October 21, 2026 at 6:00 PM - Meeting Agenda

I. Call to Order: Inform the public about the location of the Open Meetings Act and that it is accessible to the public (LB 898)

II. Roll Call

III. The Chairperson shall request all cell phones be turned off.

IV. Approval of Meeting Minutes  

IV.A. September 17, 2026

V. Old Business

V.A. Nebraska State Auditor Request and Response Update: October 6, 2026

V.B. Rural Health Transformation Grant Updates

V.B.1. 2.3a-Community Health Worker Initiative$1,065,398.53

V.B.1.a.
• Continued hiring and onboarding Community Health Workers.
• Working with Methodist Fremont Health to begin placing a CHW within the hospital. • Developing partnerships with Memorial Community Hospital, schools, and other community organizations.
• Finalizing agreements and developing referral, documentation, and reporting processes.

V.B.2. 4.2a – Dental Health Services – $100,000.00
 

V.B.2.a.

• Continuing implementation planning to expand access to oral health services
• Identifying equipment, supplies, and program needs
• Coordinating services to support preventive dental care.

V.B.3. Nebraska Kids Fitness Day / Obesity Prevention – $100,000.00

V.B.3.a.

• Planning nutrition education and physical activity initiatives
• Exploring partnerships with schools and community organizations.
• Developing activities that promote healthy lifestyles for children and families

V.B.4. These grants are helping Three Rivers expand our workforce, build stronger community partnerships, and create additional opportunities to provide public health services throughout our three-county district.
 

VI. New Business 

VI.A. Approval of the 2026 3RPHD Community Health Assessment (CHA)

VI.B. Approval of the 2026 3RPHD Community Health Improvement Plan (CHIP)

VI.C. Action Item: Approval of Updated Clinic Services Fee Schedule - Non-Sliding Fees: Review and approve updated clinic service fees for laboratory testing, blood draws, and tuberculosis screening. These services will be available to the general public, including walk-in patients, at established non-sliding, self-pay rates.

VI.D. Action Item: Approval of Updated 2026–2027 RSV and COVID-19 Vaccine Fees

VI.E. VFC Program Compliance Review and Corrective Actions-Information and Discussion

VI.F. Action Item:  Vehicle Cost Allocation and Mileage Reimbursement Plan

VI.G. Employee Recognition and Appreciation Policy

VII. Directors Report

VIII. Financial Report 

VIII.A. July 1, 2026-August 31, 2026

IX. Public Input

X. Adjourn