NOTICE OF MEETING AND AGENDA

District Board of Health

Thursday, February 26, 2026

9:00 a.m.

Members

Devon Reese, Chair

Clara Andriola, Vice Chair

Paul Anderson

Washoe County Administration

Complex

Michael Brown

Dr. Eloy Ituarte, MD

Steve Driscoll

Northern Nevada Public Health, Bldg B

Conference Rooms A & B

Dr. Reka Danko, MD

1001 East Ninth Street, Reno, NV

AMENDED

9:00 a.m.

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)

Possible Approval of January 22, 2026, Draft Minutes. (FOR POSSIBLE ACTION)

Attachments: 01222026 Draft Minutes.docx

Welcome and Opening.

Presented by: Vice Chair Andriola and Health Officer Chad Kingsley

Facilitated by: Erica Olsen, OnStrategy

Attachments: NNPH Board Retreat Feb 2026 (1).pdf

Presentation and Discussion of the 2026 Washoe County Community Health Assessment (CHA).

Review of Community Health Assessment (CHA) data to inform Board decisions on Northern Nevada’s

strategic priorities for the next planning cycle, including primary and secondary health outcome data

for Washoe County.

Presented by: Kellie Watkins and Rayona LaVoie

Attachments: NNPH_CHA SUMMARY_strategic planning.docx

NNPH CHA Rankings_BOH_CLEAN.pdf

Presentation and Discussion of the Bay Area Regional Health Inequities Initiative (BARHII) Framework

and Assessment findings to support understanding of key health outcome patterns and inform

strategic planning discussions.

Presented By: Camarina Augusto

Attachments: 2026 BARHII Action Plan

FINAL 2026 BARHII PPT.pdf

Presentation and Discussion of the 2025 Public Health WINS survey and data to inform discussions on

strategies that support a positive, productive, and resilient public health workforce culture.

Presented by: Rayona LaVoie

Attachments: NNPH Board Retreat WFD Presentation 2026.pdf

10.

Update, discussion, and possible direction regarding the FY27 Northern Nevada Public Health Budget,

including revenues, expenditures, and projections. (FOR POSSIBLE ACTION)

Staff Representative: Chad Kingsley

Attachments: DBOH 02.26.2026 Budget Staff Report

DBOH 02.26.2026 Attachment A Budget History FYs

19-25

DBOH 02.26.2026 Attachment B FY26-30 Estimates and

Projections

DBOH 02.26.2026 Attachment C NNPH Organizational

Chart

DBOH 02.26.2026 Attachment D Budget Presentation

11.

Presentation, Discussion, and Acceptance of NNPH's Guiding Financial Principles to align the Board on

long-term sustainability, responsible stewardship, investment strategy and mission aligned resource

allocation. (FOR POSSIBLE ACTION)

Presented by: Dr. Chad Kingsley

Attachments: NNPH Financial Principles v3

12.

13.

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.

Board Comment.

Board members' announcements, reports and updates, requests for information topics for future agendas.

(No discussion among Board Members will take place on this item.)

Adjournment.

NOTE: Items on this agenda may be taken out of order, combined with other items, removed from the agenda, or

moved to the agenda of a later meeting. The Consent section is a single agenda item and is considered as a block

and will not be read aloud. Items on this agenda may also be moved to or from the consent section. Items not

voted on in the Consent section may also be voted on in a separate block or blocks. Items designated for a

specified time will not be heard prior to the stated time, but may be heard later. There will be only one period of

public comment on any block vote. Any public comment made during that period may pertain to any of the items

being voted on in the block, but there will not be separate public comment periods for each item within the block.

Location. This meeting will be held at the physical location designated on this agenda, but one or more of the

Board Members and/or Staff may attend and participate by a remote technology system. Members of the public

wishing to attend the meeting may do so at the designated physical location or may otherwise participate as

stated in the Public Comment section. The Chair or their designee will make reasonable efforts to ensure that

members of the public body and members of the public present at the physical location can hear or observe each

member attending by remote technology system, and each member of the public body in attendance can

participate in the meeting.

Accessibility. Northern Nevada Public Health, in compliance with Title VI of the 1964 Civil Rights Act and Title II of

the Americans with Disabilities Act, will make its public meetings accessible to members of the public. For limited

English proficient and hearing-impaired individuals, the Wordly application is available to members of the public

attending the meeting in person. Persons who require special accommodations or assistance in attending this

meeting may contact Northern Nevada Public Health at least two working days before the meeting, if possible, by

dialing 775-328-2415.

Public Transportation. Public transportation is available to this meeting site. For eligible RTC ACCESS reservations

call (775) 348-5438 or visit: https://www.rtcwashoe.com/public-transportation/.

Public Comment. Public comment is welcomed during public comment periods and is limited to 3 minutes per

person per public comment period. Unused time may not be allocated to other speakers. 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. All comments are to be

directed to the Board as a whole.

During the general public comment periods at the beginning and end of the meeting, speakers may address any

matter either on or off the agenda. Items voted on in the Consent section or in a separate block or blocks, shall

have a single public comment period per block, and public comment will only be heard about the specific items

being considered by the Commission in the block. For the remainder of the agenda, during items designated “for

possible action” that are considered individually, public comment will only be heard about the specific item being

considered by the Board. Members of the public who wish to share documents or make a brief presentation within

their public comment period must provide ten (10) printed copies of each document. Please note that USB drives

or any other digital media will not be accepted due to the risk of introducing viruses or malicious code, which could

potentially compromise the County’s systems.

Members of the public may also submit comments by mail to NNPH at 1001 E. Ninth St., Reno, NV 89512, or

eComment at https://washoe-nv.legistar.com/calendar.aspx. NNPH will make reasonable efforts to include all

such comments received by 4:00 pm one working day prior to the meeting in the record. Mail and eComment will

not be read by the Clerk but will be entered into the record.

Forum Restrictions and Orderly Conduct of Business. 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.

Responses to Public Comments. The Board may only deliberate or take action on matters that have been properly

labeled “FOR POSSIBLE ACTION” and listed on a properly noticed Agenda. While the Open Meeting Law allows

discussion of public comments by members of the Board, responses to matters not listed on the agenda could

become deliberation without notice to the public. To avoid this situation and ensure the public has proper notice

of all matters, members may choose not to respond to the public comments, except to correct factual

inaccuracies, ask for staff to provide information, or ask that the matter be listed on a future agenda for

consideration.

Posting the Notice. Pursuant to NRS 241.020, the Agenda for the District Board of Health has been posted as

required at the following locations: Washoe County Administrative Building (1001 E. 9th Street, Bldg A), Northern

Nevada Public Health (1001 E. 9th St., Building B), https://www.nnph.org, https://notice.nv.gov

Although no longer required under NRS 241.020, the agenda has also been physically posted at the following

locations: Sparks City Hall (431 Prater Way, Sparks) and Downtown Reno Library (301 S. Center St., Reno)

Support documentation for the items on the agenda provided to this Board, is available to members of the public

at Northern Nevada Public Health located at 1001 E. 9 th Street, in Reno, Nevada. Ms. Jacqueline Lawson,

Recording Secretary to the Board of Health may also be reached by telephone at (775) 328-2415 or by email at

jlawson@NNPH.org. Supporting materials are also available at the Northern Nevada Public Health Website

https://www.NNPH.org pursuant to the requirements of NRS 241.020.

The meeting will be televised live and replayed on YouTube at:

https://www.youtube.com/@northernnevadapublichealth