group (Agents of Change), a firm of 5, specializing in management and consulting services for non-profit organizations in health and long-term care reform including the provision of health insurance for high-risk individuals. Michelle has dedicated her career to public service and is a leader in public policy, particularly in the areas of healthcare and safety net services, always focused on improving the quality of life for individuals and their families.