[ { "page": 1, "items": [ { "page": 1, "type": "TITLE", "location": { "l": 242.88, "t": 719.28, "r": 440.64, "b": 705.84 }, "text": "DUBUQUE COUNTY BOARD OF HEALTH", "reading_order": 0, "level": 1 }, { "page": 1, "type": "TEXT", "location": { "l": 70.08, "t": 683.28, "r": 256.32, "b": 669.12 }, "text": "DATE: Thursday, October 29, 2026", "reading_order": 1 }, { "page": 1, "type": "TEXT", "location": { "l": 70.56, "t": 666.96, "r": 168, "b": 653.52 }, "text": "TIME: 10:00 AM", "reading_order": 2 }, { "page": 1, "type": "TEXT", "location": { "l": 69.6, "t": 650.88, "r": 367.2, "b": 607.68 }, "text": "PLACE: Dubuque County Health Department Board Room\n1225 Seippel Rd\nDubuque, IA 52002", "reading_order": 3 }, { "page": 1, "type": "TEXT", "location": { "l": 114.24, "t": 592.32, "r": 542.88, "b": 526.08 }, "text": "Microsoft Teams meeting\nJoin:https://teams.microsoft.com/meet/2200724681689926?p=3ejXeS9fpHLKtFQTMv\nMeeting ID:220 072 468 168 992 6\nPasscode:VL2At6Uq", "links": [ { "uri": "https://teams.microsoft.com/meet/2200724681689926?p=3ejXeS9fpHLKtFQTMv", "dest": null, "action_type": "/URI", "bbox": [ 140.226, 565.084, 540.713, 579.05 ] } ], "reading_order": 4 }, { "page": 1, "type": "TITLE", "location": { "l": 281.52, "t": 487.2, "r": 330, "b": 471.12 }, "text": "Agenda", "reading_order": 5, "level": 3 }, { "page": 1, "type": "LIST_ITEM", "location": { "l": 72.24, "t": 454.32, "r": 135.12, "b": 440.4 }, "text": "Roll Call", "marker": "1.", "list_id": "L1", "level": 0, "reading_order": 6 }, { "page": 1, "type": "LIST_ITEM", "location": { "l": 72, "t": 435.12, "r": 176.16, "b": 421.2 }, "text": "Public Comment", "marker": "2.", "list_id": "L1", "level": 0, "reading_order": 7 }, { "page": 1, "type": "LIST_ITEM", "location": { "l": 72.24, "t": 415.92, "r": 292.56, "b": 401.28 }, "text": "Chairperson Announcements & Updates", "marker": "3.", "list_id": "L1", "level": 0, "reading_order": 8 }, { "page": 1, "type": "LIST_ITEM", "location": { "l": 71.52, "t": 396.72, "r": 234.48, "b": 382.32 }, "text": "BOS/BOH Liaison Comments", "marker": "4.", "list_id": "L1", "level": 0, "reading_order": 9 }, { "page": 1, "type": "LIST_ITEM", "location": { "l": 71.76, "t": 377.52, "r": 296.64, "b": 363.12 }, "text": "Approval of Agenda for October 29, 2026", "marker": "5.", "list_id": "L1", "level": 0, "reading_order": 10 }, { "page": 1, "type": "LIST_ITEM", "location": { "l": 72, "t": 358.32, "r": 195.84, "b": 344.16 }, "text": "Approval of Minutes", "marker": "6.", "list_id": "L1", "level": 0, "items": [ { "page": 1, "type": "LIST_ITEM", "location": { "l": 155.04, "t": 339.36, "r": 391.44, "b": 324.96 }, "text": "Opioid Subcommittee Meeting June 5, 2026", "marker": "a.", "list_id": "L1", "level": 1, "reading_order": 0 } ], "reading_order": 11 }, { "page": 1, "type": "LIST_ITEM", "location": { "l": 72.24, "t": 319.44, "r": 157.44, "b": 306 }, "text": "Action Items", "marker": "7.", "list_id": "L1", "level": 0, "items": [ { "page": 1, "type": "LIST_ITEM", "location": { "l": 152.64, "t": 300.48, "r": 409.68, "b": 286.08 }, "text": "Expansion of Existing Narcan Vending Machines", "marker": "a.", "list_id": "L1", "level": 1, "reading_order": 0 }, { "page": 1, "type": "LIST_ITEM", "location": { "l": 152.64, "t": 281.76, "r": 425.76, "b": 267.6 }, "text": "Purchase of Additional Health and Safety