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Graham County approves multiple health IGAs including $298,639 rural health program

Graham County Board of Supervisors · August 17, 2026

Summary

County health director presented a package that included a WICKGA Amendment No. 3, a five‑year Healthy People, Healthy Communities IGA covering four programs (funding unchanged), and a Rural Health Transformation five‑year IGA providing $298,639 annually plus a $66,390 maternal‑fetal program. Supervisors approved all items.

County Health Director Brian Douglas told supervisors the WICKGA Amendment No. 3 mainly updates verbiage and training requirements and does not change the previously discussed funding structure beyond an added $6,000 from an additional source. “Right. Um the…with the original IG uh um we have 192,000, right? But then we receive an additional 6,000…in the amendment,” Douglas said.

Douglas then described the Healthy People, Healthy Communities five‑year IGA, which oversees four programs: the tobacco program, the HAPpy program, teen pregnancy prevention and the mental health first aid program, with funding unchanged from the prior fiscal year. Supervisors asked questions about scope and whether the county had opted out of specific reviews (opioid review was opted out and sent back to the state); the board approved the IGA by motion and voice vote.

Finally, Douglas presented the Rural Health Transformation program IGA, which he said carries annual funding of $298,639 and adds the maternal and fetal health program at $66,390 annually for the next five years. When asked whether the health department could administer those programs without adding staff, Douglas replied yes. The board approved the IGA by motion and voice vote.

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