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File #: 25-4475    Version: 1 Name:
Type: Commercial Paper Status: Passed
File created: 7/16/2025 In control: Commissioners Court
On agenda: 8/7/2025 Final action: 8/7/2025
Title: Request for approval of commercial paper funding for Public Health Services for the Mobile Health Expansion - Dental Services project in the initial amount of $600,000.

Primary Department: Management and Budget

Primary Department Head/Elected Official: Daniel Ramos, Executive Director

 

Secondary Department: Public Health Services

Secondary Department Head/Elected Official: Leah Barton, Interim Executive Director

 

Regular or Supplemental RCA: Regular RCA

Type of Request: Commercial Paper

 

Project ID (if applicable): DENTAL_MOBILE

Vendor/Entity Legal Name (if applicable): N/A

 

MWBE Contracted Goal (if applicable): N/A

MWBE Current Participation (if applicable): N/A

Justification for 0% MWBE Participation Goal:  N/A - Goal not applicable to request

 

Grant Indirect Costs Rate (if applicable): N/A

Justification for 0% Grant Indirect Costs Rate (if applicable): N/A - Not a grant item

 

Request Summary (Agenda Caption):

title

Request for approval of commercial paper funding for Public Health Services for the Mobile Health Expansion - Dental Services project in the initial amount of $600,000.

end

 

Background and Discussion:

Commercial Paper Series D-2 can be used for (1) construction of public works, (2) the purchase of automobiles, equipment and machinery, including computers, materials and supplies for the operation of the County’s precincts and departments (3) Professional services, including services provided by engineers, architects, attorneys, auditors, financial advisors, and fiscal agents, in connection with the contractual obligations described in (1) and (2).

 

Commercial Paper is being requested for the Mobile Health Expansion - Dental Services project and is expected to be repaid within the next three fiscal years either through bonds, budgetary means or pay-as-you-go sources. 

 

HB 1869 compliance confirmed by: Paige Abernathy, CAO, 9/8/2024

 

Expected Impact:

The primary purpose of this project is to extend dental health services to underserved communities in Harris County by incorporating a new mobile dental unit into the existing HCPH Dental Health Services program. The key task is the procurement of the mobile dental unit. This involves acquiring a state-of-the-art mobile dental unit equipped with two dental operatories, digital radiography, and sterilization equipment. Ensuring that the unit meets the latest health and safety standards is critical, so customization and outfitting are essential. This will include installing all necessary dental equipment and systems, and rigorous quality checks to certify compliance with regulatory requirements. The desired end state of the project is a fully operational mobile dental unit integrated into the HCPH Dental Health Services program, providing regular dental services to underserved communities. The anticipated benefits include increased access to preventive and restorative dental care, reduced oral health disparities among underserved populations, improved overall health outcomes due to better oral health, and enhanced health equity by providing services directly to communities in need.

 

Alternative Options:

Alternative solutions considered included expanding fixed-site dental clinics and partnering with existing dental providers. However, these options were less feasible due to limited reach to healthcare deserts and vulnerable populations who face barriers to accessing the care they need. The mobile dental unit offers a flexible and cost-effective solution to address the identified needs. Delaying the project would prolong the lack of access to essential dental care, exacerbating health disparities and potentially increasing healthcare costs due to untreated dental issues. Stakeholders impacted by the project include community members, local schools, and healthcare providers. Engagement plans involve consultations with these groups to ensure the mobile dental unit meets community needs and integrates seamlessly into existing health services.

 

 

County Strategic Plan Goal:  N/A

County Strategic Plan Objective: N/A

Justice/Safety Initiative (Goal 1):  N/A

Infrastructure Initiative (Goal 2):  N/A

Economy Initiative (Goal 3): N/A

Health Initiative (Goal 4): N/A

Climate/Resilience Initiative (Goal 5): N/A

Housing Initiative (Goal 6): N/A

 

Additional notes related to the Strategic Plan:

 

Prior Court Action (if any):

Date

Agenda Item #

Action Taken

10/08/2024

24-6189

Request for approval of a FIM for an initial amount of $600,000.

 

Location:

Address (if applicable):

Precinct(s): Choose an item.

 

Fiscal and Personnel Summary

Service Name

Mobile Health Expansion - Dental Services

 

 

Current Fiscal Year Cost

Annual Fiscal Cost

 

Labor

Non-Labor

Total

Recurring Expenses

Funding Sources

 

Existing Budget

 

 

 

 

Choose an item.

$

$

$

$

Choose an item.

$

$

$

$

Choose an item.

$

$

$

$

Total Existing Budget

$

$

$

$

Additional Budget Request (Requires Fiscal Review Request Form)

 

Commercial Paper

$

$600,000

$600,000

$

Choose an item.

$

$

$

$

Choose an item.

$

$

$

$

Total Additional Budget Request

$

$600,000

$600,000

$

Total Funding Sources

$

$600,000

$600,000

$

Grants - Proposed Budget (For Grants Items only)

 

Labor

Non-Labor

Total

No. of Grant Years

Local Match Source - Existing Budget: Choose an item.

$

$

$

 

Local Match Source - Additional Budget Request: Choose an item.

$

$

$

 

Grant Funds Applied for/Awarded (Total)

$

$

$

 

Personnel (Fill out section only if requesting new PCNs)

 

Current Position Count for Service

-

-

-

-

Additional Positions Request

-

-

-

-

Total Personnel

-

-

-

-

 

Anticipated Court Date: 8/7/2025

Anticipated Implementation Date (if different from Court date): Click or tap to enter a date.

 

Emergency/Disaster Recovery Note: Not an emergency, disaster, or ARPA related item

 

Contact(s) name, title, department: Amy Perez, Deputy Executive Director, Office of Management and Budget

 

Attachments (if applicable): N/A