Machines", "marker": "b.", "list_id": "L1", "level": 1, "reading_order": 1 } ], "reading_order": 12 }, { "page": 1, "type": "LIST_ITEM", "location": { "l": 71.76, "t": 262.08, "r": 240, "b": 248.4 }, "text": "Response to Public Questions", "marker": "8.", "list_id": "L1", "level": 0, "reading_order": 13 }, { "page": 1, "type": "LIST_ITEM", "location": { "l": 72.24, "t": 243.12, "r": 163.2, "b": 229.44 }, "text": "New Business", "marker": "9.", "list_id": "L1", "level": 0, "items": [ { "page": 1, "type": "LIST_ITEM", "location": { "l": 152.88, "t": 223.92, "r": 522, "b": 195.6 }, "text": "Consideration of Screenagers: Growing Up in the Digital Age Streaming License Purchase", "marker": "a.", "list_id": "L1", "level": 1, "reading_order": 0 }, { "page": 1, "type": "LIST_ITEM", "location": { "l": 152.4, "t": 190.56, "r": 505.68, "b": 162.48 }, "text": "Consideration of Expanding the Committee's Scope from Substance Misuse to Brain Health", "marker": "b.", "list_id": "L1", "level": 1, "reading_order": 1 } ], "reading_order": 14 }, { "page": 1, "type": "LIST_ITEM", "location": { "l": 72.72, "t": 156.48, "r": 257.52, "b": 142.56 }, "text": "Board Communication & Reports", "marker": "10.", "list_id": "L1", "level": 0, "reading_order": 15 }, { "page": 1, "type": "LIST_ITEM", "location": { "l": 72, "t": 137.28, "r": 339.36, "b": 122.88 }, "text": "Next Meeting - To be Determined During Meeting", "marker": "11.", "list_id": "L1", "level": 0, "reading_order": 16 }, { "page": 1, "type": "LIST_ITEM", "location": { "l": 72.48, "t": 118.08, "r": 176.4, "b": 104.88 }, "text": "Public Comment", "marker": "12.", "list_id": "L1", "level": 0, "reading_order": 17 }, { "page": 1, "type": "TEXT", "location": { "l": 91.2, "t": 102, "r": 519.12, "b": 87.84 }, "text": "At this time, anyone may address the Board on matters of which are of concern to that", "reading_order": 18 } ] }, { "page": 2, "items": [ { "page": 2, "type": "TEXT", "location": { "l": 90.48, "t": 716.16, "r": 538.56, "b": 658.32 }, "text": "person and which are not agenda items. Please raise your hand on ZOOM, state your name and home address. Please be aware that the Board is limited in their ability to respond to such inquiries and lowa Code prohibits the Board from deliberating or acting on items not appearing on the agenda. Individual remarks are limited to three minutes.", "reading_order": 0 }, { "page": 2, "type": "LIST_ITEM", "location": { "l": 72.96, "t": 653.28, "r": 161.28, "b": 640.08 }, "text": "13. Adjournment", "list_id": "L1", "level": 0, "reading_order": 1 }, { "page": 2, "type": "TEXT", "location": { "l": 70.56, "t": 603.6, "r": 163.44, "b": 589.2 }, "text": "[IGNORE_INDENT]", "reading_order": 2 } ] }, { "page": 3, "items": [ { "page": 3, "type": "TEXT", "location": { "l": 82.32, "t": 718.56, "r": 557.28, "b": 638.56 }, "text": "Public Health Prevent. Promote. Protect. Board of Health", "reading_order": 0 }, { "page": 3, "type": "TEXT", "location": { "l": 319.8, "t": 705.2267, "r": 557.28, "b": 691.8933 }, "text": "Sandra Larson, JD, BSN", "reading_order": 1 }, { "page": 3, "type": "TEXT", "location": { "l": 319.8, "t": 691.8933, "r": 557.28, "b": 678.56 }, "text": "Preeti Joseph, MD", "reading_order": 2 }, { "page": 3, "type": "TEXT", "location": { "l": 319.8, "t": 678.56, "r": 557.28, "b": 665.2267 }, "text": "Mitchell