NOTICE OF MEETING AND AGENDA  
District Board of Health  
Thursday, July 23, 2026  
1:00 p.m.  
Members  
Devon Reese, Chair  
Clara Andriola, Vice Chair  
Paul Anderson  
Washoe County Administration  
Complex  
Michael Brown  
Dr. Eloy Ituarte, MD  
Steve Driscoll  
Commission Chambers, Building A  
1001 E. Ninth Street, Reno, Nevada  
89512  
Dr. Reka Danko, MD  
1:00 p.m.  
1.  
2.  
3.  
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.  
4.  
Approval of Agenda. (FOR POSSIBLE ACTION)  
5.  
Recognitions.  
New Hires -  
Jamie Morales - PHD Int/Hrly Public Health Investigator I - 7/13/2026  
Years of Service -  
Sahara Cruz-Ramirez - 5 Years - CCHS Office Specialist - 7/6/2021  
Health Heroes -  
Jordyn Marchi - PHD - Collaboration and Trustworthiness  
Jordyn Marchi - PHD - Adaptability, Collaboration, and Trustworthiness  
Raquel Depuy Grafton - PHD - Collaboration  
Stephen Shipman - PHD - Adaptability and Collaboration  
Lauren Huntsman - CCHS - Adaptability, Collaboration, and Compassion  
Steve Kutz, Bianca Trujillo, Charmaigne Roque, Kellisa Suarez - CCHS - Adaptability and Trustworthiness  
Beth Reeve - CCHS - Adaptability, Collaboration, Compassion, Inclusivity, and Trustworthiness  
Melissa Shaffer - PHD - Adaptability and Collaboration  
Washoe Stars -  
Dawn Edwards - CCHS - Quality Public Service  
Benjamin Davis - AQM - Quality Public Service  
Genine Rosa - AQM - Quality Public Service  
6.  
Consent Items. (FOR POSSIBLE ACTION)  
6.A.  
Recommendation for Approval of June 25, 2026, Draft Minutes. (FOR POSSIBLE ACTION)  
06252026 Draft Minutes.docx  
Attachments:  
6.B.  
Approve a Subaward from the State of Nevada Department of Health and Human Services  
Grants Management Unit retroactive to July 1, 2026 through June 30, 2027 in the total amount  
of $278,963.00 (no required match) in support of the Community and Clinical Health Services  
Division (CCHS) Family Planning State Vaccine Program and authorize the District Health Officer  
to execute the Subaward and any future amendments. (FOR POSSIBLE ACTION)  
Staff Representative: Irene Dominguez and Christina Sheppard  
Attachments:  
DBOH 07-23-2026 Family Planning State Vaccine Grant  
Notice_of_Subaward-SG-2027-00016  
End of Consent Agenda.  
7.  
Recommendation to accept the REMSA Health Monthly Franchise Report for June 2026 which include  
REMSA Health Accounts Receivables Summary, Compliance by Zones, Average Response Times,  
Incident Details Reporting, Summary Penalty Fund Reconciliation, Personnel, Ground Ambulance  
Operations Report, Patient Experience Report and Comments, Education Report, Public Relations  
Report, and Frequently Asked Questions, and provide possible Board direction. (FOR POSSIBLE  
ACTION)  
Presented by: Barry Duplantis  
Attachments:  
DBOH - 7-23-2026 - REMSA Health Monthly Franchise Report  
REMSA Oversight Report  
8.  
9.  
Presentation of the Inter-Hospital Coordinating Council FY26 Accomplishments.  
Staff Representative: Andrea Esp  
Attachments:  
IHCC FY26 Accomplishments  
Presentation and possible acceptance of the FY27-30 NNPH Strategic Plan. (FOR POSSIBLE ACTION)  
Staff Representative: Rayona LaVoie  
Attachments:  
Staff Report FY27_30 NNPH Strategic Plan  
NNPH Strategic Plan FY27- FY30  
FY27 - FY30 NNPH Strategic Plan Action Plan  
FY27 - FY30 NNPH Strategic Plan Action Plan.xlsx  
10.  
Presentation, Discussion, and Possible Approval of Revisions to the Amended and Restated Franchise  
Agreement for Ambulance Service Following Confer Meetings with REMSA Health. (FOR POSSIBLE  
ACTION)  
Staff Representative: Andrea Esp  
Attachments:  
DBOH - 7-23-2026 - Amended and Restated Franchise Agreement for  
Ambulance Service Revisions  
DBOH - 07-23-2026 - Amended and Restated Franchise Agreement for  
Ambulance Service - clean.docx  
DBOH - 7-23-2026 - Amended and Restated Franchise Agreement for  
Ambulance Service - redline (DOWNLOAD for REDLINES)  
DBOH - 07-23-2026 - Topics for Franchise Agreement Confer  
Meeting_notes for DBOH  
11.  
Staff Reports and Program Updates.  
11.A.  
Air Quality Management - DC Circuit Upholds 2024 PM NAAQS, Divisional Update, Program  
Reports, Monitoring and Planning, Permitting and Compliance.  
Staff Representative: Francisco Vega  
Attachments:  
DBOH 07-23-2026 AQMD Division Director Staff Report (June 2026)  
11.B.  
Community and Clinical Health Services - Clinic Survey Results; Data & Metrics; Immunizations,  
Tuberculosis Prevention and Control Program, Reproductive and Sexual Health Services,  
Maternal Child and Adolescent Health, Women Infants and Children, and Community Health  
Workers.  
Staff Representative: Christina Sheppard  
Attachments:  
DBOH 7-23-2026 CCHS Director Staff Report  
11.C.  
Environmental Health Services Program - Consumer Protection (Food Safety Plan Review &  
Operations, Commercial Plan Review, Foodborne Illness, Special Events, Permitted Facilities);  
Environmental Protection (Land Development, Safe Drinking Water, Vector-borne Disease  
Surveillance, Waste Management / Underground Storage Tanks).  
Staff Representative: Robert Fyda  
Attachments:  
2026-07-23- DBOH EHS Division Report  
11.D.  
11.E.  
Population Health - Epidemiology, Statistics and Informatics, Public Health Preparedness,  
Emergency Medical Services, Vital Statistics, Sexual Health Investigations and Outreach, Chronic  
Disease and Injury Prevention.  
Staff Representative: Dr. Nancy Diao  
Attachments:  
DBOH 7-23-2026 - PHD-Division Report  
Office of the District Health Officer Report - Northern Nevada Public Health Communications  
Update, Accreditation, Quality Improvement, Workforce Development, Community Health  
Improvement Program, Equity Projects / Collaborations, Community Events, and Public  
Communications and Outreach.  
Staff Representative: Chad Kingsley  
Attachments:  
DBOH 07-23-2026 - ODHO Division Report.docx  
June-Media-Mentions-2026.xlsx  
12.  
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.  
13.  
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 Board 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,  
https://www.cityofsparks.us/your_government/public_meetings/index.php.  
Although no longer required under NRS 241.020, the agenda has also been physically posted at the 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