HomeMy WebLinkAbout2026_02_19_BOH_PacketJefferson County
Board of Health
Agenda
Minutes
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Regular Meeting Agenda
Jefferson County Board of Health
Thursday, February 19, 2026 @ 2:30 PM
Jefferson County Courthouse — Commissioners' Chambers
1820 Jefferson Street, Port Townsend, WA
To view awenda items and meeting materials, click here: www.co.jefferson.wa.us — Services —
Laserfiche Web Portal (username and password is: public) — Health — Agendas —Minutes —Packets —
Board of Health Documents (then search by date: yyyy—mm—dd)
To view public comments received, www.co.ie rson.wa.us— Services — Laserfiche Web Portal
(username and password is: public) — Health — BOH Public Comments (search for folder of comments by
date, year first)
This is a hybrid meeting: Virtual and In -Person Attendance
You can join this meeting by using these methods:
• Zoom Meeting: https://usO5web.zoom.us/i/82378389363
This option will allow you to join the meeting live. You will need to enter an email address.
If you wish to provide public comment, click on the hand icon at the bottom of the
screen to "raise your hand." Participation will be up to the Chair and/or Clerk of the
meeting.
• Audio -only: Dial: 1-253-215-8782 and use Webinar ID: 823 7838 9363#
This option will allow you to listen to the meeting live. If you wish to provide public
comment, press *9 to "raise your hand." Participation will be up to the Chair and/or Clerk
of the meetine.
• In -Person: You are welcome to join the meeting in -person.
In the event of technical difficulties, at least one of the methods above will be accessible to the public. Please try all
methods first before calling 360-385-9100 to report any issues.
Public comment will be accepted and can be emailed to: BOH@coiefferson.wa.us until 5:00 PM the
evening prior to the start of the meeting.
AGENDA
CALL TO ORDER — Chair MickHager
I. Public Comment (10 mins.)
Public Comment Periods are dedicated to listening to the public. Each person may address the Board one time
during these periods. To ensure equal opportunityfor the public to comment, all comments shall be limited to 2 or
3 minutes per person, depending on the volume ofpublic in attendance.
AT A REGULAR MEETING, THE MEMBERS MAY ADD AGENDA ITEMS AND TAKE ACTION ON
OTHER ITEMS NOT LISTED ON THIS AGENDA.
Americans with Disabilities Act (ADA) Accommodations Provided Upon Request
II. Approval of Agenda
III. Approval of Minutes of January 15, 2026 Board of Health Meeting
IV. Old Business and Information Reports
1. Jefferson County Public Health (JCPH) Report (Apple Martine) (10 mins.)
2. Jefferson Healthcare Report (Dr. Kees Kolff) (5 mins.)
3. Infectious Diseases Update (Dr. Allison Berry) (10 mins.)
4. Legislative Update & Debrief on PH Legislative Day on the Hill (Heidi Eisenhour, Apple
Martine) (10 mins.)
V. New Business
1. Update regarding Community Health Fee Setting Procedures (Apple Martine, Allison Berry)
(15 mins)
2. Foundational Public Health Services Funding: Orientation and Update (Apple Martine) (20 mins)
3. Salish Behavioral Health Administrative Services Organization - Introduction and Update
(Jolene Kron, Executive Director) (30 mins)
4. National Public Health Awareness Week (week of April 6) and nomination period for Jefferson
County's Public Health Heroes Awards (Apple Martine) (5 mins.)
VI. Announcements
VII. Future Potential Agenda Topics:
Overview of Public Health Emergency Preparedness and Response (PHEPR) Program and
Preparedness plan for 2026-28 (March).
The County Strategic Plan
Salish Behavioral Health Administrative Services Organization
Opioid Settlement spending
Olympic Connect, the Community Care Hub model
Board of Health 101
Rural Reproductive Health
Emergency Fund for Public Health
The Child Development Center
ADJOURNMENT BY: 4:30 p.m.
Next Scheduled Meeting: March 19, 2026
2:30 — 4:30 PM
Jefferson County Public Health
Hybrid Meeting
AT A REGULAR MEETING, THE MEMBERS MAY ADD AGENDA ITEMS AND TAKE ACTION ON
OTHER ITEMS NOT LISTED ON THIS AGENDA.
Americans with Disabilities Act (ADA) Accommodations Provided Upon Request
Public
REGULAR MEETING MINUTES
Jefferson County Board of Health
Thursday, January 15, 2026 @ 2:30 p.m.
Jefferson County Courthouse — Commissioners' Chambers
1820 Jefferson Street, Port Townsend, WA
Hybrid Meeting
Board Members
Greg Brotherton, County Commissioner, District #3
Heather Dudley-Nollette, County Commissioner, District #1
Celeste Dybeck, Tribal Representative
Heidi Eisenhour, County Commissioner, District #2
Amanda Grace, Chair, Community Stakeholder
Dr. Kees Kolff, Public Hospital District #2 Commissioner
Monica MickHager, Vice -Chair, Port Townsend City
Council
Gabrielle Vanwert, Consumer of Public Health
Staff Members
Denise Banker, Community Health Director
Dr. Allison Berry, Health Officer
Lara Cittadini, CHIP Manager
Michael Dawson, Water Quality Manager
Carter Erickson, Environmental Health Manager
Apple Martine, Public Health Director
Pinky Mingo, Environmental Public Health Director
Jenn Mitchell, Finance Manager
Veronica Shaw, Public Health Deputy Director
Chair Grace called the January 15, 2026 meeting of the Jefferson County Board of Health to order at 2:30 p.m.
Members Present: Chair Amanda Grace, Members Greg Brotherton, Heather Dudley-Nollette, Heidi Eisenhour, and
Monica MickHager.
Staff Present: Staff Members Denise Banker, Dr. Allison Berry, Lara Cittadini, Michael Dawson, Carter Erickson,
Apple Martine, Jenn Mitchell and Veronica Shaw.
PUBLIC COMMENT
Chair Grace called for public comment.
