May 15, 2025 at 6:00 PM - Meeting Agenda
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                                        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)                 | 
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                                        II. Roll Call                 | 
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                                        III. The Chairperson shall request all cell phones be turned off.                 | 
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                                        IV. Approval of Meeting Minutes                   | 
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                                        IV.A. February 20, 2025                 | 
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                                        V. Old Business                 | 
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                                        V.A. CPA Firm (HBE) Contract Update                 | 
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                                        V.B. Personnel Matters                 | 
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                                        V.B.1.  Executive Session                 | 
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                                        VI. New Business                  | 
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                                        VI.A. 2025 Poverty Income Levels (federal guidelines)                 | 
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                                        VI.B. Three Rivers Public Health Department Building Insurance Renewals (April 16, 2025- April 16, 2026)                 | 
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                                        VI.C. Nebraska State Auditor Request and Response                  | 
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                                        VI.D. Clinic Service Vaccine Price Adjustment:  MMR Vaccine (Priorix-GSK) Vaccine:  $108.00 (up from $106.00)                 | 
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                                        VI.E. Vaccine for Children (VFC) and Adult Immunization Program Suggested Donation Increase to $20.00 (from $15.00): A voluntary donation of $20.00 per vaccine is suggested to help support program sustainability. Note: No child or adult will be denied services due to inability to pay under these programs. | 
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                                        VI.F. New Policy and Procedures Approval                 | 
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                                        VI.F.1. Whistleblower/Code of Ethics                 | 
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                                        VI.F.2. Reduction in Force Policy/Process                 | 
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                                        VI.F.2.a. Executive Session                 | 
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                                        VI.G. Review and Approval of Updated Vacation Leave Policy (Section 7.0)                 | 
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                                        VI.G.1. Update to maximum accrual: 240 hours (30 days) from 320 hours                 | 
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                                        VI.G.2. As funding allows, an annual vacation leave buyout option of 40 hours will be added for employees with over 80 hours per year, either in June or November.                   | 
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                                        VI.H. One-Time Vacation Leave Payout for Employees Over 200 Hours                 | 
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                                        VI.H.1. Proposal to offer a one-time vacation leave payout to employees who have accrued more than 200 hours of vacation leave.                 | 
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                                        VI.H.2. Eligible employees can cash out the excess hours above 200, bringing their accrued balance down to the 200-hour level.                 | 
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                                        VI.H.3. The payout will be 100% of the employee’s regular pay rate.                 | 
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                                        VI.H.4. This one-time option supports fiscal management of leave balances and employee flexibility.                 | 
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                                        VI.I. Recommendation to discontinue the Workplace Wellness Stipend benefit effective June 30, 2025, while supporting employee wellness through non-monetary programs and resources.                 | 
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                                        VII. Directors Report                 | 
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                                        VIII. Financial Report                  | 
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                                        VIII.A. July 1, 2024- March 31, 2025                 | 
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                                        IX. Public Input                 | 
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                                        X. Adjourn                 |