HomeMy WebLinkAboutRES 890342 - Agmt Establish Health Districty • �.. a... y ��r �. i - �. a �. r ��
WHEREAS, the City of Georgetown, Texas, is concerned about the
public health of its citizens•, and,
WHEREAS, Article 4436b, Texas Vernon's Civil Statutes, the Local
Public Health Reorganization Act, authorizes establishment of health
districts within and among counties, cities, and other governmental
entities for the purpose of providing and furnishing county -wide pub-
lic health programs; and,
WHEREAS, the City of Georgetown desires that the Williamson
County Health District furnish a coordinated public health program
throughout Williamson County; and,
WHEREAS, the City Council finds that the Williamson County Health
District conforms to the Georgetown Century Plan Policy Plan on Health
and Human Services Policy One.
NOW, THEREFORE, BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF
GEORGETOWN, TEXAS.
The City Council finds the recitals set forth above are true and cor-
rect.
WilliamsonThe City Council approves the attached Agreement establishing the
•unty Health District pursuant to Article 4436b, Vernon's a, • the Agreement •wherein
if fully >' forth at length.
The Mayor - -authorized to execute Agreement • the City
Secretary to
ln�
PASSED AND APPROVED THIS /o/, &�J DAY OF 4, zln� 1989.
Tim Kennedy, Mayor
2- V�;Ze,
'Leta\lloughby, Ci Seer ary
Di,ine Calclander, City Attorney
WILLIAMSON COUNTY HEALTH DISTRICT
WHEREAS, Article 4436b, Texas Vernon's Civil Statutes, THE LOCAL PUBLIC HEALTH
REORGANIZATION ACT, authorizes the establishment of health districts within and
among counties, cities and other governmental entities for the purpose of
providing and furnishing county -wide public health programs; and,
WHEREAS, parties to this agreement desire that the Williamson County Health
District furnish a coordinated public health program throughout Williamson
County,
THEREFORE, for and in consideration of those promises, mutual promises and
covenants and other invaluable considerations, THIS AGREEMENT by and between the
following units of government, acting by and through their duly authorized
governing; bodies, herein collectively referred to as "member governments" do
hereby create the WILLIAMSON COUNTY HEALTH DISTRICT in accordance with the
following:
1. The parties agree to create the WILLIAMSON COUNTY HEALTH DISTRICT (hereinafter
the "DISTRICT"). The DISTRICT shall be under the direction and supervision of the
WILLIAMSON COUNTY BOARD OF HEALTH (hereinafter the "BOARD") which shall be an
administrative public health board and shall have the authority to adopt
substantive and procedural rules which are necessary and appropriate to promote
and preserve the health and safety of the public within its jurisdiction;
provided that no rule adopted shall be in conflict with the laws of the State of
Texas.
2. The BOARD shall initially consist of six (6) voting members and the DIRECTOR
of the Health DISTRICT, who shall serve as an ex officio non-voting member of the
BOARD. Two members of the BOARD shall be appointed by the Williamson County
Commissioners Courts, one of which shall serve as the Chairman of the BOARD. One
member each shall be appointed by the cities of Round Rock, Georgetown, Taylor,
and Cedar Park as they join in the creation of the DISTRICT as evidenced by
adopting this instrument. BOARD appointees may be any citizen except: 1) elected
officials of the appointing member governments, or their immediate families, or
2) Employees of the appointing member governments, or their immediate families.
3. The members of the BOARD shall have resided in the DISTRICT for a period of
three (3) years and shall serve without compensation. All members sha-11 be
appointed for a three year
r term. Reappointments to the BOARD will be staggered
so that only one third of the BOARD is up for reappointment in any one year. The
order of yearly reappointments shall be determined by lot at the first BOARD
meeting. A member may be removed from the BOARD for neglect of duty,
malfeasance, or unbecoming behavior by majority vote of the ruling body of the
member government originally making the appointment. All vacancies caused by
death, resignation or removal of a member shall be filled for the unexpired
portion of the term by the appointing bodies as above prescribed.
