II. Roll Call

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

IV. Approval of Meeting Minutes  

IV.A. Approval of Meeting Minutes: April 23, 2026

V. Old Business

V.A. 2025-2026 Community Health Assessment (CHA) & Community Health Improvement Plan (CHIP)

V.A.1. Mental Health

V.A.2. Access to Care

V.B. Saunders County Board Opening-Public Spirited Individual

V.C. Washington County Board Opening-Public Spirited Individual

V.D. 3 Rivers Trailers Update-They have been sold, and we received: $10,123.75

V.E. Wahoo Lease Termination effective 6/30/2026- Update

V.F. LB 759-Swimming Pool Regulations Changes

V.G. Rural Health Transformation Grants Updates

V.G.1. 2.3a-Community Health Worker funded-$1,065,398.53

V.G.2. 4.2a-Dental Health Services funded-$58,333.00

V.G.3. >1.5b-Nebraska Kids Fitness Day (Obesity Prevention Work) funded-$100,000.00

VI. New Business 

VI.A. HUD Lead Program Presentation (Katie Schultis): Contractor Requirements, Neighborly System, and Program Policies. Action Item: Approval of HUD Contractor and Neighborly Program Policies. HUD Policies & Procedures: (as shown below) 1. Purpose 2. Non-Discrimination & Fair Housing 3. Financial Accountability 4. Identification, Selection, and Prioritization of Properties 5. Inspection Guidelines 6. Trainings and Certifications 7. Selection of Contractors 8. Lead Hazard Reduction Projects 9. Liability 10. Warranty

VI.B. Action Item:3RPHD Annual Audit Bid 2025-2026 (July 1, 2025-June 30, 2026)

VI.C. Action Item – Authorization to Establish/Renew Line of Credit Recommendation: Consider and take action to authorize the Executive Director to establish or renew a line of credit of up to $200,000, using the Three Rivers Public Health Department building as collateral if necessary, to provide short-term cash flow flexibility related to reimbursement-based grants.

VI.D. Action Item: HBE Accounting Contract: July 1, 2026-June 30, 2027

VI.E. Approval of Amendment to Executive Director Financial Authority and Procurement Policy

VI.F. Action Item: Approve Minor Renovations to the Community Health Worker (CHW) Meeting Office-$4,912.00

VI.G. Action Item: Approve Bid Award for Dental Minor Renovation Project – $8,212.00

VI.H. Action Item: Review and Consideration of Two Bids for MinorTraining Room Modifications to Improve Accessibility and Support Community Health Worker (CHW) Programming

VI.H.1. Gifford Realty

VI.H.2. Dethlefs Homes, Inc

VI.I. Action Item: Approval of an Affiliation Agreement with the UNMC College of Dentistry

VI.J. Action Item: Adopt Resolution Approving Participation in the Multi-Jurisdictional Hazard Mitigation Plan (HMP):  https://jeo.com/lower-platte-north-nrd-hazard-mitigation-plan-update

VI.K. Action Item: Review and Approval of Three Rivers Public Health Department Board of Health Bylaws

VI.L. Action Item: Approve Resolution Re-establishing the Board Member Term Roster and Staggered Terms of Office

VI.M. New Service – Rabies Vaccine Follow-Up Program

VI.M.1. Action:Consider approval to establish a new Rabies Vaccine Follow-Up Program at Three Rivers Public Health Department. This program will allow the department to purchase, store, and administer follow-up rabies vaccine doses after a licensed healthcare provider has evaluated the patient and initiated rabies post-exposure prophylaxis (PEP). Three Rivers Public Health Department will continue to provide public health consultation and referrals for potential rabies exposures but will not administer Human Rabies Immune Globulin (HRIG) or provide medical evaluation for the need for PEP. Program implementation will occur following completion of operational planning, Medical Director approval, and development of billing and clinical protocols.

VII. Directors Report

VIII. Financial Report 

VIII.A. July 1, 2025-May 31, 2026

IX. Public Input

X. Adjourn