Health & Human Services Board - Regular Meeting — Agenda Packet

Chippewa County Health & Human Services Board Regular Meeting August 20, 2026 Chippewa County Courthouse, Room 302 8:00 AM Kari Ives, Chair District 21 Dennis Bachman, Vice-Chair District 5 District 15 Lee Hennick Citizen Rep John Halbleib District 8 James Ericksen Citizen Rep Marcia Kyes District 2 Pam Guthman Citizen Rep, MD Robert Bullwinkel Citizen Rep,MD Sandy Frohling Page 1 of 40 Chippewa County Health & Human Services Board Regular Meeting August 20, 2026 Chippewa County Courthouse, Room 302 8:00 AM 1. Call to Order 2. Roll Call 3. Members of the Public Wishing to Be Heard (Comments will be limited to 5 minutes per speaker.) 4. Consent Agenda (Unless separation of an item is requested, all items will be adopted under one motion.) 1. Approve the Agenda 2. Approve the Minutes - July 16, 2026 3. Schedule Next Meeting Date - September 17, 2026 5. Reports 1. Aging and Disability Resource Center Board Minutes - July 9, 2026 2. Human Services Policy, Practice, and Program Success - Kyra Secraw 3. Human Services Director's Program and Financial Report - Bobbie Jaeger 4. Public Health Director’s Program and Financial Report - Brittnay Fortuna 6. Business Items 1. Resolution Supporting Increased and Sustainable State Funding for Local Public Health Departments 7. Agenda Items for Future Consideration 8. Adjourn Chippewa County shall attempt to provide reasonable special accommodations to the public for access to its public meetings, provided reasonable notice of special need is given. If special accommodations for a meeting are desired, contact the County Clerk’s Office at 715-726- 7980. Members of the Chippewa County Board of Supervisors who are not members of this committee are entitled to attend this meeting. It is possible that the attendance of one or more such nonmember Supervisors may create a quorum of some other county board committee, board or commission. Such a quorum is unintended and the nonmember Supervisors are not meeting for the purpose of exercising the responsibility, authority, power, or duties of any other committee, board or commission. Published: August 13, 2026 Page 2 of 40 Chippewa County Health & Human Services Board Regular Meeting July 16, 2026 Chippewa County Courthouse, Room 302 8:00 AM 1. Call to Order The Chair called the meeting to order at 08:00 AM. 2. Roll Call Members Present: Kari Ives, James Ericksen, Pam Guthman, Dennis Bachman, John Halbleib, Sandy Frohling, MD, Marcia Kyes Members Absent: Lee Hennick, Robert Bullwinkel, MD Others Present: County Administrator Andy Albarado; Public Health Staff: Brittnay Fortuna, Sarah McQuillan, Allie Isaacson; Human Services Staff: Bobbie Jaeger, Paul Brenner, Jordan Hallingstad, Kyra Secraw, Brandi Engel 3. Members of the Public Wishing to Be Heard (Comments will be limited to 5 minutes per speaker.) There were no members of the public wishing to be heard. 4. Consent Agenda (Unless separation of an item is requested, all items will be adopted under one motion.) Motion: Approved Result: Passed (7 - 0) Mover: Pam Guthman Seconder: James Ericksen Ayes: Kari Ives, James Ericksen, Pam Guthman, Dennis Bachman, John Halbleib, Sandy Frohling, MD, Marcia Kyes Nayes: None Absent: Lee Hennick, Robert Bullwinkel, MD 1. Approve the Agenda 2. Approve the Minutes - June 18, 2026 3. Schedule Next Meeting Date - August 20, 2026 5. Reports 1. Human Services Director’s Program and Financial Report - Bobbie Jaeger Human Services Director Bobbie Jaeger presented the Human Services Program and Financial Report. Jaeger highlighted several items from her report: the Child Care Bridge payments expired June 30th — 75% of providers surveyed say they will need to raise rates in response, and it is likely to affect families and employers; the State sent out letters with SSI information to outdated addresses; Wisconsin was one Page 3 of 40 of nine states in the country with an error rate below 6% avoiding up to $205M in cost-sharing penalties; the ADRC received a $30,810 grant which will go towards equipment and expanding access to the Meals on Wheels program; CPS received a foster parent retention grant of $5,000; four consumers graduated from the Community Support Program; Great Rivers Consortium caseloads are up while calls to the call center are down suggesting questions are being answered effectively in fewer calls. 