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R-94-06-23-9B - 6/23/1994Mayor Charles Culpepper Mayor Pro -tem Robert St (aka Council Members Rod Morgan Rick Stewart Furl Palmer Martha Chavez Jimmy Joseph City Manager Robert L. Rennet4 Jr. City Attorney Stephan L. Sheets July 5, 1994 Dear Ms. Wilson: Sincerely, l.� Joanne Land Assistant City Manager/ City Secretary Enclosure THE CITY OF ROUND ROCK 221 East Main Street Round Rock, Texas 78664 512- 255 -3612 Ms. Karen Wilson, MN, MPH, Director Williamson County & Cities Health District P.O. Box 570 Georgetown, TX 78627 Resolution No. R- 94- 06 -23 -9B was approved by the Round Rock City Council on June 23, 1994. - Enclosed is a copy of the resolution for your files. If you have any questions, please do not hesitate to call. k oiv Fax 512-255-6676 1-800-735-2989 (TDD) 1- 800 - 735 -2988 (Voice) RECEIVED AU6 0 5 1994 WILLIAMSON COUNTY AND CITIES HEALTH DISTRICT 303 MAIN STREET - P.O. BOX 570 GEORGETOWN, TEXAS 78627 (512) 930 -4387 MEMO TO: Joanne Land, City Secretary FROM: Diane Sansomr✓ SUBJECT: Cooperative Agreement DATE: July 25, 1994 Enclosed please find the City of Round Rock's copy of the Cooperative Agreement for the Williamson County & Cities Health District for your files. If you have any question, please do not hesitate to call. 5 WILLIAMSON COUNTY AND CITIES HEALTH DISTRICT COOPERATIVE AGREEMENT R 9'/ O a3 9,a 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 a coordinated public health program throughout Williamson County, THEREFORE, for and in consideration of mutual promises, covenants and other invaluable considerations, THIS AGREEMENT by and between various 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 AND CITIES HEALTH DISTRICT in accordance with the following: 1. The parties agree to create the WILLIAMSON COUNTY AND CITIES 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 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 Court. One member each shall be appointed by the Cities of Round Rock, Georgetown, Taylor, and Cedar Park. BOARD appointees may be any citizen except: 1) elected officials of the appointing member governments or their immediate families, of 2) employees of the appointing member governments or their immediate families. 3. All members of the BOARD shall be appointed for a three -year term. Reappointments to the BOARD will be staggered so that only one -third of the BOARD is up for reappointment in any one year. 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 prescribe. WILLIAMSON COUNTY AND CITIES HEALTH DISTRICT Page 1 of 6 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 Statues. Each year the BOARD shall select a chairperson, vice - chairperson, and a secretary from among its members. 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. If the DIRECTOR is a physician, he or she will also serve as the County Health Authority and as the City Health Authority 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 /she 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. If the DIRECTOR is not a physician, the BOARD shall appoint a local physician to serve as the County Health Authority and as the City Health Authority for all member cities, as needed. If no local physician can be found who is willing to so serve, then the Medical Director of TDH Public Health Region 7 shall serve as the County Health Authority and as the City Health Authority for all member cities, as needed. 6. If, during the annual evaluation of the DIRECTOR, two -thirds of the entire BOARD judge the DIRECTOR to be guilty of neglect of duty, malfeasance, or unbecoming behavior, the DIRECTOR'S employment is terminated immediately. The exact terms of the termination shall be determined at the time by a majority vote of the BOARD. In the event of death, resignation, or removal from office, the BOARD shall advertise the vacancy, conduct a search and select a new DIRECTOR from among the best applicants. 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 supplementation (WIC) d. Referral to private physicians for diagnosis and treatment WILLAMSON COUNTY AND CITIES HEALTH DISTRICT Page 2 of 6 2. Infectious Disease Control for the Entire Community a. Contact investigation, treatment, and counselling for sexually transmitted disease and tuberculosis b. Immunizations for vaccine - preventable diseases c. AIDS screening and counseling d. Rabies post- exposure vaccination and counseling 3. Health 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. Waster Control (solid and hazardous) 3. General Sanitation 4. Epidemiologic Investigations of Water -borne and Food Poisoning Outbreaks C. INTEGRATED ELIGIBILITY SERVICES 1. Eligibility Determination for Medical Assistance Programs a. County indigent health care program b. Primary health care program c. Women, Infants and Children (WIC) Supplemental Food Program (financial and residential) d. Prenatal clinics e. Presumptive Medicaid for pregnant women 2. Eligibility Screening for Medical Assistance Programs a. Medicaid and Food Stamp programs b. Supplementary Security Income (SSI) c. Chronically Ill and Disabled Childrens Program (CIDC) d. MIHIA (Maternal and Infant Health Improvement Act) WILLIAMSON COUNTY AND CITIES HEALTH DISTRICT Page 3 of 6 3. Case Management Services for Pregnant Women and Children 4. Information and Referral Services for County Residents 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 and sanitation - related licenses and permits as authorized by law. Representatives of the DISTRICT shall also have authority to conduct health and sanitation inspections for member governments or as authorized by law. 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 or Sanitation Permits. 