09/24/2013 MINUTES(Paris — Lamar County Yfeafth Department
400 West Sherman Street TE�F
Paris, Texas 75460
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Minutes of Special Meeting
Paris - Lamar County Board of Health
The Paris - Lamar County Board of Health held a special meeting at 5:30 p.m. on Tuesday,
September 24, 2013, at the Paris - Lamar County Health Department. Board members in
attendance were Dr. Rick Erickson, Dr. Keith House, Dr. Mark Gibbons, Dr. William George, and
Mr. William Collins. Not in attendance were Dr. Lav Singh and Mrs. Kristi Head. Others in
attendance were Mrs. Gina Prestridge and Ms. Cheryl Johnson.
Meeting was called to order at 5:32 p.m. by Dr. Erickson.
Mr. Collins made the motion and was seconded by Dr. Gibbons that minutes from the August
6th, 2013 meeting be approved.
Mrs. Prestridge, Executive Director, updated the board that she received an email from John
Godwin, City Manager, on August 29th, 2013, stating that Paris -Lamar County Health
Department and WIC employees are not City of Paris employees (see attachment). Mrs.
Prestridge took the 85 page City of Paris Policies and Procedures Manual and made some
changes by deleting the civil service section, changed City of Paris to Paris -Lamar County
Health Department or the Board or Executive Director (where applicable) . Dr. Erickson will
review and make changes and will bring back to the board to review, change, and /or approve.
In the absence of the inter -local agreement, we will have to pay for a CPA, external audit, legal
advice, HR help, finance department and anything that the City currently does. Original
Interlocal agreement stated that City and County will each fund 50% of monies needed to cover
shortfall, but then there has been a revised copy that remove or changed that verbiage. Mr.
Collins stated that the original verbiage needs to be left in the interlocal agreement. Dr.
Erickson is planning on taking the interlocal agreement to the City and the County for discussion
after the budget approval process has been completed within the next few weeks. A copy of
the interlocal agreement was passed out to the board members to review (see attachment # 2).
Dr. Erickson provided Judge Superville and Dr. Hashmi a copy of the interlocal agreement to
review and mark changes, and got no response. Dr. Erickson will give Judge Superville and Dr.
Hashmi a copy of the interlocal agreement, then set up a face -to -face meeting to discuss the
agreement and changes.
Gina said the main things that will affect the employees will be the insurance, retirement and
switch over to a possible non - matched retirement contributions and higher insurance
premiums. We will have to apply and establish our own 501 -C3. It will take a while to get all this
information and we need to complete before the next year's budget is approved. The City of
Paris considers us a liability and a headache since we are on their insurance, and on their
payroll. The County does not have that liability since we are not on their insurance. Currently,
the City of Paris appoints the board members, but they should alternate. The interlocal
agreement will give the Board Members the authority to run the Paris -Lamar County Health
Department. Mrs. Prestridge is going to get some quotes on health insurance and retirement.
An outside audit may cost $10,000.00. Mrs. Prestridge will collect some figures for the amount
it may cost the City and County if we go out on our own. Dr. Erickson stated that if you have
less than 50 employees then you are not required to provide insurance and it might be cheaper
to go to the open market and give the employees the extra money that you would pay for
insurance and add to their salary or as a stipend and let them select their own insurance
coverage. City currently pay approximately $450.00 per month for the employee insurance and
the employee must pay the full premium for any spouse or children. Dr. Erickson asked all
members to review the interlocal agreement and mark any changes before the next meeting
and Dr. Erickson will deliver a copy to Judge Superville and Dr. Hashmi so the board members
can review at next meeting. Mrs. Prestridge advised we are currently accepting private
insurance, Primary Health Care, County Indigent Health Care, but Medicaid is a lot harder and
we are going to see if it is worth paying someone to file the claims for reimbursement. Paris -
Lamar County Health Department by —laws have been adopted and the State Auditors looked at
them and we will bet a formal report in two weeks.
The next meeting will be on the 15th of October, 2013 at 5:30 p.m. at the Paris - Lamar County
Health Department and then the next meeting will be November 19tH
Dr. Erickson made the motion and was seconded by Dr. House for the meeting to be adjourned
at 6:06 p.m.
Respectfully submitted by:
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Cheryl D. Johnson
See Attachment #1 —John Godwin memo
See Attachment #2 — Interlocal Agreement
Approval motion made by Mr. Collins and seconded by Dr. Gibbons at the October 22, 2013
meeting.
Board of Health minutes 2013 -08 -06 Special Meeting (needing approval)