NOTICE OF OPEN MEETING
TULSA CITY-COUNTY BOARD OF HEALTH REGULAR MEETING
(Public Body)
Regular Meeting To be Held at:
Date/Time:
James O. Goodwin Health Center, Room 200 Tulsa City-County Health Department
5051 S. 129th East Avenue Tulsa, Oklahoma 74134
Tele: 918-595-4434
April 15, 2026, at 6:00pm
1 Notice by December 15 of each year and posted 24 hours in advance with agenda.
2 Requires 48 hours’ notice to City and County and posted 24 hours in advance with agenda.
3 Change of regularly scheduled meeting must be sent not less than 10 days prior to change, posted 48 hours in advance, and agenda posted 24 hours in advance.
Agenda
I. CALL TO ORDER & ROLL CALL | Dr. Mike Jones
II. APPROVAL OF MINUTES | Dr. Mike Jones
A. Regular Meeting on February 18, 2026
III. CHAIR’S REPORT | Dr. Mike Jones
IV. DIRECTOR’S REPORT | Dr. Bruce Dart
V. THD MISSION MOMENTS | Office of Maternal & Child Health
A. Health Start Program - My Experience with Healthy Start - Dorthea Fullard
VI. CURRENT BUSINESS | Information Items, THD Reports
A. FY 2027 THD Preliminary Budget - Dr. Bruce Dart, Executive Director
B. Legislative Session Update – Scott & Alexandra Adkins
C. Healthy Start's Strategic Plan - Robin Daniels
VII. CURRENT BUSINESS | Action Items
A. A. Tulsa Food Advisory Council Appointment – Ryan Kenneth Gray | Adam Austin
VIII. OLD BUSINESS
IX. FUTURE BUSINESS
X. ANNOUNCEMENTS
XI. NEXT MEETING: Wednesday, May 20, 2026, 6:00 pm
North Regional Health & Wellness Center (NRHC) – Room 208 5635 N. Martin Luther King, Jr. Blvd.
Tulsa, OK 74126
MEETING MINUTES
Board Members Present:
- Mike Jones, D.V.M., Chair
- Jana Bingman, M.D.
- Aimee Boyer, J.D., CFP
- Mike Stout, PhD.
- Krystal Reyes, M.P.A.
- Ann Paul, DrPH, M.P.H.
- Regina Lewis, D.O.
- Jeffrey Galles, D.O
- Carolina Hernandez, M.D., MSc., MBA
Staff Present:
- Bruce Dart, Executive Director
- Chanteau Orr, Associate Executive Director
- Sara Rodriguez, Executive Assistant
- Marcus Anderson, Assoc. Director of the Office of Maternal & Child Health
- Leslie Carroll, Assoc. Director of the Office of Community Health & Quality Improvement
- Adam Austin, Assoc. Director, Office of Environmental Health Services
- Angela Carter, Executive Assistant
- Lori Just, Marketing & Public Relations Coordinator
- Robin Daniels, Healthy Start Manager
- Dorothea Fullard, Community Consortium Liaison
- Alexandra Adkins, Consultant & Legislative Liaison
- Scott Adkins, Consultant & Legislative Liaison
- Scott Buffington, Senior Director of Human Resources
- Todd Maxwell, Associate Attorney
- Jumao Wang, Chief Financial Officer
1) Call to Order & Roll Call – Dr. Mike Jones
Dr. Jones called the meeting to order at 6:01 pm.
The meeting notice and agenda were posted at the James Goodwin Health Center, the North Regional Health and Wellness Center, and on the Tulsa City-County Health Department (THD) website, and were emailed to the Tulsa County Clerk, the Tulsa City Clerk, and the Tulsa City-County Library on April 10, 2026.
2) Approval of Minutes – Dr. Mike Jones
Dr. Jones entertained a motion to approve the February 18, 2026, minutes. A motion was made by Dr. Ann Paul and seconded by Dr. Jana Bingman. February 18, 2026, meeting minutes were approved:
- Dr. Stout arrived late
- Dr. Lewis abstains
- Dr. Paul aye
- Ms. Boyer abstains
- Dr. Jones aye
- Dr. Bingman aye
- Ms. Reyes aye
- Dr. Galles aye
- Dr. Hernandez abstains
3) Chair’s Report – Dr. Mike Jones
There was no chair report.
4) Director’s Report – Dr. Bruce Dart
Dr. Dart expressed his willingness to answer any questions the Board may have regarding his report. He continues to evaluate the various departments while reviewing our processes to identify areas for improvement, with a particular focus on enhancing our finance department and billing practices.
Additionally, Dr. Dart introduced the Board's newest member, Dr. Carolina Hernandez.
5) THD Mission Moments – Office of Maternal & Child Health
Healthy Start Program – My Experience with Healthy Start – Dorothea Fullard
Dorothea Fullard, with the Healthy Start Program, was a participant in the Healthy Start program beginning in 2019 during her first pregnancy. Although she had prior experience working in OBGYN, becoming a mother for the first time introduced a level of uncertainty and overwhelming information that she was not prepared for. When Miss Latoya from Indian Health contacted her and enrolled her in the Healthy Start program, it became a turning point in her journey. During a time when advice, medical information, and opinions came from every direction—family, social media, and even her own clinical background, Healthy Start provided clarity. Miss Latoya helped quiet the noise and empowered Dorothea with practical knowledge, such as how to listen to her baby, how to communicate and bond through reading and singing, and how to understand what was happening during her prenatal appointments. Miss Latoya became not only a case manager, but a trusted support person and, in many ways, a part of the family. After giving birth, Dorothea became critically ill with COVID-19 and required a ventilator for five days postpartum. When Dorothea finally returned home, she lacked basic resources and was unsure how to obtain essentials like formula or a breast pump. Through her case management work, Miss Latoya guided Dorothea through those challenges and ensured that she had access to the support she needed during an incredibly vulnerable time.
