A. Discussion, consideration, and action to approve a necessary American Rescue Plan  expenditure to cover cost not accounted for in the current budget and cannot be lawfully funded by line item, allotment or allocation, for the Electronic Medical Records, in order to assist with County Public Health expenses addressing the ongoing COVID-19 public health emergency; the Court having reviewed the Agenda Item Briefing, herein finds that such expenditure is reasonable and necessary for the intended use.

B.. Exemption from the competitive bidding requirements, pursuant to Texas Local Government Code  262.024(a)(1): an item that must be purchased in case of a public calamity if it is necessary to make the purchase promptly to relieve the necessity of the citizens; (2) an item necessary to preserve and protect the public health and safety of the citizens.

C. Approval of 4th Amendments to  Netsmart Technologies, Inc. Master Agreement [C-20-227-06-30] to include  the following services;