Edwards, MD", "reading_order": 3 }, { "page": 3, "type": "TEXT", "location": { "l": 319.8, "t": 665.2267, "r": 557.28, "b": 651.8933 }, "text": "Lynn “Tut” Fuller, MD", "reading_order": 4 }, { "page": 3, "type": "TEXT", "location": { "l": 319.8, "t": 651.8933, "r": 557.28, "b": 638.56 }, "text": "Jeff Metcalf, MD", "reading_order": 5 }, { "page": 3, "type": "TEXT", "location": { "l": 82.32, "t": 638.56, "r": 557.28, "b": 598.56 }, "text": "Dubuque County Public Health Department Jack Dolehide, DO", "reading_order": 6 }, { "page": 3, "type": "TEXT", "location": { "l": 319.8, "t": 625.2267, "r": 557.28, "b": 611.8933 }, "text": "Kathy J. Dolter, RN, PhD,", "reading_order": 7 }, { "page": 3, "type": "TEXT", "location": { "l": 319.8, "t": 611.8933, "r": 557.28, "b": 598.56 }, "text": "Lieutenant Colonel, U. S. Army (Retired)", "reading_order": 8 }, { "page": 3, "type": "TITLE", "location": { "l": 62.64, "t": 569.52, "r": 261.84, "b": 556.8 }, "text": "DUBUQUE COUNTY BOARD OF HEALTH", "reading_order": 9, "level": 4 }, { "page": 3, "type": "TEXT", "location": { "l": 62.64, "t": 562.08, "r": 265.44, "b": 481.68 }, "text": "DUBUQUE COUNTY BOARD OF HEALTH\nOpioid Subcommittee\nDate: June 5th, 2026\nTime: 8:30 AM\nDubuque County Offices - West Campus\n1225 Seippel Rd. Dubuque, IA", "reading_order": 10 }, { "page": 3, "type": "TITLE", "location": { "l": 63.12, "t": 467.28, "r": 163.44, "b": 454.08 }, "text": "MEETING MINUTES", "reading_order": 11, "level": 3 }, { "page": 3, "type": "TEXT", "location": { "l": 62.16, "t": 452.16, "r": 519.36, "b": 424.56 }, "text": "Members Present: Allie White, Emma Hilkin, Kathy Dolter, Sandra Larson, Jack Dolehide, and Andrea White", "reading_order": 12 }, { "page": 3, "type": "TITLE", "location": { "l": 62.64, "t": 408, "r": 233.28, "b": 394.8 }, "text": "Announcements & Updates None", "reading_order": 13, "level": 3 }, { "page": 3, "type": "TITLE", "location": { "l": 62.64, "t": 378.48, "r": 130.32, "b": 366.48 }, "text": "Action Items", "reading_order": 14, "level": 4 }, { "page": 3, "type": "TITLE", "location": { "l": 62.16, "t": 363.6, "r": 382.8, "b": 350.4 }, "text": "• Opioid Settlement Fund General Applications Q1 ($200,000)", "reading_order": 15, "level": 3 }, { "page": 3, "type": "TEXT", "location": { "l": 92.16, "t": 348.24, "r": 546.96, "b": 307.68 }, "text": "The Subcommittee reviewed the following applications for the $200,000 Opioid Settlement Funds General Application and made the following recommendations to the full Board of Health:.", "reading_order": 16 }, { "page": 3, "type": "LIST_ITEM", "location": { "l": 98.64, "t": 304.08, "r": 303.12, "b": 291.12 }, "text": "Area Substance Abuse Council (ASAC)", "marker": "•", "list_id": "L2", "level": 0, "items": [ { "page": 3, "type": "LIST_ITEM", "location": { "l": 135.6, "t": 289.2, "r": 272.88, "b": 276.48 }, "text": "Requested - 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The group selected the projects submitted by", "reading_order": 8 }, { "page": 4, "type": "LIST_ITEM", "location": { "l": 133.92, "t": 527.28, "r": 274.56, "b": 514.32 }, "text": "Hillcrest Family Services", "marker": "o", "list_id": "L5", "level": 0, "items": [ { "page": 4, "type": "LIST_ITEM", "location": { "l": 170.16, "t": 513.12, "r": 303.36, "b": 499.92 }, "text": "Requested - $138,498", "marker": "▪", "list_id": "L5", "level": 