4. The BOARD shall perform all public health functions pertaining to public
health which any of its component members is authorized to perform, or which the
Administrative BOARD is allowed to perform under State statutes. The BOARD shall
select a vice -chairperson, and a secretary from among its members and shall adopt
rules for the conduct of its meetings. A majority of the members shall
constitute a quorum for the transaction of business. The BOARD shall meet
quarterly on a date to be fixed by the board, and shall hold such meetings as may
be called by the chairperson or by the majority of the BOARD. The BOARD shall
conduct an annual evaluation of the performance of the DIRECTOR. The BOARD shall
comply with the Open Meetings Act and the Competitive Bid Statutes.
5. The DIRECTOR shall be the Chief Executive Officer of the Health DISTRICT and
shall actively manage the day to day operations of the DISTRICT staff. The
DIRECTOR shall also serve as the County Health Authority (formerly called the
County Health Officer) and as the City Health Authority (formerly the City Health
Officer) for all member Cities, as needed. A Health Authority has certain duties
prescribed by State law which are necessary to implement and enforce to protect
the public health. He shall aid the BOARD in all matters of local quarantine,
disease prevention and suppression, sanitation inspection and control of
contagious, infectious, and dangerous epidemic diseases within the Health
Authority's jurisdiction.
6. The DIRECTOR'S position is funded by the Texas Department of Health. If,
during the annual evaluation of the DIRECTOR, two-thirds of the BOARD judge the
DIRECTOR to be guilty of neglect of duty, malfeasance, or unbecoming behavior, a
petition for his removal shall be addressed to the Texas Commissioner of Health
(hereinafter Commissioner). In the event of death, resignation, or removal from
office, the BOARD shall advertise the vacancy, submit the list of applicants to
the Commissioner for a review of his or her qualifications, and then the BOARD
shall select the new DIRECTOR from a list of applicants approved by the
Commissioner.
7. The BOARD and DIRECTOR shall maintain high quality programs in the following
areas:
A. PERSONAL HEALTH SERVICES
1. Primary Health Care to the Indigent
a. Prenatal Clinics for the pregnant
b. Child Development Monitoring up to age 5
C. Nutritional Education and Food Supplimentation (WIC)
d. Referral to Private Physicians for Diagnosis and
Treatment
2. Infectious Disease Control for the entire Community
a. Contact investigation, treatment, and counseling
for Sexually Transmitted Diseases and Tuberculosis
b. Immunizations for Vaccine Preventable Diseases
c., AIDS Screening and Counseling
,d. Rabies postexposure vaccination and counseling
e. Epidemiologic investigations of water borne and food
poisoning outbreaks.
3. Heart Disease, Cancer, and Stroke Prevention
a. Blood Pressure screening and counseling
b. Cholesterol screening and counseling
c. Health Education re: weight loss, exercise, and
stress management.
B. ENVIRONMENTAL HEALTH SERVICES
1. Food Sanitation
a. Food -handler sanitation training
b. Food service and food preparation sanitation
surveillance.
2. Waste Control, solid and hazardous
3. General Sanitation
a. Vector Control
b. Drinking water hygiene
c. Swimming pool sanitation
d. Wastewater disposal surveillance
e. Water Pollution Control
4. Other environmental services by specific contract with
member governing bodies, or as permissible under State statutes
and regulations.
8. The member governments agree that the DISTRICT shall have the authority to set
and collect fees for nursing services and for the issuance of health related
licenses and permits as authorized by law, and for conducting health and
sanitation inspections for member governments or as authorized by law; provided
however, any fees so set or collected must be approved in advance by a majority
of the members of the BOARD. Where the DISTRICT requires a permit, the member
governments agree not to require their own Health Permits for the operation of
the following businesses: food service locations, grocery stores, bars, wholesale
and retail food dealers, vending machines, child care facilities, or for other
functions or establishments or places or locations regulated or monitored by the
HEALTH DISTRICT in the discharge of the responsibilities enumerated above.
9. DISTRICT is a State -participating local unit of the Texas Department of Health
and as such derives its budget from four principal sources: (1) the Member
governments, (2) the Texas Department of Health, (3) the collection of Fees, and
(4) grants.
(1) The amount of contributions from each member government shall be determined
by the ruling body of each member government.
(2) The State's participation will be determined by contracts negotiated annually
between the BOARD and the Texas Department of Health.
(3) Fees will be collected as a result of activities from environmental services
and from nursing services. Because it is expected that annual collections will
vary considerably due to economic conditions, the DISTRICT shall maintain
sufficient cash reserves to prevent untimely disruptions in services or loss of
highly trained personnel.
