County manager (agenda lists Joy Lehi) recommended that Dawson County proceed to Phase 2 of a feasibility study to develop an employee primary care clinic for county employees and dependents, asking the board to approve $47,000 for procurement consulting.
Lehi said staff previously completed a feasibility study with consultant support and the phase-2 work would include planning the clinic model, defining services, legal review and contract development, drafting an RFP, and assisting with bid review and vendor negotiations. "The cost of this phase 2 is $47,000 and these funds are not budgeted," Lehi said; she recommended using general‑fund dollars if the board approves moving forward.
In follow-up questions, commissioners asked about hours of operation and whether the clinic would replace or supplement the county's Teladoc telemedicine service. Lehi said hours are undecided but likely part‑time initially (she estimated roughly 25–30 hours per week), could include early-morning hours for shift workers, and that telemedicine could operate in conjunction with an on-site clinic. Staff said they would return in late spring with a more developed model and vendor recommendations.
The board moved the request forward for formal consideration at a future voting session; the work-session transcript shows discussion but no final vote during the work session.