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Storyline · 6 events · Apr 25, 2023 – Sep 24, 2026

Amarillo Area Public Health District: the 2023 cooperative agreement and the 2026 cost-sharing model

Quick answers

What is the latest on Public health district funding?
Sep 24, 2026: Proposed FY 2026-27 budget lists $2.12 million from the Hospital District for Public Health and cites the 2026 cost-sharing initiative. The proposed FY 2026-27 budget book says Amarillo Public Health "receives primary local funding through the Amarillo Hospital District" and budgets $2,121,800 in Hospital District participation revenue, up from $1,403,205 actual in FY 2024-25. Read the event
How far back does this record of Public health district funding go?
To Apr 25, 2023: Council approves the updated public health district cooperative agreement and Ordinance 8057, 5-0. The storyline has 6 dated events in all. Read the event

The City of Amarillo's Public Health and Environmental Health departments serve the Amarillo Area Public Health District, which also includes Canyon, Potter and Randall counties and several smaller communities under a cooperative agreement. The Amarillo Area Public Health Board approved an updated agreement in April 2023, and the City Council approved it 5-0 on April 25, 2023 with conforming Ordinance No. 8057. In 2025 the departments reported lost permit revenue from new state laws and delayed federal grant funding, and on October 16, 2025 the board recommended a population-based cost-sharing model under which each member jurisdiction would be billed annually. The council adopted Resolution No. 02-24-26-2 establishing a Public Health Cost Sharing Model on first reading 4-0 on February 24, 2026 and on second reading on the March 10, 2026 consent agenda. The Amarillo Hospital District remains Public Health's main local funder: its board authorized up to $2.06 million for FY 2025-26.

A storyline groups dated events in order. It is a chronology, not an argument; it does not say why anything happened. All storylines

  1. · Origin

    Council approves the updated public health district cooperative agreement and Ordinance 8057, 5-0

    On April 20, 2023 the Amarillo Area Public Health Board adopted an updated cooperative agreement for the district, reflecting state law and updated definitions, and sent a conforming update of City Code Chapter 8-5 to the member jurisdictions. On April 25 the City Council approved the agreement update 5-0 and passed Ordinance No. 8057 on first reading 5-0; the second reading passed on the May 9, 2023 consent agenda, 5-0. By July 2023 the board was told Amarillo, Canyon, Potter and Randall counties and Timbercreek had approved the agreement.[1][2][3][4]

    Casie Stoughton

    • ✓ Verified

      The April 20, 2023 board minutes record "a proposed updated Cooperative Agreement for the Public Health district" presented "In accordance with State law," amended to replace a pronoun with "Health Authority," and adopted on a motion by Delores Thompson, seconded by Kevin Hawkins, "All in favor." A motion to accept the update to Ordinance 8-5 "to be sent to the member jurisdictions for approval" also passed. [1]

    • ✓ Verified

      On April 25, 2023 non-consent item 7.A, approval of revisions to the cooperative agreement for the Amarillo Area Public Health District, passed 5-0 (Powell, Smith), and item 7.B, first reading of Ordinance No. 8057 amending Code Chapters 8-5, 2-6 and 4-9 "to reflect the updated Amarillo Area Public Health District Cooperative Agreement," passed 5-0 (Powell, Sauer). The second and final reading was on the May 9, 2023 consent agenda, approved 5-0. [2][3]

    • ✓ Verified

      The July 20, 2023 board minutes list the cooperative agreement update as approved by "Amarillo, Canyon, Potter/Randall, Timbercreek." The proposed FY 2026-27 budget book says the district expanded in 2019 to include Timbercreek Canyon, Lake Tanglewood, Bishop Hills and Palisades and that the agreement "was updated in both 2019 and 2023." [4][5]

  2. · Precursor

    Public health board told of permit losses under new state laws and delayed federal grant funding

    The Environmental Health director told the board the district was losing about 121 permits, worth about $300,000, because of newly passed bills, and that from July 2026 House Bill 2844 moves mobile food vendor licensing to the state. The Public Health director said federal communication and funding had been significantly delayed and that the Refugee Health Program had been discontinued at the federal level.[6]

    Casie Stoughton

    • ✓ Verified

      The June 26, 2025 minutes record the Environmental Health director reporting the district was "Losing around 121 permits in the jurisdiction and it constitutes about three hundred thousand dollars," and that under House Bill 2844, effective July 2026, "Local Environmental Health departments will no longer license mobile units, including food trucks, pushcarts, and similar vendors." [6]

      Permits lost
      121
      Revenue lost
      $300,000
    • ✓ Verified

      Casie Stoughton, Director of Public Health: The Public Health director reported that "Federal-level communication and funding updates have been significantly delayed," that DSHS "has experienced disruptions in receiving grant notices and awards," that "The Refugee Health Program has been discontinued at the federal level," and that staff had been reassigned to maintain operations. [6]

    • ⚠ Sources differ

      Environmental Health's reported permit losses from 2025 state laws differ between board meetings.