(4) The DIRECTOR and the BOARD will actively seek to obtain this DISTRICTIS, fair
share of Federal and private grants available in health related areas.
10. The DISTRICT shall maintain its own bank accounts for the collection and
deposit of all fees and contributions and for the payments of all operating
expenses. The BOARD shall require that an independent audit of the DISTRICT'S
financial records be made annually. The Uniform Grant and Contract Management.
Act of 1981 (Article 4413[32g], Vernon's Texas Civil Statutes) and standards
adopted pursuant to that Act shall control where applicable. The annual audit
shall be available for public inspection during all normal business hours. The
DISTRICT'S employees shall be eligible to participate in any group health
insurance, workman's compensation program, and retirement system made available
by any member government for its employees. The BOARD shall annually select the
member government's programs in which the DISTRICT'S employees will be included.
This selection must be made prior to when the selected member government makes
its decision as to which group health policy to purchase'.
11. Member governments and other governmental entities as well as private
institutions both within and without Williamson County, may contract for the
HEALTH DISTRICT to provide Rabies Control Services, Environmental Health
Services, Water Pollution Control Services, or upgrading of any appropriate
public health or environmental activity.
12. No salary increases granted to DISTRICT employees shall exceed the salary
increases granted to county employees within one fiscal year.
13. The provisions of Articles 4436b, and 4477-7e, Texas Vernon's Civil Statutes,
and House Bill 2125, Texas 70th Legislature Regular Session, shall be applicable
to the DISTRICT. In the event of a conflict between Article 4436b and this
Agreement, Article 4436b shall control.
14. A member government may withdraw from this Agreement. The withdrawal shall
become effective at the end of the current fiscal year after the withdrawing
member government has given written notice of its decision to withdraw to the
BOARD. Such termination shall not relieve such member government of any
obligation incurred by such member government prior to termination.
15. Modification of this Agreement shall be in writing and effective upon
approval by a majority of the member governments.
16. This Agreement shall remain in effect until October 1, 1.992, at which time
this agreement shall become null and void.
17. New member governments may become parties to this Agreement, with the consent
of the BOARD, by accepting in writing all of the terms and provisions of this
greement.
18. This Agreement constitutes the entire Agreement, and supercedes all prior
agreements between the parties.
19. This Agreement shall become effective on October 1, 1989.
ATTEST:
County Clerk
ATTEST:
City Secretary
ATTEST:
City Secretary
ATTEST:
City Secretary
ATTEST:
City Secretary
COUNTY OF WILLIAMSON
County Judge
CITY OF ROUND ROCK
Mayor
CITY OF GEORGETOWN
Mayor
CITY OF TAYLOR
Mayor
CITY OF CEDAR PARK
Mayor
ATTEST: CITY OF LEANDER
City Secretary Mayor
ATTEST:
CITY OF
BARTLETT
City Secretary
Mayor
ATTEST:
CITY OF
GRANGER
City Secretary
Mayor
ATTEST:
CITY OF
FLORENCE
City Secretary
Mayor
ATTEST:
CITY OF
THRALL
City Secretary
Mayor
ATTEST:
CITY OF
HUTTO
City Secretary
Mayor
DATE: , August 22, 1989
TO: Mayor and Council Members
FROM: artley Sappington
; irector of Community Services
SUBJECT: Proposed Williamson County Health District
The attached Agreement proposed for authorization by the City Council
will establish a Williamson County Board of Health. The purpose of
this Board will be to provide administrative direction for the public
health programs of Williamson County. If the City of Georgetown
elects to participate as a member government in this Board of Health,
it will be entitled to one appointment to this six -member Board.
The City Council is currently providing $l15OO.00 per month of funding
to the Williamson County Health Department to provide support and
matching funds for public health programs in the county. Georgetown
does have the benefit of a full"time clinic operating within its city
limitst and also receives inspection services from the Health Depart-
ment. To be an active participant in the Health District, th-
• •
ould be expected to continue its financial participation to the
Health District; however, the Health District cannot mandate to the
City the level of financial participation that it will be required to
provide.
Staff is recommending that the Council consider participating in the
establishment of the Williamson County Health District, as it will
provide the City direct input into the policies and administrative
direction of public health services in Williamson County.
WN