1, "reading_order": 0 }, { "page": 4, "type": "LIST_ITEM", "location": { "l": 170.4, "t": 498.24, "r": 286.32, "b": 485.28 }, "text": "Recommended #1:", "marker": "▪", "list_id": "L5", "level": 1, "items": [ { "page": 4, "type": "LIST_ITEM", "location": { "l": 205.92, "t": 483.6, "r": 522.96, "b": 455.76 }, "text": "Request Board of Supervisors Increase Funding Cap and fully fund at $138,498", "marker": "•", "list_id": "L5", "level": 2, "reading_order": 0 } ], "reading_order": 1 }, { "page": 4, "type": "LIST_ITEM", "location": { "l": 169.92, "t": 453.84, "r": 298.08, "b": 440.88 }, "text": "Recommendation #2:", "marker": "▪", "list_id": "L5", "level": 1, "items": [ { "page": 4, "type": "LIST_ITEM", "location": { "l": 205.68, "t": 439.2, "r": 498, "b": 424.8 }, "text": "Partially fund at $60,000 to meet $100,000 funding cap", "marker": "•", "list_id": "L5", "level": 2, "reading_order": 0 } ], "reading_order": 2 } ], "reading_order": 9 }, { "page": 4, "type": "LIST_ITEM", "location": { "l": 134.16, "t": 423.6, "r": 423.12, "b": 409.92 }, "text": "Turning Point Treatment Center, Mercy One Dubuque.", "marker": "o", "list_id": "L5", "level": 0, "items": [ { "page": 4, "type": "LIST_ITEM", "location": { "l": 170.16, "t": 408.96, "r": 285.12, "b": 396 }, "text": "Recommended #1:", "marker": "▪", "list_id": "L5", "level": 1, "items": [ { "page": 4, "type": "LIST_ITEM", "location": { "l": 206.4, "t": 394.56, "r": 523.68, "b": 366.72 }, "text": "Request Board of Supervisors Increase Funding Cap and fully fund at $97,000", "marker": "•", "list_id": "L5", "level": 2, "reading_order": 0 } ], "reading_order": 0 }, { "page": 4, "type": "LIST_ITEM", "location": { "l": 170.16, "t": 365.04, "r": 297.84, "b": 351.6 }, "text": "Recommendation #2:", "marker": "▪", "list_id": "L5", "level": 1, "items": [ { "page": 4, "type": "LIST_ITEM", "location": { "l": 206.16, "t": 350.16, "r": 497.76, "b": 335.04 }, "text": "Partially fund at $40,000 to meet $100,000 funding cap", "marker": "•", "list_id": "L5", "level": 2, "reading_order": 0 } ], "reading_order": 1 } ], "reading_order": 10 }, { "page": 4, "type": "LIST_ITEM", "location": { "l": 134.4, "t": 334.8, "r": 333.36, "b": 321.36 }, "text": "Total Recommended Disbursement:", "marker": "o", "list_id": "L5", "level": 0, "items": [ { "page": 4, "type": "LIST_ITEM", "location": { "l": 169.92, "t": 320.4, "r": 376.8, "b": 306.96 }, "text": "Recommendation #1 Total: $235,498", "marker": "▪", "list_id": "L5", "level": 1, "reading_order": 0 }, { "page": 4, "type": "LIST_ITEM", "location": { "l": 170.4, "t": 305.52, "r": 376.56, "b": 291.6 }, "text": "Recommendation #2 Total: $100,000", "marker": "▪", "list_id": "L5", "level": 1, "reading_order": 1 } ], "reading_order": 11 }, { "page": 4, "type": "TEXT", "location": { "l": 62.16, "t": 276.72, "r": 311.52, "b": 262.32 }, "text": "Public Comment There were no public comments.", "reading_order": 12 }, { "page": 4, "type": "TEXT", "location": { "l": 62.16, "t": 247.68, "r": 534.48, "b": 217.68 }, "text": "Next Scheduled Meeting: There will be a Special Board of Health meeting June 8th to review the Opioid Subcommittee’s decision.", "reading_order": 13 }, { "page": 4, "type": "TEXT", "location": { "l": 62.16, "t": 203.52, "r": 239.28, "b": 189.12 }, "text": "Adjournment: Motion by Dolehide.", "reading_order": 14 } ] } ]