Trustees for the Clark County School District approved a five‑year memorandum of agreement with Hope Christian Health Center on Sept. 25 after extended discussion and questions about parental consent, behavioral‑health screenings, and the provider's faith‑based identity. The agreement permits the center to deliver no‑out‑of‑pocket services to district students at school sites and via mobile equipment, and allows the provider to seek third‑party reimbursement from private insurance, Medicaid and Nevada Check Up.

Trustee concerns and staff answers dominated the discussion. Deputy Superintendent Welch told the board the district had “confirmed with them, that any services that they provide, would be done in a way that is nonsectarian.” Stacy Sly, chief of student services, described clinical services and said, “The services that they provide are essentially the same as the primary care doctor. So well child checkups, vaccinations, illness, injury.” Lori Bonin, a coordinator with CCSD Health Services, said behavioral‑health screening would be “just a simple depression survey” and that any follow‑up would involve the parent or guardian and referrals to appropriate providers.

Board members repeatedly pressed staff for clarifications. Trustees sought details on whether parents must be physically present and told staff the district should be clear that the provider would not deliver doctrinal instruction or proselytize. Staff answered that a parent or guardian must be present for every service and must sign a written consent form; parents may decline any specific service listed on the consent. Staff also said the mobile clinic model would be used primarily for sports physicals and immunizations, while illness visits would be handled at provider clinic sites. The MOA allows either party to cancel with 30 days’ written notice.

Trustee Ramona Esparza Stropf and others asked about conflicts of interest after trustees raised that a CCSD employee appeared on the vendor’s board; General Counsel John Okazaki said he had not completed an analysis but “I don't think especially since there's no money being exchanged here, I'm not sure what benefit an employee would get sitting on the board of directors of a vendor.” Trustees also asked whether the provider meets district insurance thresholds; staff said risk management requires minimum liability coverage, and the provider must meet those requirements.

Trustees weighed the MOA’s five‑year term and asked whether shorter terms or narrower service scopes would be possible. District staff said the five‑year term aligns with other school‑based health center MOAs and that the agreement could be revised if the board directed staff to rework it. Trustee Cavazos unsuccessfully moved to table the item for further review; the motion to table failed 3–4. Trustee Dominguez then moved to approve the MOA; the motion carried (vote recorded as 4 yes, 1 abstention, 2 no). The MOA will allow the provider to bill third parties when parents supply insurance information, and staff said providers’ medical records remain separate from CCSD’s student database.

The board’s discussion also included requests that staff prepare a district‑wide inventory of MOAs with faith‑based organizations and provide a side‑by‑side comparison of other approved school‑based health center agreements. Trustees asked staff to return with clearer language and documentation of safeguards, including the consent form, limits on behavioral‑health screening, insurance certificates, and particulars of mobile clinic operations.

The approval authorizes staff to finalize the MOA as presented and begin the onboarding steps (background checks, site designation and scheduling) before services begin. The transcript shows the board asked staff for follow‑up items and documentation to accompany the executed agreement.