Commenter told a personal story supporting the need for the footcare program at Public Health (JCPH). They also
spoke about the formation of Friends of Public Health and its mission to support JCPH and its programs which are
currently threatened by budget cuts.
Commenter added their voice supporting the previous commenter, appreciating the programs available at JCPH, in
particular the footcare program, and spoke about the community's dependence on these programs.
Respectfully submitted Page 1 of 4
G. Gilbert
APPROVAL OF AGENDA
Chair Grace called for a motion to accept the agenda for January 15, 2026.
The Clerk noted that, in the absence of Member Kolff, Member Kolff sent a brief note concerning recent events at
Jefferson Healthcare, along with a newsletter concerning the 2026 State Legislative Agenda. Staff member Martine
requested a change in the time allotted to the first two items of New Business.
MOTION: Member Eisenhour moved to approve the agenda as revised. Member Dudley-Nolette seconded the
motion, which carried by a unanimous vote.
APPROVAL OF MINUTES
Chair Grace requested a motion to approve the minutes of the November 20, 2025 meeting.
MOTION: Member MickHager moved to approve the minutes. Member Dudley-Nolette seconded the motion,
which carried by a unanimous vote.
OLD BUSINESS AND INFORMATIONAL ITEMS
1. Jefferson County Public Health (JCPH) Report
Staff member Martine lamented the negative and harmful impacts of the federal government's healthcare reforms and
slashing of the budget. She spoke about the difficult decisions in the county due to shortfalls necessitating budget
cuts.
She mentioned two significant bills that will be addressed at the upcoming state legislative session; they are:
(1) Senate bill 5967, which expands the qualifications of those serving as health officers for rural counties (low
support); and
(2) House bill 2242, concerning access to preventative services by clarifying state authority and definitions (high
support). Several local public health leaders and staff will journey to Olympia for Public Health Legislative Day to
educate legislators on the needs of rural counties.
JCPH put forward a proposal for funding from United Good Neighbors through the Give Jefferson Campaign, which
was granted, making up in part for some of the recent budget cuts.
2. Jefferson Healthcare Report
Chair Grace read aloud Dr. Kolff s note concerning recent events at Jefferson Healthcare, in particular the retirement
of Jill Buhler Rienstra after 30 years of service on the Board, and listed several of the Washington State Hospital
Association's state legislative priorities for 2026.
3. Infectious Diseases Update
According to Dr. Berry, in our community, COVID 19 activity is currently low; influenza took a recent downturn, but
could easily come back up; RSV activity has risen. In much of the nation, the flu situation is much more severe. This
is in part due to the H3N2 strain of the virus that is predominant and often more severe, as well as mutations in the
virus that make it better at evading prior immunity. Thankfully, the flu vaccine appears to be holding up well at
preventing the most severe outcomes of influenza infection and our higher vaccination rates, especially among high -
risk elders, are likely decreasing the severity of the flu season in Jefferson County. Dr. Berry reminded that flu can be
dangerous, especially for young children and the elderly, and vaccinating is recommended for everyone 6 years and
older
Measles in unusually prevalent, nationwide. It is not present in Clallam and Jefferson Counties, but anyone travelling
should be aware of potential exposure at their destinations. The vaccine is safe and very effective, with protection
lasting for life.
Federal news: there was a dramatic change in the CDC's pediatric vaccine schedule, based on a presidential order, not
scientific data; the change leaves children more vulnerable to many diseases. Major medical organizations across the
Respectfully submitted Page 2 of 4
G. Gilbert
country have come out against this move and endorsed the vaccine schedule released by the American Academy of
Pediatrics (which is consistent with the prior vaccine schedule). All prior vaccines are still available, though there is
concern that continued cuts to public health infrastructure could make them less available in coming years. Any
parents with questions or concerns are encouraged to speak to their primary doctor or health department staff.
Much federal money is being transferred from social services to funding federal law enforcement.
Discussion ensued.
NEW BUSINESS
1. Legal Aspects Regarding Setting of Public Health Clinical Fees
Staff members Apple Martine and Denise Banker led a discussion concerning the role the Board of Health plays in
setting the fees charged by JCPH. According to the Washington Administrative Code (WAC) and the Jefferson
County Code, the BoH has no legal obligation to set community fees. If the BoH wishes to change how fees are set, it
must (1) initiate the change; and (2) conclude the decided -upon changes by resolution.
Discussion ensued concerning possible modification of procedures for fee setting. Discussion was terminated in the
interest of time, with the suggestion that the topic be brought back to the February meeting for further discussion and
possible action.
2. Public Health Budget Update; Potential Services Cuts
Staff member Martine described the sharp reduction of funding provided by the county and enumerated consequences
of the reduction, including staff reductions and possible elimination of certain JCPH programs which have no other
sources of funds. She also mentioned that the county funds provided were stipulated for payment of liability
insurance, and also that there would be other funding reductions from the state. The intricacies of public health
budgeting was also briefly discussed, as money coming in is often earmarked for specific programs and are prohibited
from transferring moneys between funds.
During discussion, several Commissioners expressed their willingness to revisit the county funds provided to JCPH
with the intention of using parts of the funds for important programs that would otherwise be defunded (i. e., the
footcare program and the lakes program).
3. Update on BHAC's progress with 1/10th of 1% Funding and Opioid Settlement Funding
Staff member Martine provided an outline of how opioid settlement funds are being administered.
4. Lakes Program Update
Staff member Michael Dawson provided a slideshow describing the origin and development of the program and how
lake monitoring for the presence of toxins is conducted. He described various toxins and symptoms presented
following exposure. He mentioned possible dangers to the public and that the program may be cancelled or reduced
due to defunding.
5. Selection of New Board of Health Chair and Vice -Chair
Following a brief discussion:
MOTION: Chair Grace nominated member MickHager as Chair for 2026, and member MickHager nominated
member Grace as Vice -Chair for 2026. Member Eisenhour seconded the motion, which carried by a
unanimous vote.
FUTURE POTENTIAL AGENDA TOPICS
No discussion.
