Hamilton County committee reviews two three-year $12 million health contracts for uninsured adults

Hamilton County Commission (committee sessions) · November 12, 2025

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Summary

Hamilton County committees reviewed two three-year $12 million contracts with the Tennessee Department of Health to fund primary care (and dental at the homeless health center) for uninsured adults aged 19–64; staff said the state moved the award from one year to three and that no county match is required.

The Health and Human Services committee heard two resolutions authorizing the county mayor and the Hamilton County Health Department to sign three-year contracts with the Tennessee Department of Health for $12,000,000 each.

One contract (Resolution 1125-22) covers dental and primary care services for uninsured adults 19–64 at the Homeless Health Care Center for the period 07/01/2025 through 06/30/2028. The second (Resolution 1125-23) would fund primary care services for the same age group at the Birchwood Health Clinic for the same period.

Health department staff (S10) told the committee that “this historically has been a 1 year grant that the state has switched to 3 years.” S10 added that the homeless health center contract “is specifically in reference to the homeless health center, and it's function as a primary care facility that also provides dental.” Committee members asked whether the awards require local matching funds; S10 responded, “No match,” and the chair accepted that answer.

The committee did not record a formal vote during this session. Committee members asked no further questions and closed discussion; next procedural steps were not recorded in the transcript.

Resolutions and contract texts reviewed by the committee specify the provider, funding amount, and contract period; further implementation details, such as specific service levels, metrics or subrecipient arrangements, were not described in the committee discussion and are not specified in the transcript.