Hamilton County commissioners on Nov. 19 unanimously approved a package of resolutions that included two $12 million contracts with the Tennessee Department of Health to expand primary and dental services for uninsured adults and the purchase of four ambulances for the county Emergency Medical Services Department.

The commission read and passed Resolution 11 25-22, a $12,000,000 contract to provide dental and primary care to uninsured adults (ages 19–64) at the Homeless Health Care Center for the period July 1, 2025, through June 30, 2028. Commissioners then passed Resolution 11 25-23, a separate $12,000,000 agreement to provide primary care at the Birchwood Health Clinic. Both measures passed on roll-call votes with every commissioner recorded as voting yes.

The body also approved Resolution 11 25-21, authorizing the county to purchase four ambulances and related equipment at a total cost of $1,342,479.72 and giving the county mayor authority to sign implementing contracts. Commissioner Eversall moved the ambulance purchase; Commissioner Shipley seconded.

In building and economic development business, the commission approved Resolution 11 25-25, authorizing the county mayor to contract with Franklin Associates Architects Inc. for design services for a new indoor sports practice facility and related HVAC, theater and fencing improvements at Howard School for an amount not to exceed $803,475. Commissioner Sharp asked for clarity about the size and scope of the facility; county staff explained the design contract is scoped under a state fee curve and that construction budgeting and final sizing will be established during the design process.

Other passed measures included amendments to the county’s road list and speed limits (Resolution 11 25-24), a new road-cut permit fee for utility and construction firms (Resolution 11 25-26), and adoption by reference of the International Building Code 2018 for Hamilton County (Resolution 11 25-27). The finance committee approved several routine items, including relinquishing county interest in a 2010 Ford Expedition (Resolution 11 25-28), applying for a transportation planning grant (Resolution 11 25-29), reallocating $134,500 in roof-repair funds (Resolution 11 25-30) and authorizing up to $75,000 in hotel-motel funds for Parks and Recreation programming (Resolution 11 25-31).

Chairman Smith closed the committee business with routine congratulations to appointees and a brief round of announcements.

The actions were unanimous on each recorded roll-call vote.