Agenda



AGENDA

Collin County Health Care Foundation Jack Hatchell Administration Building 4th Floor, 2300 Bloomdale Road, McKinney June 23, 2025, 1:30 P.M.
NOTICE OF A REGULAR MEETING

Notice is hereby given that the Collin County Health Care Foundation Board of Trustees will meet in REGULAR SESSION. Following is the agenda for said meeting:

Call to order. The board will convene in open session for consideration of the following business matters:


					HEALTH CARE FOUNDATION BUSINESS:

1.					Consent Agenda Items:

	a.			AI-58181 Approved	Disbursements for the period ending June 17, 2025, Auditor.

	b.				Receive and File, Auditor:

		1.		AI-58217 Approved	Monthly Financial Reports for April 2025.

		2.			Compliance Audit (2nd Quarter FY2025):

			a.	AI-58213 Approved	Health Care.

			b.	AI-58214 Approved	Substance Abuse.

	c.				Miscellaneous:

		1.		AI-58139 Approved	Grant application for the FY2026 Immunizations Program Grant, through the Texas Department of State Health Services, Health Care.

		2.		AI-58141 Approved	Acceptance of the FY2026 Immunizations/Locals Grant award in the amount of $354,062, through the Texas Department of State Health Services, Health Care.

		3.		AI-58166 Approved	Grant application for the FY2026 DIS Workforce Grant, through the Texas Department of State Health Services, Health Care.

		4.		AI-58167 Approved	Acceptance of the FY2026 DIS Workforce Grant award in the amount of $388,159, through the Texas Department of State Health Services, Health Care.

2.					Executive Session Items:

					Executive Session, in accordance with Chapter 551 of the Government Code.

					The Board reserves the right to adjourn into Executive Session at any time during the course of this meeting to discuss any of the matters listed in this agenda, in the order deemed appropriate, as authorized by Chapter 551, Open Meetings, Texas Government Code, Sections 551.071, 551.072, 551.073, 551.074, 551.0745, 551.075 and 551.076, or to seek the advice of its attorney and/or other attorneys representing the Board on any matter in which the duty of the attorney to the Health Care Advisory Board under the Texas Disciplinary Rules of Professional Conduct of the State Bar of Texas clearly conflicts with chapter 551 of the Texas Government Code or as otherwise may be permitted under chapter 551.

					Any action resulting from the executive session.

Adjourn.



_________________________ Chris Hill, President

CERTIFICATION:

I hereby certify that the above notice of meeting was filed and posted to this office located in the City of McKinney, Texas, on this the _____ day of _______________, 2025 at ______ o'clock ____.M.



___________________________ Stacey Kemp, County Clerk Collin County, T E X A S



___________________________ Deputy

NOTE: The Collin County Health Care Foundation Board of Trustees complies with A.D.A. requirements. If you have an impairment and wish to appear at a meeting, please call (972) 548-4631 to make arrangements.


AI-58181		1.a.
Health Care Foundation
Meeting Date:	06/23/2025
Disbursements
Submitted By:	Hilari Monk
Department:	Administrative Services
Request Type:	CONSENT

Information
Department Action
Disbursements for the period ending June 17, 2025, Auditor.
Purchasing Department Action

HR and/or IT Action

Budget Department Action

Auditor's Office Action

Commissioners Court
Disbursements for the period ending June 17, 2025, Auditor.

Budget Information

Information about available funds

Budgeted:

Funds Available:

Adjustment:

Amount Available:

Unbudgeted:

Funds NOT Available:

Amendment:

Account Code(s) for Available Funds
1:

Fund Transfers

Attachments
Court Order 2025-2075-06-23
Disbursements


AI-58217			1.b.1.
Health Care Foundation
Meeting Date:	06/23/2025
Monthly Financial Reports for April 2025
Submitted For:	Robert Cone	Submitted By:	Patricia Campbell
Department:	Auditor
Request Type:	CONSENT

Information
Department Action
Please review and accept the Monthly Financial Reports for April 2025.
Purchasing Department Action
No action by Purchasing.
HR and/or IT Action

Budget Department Action
No action by Budget.
Auditor's Office Action
As per attached.
Commissioners Court
Monthly Financial Reports for April 2025.

