Benton County health center and public-health leaders briefed the Board on a recent HRSA operational site visit, public health accreditation progress and evolving COVID-19 vaccine guidance from a new West Coast alliance.

HRSA operational site visit: Health center leadership (Speaker 6) said the Sept. 9-11 HRSA operational site visit reviewed most compliance elements in an "open book" format and identified five items needing correction. The findings involved an updated contract with Samaritan Health Services to specify certain ancillary services (mammography, gynecologic ultrasound, plain-film x-rays); clarifying the sliding-fee-scale family-size definition (work completed by interim finance staff); strengthening clinical peer-review frequency to quarterly for all services; and updating fee-waiver language for catastrophic circumstances. Staff reported corrections were implemented and submitted to HRSA, which begins a 45-day review period for the final report.

Accreditation update: The health department described its voluntary reaccreditation through the Public Health Accreditation Board. Reviewers highlighted strengths including community engagement, data-driven practices, staff and leadership partnerships, and communications. Opportunities included completing a strategic plan and continuing quality-improvement efforts. A final accreditation determination is scheduled for the Nov. 13 committee meeting; staff said reaccreditation is likely though additional reporting (ACAR) is possible.

Vaccine guidance and local supply: Public health staff reviewed recent federal changes that created provider confusion (ACIP membership changes, FDA/CDC actions) and explained the West Coast Health Alliance (Oregon, Washington, California, later Hawaii) released consensus guidance that restored broad access to updated COVID-19 vaccines for anyone 6 months or older effective Sept. 17. Benton County Health Services and the CHC had pre-booked vaccines and await state allocation; staff noted pharmacies vaccinate ages 7 and older while younger children may need provider appointments. Staff also discussed ACIP deliberations on MMR/varicella schedules and Hep B birth-dose considerations and emphasized the need for clear public messaging to avoid coverage gaps.

Why it matters: Officials said the HRSA OSV corrections and accreditation work demonstrate improved policy and operational alignment and strengthen the county's ability to provide care. Staff urged the board to support communication efforts to inform the public about vaccine availability and to advocate on state-level proposals affecting health-center funding and program risk.

Next steps: Staff will share the final HRSA and accreditation reports when available, continue to coordinate vaccine messaging with regional partners, and update the board on state-level funding proposals (e.g., proposed CCO rate changes) that could affect local program finances.