Respectfully submitted Page 3 of 4
G. Gilbert
ANNOUNCEMENTS
Member Brotherton announced the ORCA clean air meeting on February 11, 2026, 10 a.m. to 12 p.m (via Zoom) will
include a presentation called "Rooted in Respiration" by Dr. Meredith McCormack of Johns Hopkins University.
AGENDA PLANNING CALENDAR
The Agenda Planning Meeting for the next regular meeting of the Board will be held on February 12, 2026 at 10:30
a.m.
The next regular Board of Health meeting will be held as a hybrid meeting on Thursday, February 19, 2026 from
2:30 p.m. — 4:30 p.m.
ADJOURNMENT
Chair Grace adjourned the January 15, 2026 Jefferson County Board of Health meeting at 4:29 p.m. until the
next Regular Meeting or Special Meeting as properly noticed.
JEFFERSON COUNTY BOARD OF HEALTH
Amanda Grace, Chair Glenn Gilbert, Public Health Assistant
Respectfully submitted Page 4 of 4
G. Gilbert
Jefferson County
Board of Health
IV.
Old Business and Information Reports
Item 1
Jefferson County Public Health Report
"2025 Highlights"
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Public Healtf
February 19, 2026
Jefferson County Public Health
e 2025 Accomplishments
Public Heal
Women, Infants, and Children (WIC)
• Hosted a successful Jefferson County Diaper Drive, collecting an incredible 5,492 diapers,
3,734 wipes, and $577 in cash donations for the Great Diaper Drive, securing the Golden
Diaper Drive win for Jefferson County.
• Partnered with First Steps Family Support Center to host Baby Talk and Infant Massage classes,
and held monthly pop -ups in Chimacum and Quilcene providing supplies for families in
need.
• Recognized statewide for increasing WIC caseloads to 450 participants, generating $202,058
in grocery spending in Jefferson County, including $66,000 spent on fruits and vegetables,
along with thousands more at local farmers markets.
• Completed another successful season of the Farmers Market WIC Nutrition Program.
Children and Youth with Special Health Care Needs (CYSHCN)
• Began offering Autism evaluations through the School -Medical Autism Review Team (SMART).
• Added a physician and officially launched SMART evaluations within Jefferson County Public
Health.
• Completed one autism evaluation and scheduled another.
• Added several families to the working support list to assist with services for neurodivergent
learners and autism spectrum evaluations.
Nurse -Family Partnership (NFP)
• Built a relationship with Clallam County and achieved full caseloads there.
• Completed an affiliation agreement with Cakes for Kids to provide birthday cakes for clients
in need.
Prevention
• The Empowered Teens Coalition hosted eight Dungeons & Dragons sessions for teens ages
13-17 between January and March at the Quilcene Community Center. The three-hour
sessions focused on strengthening personal values such as friendship, honesty, and
communication through imagination, creative thinking, and teamwork.
• Hosted the Parenting Wisely program, which aims to increase parental communication and
disciplinary skills using social learning, cognitive behavioral, and family systems approaches.
• Hosted Incredible Years parenting support classes in Chimacum to support parents of
toddlers. Topics included school readiness, early social and language skills, independence
and problem -solving, transitions and separations, and managing behavior challenges.
• Assisted and supported Student Assistance Professionals during Red Ribbon Week and Drug
Facts Week.
9 Hosted safe and sober graduation night events at local high schools.
Tobacco and Cannabis Prevention
• Attended Policy Day in Olympia with local youth.
• Supported Jefferson Teen Center and Brinnon School District through mini -grants.
• Staffed the farmers market alongside Commissioner Dudley-Nollette.
• Implemented a peer -to -peer program in Chimacum and Port Townsend to support youth.
• Attended the Prevention Summit with youth participants.
• Co -presented with local students at the Washington State Public Health Association
conference.
• Hosted a weekend cleanup event with seven local students in Forks.
Harm Reduction
• Expanded client services.
• Created a self -serve supply cart.
• Addressed sanitation challenges at the Department of Social and Health Services (DSHS)
campsite.
• Held outreach hours at the warming center to support staff and increase open hours.
• Secured additional funding for supplies through OlyCAP.
• Expanded wound care services.
• Increased the number of people served.
• Enrolled clients in the Coordinated Entry system.
Communicable Disease
• Monitored, investigated, and responded to bat exposure calls, rabid cats, sick birds, and
foodborne illness cases.
• Monitored individuals exposed to two backyard flocks culled due to the bird flu epidemic.
• Partnered with the Communications Team to produce bird flu educational flyers.
• Hosted two vaccine clinics in South County to increase local vaccination rates.
• Worked with the Communications Team to provide accurate information and education
related to communicable diseases and vaccines during a changing CDC landscape.
Sexual and Reproductive Health
• Hired a new School -Based Health Center (SBHC) support staff member.
• Opened a new SBHC location at Blue Heron Middle School.
• Created a dedicated fund through the Jefferson Community Foundation, in partnership with
a Jefferson County community member, to support clinic financial sustainability.
• Applied for the Jefferson County Give Big campaign.
• Developed new workflows to improve efficiency and 340B compliance.
Intellectual and Developmental Disabilities (IDD)
• Produced a visual guide for Self -Advocate Advisory Board members.
• Hosted a local high school student with health -related barriers as a summer intern.
• Funded a new in -person meeting series with the Parent -to -Parent Program Coordinator.
• Funded new sexual health and safety resources for people with IDD.
• Launched a School -to -Work program in Jefferson County.
• Hosted an IDD section at All County Preparedness Day.
• Distributed dozens of adaptive devices and emergency go -bags at outreach events.
• Launched a new searchable resource directory on the county website.
• Spoke at 60+ meetings with partners across the county and state to educate them about
IDD resources.
Community Health Improvement Plan (CHIP)
• Hired a new CHIP Program Manager and Communications Specialist.
• Attended a statewide assessment meeting and two Washington State Association of Local
Public Health Officials (WSALPHO) conferences focused on health equity and
communications.
• Tabled at Pride, All County Preparedness Day, and the Quilcene Fair.
