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Commissioners approve one-year renewal and staffing change for inmate medical services

Commissioner's Court of Comal County · July 23, 2026
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Summary

The court approved an amendment and one-year renewal of RFP 2024-3355 for inmate medical, pharmacy, mental health and psychiatric services with the current provider (Turnkey), replacing an EMT role with an LVN to perform forensic blood draws.

County staff described a one-year amendment and renewal of RFP 2024-3355 with the incumbent provider and explained a single significant staffing change: the proposal removes EMTs originally included in the staffing matrix and increases LVN coverage to provide forensic blood-draw expertise. "That is the only major change," the presenter said, noting the LVN hours will increase to meet forensic needs.

Commissioner Webb moved to approve the amendment and renewal; Commissioner Crownover seconded and the motion carried. The court recorded no detailed roll-call vote in the transcript; action was taken by voice/hand-raise. Staff framed the change as collaborative with the jail and district attorney's office to ensure proper forensic capability.

The approved amendment applies to inmate medical, pharmacy, mental health, and psychiatric services at the county jail and was authorized for signature by the county judge.