Dorothea is deeply grateful for both the Healthy Start program and the compassionate, dedicated individuals who lead it. This program played an essential role in helping navigate one of the most significant periods of Dorothea’s life. Dorothea continues to recommend Healthy Start to anyone she meets who is pregnant, because the level of care and support it provides is truly exceptional.
6) Current Business | Information Items & THD Reports
A. FY 2027 THD Preliminary Budget – Dr. Bruce Dart, Executive Director
Dr. Dart outlined the proposed budget of $44.6 million for the fiscal year 2026-2027, noting a slight decrease from the previous year. The budget draws from ad valorem taxes, permits, miscellaneous income, local grants, state grants, and federal grants, with an emphasis on the need to diversify funding sources due to unpredictable federal support.
Several grants have ended or have been reduced, including the Strategic Partnership Framework (substance abuse grant), the TSET tobacco program, the TANF grant for the prep program, and the OSU behavioral health workforce development grant. The CDC Public Health Infrastructure Grant saw a 33% increase, but its future is uncertain, while the HUD Lead Hazard Control Grant continues to be successful.
Capital expenditures include $800,000 for an air handling unit, fire alarm system upgrades, AV hardware, new vehicles, HVAC replacements, backup server, lab equipment, and security room expansion. The budget proposes a 2% cost-of-living adjustment for staff and aims to cover a 5% increase in health insurance rates, with a focus on maintaining at least six months of cash on hand.
Staffing has decreased from a peak of 360-365 to around 350 due to grant reductions. The department plans to build a true reserve fund for emergency preparedness and monitor cash on hand more closely, with 69% of employees funded by the budget and a majority of costs being fixed.
B. Legislative Session Update – Scott & Alexandra Adkins
Scott and Alexandra Adkins shared a legislative update with the Board. The governor signed Senate Bill 1177, the general appropriations bill, with a 2.92% decrease for the State Department of Health. Cuts were limited to one-time funds, avoiding across-the-board reductions for agencies. The House budget portal provides detailed breakdowns of agency requests and appropriations.
Resolution 39 proposes to slow property tax growth by reducing caps for homestead and agricultural land and introduces a senior freeze for those 65 and older. This measure will appear on the August runoff ballot and may impact future local budgets.
House Bill 4440 and HJR 1067 propose changes to Medicaid expansion funding, with triggers based on the federal match rate. The first would move expansion from the Constitution to statute, while the second could eliminate expansion if the match dropped. Both may appear on the November ballot, creating uncertainty for healthcare funding.
Alexandra is still watching the bills for rural health transformation, medication continuity for children in state custody, maternal health initiatives, foster care support, eviction timelines, and the definition of family resource centers. Immigration status checks for benefit recipients were clarified to protect children’s access to services.
C. Healthy Start’s Strategic Plan – Robin Daniels
Robin Daniels presented the Healthy Start program’s strategic plan. There are four core areas, performance benchmarks, outreach activities, consortium collaboration, and upcoming initiatives. Dorothea Fullard shared her client experience and board members discussed alignment with city priorities and future quality improvement efforts.
The Healthy Start strategic plan was shared with the HRSA program officer, who recognized it as the first of its kind among all Healthy Start programs and requested it to be shared as a model for other recipients and HRSA leadership.
The program focuses on case management and clinical services, group-based education, the fatherhood program, and the consortium. Performance goals include enrolling 250 new pregnant clients, serving 175 infants/toddlers/non-pregnant clients, and maintaining case manager caseloads of 45-50 clients. Year-to-date data shows strong progress towards these goals.
Healthy Start staff have visited 40 locations within targeted zip codes, built an outreach team, and established relationships with pediatric clinics. Ongoing training and referral incentives are used to boost enrollment and participation in case management and group education.
The consortium merged with SHIFT, expanding membership to 110 and planning to form focus groups on mental health, healthcare, and nutrition. Upcoming events include a Medicaid enrollment fair, a campaign on early prenatal care, and a family-oriented zoo trip.
Plans include implementing a quality improvement process focused on client retention and satisfaction through quarterly surveys and continuing to spotlight local resources and develop focus group-driven solutions for community health challenges.
7) Current Business | Action Items
A. Tulsa Food Advisory Council Appointment – Ryan Kenneth Gray | Adam Austin
Adam Austin, Associate Director of the Office of Environmental Health, explained the criteria for Food Advisory Council membership and presented Ryan Kenneth Gray, who has over 20 years of experience with Billy Sims, as a candidate for the food category. The Board voted to approve the appointment.
Dr. Jones entertained a motion to approve Ryan Kenneth Gray to the Tulsa Food Advisory Council. A motion was made by Dr. Ann Paul and seconded by Dr. Jana Bingman. The Board voted to approve Ryan Kenneth Gray’s appointment to the Tulsa Food Advisory Council.
- Dr. Stout not present
- Dr. Lewis abstains
- Dr. Paul aye
- Ms. Boyer abstains
- Dr. Jones aye
- Dr. Bingman aye
- Ms. Reyes aye
- Dr. Galles aye
- Dr. Hernandez abstains
8) Old Business – Dr. Mike Jones
None
9) Future Business – Dr. Mike Jones
None
10) Announcements – Dr. Mike Jones
The Next Board Meeting will be held on Wednesday, May 20, 2026, at 6:00 pm at the North Regional Health & Wellness Center (NRHWC) in Room 208
11) Adjournment
The meeting was adjourned at 7:30 pm.
APPROVED:
Dr. Mike Jones, D.V.M.
Board of Health Chair
ATTESTED:
Sara Rodriguez, Executive Assistant
Tulsa Health Department