Budget Information

Information about available funds

Budgeted:

Funds Available:

Adjustment:

Amount Available:

Unbudgeted:

Funds NOT Available:

Amendment:

Account Code(s) for Available Funds
1:

Fund Transfers

Remarks:

Attachments
Court Order 2025-2076-06-23
Memo for HC Monthly Financial Reports for April 2025
Health Care Foundation Monthly Financial Statements-April 2025


AI-58213			1.b.2.a.
Health Care Foundation
Meeting Date:	06/23/2025
Compliance Audit - 2nd Qtr FY25 - Health Care
Submitted For:	Robert Cone	Submitted By:	Patricia Campbell
Department:	Auditor
Request Type:	CONSENT

Information
Department Action
Please review and accept the Compliance Audit - 2nd Qtr FY25 - Health Care - Candy Blair
Purchasing Department Action
No action by Purchasing.
HR and/or IT Action

Budget Department Action
No action by Budget.
Auditor's Office Action
As per attached.
Commissioners Court
Health Care.

Budget Information

Information about available funds

Budgeted:

Funds Available:

Adjustment:

Amount Available:

Unbudgeted:

Funds NOT Available:

Amendment:

Account Code(s) for Available Funds
1:

Fund Transfers

Remarks:

Attachments
Court Order 2025-2077-06-23
Compliance Audit - 2nd Qtr FY25 - Health Care - Blair


AI-58214			1.b.2.b.
Health Care Foundation
Meeting Date:	06/23/2025
Compliance Audit - 2nd Qtr FY25 - Substance Abuse
Submitted For:	Robert Cone	Submitted By:	Patricia Campbell
Department:	Auditor
Request Type:	CONSENT

Information
Department Action
Please review and accept the Compliance Audit - 2nd Qtr FY25 - Substance Abuse - Candy Blair.
Purchasing Department Action
No action by Purchasing.
HR and/or IT Action

Budget Department Action
No action by Budget.
Auditor's Office Action
As per attached.
Commissioners Court
Substance Abuse.

Budget Information

Information about available funds

Budgeted:

Funds Available:

Adjustment:

Amount Available:

Unbudgeted:

Funds NOT Available:

Amendment:

Account Code(s) for Available Funds
1:

Fund Transfers

Remarks:

Attachments
Court Order 2025-2078-06-23
Compliance Audit - 2nd Qtr FY25 - Substance Abuse - Blair


AI-58139			1.c.1.
Health Care Foundation
Meeting Date:	06/23/2025
Texas Department of State Health Services FY2026 Immunizations Program Grant Funding
Submitted For:	Candy Blair	Submitted By:	Christian Jimenez
Department:	Health Care
Request Type:	CONSENT