• Presented CHIP updates and the East Jefferson County environmental and climate health
threats and adaptation opportunities report and dashboard to the Board of Health.
• The Assessment Team was accepted into a University of Washington randomized control
trial evaluating use of the CHaRT risk tool.
■ Transitioned to integrated Business Intelligence (BI) dashboards.
• Hosted a regional meetup with Island County Public Health and Clallam/Kitsap
communications teams.
• Hosted in -person RMTS direct charge training.
• Completed the SBHC annual report and the 1 /1 Oth 2024 annual report.
• Co -designed and analyzed five surveys to support program planning and evaluation.
• Presented Data Community of Practice sessions at BHAC.
• Developed an internal communications strategy.
Environmental Health
Completed LEAN process mapping for the majority of business processes to improve
efficiency. LEAN is a management philosophy focused on maximizing customer value while
minimizing waste.
• Opened 109 complaint cases and closed 91 complaint cases.
Alternative Enforcement Program
• Launched an innovative code compliance approach through the Alternative Enforcement
Program, recognizing that certain conditions create barriers to compliance.
• Participants work with asocial worker to develop a Specific, Measurable, Achievable,
Relevant, and Time -bound (SMART) plan.
Septic
• Completed a revision to the On -Site Septic System codes, reducing barriers to development
by easing land area requirements.
• Hosted two in -person educational events to present proposed on -site sewage code
changes to the public.
• Funded 14 septic repairs through the Community Development Block Grant, totaling
$460,535, improving sanitation and protecting local water quality.
• Held Septic Homeowner classes allowing eligible participants to complete their own septic
system monitoring inspections.
School Environment Health and Safety Program
• Launched a new School Environment Health and Safety Program conducting annual
inspections at local private and public schools to help keep children safe.
Water Quality
® Published an annual water quality report.
• Monitored 30 streams monthly for bacteria.
• Monitored 78 miles of shoreline for bacteria.
• Completed annual deliverables for the Chimacum-Hadlock Pollution Identification and
Correction grant project.
Monitored three swimming beaches for bacteria during summer months.
• Monitored four lakes for cyanotoxins from April through October.
• Coordinated seven volunteers for shellfish biotoxin monitoring.
Natural Resources
• Recommended funding for three Conservation Futures projects.
■ Applied for a Flood Control Assistance Account Program grant for the Brinnon community.
• Continued the Hoh River and Dosewallips River projects.
JCPH Boards and Committees (2025)
• Board of Health - Filled both the Tribal and Consumer of Public Health seats to maintain
strong diversity for inclusive decision -making.
Behavioral Health Advisory Committee - Filled most alternate positions for the first time in
many years.
• Intellectual & Developmental Disabilities Advisory Board (IDDAB) - Filled key membership
seats and established the first -ever Self -Advocate membership seats for individuals living
with IDD.
® Amended IDDAB bylaws to allow self -advocate members to receive stipends for meeting
attendance.
• Conservation Futures Fund Citizen Oversight Committee - Visited and scored three project
applications, presented funding recommendations to the County Commission, and added
a new citizen member with interest in small farms and forests.
• Spearheaded county -wide implementation of stipends for board and committee
members representing marginalized communities, improving accessibility and equity in
civic participation.
Jefferson County
Board of Health
IV.
Old Business and Information Reports
Item 2
Jefferson Healthcare Report
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Public Healtf
February 19, 2026
Jefferson County
Board of Health
IV.
Old Business and Information Reports
Item 3
Infectious Diseases Update
[No hand-out]
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4 � courd
Public Health
February 19, 2026
Jefferson County
Board of Health
IV.
Old Business and Information Reports
Item 4
Legislative Update and Debrief on
PH Legislative Day on the Hill
(:01uit
Public Healtk
February 19, 2026
State
Legislative
Process
Key Public Health Acronyms
• LHJ = local health jurisdiction
• DOH = WA State Department of Health
• SBOH = WA State Board of Health
• FPHS = foundational public health
services
• Leg = Legislature, Legislative
House = House of Representatives
• WA Leg = Legislative Website
• 4 Corners = Caucus leadership from both
chambers
• RCW = Revised Code of Washington
• WAC = Washington Administrative Code
• WSALPHO = VA State Association of Local
Public Health Officials
0 WSAC = WA State Association of Counties
• Two Chambers: House & Senate - create
new laws, change existing laws, and enact
budgets for the State
• Legislative cycle is two years (Biennium):
• Odd years are "long" (105 days)
• Even years are "short" (60 days) * Session 2026!
• Long sessions (2025) begin biennium and
are used to pass policy and enact the state's
biennial budgets: Operating, Capital and
Transportation.
• Short sessions (2026) were traditionally
used to correct and respond to emergent
matters, but that has changed significantly
over the past 20 years.
The Washington State Legislature
■ 49 Members (1 per district) • 98 members (2 per district)
■ Democrat Majority: 30 (D) / 19 (R) • Democrat Majority: 59 (D) / 39 (R)
• Elected for four-year terms • Elected for two-year terms
Four Corners Leadership
7
• President of Senate (elected):
• Denny Heck (Lieutenant Governor)
• Majority Leader:
• Jamie Pedersen (District 43)
Minority Leader:
• Jon Braun (District 20)
• Speaker of the House:
• Laurie Jinkins (District 27)
• Majority Leader:
• Joe Fitzgibbon (District 34)
• Minority Leader:
• Drew Stokesbary (District 31)
Additional Leadership Roles
Committee Chairs: set hearings on bills, run committee meetings
Vice Chairs: assist the operations of committee meetings, organize majority
members in committees
• Ranking 'N' inority: organize minority members in committees
• Assistant Ranking: second in command to caucus leadership
Caucus Leadership: help facilitate caucus discussion and positions
Floor Leadership: help organize floor action, debate, votes
• Whips: help build coalition and cohesion on issues
Legislative Staff
• Lc;�i�lari� !NsSI.�riinrs: front desk staff to Legislators, 'will assist in bill process, schedule meetings
• Nc,n-Rirrisan Committee: dedicated to the reviews, briefs, hearings, amendments, and functions
of committees (will be assigned to specific cormnittee)
• Caucus iaff: dedicated to a party caucus to assist on bills, amendments, committees (often have
specific committee and subject assignments)
• Bud,,, cl: help draft all budgets and fiscal committees (often have specific subject matter
assignments)
• Lq;il: provide legal support for policy through reviews and administration
• l lu ;r: help in operations of chamber floor actions
Budget Timeline (2026 session estimates)
• Governor Budget
• Revenue Forecast mid -November
• Governor release mid -December
• Legislative Timeline
• February: updated revenue forecast
• Mid January: Gov budget heard in Committees
• End of February: House and Senate Budgets
• Early March: negotiated budget
• Final Budget
• March 12, 2026 (last action to sine die)
Where do policy ideas come from?
