Northern Nevada Public Health - Regular Meeting

Roll Call and Determination of Quorum.

Pledge of Allegiance.

Public Comment.

Comment heard under this item will be limited to three (3) minutes per person and may pertain to matters both on and off the Board agenda. Unused time may not be allocated to other speakers. Comments are to be made to the Board as a whole. Virtual Public Comment may be taken when facilities are available. A speaker's viewpoint will not be restricted; however, reasonable restrictions may be imposed upon the time, place, and manner of speech. Irrelevant statements, unduly repetitious statements, and personal attacks that would objectively antagonize or incite others are examples of speech that may be reasonably limited. This Board carries out the business of Northern Nevada Public Health and its citizens during its meetings. The presiding officer may order a person to be removed if the person's conduct or statements disrupt the order or safety of the meeting. Warnings about disruptive conduct or comments may or may not be given prior to removal. Furthermore, certain disruptions of a public meeting are criminal acts as defined under NRS 208.090 and/or NRS 203.119, which may result in prosecution in appropriate cases.

Approval of Agenda. (FOR POSSIBLE ACTION)

Recognitions.

Years of Service Gloriana Alvarez - Business Technologist II - AHS - 5 years 10/11/2021 Briana Contreras - Office Specialist - CCHS - 5 years 10/25/2021 Lauren Huntsman - Clinical Procurement Coordinator - CCHS - 5 years 10/25/2021 Health Heroes Gustavo Marquez - PHD - Adaptability, Collaboration, & Compassion Dawn Edwards - CCHS - Adaptability & Collaboration Rebecca Gonzales - CCHS - Collaboration Julissa Pulido - EHS - Adaptability Bianca Trujillo - CCHS - Adaptability & Compassion Medical Service Unit (Andrea Esp, Jordyn Marchi, Raquel DePuy Grafton) - PHD - Adaptability, Collaboration, Compassion, & Trustworthiness

Recommendation for approval of September 24, 2026, Draft Minutes. (FOR POSSIBLE ACTION)

Approve a Notice of Subaward from the State of Nevada Department of Health and Human Services, Division of Public & Behavioral Health retroactive to January 1, 2026 through December 31, 2026 in the total amount of $109,006 (no required match) in support of the Community and Clinical Health Services Division (CCHS) Tuberculosis Prevention Program and authorize the District Health Officer to execute the Subaward and any future amendments. (FOR POSSIBLE ACTION)

Approve the Notice of Subaward from the State of Nevada Department of Health and Human Services, Division of Public and Behavioral Health in the total amount of $471,713.00 ($47,171.30 cash match) retroactive to July 1, 2026 through June 30, 2027 in support of the Assistant Secretary for Preparedness and Response (ASPR) Public Health Preparedness Program; approve authorization to travel and travel reimbursements for non-County employees that are Inter-Hospital Coordinating Council (IHCC) Coalition members (to be designated by IHCC leadership) in an amount not to exceed the FY26 travel budget to attend the Health Care Coalition Conferences (dates to be determined); and authorize the District Health Officer to execute the Notice of Subaward, any future amendments and MOU agreements with partnering agencies. (FOR POSSIBLE ACTION)

Approve the Notice of Subaward from the State of Nevada, Nevada Health Authority, for the period upon approval through August 30, 2027 in the amount of $523,807.08 (no match required), to support improved health outcomes, strengthening rural health care infrastructure, attract/retain more health care providers, and technology innovation across rural Nevada, and authorize the District Health Officer to execute the Subaward and any future amendments. (FOR POSSIBLE ACTION)

Approve a Subaward from the Nevada Department of Health and Human Services, Division of Public and Behavioral Health in the total amount of $264,580.00 (no match required) for the period retroactive to July 1, 2026 through April 28, 2027 in support of the Population Health Division (PHD) Tobacco Prevention and Control Grant Program, and authorize the District Health Officer to execute the Subaward and any future amendments. (FOR POSSIBLE ACTION)

Recommendation for the Board to approve the Agreement for Services between Northern Nevada Public Health and National Jewish Health to provide tobacco and nicotine cessation coaching and nicotine replacement therapy to Nevada residents, in an amount not to exceed $138,278.00 ( FOR POSSIBLE ACTION)

Recommendation for the Board to uphold an uncontested violation issued to Zippy Mart, Case No. 1642, Notice of Violation No. AQMV26-0011 with a $500.00 Administrative Penalty for failing to comply with the gasoline vapor recovery testing requirements in Permit to Operate AAIR16-1015. (FOR POSSIBLE ACTION)

Recommendation for the Board to uphold an uncontested violation issued to Peavine Construction, Case No. 1633, Notice of Violation No. AQMV26-0010 with a $500.00 Administrative Penalty for failing to comply with the gasoline vapor recovery testing requirements in Permit to Operate AAIR16-0589. (FOR POSSIBLE ACTION)

Recommendation for the Board to uphold an uncontested violation issued to UNR - Main Station Farm, Case No. 1632, Notice of Violation No. AQMV26-0009 with a $500.00 Administrative Penalty for failing to comply with the gasoline vapor recovery testing requirements in Permit to Operate AAIR16-0949. (FOR POSSIBLE ACTION)

Acceptance of the 2025 Annual Report to the Truckee Meadows Regional Planning Agency by Northern Nevada Public Health as the Solid Waste Management Authority. (FOR POSSIBLE ACTION)

Acknowledge receipt of the Health Fund Financial Review for September, Fiscal Year 2027. (FOR POSSIBLE ACTION)

Presentation of the 2026 Extra Mile Award to Vassar Market.

Presentation of the 2026 Extra Mile Award to Go Mart.

Presentation of the 2026 Extra Mile Award to Corner Minit Mart.

Recommendation to accept the REMSA Health Monthly Franchise Report for September 2026 which include REMSA Health Accounts Receivables Summary, Compliance by Zones, Average Response Times, Incident Details Reporting, Summary Penalty Fund Reconciliation, Personnel, Ground Ambulance Operations Report, Patient Experience Report and Comments, Education Report, Public Relations Report, and Frequently Asked Questions, and provide possible Board direction. (FOR POSSIBLE ACTION)

Presentation and Discussion of the Community Investment Fund Established Under the Amended