Information
Department Action
Attached is the Fiscal Year (FY) 2026 Immunizations renewal grant application. This application covers one year from September 1, 2025 to August 31, 2026, with level funding set at $354,062. These funds are essential for supporting Collin County’s immunizations program that provides immunization services to the community, as well as enhance epidemiology response to vaccine preventable diseases such as Perinatal Hepatitis B. Historically, Collin County Health Care Services has allocated this grant funding to partially support four Registered Nurses (Position ID: 201271, 201274, 201475, 300770), one Licensed Vocational Nurse (LVN) (Position ID: 201264), three Tech I positions (Position ID: 300654, 300650, 201467), one Immunization Service Aid (Position ID: 200950), one Community Health Specialist (Position ID: 300456), one Health Care Analyst (Position ID: 300214), and one Assistant Public Health Director (Position ID: 300816). The following positions have been included in the CCHCS FY26 budget and will be 100% funded by the Collin County Health Care Foundation: Registered Nurse (201271, 300770), LVN (201264), Tech I (300654, 300650), Immunization Service Aid (200950), and Assistant Public Health Director (300816). The movement of these positions to 100% Collin County funding will be offset by increasing the grant funding percentages of the remaining staff. This will result in net neutral expenses with no new funding required by Collin County. The current FY26 Immunizations budget, excluding indirect costs, will fund 5.05 full-time equivalents (FTEs) for the following positions: 201274 (85%), 201475 (100%), 300456 (100%), 300214 (100%), 200796 (10%), 300285 (10%), and 201467 (100%). The percentages indicate the portion of each employee’s time funded by the grant, with the remaining funding provided by Collin County or another grant. Three positions (Position IDs: 201475, 300214, 201467) historically funded by the Immunizations grant will face funding shortfalls in FY26 due to the Collin County requirement to add a 10% de minimis indirect cost rate to grants in FY26. A separate request for funding for these positions has been included in Health Care Services’ FY26 budget, which the Commissioners Court will review during the regular budget process. If the FY26 budget requests are not approved, the positions will be laid off once available grant funding is exhausted. Collin County Health Care Services requests approval of this grant renewal application and the use of existing Health Care department funds to support department-required items that are not allowable expenses on the grant. Health Care department funds have historically been used for this purpose and no additional funds are requested. I respectfully request approval for this contract renewal application to ensure the continuation of these critical services and essential positions.
Purchasing Department Action
Request Commissioners Court consideration and any action regarding approval to apply for Texas Department of State Health Services (DSHS) Immunizations Program for $354,062 with no County match required by grant but may be necessary to cover gaps. The grant period is September 1, 2025 through August 31, 2026. gz
HR and/or IT Action
FY2026 Immunizations Grant in the amount of $354,062 in State and federal funds. Grant renewal application is for seven (7) existing position (Register Nurse RN:201274 at 85% for 12 months, Registered Nurse RN: 201475 at 100% for 2 months, Community Health Care Specialist: 300456 at 100% for 12 months, Health Care Analyst: 300214 at 100% for 1 month, Health Care Analyst: 200796 at 10% for 12 months, Epidemiologist: 300285 at 10% for 12 months, Tech I: 201467 at 100% for 6 months). Estimated expenses for salary and fringe at the percentage and length stated is $309,421.55. Grant funding does appear to be sufficient to fund these position assigned. Grant period is September 1, 2025 to August 31, 2026.
Budget Department Action
FY 2026 Immunization/Locals Grant Program in the amount of $354,062. Grant request funds seven existing healthcare positions: four (300456 12-mos, 300214 1-mo, 201475 2-mos, 201467 6-mos - no increase to headcount) estimated at 100%, two (200796 12-mos, 300285 12-mos - no increase to headcount) estimated at 10%, and one (201274 12-mos - no increase to headcount) estimated at 85% for varying periods. The $310,749 grant budget covers $306,029 of the estimated $591,998 total salary and benefits. The county will contribute an estimated $285,969 to cover the remaining costs. The grant also funds training, travel, supplies, and other program costs. However, partially funded positions (300214 1-mo, 201475 2-mos, and 201467 6-mos) will require additional funding in FY26, and their inclusion in the FY26 Healthcare Budget is requested. Grant period September 1, 2025 - August 31, 2026.
Auditor's Office Action
Grant renewal application for the Immunization FY 2026 grant. Federal and State funds in the amount of $354,062 with no county match required per the contract. Grant funds personnel/fringe portion at 10%, 85%, and 100% depending on position so the balance of each position is to be covered by general healthcare funds, this is listed under the county match column of the summary form. Grant period is September 1, 2025 through August 31, 2026.
Commissioners Court
Grant application for the FY2026 Immunizations Program Grant, through the Texas Department of State Health Services, Health Care.