• Lawmakers
• State and Local agencies
• Events/News stories
• Constituent requests
• Workgroup recommendations
• Lawsuits
F�-
• Interest groups -
Policy Calendar — 2026
January 12' First Day - Session Starts
Feb 4th House of Origin Policy Committee Cutoff
Feb 9' House of Origin Fiscal Committee Cutoff
Feb 17" House of Origin Cutoff
Feb 251h Opposite House Policy Committee Cutoff
March 2nd Opposite House Fiscal Committee Cutoff
March 6th Opposite House Cutoff
March 121h Sine Die (60d' Day)
ve Process for a Bill
mmiv= Policy comnium Fiscal committee
ing l mxmtive Sesdm Hearing
J L
dendar I Rules Committx Fiscal Commimx
Enecu&r session
l
Sill is S*ned by
Govemm
Successful Coalition & Priority Strategies
Well-defined &
limited
priorities
Consistent
messaging
Personal stories
Community,
environmental, fiscal
benefits
Dollars
leveraged/
matched
Multiple
Benefits
Projects impacts
Multiple organizations
benefit
Economy benefits
In 2925, the WA State
Legislature considered 1944
bill introductions and 523
passed the respective
chamber.
Only (22%) became law.
Beyond Bills: Other Advocacy
Iiudger
• Fiscal Notes
• Provisos
Post -Session :Activities
* Implementation Plans
Pre -Session Activities
StAkeholdering
Decision Packages
2025 Policies that Passed
5163 — Modernizing Child Fatality Statute
1947/1615 — Group B Public Water Systems
5244 — MA licensure for hematological testing
1946 — Local Board of Health Composition
1531— Communicable Disease Prevention
1154 — Solid Waste Handling
5033 — Biosolids/PFAS Chemicals
Foundational Public Health Services; $300
M ($24 M reduction)
School -Based Health Centers; $5 Million
Home Visiting; $6 Million reduction
Opioid Response/Support; multiple provisos
Food waste reduction grants; $3 M reduction
Lead in Cookware; $419 K to Ecology
WSALPHO's Policy work
• Informed from committees • WSAC LSC engagement &
Engage with state agencies coordination
Vetted with WSALPHO board: • State agency coordination
Locals as lead
• Likelihood of success
Appropriateness for session
Approved by WSALPHO Board
in November
• Coalition participation
• Prevention Alliance
• PH Roundtable
WSALPHO's 2026 Legislative Priorities
• Policy:
• Maintaining Access to Preventive Services (Governor, DOH, and OIC request; WSALPHO
support)
Provides the current "status quo" for an individual's access to and affordability of vaccines to continue
• Extending Supervision Period for On -Site Wastewater Inspectors (WSALPHO led)
Amend RCW 70.A0105.110(2) to extend the supervision limit from two years to four years.
• Budget:
• Foundational Public Health Services: maintain current FPHS funding and support vapor tax
formula changes that re -invest into the FPHS Account
Predicting the
future...
• 2026 Elections: Senate and House
• Gov. Ferguson's policy agenda
• Critical policy issues
• Behavioral Health
• Justice: juvenile, public defense
• Medicaid: healthcare cost and access
• Budget — forecast indicators
• Emerging Issues?
• WA State Legislature: wwwleg.w
• WA LEAP:.,,YS
• TVW www tvw org
Questions?
Jefferson County
Board of Health
V.
New Business
Item 1
Update regarding Community Health
Fee Setting Procedures
"' - '- 3nd-outj
■ a IF
Public Health
February 19, 2026
Jefferson County
Board of Health
V.
New Business
Item 2
Foundational Public Health Services Funding:
Orientation and Update
Public Health
February 19, 2026
Maintain and Preserve
Foundational Public Health Services Funding
It is crucial to maintain current FPHS investments to preserve connections with communities,
enhance the quality of core public health services, and maintain readiness for emergencies
and disease threats. These investments help keep our public informed and empowered to
make healthy choices, safe from threats and hazards, and part of thriving communities.
Our 0 key points:
Foundational Public Health Services
maintains a strong response to disease
threats and emergencies.
Public Health works in the present so
that our future generations will thrive.
Healthy and safe communities are Local health jurisdictions (LHJs) collaboratively
weakened without a strong public health transform and implement programs through
foundation. shared service delivery models.
What is FPHS?
The Foundational Public Health Services (FPHS) are a core set of
government -delivered services that provide a strong, stable, and
adaptable backbone for public health efforts in Washington State. FPHS
are delivered by local health jurisdictions, the State Department of
Health, the State Board of Health, tribal governments, and health
centers.
Focal heal jurif- ian th
fyn Fy 26
(l}1S
Om
,ocal health
ted
Warkforc 5 UPPO'
by FpH
('WSALPHO 2024 Workforce Report, LHJ self -reported)
Foundational Public Health Services maintains
a strong response to disease threats and
emergencies.
• Local response efforts -
include wildfire smoke risk
communication, extreme
heat coordination with
healthcare, and measles
case investigations.
These efforts build
community readiness
for recurring threats like
natural disasters and
resilience for emerging
dangers such as MN5
(avian influenza).
Public Health works in the present so that our
future generations will thrive.
