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District Policies 

In 2015 the Mark Twain Health Care District changed all of its bylaws into policies.  This was done to meet the certification requirements of ACHD.  Hence, the following policies represent the bylaws of the District.

Policies & Procedures Index Pg Last Updated 2017-06-21.pdfPolicy 1 - Mission & Vision (Board Approved 2018-06-27).pdfPolicy 2 - Basis of Authority Roll of the Board of Directors Board Approved 2019-05-31.pdfPolicy 3 - Term of Office (to PC 3-2-2021) (Brd Approved 3-24-2021 Resolution 2021-02 on Apr. 28, 2021).pdfPolicy 4 - Officers of the Dist._to PC 3-2-2021 (Brd Approved 3-24-2021 Resolution 2021-02 on Apr.pdfPolicy 5 - Committees of Board; Pub Info Off; Auditors (Board Approved 2018-10-24).pdfPolicy 6 - Board Meetings; Date; Time; Location; Quorum (Board Approved 2018-07-25).pdfPolicy 7 - Attendance at Meetings (Board Approved 2018-10-24).pdfPolicy 8 - Board Meeting Agenda (Board Approved 2018-10-24)-1.pdfPolicy 9 - Topics for Discussion at Board Meetings (Board Approved 2018-06-27).pdfPolicy 10 - Conduct of Mtg (Board Approved 2018-06-27).pdfPolicy 11 - Minutes and Closed Session Minute Book (Board Adopted 2015-05-27).pdfPolicy 12 - Conflict of Interest Code & Ethics (Board Approved 2018-07-25).pdfPolicy 13 - Appointments to the District Board (Board Approved 2018-07-25).pdfPolicy 14 - Conduct Related to Elections (Board Approved 2018-09-26).pdfPolicy 15 - Director Compensation & Travel Reimbursement (Board Approved 2018-11-28).pdfPolicy 16 - Membership in Associations (Board Approved 2018-09-26).pdfPolicy 17 - Authority of Executive Director (Board Adopted 2015-05-27).pdfPolicy 18 - Compensation of Execitive Director (Board Adopted 2015-05-27).pdfPolicy 19 - Public Record Requests to Board Approved 1-21-2020.pdfPolicy 20 - Records Retention (Last Updated Dec 18, 2019) Board Approved 1-21-2020.pdfPolicy 21 - Amendments to Policies, Procedures (Last Updated Dec 18, 2019 Board Approved 1-21-2020).pdfPolicy 22 - Investments (Board Approved 10-24-2018).pdfPolicy 23 - Request for Public Funds, Grants & Sponsorships (Board Approved 2017-06-21).pdfPolicy 24 - Website Content & Social Media (Last Updated Dec 18, 2019 ) Board Approved 1-21-2020.pdfPolicy 25 - Reserve (Board Approved Feb. 27, 2019).pdfPolicy 26 - Miscellaneous (Board Adopted 2015-05-27).pdfPolicy 27 - Credit Card Usage (Board Adopted and Approved 2017-03-22).pdfPolicy 28 - Finance Committee Community Member (Board Approved 2018-02-28).pdfPolicy 29 - Board of Directors iPad Usage (Board Approved 2018-09-26).pdfPolicy 30 - Fixed Asset Capitalization - Board Approved 2019-04-24.pdfPolicy 32 - Debt Management (Board Approved 2019-01-30).pdf