Budget Information

Information about available funds

Budgeted:

Funds Available:

Adjustment:

Amount Available:

Unbudgeted:

Funds NOT Available:

Amendment:

Account Code(s) for Available Funds
1:

Fund Transfers

Remarks:

Attachments
Court Order 2025-2079-06-23
Memo
Grant Personnel Form
Budget
Grant Summary Form
Grant Review Committee Form
Personnel Budget


AI-58141			1.c.2.
Health Care Foundation
Meeting Date:	06/23/2025
Acceptance of the FY26 Immunizations/Locals Grant (Contract No. HHS001331300036) DSHS
Submitted For:	Candy Blair	Submitted By:	Christian Jimenez
Department:	Health Care
Request Type:	CONSENT

Information
Department Action
Attached is the contract for the Fiscal Year (FY) 2026 Immunizations/Locals grant. This contract covers a one-year period from September 1, 2025 to August 31, 2026, with level funding of $354,062. This is a routine grant renewal. The Immunizations/Locals grant has been renewed every year for several years and the grant is designated to prevent and control the transmission of vaccine-preventable diseases in children and adults. The grant funds will be used for salaries and fringe benefits for current staff and other essential program costs. For department-required items that are not allowable expenses on the grant, Health Care Services’ existing budget has traditionally supported these minimal expenses and no additional funds are needed. I respectfully request approval for this contract renewal acceptance.
Purchasing Department Action
Request Healthcare Foundation consideration and any action regarding approval to accept the Texas Department of State Health Services (DSHS) immunizations program grant for $354,062, and authorize Board President to execute same. The grant period is September 1, 2025 - August 31, 2026. gz
HR and/or IT Action
FY2026 Immunizations Grant in the amount of $354,062 in State and federal funds. Grant renewal application is for seven (7) existing positions (Register Nurse RN:201274 at 85% for 12 months, Registered Nurse RN: 201475 at 100% for 2 months, Community Health Care Specialist: 300456 at 100% for 12 months, Health Care Analyst: 300214 at 100% for 1 month, Health Care Analyst: 200796 at 10% for 12 months, Epidemiologist: 300285 at 10% for 12 months, Tech I: 201467 at 100% for 6 months). Estimated expenses for salary and fringe at the percentage and length stated is $309,421.55. Grant funding does appear to be sufficient to fund these positions assigned. Grant period is September 1, 2025 to August 31, 2026.
Budget Department Action
FY 2026 Immunization/Locals Grant Program Acceptance in the amount of $354,062. Grant funds seven existing healthcare positions: four (300456 12-mos, 300214 1-mo, 201475 2-mos, 201467 6-mos - no increase to headcount) estimated at 100%, two (200796 12-mos, 300285 12-mos - no increase to headcount) estimated at 10%, and one (201274 12-mos - no increase to headcount) estimated at 85% for varying periods. The $310,749 grant budget covers $306,029 of the estimated $591,998 total salary and benefits. The county will contribute an estimated $285,969 to cover the remaining costs. The grant also funds training, travel, supplies, and other program costs. However, partially funded positions (300214 1-mo, 201475 2-mos, and 201467 6-mos) will require additional funding in FY26, and their inclusion in the FY26 Healthcare Budget is requested. Grant period September 1, 2025 - August 31, 2026.
Auditor's Office Action
Grant award for the Immunization FY 2026 grant. Federal and State funds in the amount of $354,062 with no county match required per the contract. Grant funds personnel/fringe portion at 10%, 85%, and 100% depending on position so the balance of each position is to be covered by general healthcare funds, this is listed under the county match column of the summary form. Grant period is September 1, 2025 through August 31, 2026.
Commissioners Court
Acceptance of the FY2026 Immunizations/Locals Grant award in the amount of $354,062, through the Texas Department of State Health Services, Health Care.

Budget Information

Information about available funds

Budgeted:

Funds Available:

Adjustment:

Amount Available:

Unbudgeted:

Funds NOT Available:

Amendment:

Account Code(s) for Available Funds
1:

Fund Transfers

Remarks:

Attachments
Court Order 2025-2080-06-23
Memo
Contract
Budget
Grant Summary Form
Personnel Budget


AI-58166			1.c.3.
Health Care Foundation
Meeting Date:	06/23/2025
Renewal DSHS FY 2026 Disease Intervention Specialist HHS001120300006
Submitted For:	Candy Blair	Submitted By:	Bethany MacDonald
Department:	Health Care
Request Type:	CONSENT