• Public health brings people together to solve problems
through family -focused coalitions, youth substance use
prevention groups, and community -driven initiatives.
• Our future depends on strong, resilient communities.
Public health works towards making our next
generations healthy and thriving.
Local health jurisdictions collaboratively
transform and implement programs through
shared service delivery models.
Health Provider Notification:
Project helps LHJs provide consistent, timely, and cost-
efficient health information and alerts to healthcare,
schools, and community service providers regarding
outbreaks and public health emergencies.
Language Access Services:
Enhances public communication and education
through shared translation services, coordinate
translation tools and resources, and procedural
technical assistance
Shared epidemiologists:
Enhances public access to health information,
enabling families to make informed decisions.
• Innovations like public -facing dashboards and data
tools address health inequities through transparency
and insight, such as geographic changes to vector -
borne diseases, BIPOC doula training, and gun
violence reduction.
Healthy and safe communities are weakened
without a strong public health foundation.
• FPHS funding provides
By focusing on fostering
stability to services and
well-being, promoting
anchors LHJs programs so
health equity, and creating
they can work more broadly
safe environments, LHJs
with community sectors
play a vital role in ensuring
such as business, schools,
the health and vitality of
housing, and government.
our communities.
• Communities expect to receive basic health and safety
services, including clean water, safe food, and access
to health information and care.
Health Provider Notification
■
Language Access
Shared Epidemiologist
Page 5 o, .,,
Exhibit A
Statement of Work
Contract Term: 2025-2027
DOH Program Name or Title: Foundational Public Health Services - Local Health Jurisdiction Name: Jefferson County Public Health
Effective July 1, 2025
Contract Number: CLH32053
SOW Type: Revision Revision # (for this SOW) 1 Funding Source Federal Compliance Type of Payment
ElFederal <Select One> (check if applicable) ElReimbursement
Period of Performance: July 1, 2025 through June 30, 2026 ® State ❑ FFATA (Transparency Act) ® Periodic Distribution
❑ Other ❑ Research & Development
Statement of Work Purpose: Per RCW 43.70.512, Foundational Public Health Services (FPHS) funds are for the governmental public health system: local health jurisdictions,
Department of Health, state Board of Health, sovereign tribal nations and Indian health programs. These funds are to build the system's capacity and increase the availability of
FPHS services statewide.
Revision Purpose: Correct allocation, remove task 11, add task 12 and edit language in EPH Core Teams section.
DOH Chart of Accounts Master Index Title
Master
Index
Code
Assistance
Listing
Number
BARS
Revenue
Code
LHJ Funding Period
Start Date End Date
Current
Allocation
Allocation
Change
Decrease (—)
Total
Allocation
SFY26 FPHS - LHJ FUNDS - GFS
99210860
N/A
336.04.25
07/01/25
06/30/26
2,203,000
-75.000
2,128,000
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
TOTALS
2,203,000
-75,000
2,128,000
Task
1
Activity
Deliverables/Outcomes
FPHS funds to each LHJ — See below in Program Specific Requirements j See below in Program Specific
— Activity Special Instructions for details I Requirements - Deliverables
2 Assessment Reinforcing Capacity — See below in Program Specific See below in Program Specific
Re uircments — Activfty SRgcial Instructions for details Requirements - Deliverables
3 Assessment — CHA/CHIP — See below in Program Specific Requirements See below in Program Specific
— Activity Special Instructions for details Requirements - Deliverables
Lifecourse - NEW SFY 24 Full Lifecourse Workforce Capacity — See See below in Program Specific
4 below in i'rn ram S cific Re uirements — Activity 5 cial Instructions for Requirements - Deliverables
details
Exhibit A, Statement of Work Page 1 of 7
Payment
Due Date/Time Frame Information and/or
Amount
See below in Program
Specific Requirements - $520,000
Deliverables
See below in Program
Specific Requirements - $60,000
Deliverables
See below in Program
Specific Requirements - $30,000
Deliverables
See below in Program
Specific Requirements - $353,000
Deliverables
Contract Number CLH32053-Amendment 9
Pane 6 c•
Payment
Task
#
Activity
Deliverables/Outcomes
Due Date/Time Frame
Information and/or
Amount
CD - NEW SFY 24 Immunization Outreach, Education & Response —
See below in Program Specific
See below in Program
5
See below in Pro rgr Specific Requirements — Activity Special
Requirements -Deliverables
Specific Requirements -
$75,000
Instructions for details
Deliverables
EPH - NEW SFY 24 Fully fund Environmental Public Health Policy &
See below in Program Specific
See below in Program
_
6
Leadership Capacity — See below in Program Specific Requirements —
Requirements -Deliverables
Specific Requirements -
$150,000
ActivitySpecial Instructions for details
Deliverables
7
FC - NEW SFY 24 Strengthening Local Finance Capacity — See below
See below in Program Specific
See below in Program
Specific Requirements -
$62,000
in Program Specific Requirements — Activity Special Instructions for details
Requirements - Deliverables
Deliverables
8
FC - NEW SFY 24 Public Health Communications — See below in
See below in Program Specific
See below in Program
Specific Requirements -
$200,000
Program Specific Requirements — Activity Special Instructions for details
Requirements - Deliverables
Deliverables
_
Lifecourse - NEW SFY 24 Illicit Substance Use and Overdose Response
See below in Program Specific
See below in Program
9
— See below in Program Specific Requirements — Activity Special
Requirements -Deliverables
Specific Requirements -
$150,000
Instructions for details
Deliverables
EPR - NEW SFY 24 Emergency Preparedness & Response — Capacity
See below in Program Specific
See below in Program
10
and Capability — See below in Program Specific Requirements —Activity
Requirements - Deliverables
Specific Requirements -
$178,000
Si3ecial Instructions for details
Deliverables
GIL lisp) 14
.0g sr", lie
..! 1 � -, -i1C�}@'At'�
-1+
�i .-••
tiE#it�_".
i�21-}i�2fa�ie5
31,00B
--
11
EPH - NEW SFY 24 Social Work Support — See below in Pro am
See below in Program Specific
See below in Program
Specific Requirements -
$85,000
Specific Requirements — Activity Special Instructions for details
Requirements - Deliverables
Deliverables
]?
