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RESOLUTION NO. 8.600
RESOLUTION A• :r MAYOR
TO ENTER INTO AN AGREEMENT
PULASKI COUNTY, TO PROVIDE
HEALTH SERVICES, APPORTION THE COSTS
FOR THE PULASKI COUNTY HEALTH
DEPARTMENT, AND FOR OTHER PURPOSES.
WHEREAS, the Board of Directors adopted Little Rock, Ark.,
Resolution No. 8,483 (October 1, 1991) stating an intent to
enter into an agreement with Pulaski County Arkansas to fund the
operation costs and the construction costs for a combined
Pulaski County Health Department and Little Rock Health
Department; and
WHEREAS, an agreement has been presented to the City that
defines the apportionment of these costs and is in all respects
satisfactory to the City; and
WHEREAS, this agreement has been reviewed by the City
Manager and the City Attorney for compliance with Arkansas law
and City fiscal procedures.
NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF DIRECTORS OF
THE CITY OF LITTLE ROCK, ARKANSAS:
SECTION 1. The Mayor is authorized to enter into an
agreement with Pulaski County for the provision of health
services to residents within the City pursuant to terms and
conditions set forth in the agreement attached as Exhibit HA".
ADOPTED: November 5, 1991
ATTEST:
APPROVED: /��
Y C �L t
JIV DAILEY
VILE MAYOR
c
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0 0 489
APPROVED AS TO FORM:
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AGREEMENT
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499
This Agreement is made and entered into by and between the City of Little Rock, Arkansas
(City) and Pulaski County, Arkansas (County), this day of 1991.
WITNESSETH:
WHEREAS, the City and County entered into an Agreement dated August 22, 1975, merging
the Pulaski County Health Department and the Little Rock Health Department into a combined
department operated by the County; and
WHEREAS, Resolution No. 83 -R -20, adopted October 26, 1983, by the Pulaski County
Quorum Court, established the formula of 42 percent County and 58 percent City as appropriated
levels of support of the County Health Department; and
WHEREAS, the City has contributed 58 percent of building maintenance and operating costs
to the support of the County Health Department from 1984 to the present; and
WHEREAS, the Pulaski County Health Department is currently planning to construct a
Central Health Unit to serve all of the citizens currently served by the Health Department.
1. The County will continue to provide public health services to the citizens of Pulaski
County pursuant to the laws of the State of Arkansas and the agreements entered
into with the City. These services include, but are not limited to, the services set
forth as Exhibit A to this Agreement. Additional services may be added as required
by state law, or if not required by state law, as mutually agreed upon by the City and
the County.
2. The County will construct and operate a new Central Health Unit at I -630 and Pine
Street in the City of Little Rock.
3. In consideration of the County's obligation to provide health services set forth above,
the City agrees to contribute 58 percent of the maintenance and operating costs of
the new Central Health Unit building and the Southwest Little Rock Clinic located
at 8812 Scott Hamilton Drive.
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• • 491
4. Payment shall be as follows:
a. For operating services, the City shall make 12 equal monthly payments per
year based upon the budget approved by the Quorum Court for the net
qualifying operating costs. If the actual expenditure is different from the
approved annual budget, an adjustment will be made with the City's payment
during the fourth month of the following year.
b. Notwithstanding any other provision that permits renegotiation of this
Agreement, and in order to assist with the costs of constructing a new
Central Health Unit, the City shall pay its pro -rated share of the construction
of the new clinic cost as computed as that amount necessary to retire
$1,290,500 in tax - exempt debt issued at an interest rate not to exceed 7.4
percent per annum in 20 equal annual payments. Provided, however, this
interest rate factor may be adjusted to the lowest rate bid pursuant to the
competitive sale of a bond issue to finance construction of the new Central
Health Unit. This amount shall be paid in approximately equal annual or
semi - annual payments for a period not to exceed 20 years, and shall be in
addition to sums paid by the City to the County for the City's pro -rated share
of the agreed -upon operating costs.
5. Except for negotiations concerning additional services as set forth in paragraph one,
this Agreement shall be effective from the date of execution for a period of five
years, at which time it may be renewed or renegotiated by the parties.
6. The County will ensure that any contractors and /or subcontractors on the project
with a contract of $10,000 or more, shall abide by the provisions of federal Executive
Order 11246 concerning Equal Employment Opportunity.
7. The City agrees, for the term of this Agreement, that no other funds shall be
appropriated for public health services in the City of Little Rock until the annual
obligation set forth herein is satisfied.
• • 492
8. It is the desire and intent of the City and the County that the provisions of this
Agreement be enforced to the fullest extent permissible under the laws of the State
of Arkansas, to the extent not inconsistent with applicable federal law or regulations.
Accordingly, the terms of this Agreement are severable, and if any particular portion
be adjudicated or determined to be invalid, unenforceable or partially unenforceable,
such determination of invalidity, unenforceability or partial unenforceability shall
apply only to that portion of this Agreement, and the balance of the Agreement shall
nevertheless be enforceable to the fullest extent permissible under the laws and
regulations applicable thereto.
9. This Agreement may be executed in two or more counterparts, each of which shall
be deemed an original, but all of which together shall constitute one and the same
instrument.
CITY OF LITTLE ROCK:
SHARON PRIEST, MAYOR
ATTEST:
CITY CLERK
PULASKI COUNTY, ARKANSAS
FLOYD G. VILLINES, III
PULASKI COUNTY JUDGE
ATTEST:
COUNTY CLERK
433
ATTACHMENT A
The following services will be performed at the Central Health
Unit located at the Pine and Cedar location:
1. Maternity or Prenatal Care and Gynecology Services (counseling
and prenatal classes) treatment and some visitation by nursing
staff.
3. j_Q (Women, Infants, and Children) nutritional program. A
special program that provides food vouchers for post partum,
pregnant and breastfeeding women, infants, and children under
age five.
4. Nutritional consultation services
5. Early and Periodic Screening. Diagnosis and Treatment (EPSDT)
periodic health screening and referral of Medicaid eligible
children under the age of 21.
6. Child Health Services for well child health screening and
referral and some home visitation services for at risk
infants.
7. Immunization services (immunizations against diphtheria,
tetanus, pertussis, polio, measles, rubella, and other
vaccine - preventable diseases).
S. Tuberculosis screening, diagnosis, treatment, and follow -up.
9. AID /STD services (diagnosis, referral, and treatment of
sexually transmitted diseases) and training of new STD program
staff members.
10. In -Home services (in -home nursing assistance for homebound
individuals).
11. Sanitarian services (Food Service, Sewage Disposal, General
Sanitation, Water Quality, Rabies Control, and Vector
Control).
12. Family Planning (provision of medical care, counseling, and
contraceptive supplies to clients.)
13. Social Work /Counseling
14. General Health Counseling and Referral Services
Man M MM M 0 0 4sr"
The following services will be performed at the Southwest
Little Rock location:
1. Family Planning (provision of medical care, counseling, and
contraceptive supplies to clients.)
2. Child Health Services for well child health screening and
referral and some home visitation services for at risk
infants.
3. NI_C (Women, Infants, and Children) nutritional program. A
special program that provides food vouchers for post partum,
pregnant and breastfeeding women, infants, and children under
age five.
4.
periodic health screening and
children under the age of 21.
, (EPSDT)
eligible
5. Tuberculosis screening, diagnosis, treatment, and follow -up.
6. Immunization services (immunizations against diphtheria,
tetanus, pertussis, polio, measles, rubella, and other
vaccine - preventable diseases).
7. General Health Counseling and Referral Services