Information
Department Action
Attached for your approval is the Fiscal Year (FY) 2026 renewal application for DSHS DIS Workforce Grant funds for a grant period that will begin August 1, 2025 through February 28, 2026. The FY26 award amount totals to $388,159.00. No county match is required. The Centers for Disease Control and Prevention (CDC) awarded Texas funding to increase capacity to conduct disease investigations, provide residents linkage to disease prevention and treatment, infection control, and response for sexually transmitted infectious diseases. This grant will enable the Health Care Services to continue to fund the existing DIS (1) Program Coordinator (Position ID: 300578), and (4) Epidemiologist positions (Position IDs: 300579, 300580, 300581, 300582). If additional grant funding is not received from the State of Texas, these positions will be discontinued upon the depletion of the grant funds in approximately January 2026. Collin County Health Care Services requests approval of this grant renewal application and the use of existing Health Care department funds to support department-required items that are not allowable expenses on the grant. Health Care department funds have historically been used for this purpose and no additional funds are requested. I respectfully request approval for this contract renewal application to ensure the continuation of these critical services and essential positions.
Purchasing Department Action
Request Health Care Foundation's consideration and any action regarding approval to accept the Department of State Health Services (DSHS) Workforce grant for $352,159 with no County match required. The grant period is August 1, 2025 - February 28, 2026. gz
HR and/or IT Action
FY2026 Disease Intervention Specialist (DIS) in the amount of $388,159 in Federal funds, of which $313,079.00 is designated for salary and fringe. Grant renewal application is for five (5) existing position (Program Coordinator: 300578 at 100% for 6 months, Epidemiologist: 300582 at 100% for 6 months, Epidemiologist:300581 at 100% for 6 months, Epidemiologist: 300579 at 100% for 6 months, Epidemiologist: 300580 at 100% for 6 months). For this grant per the department, "the funding will only support staff through January 9th, 2026 with PTO buyouts, so only one round of raises (4%) was included in the salary/fringe calculations. One staff member’s salary/fringe was calculated at 8% (e014175, ID:300579), due to a history of higher raises." Salary and fringe were calculated as 2 months with no increase (Aug-Sept), and 4 months at a 4% increase (Oct-Jan) since the department indicated that the employees will vacate the positions prior to any approved increases in January. Estimated expenses for salary and fringe at the percentage and length stated is $309,977.00. Grant funding does appear to be sufficient to fund these position assigned. Grant period is September 1, 2025 to February 28,2026.
Budget Department Action
Contract No. HHS001120300006 STD/HIV-DIS Grant Application in the amount of $388,159. No county match required. Grant funds to cover one (1) existing Program Coordinator-Grant Position (300578 - no increase to headcount) at an estimated 100% for six months and four (4) existing Epidemiologist-Grant Positions (300579, 300580, 300581, 300582 - no increase to headcount) at an estimated 100% for six months. Grant personnel and programming are to end once grant funds are expended. No County funds are budgeted for any programming costs not covered by this grant. Grant period August 1, 2025 - February 28, 2026. (2108)-HC Grants Fund.
Auditor's Office Action
Grant application for the renewal of the DIS workforce grant FY 2026. Grant in the amount of $388,159 with no county match required by the grantor. Grant funds 5 positions at 100% for 6 months plus supplies. Grant period is August 1, 2025 through February 28, 2026 (although grant funds for personnel are only budgeted for 6 months). Grant application has been reviewed by the grant review committee as per attached.
Commissioners Court
Grant application for the FY2026 DIS Workforce Grant, through the Texas Department of State Health Services, Health Care.