Assessment — Localized Epidemiology Capacity — General —See below in
See below in Program Specifc
See below in Program
Specific Requirements -
S S_ 000
'
Prr�rritier>r Rearfirrn:c►tts—ficti5`ilv r ,si. tcrl Iusrrtrcliun.� for details
Requirements - Deliverables
Deliverables
13
EPH Core Team — Safe and Healthy Communities — See below in
See below in Program Specific
See below in Program
Specific Requirements -
$47,000
Program Specific Requirements — Activity Special Instructions for details
Requirements - Deliverables
Deliverables
EPH Core Team — Climate Change Response — See below in Program
14
See below in Program Specific
See below in Program
Specific Requirements -
$80,000
Specific Requirements — Activity Special Instructions for details
Requirements - Deliverables
Deliverables
EPH Core Team — System -Wide Data Management Improvement — See
See below in Program Specific
See below in Program
15 below in Program Specific Requirements — Activity Special Instructions for
Requirements - Deliverables
Specific Requirements -
$63,000
details
Deliverables
DOH Program and Fiscal Contact Information for all ConCon SOWs can be found on the DOH Finance SharePoint site. Questions related to this SOW, or any other
finance -related inquiry, may be sent to finance a doh.wa.gov.
FPHS staff from DOH and the Washington State Association of Local Public Health Officials (WSALPHO) will coordinate and communicate together to build and assure common
systemwide approaches per FPHS Steering Committee direction and the FPHS framework intent.
Exhibit A, Statement of Work Page 2 of 7 Contract Number CLH32053-Amendment 9
Page 9 of uU
PFlS Slcerine(:nmmittre Consensus Decision Making Model
Activity Special Instructions:
Investments to Each LHJ:
1. FPHS Funds to Each LHJ
These funds are allocated to be used to provide any programs and services within all of the FPHS Definitions. Each LHJ is empowered to prioritize where and how to use
these funds to maximize equitable, effective and efficient delivery of FPHS to every community in Washington.
Use BARS expenditure codes from the list above that most closely align with expenditure made.
Targeted Investments to Each LHJ:
2. Assessment Reinforcing Capacity (FPHS definition G.2)
Support LHJ assessment capacity with flexible funds to meet locally identified needs. BARS expenditure codes: 562.10 or 11
3. Assessment — CHA/CHIP (FPHS definitions G.3)
Support any CHA/CH11? activity or service (e.g., data analysis, focus groups, report writing, process facilitation) and may be used to contract with other agencies for staff
time or services. Use BARS expenditure codes: 562.11
4. Lifecourse - NEW SFY 24 Full Lifecourse Workforce Capacity (FPHS definitions D, E, F)
Infrastructure and workforce investments to each LHJ to meet fundamental needs in three areas: Maternal/Child/Family Health; Access/Linkage with Medical, Oral and
Behavioral Health Services; and Chronic Disease, Injury and Violence Prevention. Use BARS expenditure codes: 562.60, 562.70, and/or 562.80
5. CD - NEW SFY 24 immunization Outreach, Education & Response (FPHS definition C.3)
Promote immunization education and use of the statewide immunization registry through evidence -based strategies. Funding can also be used to support vaccine -
preventable disease response. BARS expenditure codes: 562.21 and/or 562.27
6. EPH - NEW SFY 24 Fully fund Environmental Public Health Policy & Leadership Capacity (FPHS definitions B.2, A.C, J.1-3, K.1-2, L.1)
These funds are to be used for stating costs for environmental health responsibilities and functions (that are not directly fee -based) within leadership, policy development,
foundational public health services implementation, evaluation, or administration, including (but not limited to) Environmental Health Directors. Examples of funded
roles include work relating to general policy, statewide and/or system -wide, and/or cross jurisdictional work, legislation, and rulemaking, SBOH engagement, leadership
support and/or development, workforce development, leadership within health equity, climate, and environmental justice. Use BARS expenditure codes: 562.14, 562.40 —
562.53
7. FC - NEW SFY 24 Strengthening Local Finance Capacity (FPHS definitions L.24, L.6, L.8)
Capacity and infrastructure to assure fiscal management and contract and procurement policies and procedures are effectively implemented to support programs and
services. Use BARS expenditure codes: 562.16
8. FC - NEW SFY 24 Public Health Communications (FPHS definitions 1.1-2)
Capacity to enhance the frequency, accuracy, and accessibility of public health communications to diverse populations via various media to support programs and
services. Use BARS expenditure codes: 562.13
Exhibit A, Statement of Work Page 5 of 7 Contract Number CLH32053-Amendment 9
Page 10
9. Lifecourse -NEW SFY 24 Illicit Substance Use and Overdose Response (FPHS definitions D.1-2, DA, F.1-3, G.1-3, I.1-2, J.1-13, K-1-2)
Capacity and infrastructure related to addressing overdose crisis. This includes but is not limited to: Overdose response trainings, convening stakeholders or coordination
groups, data analysis, and community education. Use BARS expenditure codes: 562.13, 562.14, 562.15, 562.60, 562,70, 562.80
10. EPR - NEW SFY 24 Emergency Preparedness & Response - Capacity and Capability (FPHS definitions H. 1-4)
Capacity and infrastructure to support and enhance the Iocal delivery of FPHS Emergency Preparedness and Response services and activities across critical subject matter
areas. Use BARS expenditure codes: 562.12
t .. __._.._�s:-;rrrn�rld•�+e4eef�-�..'T��t . - ' s-3-iislFE+•pie•do�#+e�#ms�
f1—ii�e Ftfeni-Sharccl t #arr#a �ic#rricli Genera nNsiHr�rilll►m��N.•,rQ�uTo.rc�ru��a€w�itian+F�h2�
