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Hamilton County Commission approves compliance office under county attorney after heated debate
Summary
The commission approved Resolution 1 26-25 to establish a compliance structure following a Baker Donelson report, authorizing one new compliance officer position and moving the HIPAA privacy officer into the county attorney’s office; the measure passed 10–1 after objections about independence and staffing.
Hamilton County commissioners voted to approve Resolution 1 26-25 on Jan. 21, 2026, creating a compliance office reporting through the county attorney’s office and authorizing the hiring of a compliance officer.
Supporters, including Commissioner Hilton and County Attorney Varnell, said the proposal implements most recommendations from the Baker Donelson report and will centralize compliance work, including HIPAA, ADA and records‑request practices. Varnell told the commission the office will begin by “assessing where the county…
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