Monroe County, IL
 
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Table of Contents
Table of Contents
This Board of Health was appointed and operates under the provisions of "An Act in Relation to the Establishment and Maintenance of County and Multiple-County Public Health Departments", also known as the County Health Department Law, to oversee the provision of public health services in the counties of Monroe and Randolph in the State of Illinois through the Monroe-Randolph Bi-County Health Department. (See 55 ILCS 5/5-25001)
There shall be four members appointed to the Bi-County Board of Health by the Monroe County Board of Commissioners. Subsequent appointments shall be made for a term of three years, excepting the members from each County Board of Commissioners who shall serve for a one-year term as appointed by the Chairmen of the two County Board of Commissioners.
(A) 
The officers of the Board of Health shall be a Chairman, a Vice Chairman, and a Secretary-Treasurer, and shall be elected annually by the members of the Board of Health.
(B) 
The duties of the officers of the Board of Health shall be those which are customary for such officers, (See Robert's Rules of Order), and any other duties as shall be set forth in this instrument.
(C) 
Officers shall be elected for the ensuing year at a Board of Health meeting which shall be held prior to July 1 of each year.
(D) 
Signature authority for all checks shall be vested in the Treasurer and the Public Health Administrator with the Chairman having signature authority as an alternate for either of two mentioned above. All checks shall contain two authorized signatures.
The Board of Health:
(A) 
Shall hold meetings at least quarterly.
(B) 
May hold special meetings upon written request signed by two members of the Board of Health and filed with the Secretary, or on request of the Public Health Administrator.
(C) 
Members of the Board of Health are required to attend regular meetings of the Board. Absence from three consecutive meetings without an excused absence will result in resignation. Members should notify either the Chairman or the Secretary-Treasurer of intended absence. In the event of a member's resignation, the Board of Commissioners from that member's count of residence will appoint a new member to the Board, maintaining the membership composition described in Article II.
(D) 
Notification of all meetings of the Board of Health will be made public in compliance with the "Illinois Open Meetings Act."
All questions before the Board of Health shall be decided by a majority vote of all members present; however, no meeting shall be accounted as official unless a quorum of the members is present. A quorum is understood to be five members.
The Board of Health:
(A) 
Will assure that the Health Department's programs include at least those designated by the Illinois Department of Public Health (IDPH) as "required" and meet the criteria for approval as set forth in the "Standards for Local Health Departments" issued by the Illinois Department of Public Health.
(B) 
Will direct the Public Health Administrator to maintain the services of the Home Health Agency in Monroe and Randolph Counties and request certification as such to be continued according to the provisions of the Medicare Act.
(C) 
Shall employ a staff adequately qualified to carry out the Health Department programs and which, in accordance with established Rules and Regulations, shall meet "The Minimum Qualifications for Personnel Employed by Local Health Departments as Established by the Illinois Department of Public Health", and shall adopt personnel policies which shall be kept in writing and made available to employees.
(D) 
Shall provide for, or request, adequate financing for Health Department programs and shall adopt fiscal policies which shall be kept in writing.
(E) 
May enter into contracts with official or nonofficial agencies or individuals for the purchase, sale, or exchange of health services.
(F) 
Shall employ clerical staff sufficient to aid in the maintenance of proper clinical records on all patients and perform such other secretarial duties as may be necessary.
(G) 
Shall provide office space and equipment adequate for the needs of the Health Department.
(H) 
Shall request the County Boards of Commissioners in each County to pass ordinances permitting the charging and collecting of such fees as may be necessary to finance selected health services.
(I) 
Shall appoint a Public Health Administrator as the executive officer of the Health Department, provided that the Board of Health shall make available medical supervision which is considered adequate by the Director of the Illinois Department of Public Health.
(J) 
Shall, according to the requirements of the County Health Department Act, and within the professional and technical competence of its staff, and the number of staff employed, and with the staff of the Health Department acting as its agent, enforce all State laws pertaining to the preservation of health, and all County and municipal ordinances except as otherwise provided in the County Health Department Act; also, shall enforce all Rules and Regulations promulgated by the Illinois Department of Public Health, by the Monroe and Randolph County Boards of Commissioners or on its own legal authority.
(K) 
Shall, according to the requirements of the County Health Department Act, recommend, when deemed necessary, to the County Boards of Commissioners, the enactment of such ordinances and Rules and Regulations as may be necessary or desirable for the protection of health and control of disease in its jurisdiction.
The fiscal year of the Monroe-Randolph Bi-County Health Department shall run from December 1 through November 30.
The Board of Health:
(A) 
Shall, at the appropriate time prior to the end of the fiscal year, meet and review the Health Department budget for the coming fiscal year proposed by the Public Health Administrator and upon approval, submit the budget to the County Board of Commissioners.
(B) 
Shall review at each meeting, the fiscal status of the Health Department. The Secretary-Treasurer or Chairman of the Board of Health shall be authorized to review the payroll and all expenditures between meetings.
(C) 
Shall review salary ranges and increments for the staff members as outlined in the personnel policies.
The Board of Health:
(A) 
Shall direct the Health Department staff to keep a record in the Department headquarters of all receipts and disbursements. This record shall be compared at least annually with the records of the County Treasurers of both Monroe and Randolph Counties.
(B) 
Shall cause an annual audit to be made of the Health Department accounts. The County Treasurer's annual audit of all accounts, which includes the Health Department, is accepted as the Board of Health's official audit.
The Board of Health shall publish, within the period required by State Law, an annual report explaining the health department activities and expenditures for the past year. This report shall be in pamphlet form and shall be for free distribution, which shall include distribution to members of the Board of County Commissioners and the State Health Department.
The Chairman of the Board of Health:
(A) 
Shall, from the Board of Health members, appoint such committees as seem appropriate for the conduct of Board of Health Business.
(B) 
May appoint Advisory Committees from professional or community groups.
(C) 
Serves as ex officio member of all appointed committees.
The members of the Board of Health:
(A) 
Shall serve without compensation.
(B) 
May be reimbursed for actual, necessary expense incurred in the performance of their duties, such as attendance at meetings of the Board of Health, committee meetings of the Board of Health or at meetings of the Illinois Association of Boards of Health, in accordance with established policies regarding reimbursement for Health Department staff, and with the approval of the entire Board of Health.
The Board of Health:
(A) 
Shall request the executive officer of the Health Department, or the Public Health Administrator, to keep an accurate inventory of all property of the Health Department.
(B) 
Shall cause property of the Health Department to be adequately protected by insurance.
(C) 
May require that property of the Health Department destroyed or damaged by carelessness of any employee, be replaced at the expense of the employee, if circumstances justify.
Members of the Board of Health may amend these bylaws by a vote of 2/3 of the members present at an official meeting of the Board of Health, provided that a written notice of the proposed changes be sent to each member and to the County Boards at least two weeks before the meeting at which the bylaws are to be amended.