In li#E`RE 3i� !if ff+Pi47#Fe#11�}3,ifi'i1 ir7C#i}i:�l �..^ �f., ,.� . i r 1� a u� v4.-
{+�. #!'}� _ �3 #i t:+E-4iiAeii�i-itrir*ccs-racsrrrr '�ii '
Tar eted Investments to Select LHJs- Assuring MIS Available io Own Jurisdiction
12. EPH - NEW SFY 24 Social Work Support (FPHS definitions 11.1-3, B.6-7, D.1, D.2, D.4. E.2, EA, F.2-3, J.1-2, K.1-2, L.3, L.5)
This investment is intended to support non-traditional responses to environmental health complaints and challenges in the context of social work support and care
coordination with social service providers. Activities include: assessment of complaints and challenges; identifying cases and circumstances for engaging in social work
support and care coordination; and engagement with social service providers. Funds may be used to support these activities, as well as related staffing and training
expenses. Use BARS expenditure codes: 562.14, 562.15, 562.40, 562.47, 562.48
13. Assessment - Localized Epidemiology Capacity - General (AssessmenUSurveillance, CHA/CHIP) (FPHS definitions G.1, 2)
Provide general assessment epidemiologyfocused on local public health assessment needs. Use BARS expenditure codes: 562.10 or H
L11J 11 1 po! ■ Y'_...M 4.-P s 1....[...1 T
F,r�—�#•:�-=l retHr{-Tics-t�ra,•�-,-�.,-,�##��� -� me rsetr##f+-1 71
L'-eeh r-"ri-1 !,�rorrrl �•�m it lFC.iiii•._..• iS fir 1 111 .f! ._..-.- - .. m-rsiicWNW r... 1.'r speei fiW C, k3re-T!'4#"r. nic-cie ! �-iii iNi##i#�i-iirgi`Rvi, tasked--..3 .�.1441e,.--el�l�•-f##il�t�i
�l+rf#gtmill .,.1 -01 . .114F gudatlre ..�
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Gwe Tem#1}444*T.6jsd i s end -llte'y!:-t1#Hds-itHVHtdS
I:I#tir1ft' 4itt►r H#*F�r± #Hui i ls#rtie:�3st� flt +ii- L�-raj#�ttlt�ri►t-aeEtkiE+z I !i}e s"= 1 I3 ft3�3ic�t}�ell{f aftsselnrci;mE�ir tcWeEkli t fflC 1 siii mare -FaHr#� 1=PI l
.,.,.,.. , .c�� ,, „rt'� n;e FPHs+�le�tsfe, x#rp H411e: 14P- •h �c�el p��w# rtieve{r�{#ed i}+rrttswl#-t�x� ica#1#
Wffk-w#iihe rnade avR1iable is all U7.,,.1,:.,....,_, ._..IJie health Hgenemes-
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Exhibit A, Statement of Work Page 6 of 7 Contract Number CLH32053-Amendment 9
Page 11 o.
JeRer-so i,v,feeeiving-€ff*&4o li*r4ieitr»1e4" ■lip r:0e%1? 1rrf: f714 r� r�,c...' {YrF3445
EPH -- Core Teams (Applies to all EPH Core Team FPHS Investments) (FPHS definition B.1-7)
Each EPH Core Team investment is for LHJ staff to participate in a cross jurisdictional topic -specific Core Team. The Core Teams are each tasked with developing one or
more model program(s), intended to offer guidance for scalable environmental public health responses relating to their specific sub -topic area(s). Where it makes sense to
do so, the Core Teams may also work on implementation of these model programs. The content and output of these model programs will vary depending on the needs and
approaches specific to each sub -topic area.
Recipients of these Core Team FPHS funds are required to participate in the associated Core Team for each investment. Recipients may spend these funds towards
staffing time necessary to participate and on FPHS-qualifying activities for the specific sub -topic area(s) attached to its associated investment. Each Core Team FPHS
investment is distinctive from all other Core Team FPHS investments.
Core Teams exist outside the FPHS structure, in partnership between LHJs and WA DOH, with one co -lead from each. Model programs developed through Core Team
work will be made available to all Washington public health agencies.
There are currently si* foui EPH Core Teams. They are listed below, with their sub -topic area(s), as applicable.
• System -Wide Data Management Improvement
• Climate -Change Response
• Lead Exposure
• Safe & Healthy Communities
Jefferson is receiving funds to participate in these EPH Core Teams:
14. EPH Core Team — Safe & Healthy Communities
This Core Team develops system capacity to advance EPH perspectives into planning processes such as State Environmental Policy Act (SEPA) work, Health Impact
Assessments, Comprehensive Plans, and related environmental review opportunities. The Core Team will develop one or more model program(s) to provide scalable
approaches to healthy community planning, which may include wastewater planning and treatment, seawater intrusion in drinking water, ventilation in public buildings,
PFAS contamination, climate change challenges, and other emerging topics identified by the Core Team.
• Use BARS expenditure code: 562.40
15. EPH Core Team — Climate -Change Response
This Core Team will address environmental health concerns related to climate and the effects of climate change.
• Model program development will start with Wildfire Smoke and Harmful Algal Blooms, and may include other priorities and topics.
16. EPH Core Team — System -Wide Data Management Improvement
This Core Team will identify and employ a strategy for data sharing, storage and consistency across the state.
G Use BARS expenditure code: 562.40.
Exhibit A, Statement of Work Page 7 of 7 Contract Number CLH32053-Amendment 9
Jefferson County
Board of Health
go
New Business
Item 3
Salish Behavioral Health Administrative Services
Organization: Introduction and Update
id-outj
Public Health
February 19, 2026
Jefferson County
Board of Health
V.
New Business
Item 4
National Public Health Awareness Week
(week of April 6) and nomination period for
Jefferson County's Public Health Heroes Awards
and -out]
Public Healt�i
February 19, 2026
Jefferson County
Board of Health
VI.
Announcements
.�e{feYson
" 00ank
Public Health
February 19, 2026
Jefferson County
Board of Health
Agenda Planning
-jut Ic
Public Healt4
February 19, 2026
Public H