Budget Information

Information about available funds

Budgeted:

Funds Available:

Adjustment:

Amount Available:

Unbudgeted:

Funds NOT Available:

Amendment:

Account Code(s) for Available Funds
1:

Fund Transfers

Remarks:

Attachments
Court Order 2025-2081-06-23
Memo
Grant Summary Form
Grant Personnel Form
Budget
GRC Form
Personnel Budget


AI-58167			1.c.4.
Health Care Foundation
Meeting Date:	06/23/2025
Acceptance of Amendment No. 5 to DSHS FY 2026 Disease Intervention Specialist (DIS) Workforce Grant HHS001120300006
Submitted For:	Candy Blair	Submitted By:	Bethany MacDonald
Department:	Health Care
Request Type:	CONSENT

Information
Department Action
Attached is the contract Fiscal Year (FY) 2026 for DSHS DIS Workforce Grant funds for a grant period that will begin August 1, 2025 through February 28, 2026. The FY26 award amount totals to $388,159.00. No county match is required. This is a routine grant renewal. The DIS funds will support the salary and fringe benefits of the existing DIS (1) Program Coordinator (Position ID: 300578), and (4) Epidemiologist positions (Position IDs: 300579, 300580, 300581, 300582). These funds will allow the DIS program to conduct disease investigations, provide residents linkage to disease prevention and treatment, infection control, and response for sexually transmitted infectious diseases. If additional grant funding is not received from the State of Texas, these positions and the DIS program will be discontinued upon the depletion of the grant funds in approximately January 2026. I respectfully request approval of this contract renewal acceptance.
Purchasing Department Action
Request Health Care Foundation consideration and any action regarding approval to accept Amendment No. 5 to the Department of State Health Services (DSHS) DIS Workforce grant to: 1) increase the contract by $388,159 with no County match required; 2) update the Statement of Work and certain contract terms and conditions; and 3) extend the contract term through February 28, 2026, and further authorize Board President to execute same. gz
HR and/or IT Action
FY2026 Disease Intervention Specialist (DIS) in the amount of $388,159 in Federal funds, of which $313,079.00 is designated for salary and fringe. Grant renewal application is for five (5) existing positions (Program Coordinator: 300578 at 100% for 6 months, Epidemiologist: 300582 at 100% for 6 months, Epidemiologist:300581 at 100% for 6 months, Epidemiologist: 300579 at 100% for 6 months, Epidemiologist: 300580 at 100% for 6 months). For this grant per the department, "the funding will only support staff through January 9th, 2026 with PTO buyouts, so only one round of raises (4%) was included in the salary/fringe calculations. One staff member’s salary/fringe was calculated at 8% (e014175, ID:300579), due to a history of higher raises." Salary and fringe were calculated as 2 months with no increase (Aug-Sept), and 4 months at a 4% increase (Oct-Jan) since the department indicated that the employees will vacate the positions prior to any approved increases in January. Estimated expenses for salary and fringe at the percentage and length stated is $309,977.00. Grant funding does appear to be sufficient to fund these positions assigned. Grant period is September 1, 2025 to February 28,2026.
Budget Department Action
Contract No. HHS001120300006 STD/HIV-DIS Grant Award in the amount of $388,159. No county match required. Grant funds to cover one (1) existing Program Coordinator-Grant Position (300578 - no increase to headcount) at an estimated 100% for six months and four (4) existing Epidemiologist-Grant Positions (300579, 300580, 300581, 300582 - no increase to headcount) at an estimated 100% for six months. Grant personnel and programming are to end once grant funds are expended. No County funds are budgeted for any programming costs not covered by this grant. Grant period August 1, 2025 - February 28, 2026. (2108)-HC Grants Fund.
Auditor's Office Action
Grant award for the DIS workforce grant FY 2026. Grant in the amount of $388,159 with no county match required by the grantor. Grant funds 5 positions at 100% for 6 months plus supplies. Grant period is August 1, 2025 through February 28, 2026 (although grant funds for personnel are only budgeted for 6 months). Grant application has been reviewed by the grant review committee as per attached.
Commissioners Court
Acceptance of the FY2026 DIS Workforce Grant award in the amount of $388,159, through the Texas Department of State Health Services, Health Care.

Budget Information

Information about available funds

Budgeted:

Funds Available:

Adjustment:

Amount Available:

Unbudgeted:

Funds NOT Available:

Amendment:

Account Code(s) for Available Funds
1:

Fund Transfers

Remarks:

Attachments
Court Order 2025-2082-06-23
Memo
Budget
Contract
Grant Review Committee Form
Personnel Budget