Terri R. Ball

The meeting introduced the new Medical Director, Dr. Kramp, who expressed a willingness to listen before making changes. A discussion took place regarding the new MCA structure, which will involve protocol changes to reflect the new name and the establishment of a new Physician-driven closed meeting (PRSO) led by Dr. Kramp. Updates were provided on agency relicensing processes, noting the state's transition to web-based platforms. Standing agenda items covered updates from the Medical Director, MMR (including four new paramedics), Fire/Rescue, protocols, Trauma programs (noting successful visits at McLaren and anticipated certification for Alma and Mt. Pleasant stroke centers), STEMI programs (addressing missing run sheets), 911 updates, Emergency Management, and education offerings. New business included the approval of the STEMI Protocol and the Dual Sequential Defibrillation Protocol. Discussions also addressed optional equipment for pelvic binders, McLaren's Level 4 trauma certification, stroke statistics for Alma, Clare, and Isabella, and continued work on EMS communication and system upgrades across counties.

The meeting began with a roll call and approval of the agenda, which was amended to include a synopsis of a legal opinion and resolutions regarding a partial termination and assignment of a member to the Zoning Board of Appeals. Key actions included the election of officers, with Karla Childers elected as Chair, Dave Ringle as Vice-Chair, and David Justin as Secretary. The Commission also approved the 2026 Meeting Schedule. New business addressed the approval of the Resolution for Partial Termination of Farmland Development Rights Agreement and the assignment of Dave Ringle to the Zoning Board of Appeals. Discussions were scheduled for public hearings regarding a Master Plan and a Proposed Text Amendment in February 2026.

The meeting included a discussion regarding a proposal to initiate a Zoning Ordinance Text Amendment Process. The Planning Commissioners would like to request a legal opinion on whether they are required to amend the text right now or if they can wait until next year, per ZBAs request following denial of variance due to reoccurring requests of a variance of Chapter 2C 3E.

The meeting included an overview of a Request For Proposal (RFP) process, with questions from potential bidders regarding the scope, billing, work plan, stakeholder engagement, bonding requirements, timelines, interview format and number of copies needed. There was also a discussion about potential board vacancies and changes to the by-laws. Updates were provided on advancement requests being moved to a new state committee and the potential impact of House Bill 5167 on county contracts with solid waste haulers.

The meeting covered updates and amendments to the Work Program, including discussions on the RFP process and the selection of a consulting firm. The Designee Policy was discussed, revealing that board member alternates are not permissible. The RDPA provided updates on the RFP, emphasizing the need for clarity and legal review, and outlined the posting requirements across various county platforms. A review of the facility survey was conducted, highlighting concerns such as funding, community costs, and end-use marketing. The RDPA also shared updates on state matters and the MMP process.