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. February 20, 2025
V. Old Business
V.A. CPA Firm (HBE) Contract Update
V.B. Personnel Matters
V.B.1.  Executive Session
VI. New Business 
VI.A. 2025 Poverty Income Levels (federal guidelines)
VI.B. Three Rivers Public Health Department Building Insurance Renewals (April 16, 2025- April 16, 2026)
VI.C. Nebraska State Auditor Request and Response 
VI.D. Clinic Service Vaccine Price Adjustment:  MMR Vaccine (Priorix-GSK) Vaccine:  $108.00 (up from $106.00)
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.
 
VI.F. New Policy and Procedures Approval
VI.F.1. Whistleblower/Code of Ethics
VI.F.2. Reduction in Force Policy/Process
VI.F.2.a. Executive Session
VI.G. Review and Approval of Updated Vacation Leave Policy (Section 7.0)
VI.G.1. Update to maximum accrual: 240 hours (30 days) from 320 hours
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.  
VI.H. One-Time Vacation Leave Payout for Employees Over 200 Hours
VI.H.1. Proposal to offer a one-time vacation leave payout to employees who have accrued more than 200 hours of vacation leave.
VI.H.2. Eligible employees can cash out the excess hours above 200, bringing their accrued balance down to the 200-hour level.
VI.H.3. The payout will be 100% of the employee’s regular pay rate.
VI.H.4. This one-time option supports fiscal management of leave balances and employee flexibility.
VI.I. Recommendation to discontinue the Workplace Wellness Stipend benefit effective June 30, 2025, while supporting employee wellness through non-monetary programs and resources.
VII. Directors Report
VIII. Financial Report 
VIII.A. July 1, 2024- March 31, 2025
IX. Public Input
X. Adjourn
Agenda Item Details Reload Your Meeting
Meeting: May 15, 2025 at 6:00 PM - Meeting Agenda
Subject:
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)
Subject:
II. Roll Call
Subject:
III. The Chairperson shall request all cell phones be turned off.
Subject:
IV. Approval of Meeting Minutes  
Subject:
IV.A. February 20, 2025
Subject:
V. Old Business
Subject:
V.A. CPA Firm (HBE) Contract Update
Subject:
V.B. Personnel Matters
Subject:
V.B.1.  Executive Session
Subject:
VI. New Business 
Subject:
VI.A. 2025 Poverty Income Levels (federal guidelines)
Subject:
VI.B. Three Rivers Public Health Department Building Insurance Renewals (April 16, 2025- April 16, 2026)
Subject:
VI.C. Nebraska State Auditor Request and Response 
Subject:
VI.D. Clinic Service Vaccine Price Adjustment:  MMR Vaccine (Priorix-GSK) Vaccine:  $108.00 (up from $106.00)
Subject:
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.
 
Subject:
VI.F. New Policy and Procedures Approval
Subject:
VI.F.1. Whistleblower/Code of Ethics
Subject:
VI.F.2. Reduction in Force Policy/Process
Subject:
VI.F.2.a. Executive Session
Subject:
VI.G. Review and Approval of Updated Vacation Leave Policy (Section 7.0)
Subject:
VI.G.1. Update to maximum accrual: 240 hours (30 days) from 320 hours
Subject:
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.  
Subject:
VI.H. One-Time Vacation Leave Payout for Employees Over 200 Hours
Subject:
VI.H.1. Proposal to offer a one-time vacation leave payout to employees who have accrued more than 200 hours of vacation leave.
Subject:
VI.H.2. Eligible employees can cash out the excess hours above 200, bringing their accrued balance down to the 200-hour level.
Subject:
VI.H.3. The payout will be 100% of the employee’s regular pay rate.
Subject:
VI.H.4. This one-time option supports fiscal management of leave balances and employee flexibility.
Subject:
VI.I. Recommendation to discontinue the Workplace Wellness Stipend benefit effective June 30, 2025, while supporting employee wellness through non-monetary programs and resources.
Subject:
VII. Directors Report
Subject:
VIII. Financial Report 
Subject:
VIII.A. July 1, 2024- March 31, 2025
Subject:
IX. Public Input
Subject:
X. Adjourn

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