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File #: 26-1254   
Status: Passed
File created: 2/9/2026 In control: Clark County Board of Commissioners
On agenda: 3/3/2026 Final action: 3/3/2026
Title: Approve and authorize the Chair to sign the amendment to resolution 4-1-03-1 Designation of HIPAA Hybrid Entity Status, the Clinical and Community Services Department as part of the Health Care Component of the County's Hybrid Entity. (For Possible Action).
Attachments: 1. Staff Report, 2. HE Designation Resolution 01 2026

CLARK COUNTY BOARD OF COMMISSIONERS

AGENDA ITEM

 

Petitioner:

Angela M. Darragh, Director, Audit

Recommendation: 

title

Approve and authorize the Chair to sign the amendment to resolution 4-1-03-1 Designation of HIPAA Hybrid Entity Status, the Clinical and Community Services Department as part of the Health Care Component of the County’s Hybrid Entity. (For Possible Action).

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FISCAL IMPACT:

Fund #:

N/A

Fund Name:

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Fund Center:

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Funded PGM/Grant:

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Amount:

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Additional Comments:

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BACKGROUND: 

On April 1, 2003, the Board of County Commissioners approved and adopted a resolution to designate Clark County as a Hybrid Entity under the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and designated its Health Care Components.  Those Components, including University Medical Center (UMC), are covered under HIPAA mandates and regulations. 

On December 20, 2006, the Board of County Commissioners approved and adopted an amendment to the resolution to add the County’s Administrative Services Department - Employee Assistance Program, the Civil Division of the District Attorney’s Office and the County Manager’s Office. The amendment also removed the Department of Family Services from the designated Health Care Components of the Hybrid Entity. It additionally clarified the wording of the resolution that included the Office of the Comptroller, Treasurer, Purchasing, Information technology and Audit Departments.

On November 5, 2008, the Board of County Commissioners approved and adopted an amendment to the resolution to remove the Treasurer’s Office from the designated Health Care Components of the Hybrid Entity.

On September 7, 2010, the Board of County Commissioners approved and adopted an amendment to the resolution to add the Fire Department, and correct the inadvertent omission of the Risk Management Department to the extent it administers the Clark County Self Funded Group Medical and Dental Benefit Plan to the health care component of the County’s hybrid entity. The amendment restated that UMC, the Social Services Department, to the extent it operates the County Medical Assistance Service program, the Department of Juvenile Justice Services and the Risk Management Department to the extent it administers the Clark County Self-Funded Group Medical and Dental Benefit Plan and the Clark County Fire Department were part of the health care component of the County’s hybrid entity. It further resolved that due to the services provided to those departments, the Information Technology Department, the Audit Department , the County Manager’s Office, the Board of County Commissioners, the Finance Department to the extent it includes the Comptroller’s Office and the Purchasing Division and the Civil Division of the District Attorney’s Office were designated as part of the health care component of the County’s hybrid entity The amendment also removed the Clark County Employee Assistance Program. 

On December 7, 2010, the Board of County Commissioners approved and adopted an amendment to remove the Department of Juvenile Justice.

This amendment adds the Clinical and Community Services Department as part of the Health Care Component of the County’s Hybrid Entity.