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. A. The amount of contributions from each member government shall be determined by the ruling body of each member government. B. The State's participation will be determined by contracts negotiated annually between the BOARD and the Texas Department of Health. C. 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. D. The DIRECTOR and the BOARD will actively seek to obtain 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, workers' 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. WILLIAMSON COUNTY AND CITIES HEALTH DISTRICT Page 4 of 6 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. The BOARD may in some years grant a cost of living increase to each DISTRICT employee, except that the size of the increase shall not exceed the increase granted by the County Commissioners to each county employee for that fiscal year. DISTRICT employees will not be granted an automatic pay raise based upon longevity. Instead, the BOARD may, from time to time, grant a merit increased based on job performance and /or promotion in job responsibility. 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 the 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 the Agreement shall be in writing and effective upon approval by a majority of the member governments. 16. This Agreement shall remain in effect indefinitely unless modified or canceled by a majority of the members. 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 Agreement. 18. This Agreement constitutes the entire Agreement, and supersedes all prior agreements between the parties. 19. This Agreement shall become effective on October 1, 1992. WILLIAMSON COUNTY AND CITIES HEALTH DISTRICT Page 5 of 6 ATTEST: County Clerk ATTEST: 4,, y Secretary ATTEST: ATTEST: City Clerk ATTEST: ea. COUNTY OF WILLIAMSON CITY o F ROUND ROCK Mayor CITY OF GEORGETOWN Mayor CITY OF TAYLOR Chairman CITY OF CEDAR PARK Mayor WILLIAMSON COUNTY AND CITIES HEALTH DISTRICT Page 6 of 6 TEXAS, KS /RESOLUTION RS06234B RESOLUTION NO. R D6 -02 -96 6 WHEREAS, on August 27th 1992, the Council adopted Resolution No. 1743R approving the Williamson County and Cities Health Agreement ( "Agreement "), and WHEREAS, the parties to said Agreement now wish to amend certain provisions of the Agreement, Now Therefore BE IT RESOLVED BY THE COUNCIL OF THE CITY OF ROUND ROCK, That the Council hereby approves the amendment of paragraphs 5. and 6. of said Agreement so that they read as follows: 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. If the DIRECTOR is a physician, he or she will also serve as the County Health Authority and as the City Health Authority 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 /she 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. If the DIRECTOR is not a physician, the BOARD shall appoint a local physician to serve as the County Health Authority and as the City Health Authority for all member cities, as needed. If no local physician can be found who is willing to so serve, then the Medical Director of TDH Public Health Region 7 shall serve as the County Health Authority and as the City Health Authority for all member cities, as needed. 6. If, during the annual evaluation of the DIRECTOR, two - thirds of the entire BOARD judge the DIRECTOR to be guilty of neglect of duty, malfeasance, or unbecoming behavior, the DIRECTOR'S employment is terminated immediately. The exact terms of the termination shall be determined at the time by a majority vote of the BOARD. In the event of death, resignation, or removal from office, the BOARD ATTEST: shall advertise the vacancy, conduct a search and select a new DIRECTOR from among the best applicants. RESOLVED this 23rd day of June, 1 LAND, City Secretary 2. CHARLES CULPEPPER, Mayor City of Round Rock, Texas XS /RESOLUTION RS06234E.2 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. If the DIRECTOR ohall iS a phyr iCian; he or 'sloe will also serve as the County Authority (formerly called thc County Ilealth Officer) and as the City Health Authority (formerly thc City Ilca1th 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. Heishe 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. If the DIRgc'rOR. ie'nOt a physician, the BOARD shall appoint -a local phyeicta1 to serge as the County Health Authority and es , the City: Health Authority' for all. member -cities, as 'needed.; Xf no local physician can be found who is willing to so serve, then the Medical Director of Ton Tuubl.io Health Region 7 shall serve as the County Health Authority and as the City Health Authority for all member cities, as,n*eded. 6. Department of IIealth. If, during the annual evaluation of the DIRECTOR, two - thirds of the entire BOARD judge the DIRECTOR to be guilty of neglect of duty, malfeasance, or unbecoming behavior, a pctition for hio removal ohall be addreoocd to thc Tcxao Commiooioncr of IIealth (hereinafter Commiooioncr) the DIRECTOR'S employment ie terminated immediately. The exaot terms of the termination shall be determined at the time by a majority vote of “the BOARt1. In ` the' event of death, ' resignation, or removal from office, the BOARD shall advertise the vacancy, oubmit thc liot of applicants to thc Commiooioncr for a review of ocicct thc new DIRECTOR from a liot of applicanto approved by thc Commissioner Conduct •a search and select a . new DITRBCTOR. from ", among the .. best applicants. . DATE June 21, 1994 SUBJECT: City Council Agenda, June 23, 1994 ITEM: 9B. Consider a resolution amending the Cooperative Agreement between the City of Round Rock and Williamson County Health District. STAFF RESOURCE PERSON: Joanne Land STAFF RECOMMENDATION: The Williamson County and Cities Health District Board of Directors has asked the Council's of all the cities in Williamson County to consider two changes the our agreement. Both changes were originally requested by the City of Georgetown and are acceptable to staff. Please see the attached which details the requested changes.