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Commissioners discuss regional public‑health arrangement with Monzuma County and staffing options
Summary
The board discussed using an intergovernmental agreement with Monzuma County for medical/immunization oversight while Dolores County retains administrative duties; commissioners noted state qualification waivers may be required for a local public‑health director and agreed to workshop IGA details.
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Commissioners discussed options to meet public‑health service needs without hiring a full local director. Board members said Monzuma County could provide medical oversight and immunization services while Dolores County handles administrative functions.
Staff noted the state can grant waivers for director qualifications in rural counties (the county’s prior directors were 'waived in') and that any hiring could be contingent on a state waiver. Commissioners and staff agreed the two approaches differ—regional director vs. county‑level administrator—and that they should workshop an intergovernmental agreement (IGA) that could be modular (a master IGA plus ancillary program agreements for specific services such as immunizations and WIC).
No final decision was made; commissioners asked staff to follow up with Monzuma County and to return with draft IGA language and program options.