      Reported value 1[6]

      Permits lost
      121
      Revenue lost
      $300,000

      June 26, 2025: 'around 121 permits' and 'about three hundred thousand dollars.'

      Reported value 2[7]

      Permits lost
      278
      Revenue lost
      $225,000

      October 16, 2025: '278 permits lost' and more than $225,000 in revenue (HB 2284, SB 1008), plus another 227 permits and $60,000 when mobile food permitting moves to the state on July 1, 2026.

  3. · Peak

    Council passes the Public Health Cost Sharing Model resolution on first reading, 4-0

    Item 6.2, Resolution No. 02-24-26-2 "establishing a Public Health Cost Sharing Model to support the Amarillo Area Public Health District," was presented by the Environmental Health and Public Health directors and adopted on first reading 4-0, with Councilmember David Prescott absent.[9]

    Casie StoughtonCole StanleyTim ReidDon TippsLes Simpson

    • ✓ Verified

      The February 24, 2026 minutes record Resolution No. 02-24-26-2 presented by Anthony Spanel, Director of Environmental Health, and Casie Stoughton, Director of Public Health, and the entry "Motion by None, seconded by None, to Adopt Resolution No. 02-24-26-2. Vote: 4 - 0 Motion Passed" (as printed), with ayes Stanley, Reid, Tipps and Simpson and Prescott absent. The minutes do not state the formula, the phase-in option chosen or any jurisdiction's share. [9]

  4. · Resolution

    Cost-sharing resolution adopted on second reading on the consent agenda, 5-0

    The second and final reading of Resolution No. 02-24-26-2 was consent item 5.3 on March 10, 2026. The consent agenda, minus a separately pulled zoo item, passed 5-0.[10]

    • ✓ Verified

      Consent item 5.3 on March 10, 2026 was "the second and final reading to consider a resolution establishing a Public Health Cost Sharing Model to support the Amarillo Area Public Health District." The consent agenda, without item 5.6, passed 5-0 on a motion by Councilmember Simpson, seconded by Councilmember Prescott. [10]

    • ✓ Verified

      The resolution text, the phase-in option adopted and any amounts billed to Canyon, Potter County, Randall County or the smaller members were not found in the sources reviewed. The FY 2026-27 budget book describes the initiative as distributing "Environmental Health program costs among participating jurisdictions." [10][5]

  5. · Context

    Proposed FY 2026-27 budget lists $2.12 million from the Hospital District for Public Health and cites the 2026 cost-sharing initiative

    The proposed FY 2026-27 budget book says Amarillo Public Health "receives primary local funding through the Amarillo Hospital District" and budgets $2,121,800 in Hospital District participation revenue, up from $1,403,205 actual in FY 2024-25. Environmental Health's section says the department will continue implementing "the Amarillo Area Public Health District cost sharing initiative established in 2026." The Hospital District board had authorized Public Health funding of up to $2.06 million for FY 2025-26.[5][11]

    • ✓ Verified

      For the Public Health cost center (CC_25011) the proposed FY 2026-27 budget book (page 921) lists revenue line "Health Dept Part.-AHD" of $1,270,580 (FY2022-23 actual), $1,360,234 (FY2023-24), $1,403,205 (FY2024-25), $2,000,000 budgeted for FY2025-26 and $2,121,800 for FY2026-27. [5]

      Fy2025 actual
      $1,403,205
      Fy2027 budget
      $2,121,800
    • ✓ Verified

      On August 19, 2025 the Amarillo Hospital District board approved, 5-0, a resolution funding the City's Public Health Department "not to exceed $2.06 million, which is a 2% increase over the prior year, but only actual costs will be reimbursed." [11]

      Amount
      $2,060,000
    • ✓ Verified

      The budget book (page 914) says Amarillo Public Health "receives primary local funding through the Amarillo Hospital District, which supports essential public health activities not otherwise funded through Federal, State, or local grants," and (page 792) that Environmental Health "will also continue implementation of the Amarillo Area Public Health District cost sharing initiative established in 2026." [5]

Related storylines: Amarillo Hospital District: the 1996 indigent care agreement, its investment fund and the 2036 deadlineAmarillo Public Health's COVID-19 grant funding and spending (2020-2026)Amarillo animal shelter operations, evaluation and cost recovery (2024-2026)