2. Public Health Director’s Program and Financial Report - Brittnay Fortuna Public Health Director Brittnay Fortuna presented the Public Health Program and Financial Report. Fortuna highlighted several items from her report: the Administrative team is busy planning for the budget season; the Community Health division had the opportunity to participate on a panel at the PATH Conference to discuss approaches for expanding access to harm reduction; staff continue to monitor outbreaks for Ebola and the New World Screw Worm - risk remains low in our area at this time; staff are working on a heat-related illness advisory campaign; AirNow is a beneficial website for air quality monitoring; there were 128 new communicable disease reports in June–30 were confirmed; Environmental Health staff are in the field daily completing inspections and water testing; over half of the farmer's market checks have been distributed; the ForwardHealth grant ended on June 30th; there is a blood July 22nd to help with the emergency shortage; accreditation is on track and 81% of evidence has been submitted. 3. 2027 Budget Update - Andy Albarado County Administrator Andy Albarado provided an update on the process for the 2027 budget season. 6. Business Items 1. Human Services Financial User Fees - Bobbie Jaeger Senior Fiscal Manager Paul Brenner presented the consumer user fees for approval. Motion: Approved Result: Passed (7 - 0) Mover: John Halbleib Seconder: Pam Guthman Ayes: Kari Ives, James Ericksen, Pam Guthman, Dennis Bachman, John Halbleib, Sandy Frohling, MD, Marcia Kyes Nayes: None Absent: Lee Hennick, Robert Bullwinkel, MD 2. Human Services 2027 Budget - Bobbie Jaeger/Paul Brenner Human Services Director Bobbie Jaeger presented a department budget overview. The total levy proposed remains the same as 2026. 2027 challenges include annual salary increases for all staff, a stagnant levy, the unknown impacts of Medicaid changes, and an unpredictable number of out-of-home placements, along with rising costs of placements. DHS is seeking to add a part-time social worker in Adult Protective Services. The Human Services 2026 budget was approved to forward to the County Administrator. Motion: Approved Result: Passed (7 - 0) Mover: Pam Guthman Page 4 of 40 Seconder: Dennis Bachman Ayes: Kari Ives, James Ericksen, Pam Guthman, Dennis Bachman, John Halbleib, Sandy Frohling, MD, Marcia Kyes Nayes: None Absent: Lee Hennick, Robert Bullwinkel, MD 3. Public Health 2027 Budget - Brittnay Fortuna/Sarah McQuillan Public Health Director Brittnay Fortuna shared the proposed 2027 Budget. The total levy proposed is an increase of $139 from 2026. 2027 challenges include uncertainty of state and federal funding, and ensuring public funds are used strategically to achieve the greatest impact for the community. Public Health is seeking to increase their LTE position into a part-time position in the Environmental Health Division. The Public Health 2026 budget was approved to forward to the County Administrator. Motion: Approved Result: Passed (7 - 0) Mover: James Ericksen Seconder: Marcia Kyes Ayes: Kari Ives, James Ericksen, Pam Guthman, Dennis Bachman, John Halbleib, Sandy Frohling, MD, Marcia Kyes Nayes: None Absent: Lee Hennick, Robert Bullwinkel, MD 7. Agenda Items for Future Consideration 8. Adjourn The meeting adjourned at: 09:20 AM. Result: Passed (7 - 0) Mover: James Ericksen Seconder: Sandy Frohling, MD Ayes: Kari Ives, James Ericksen, Pam Guthman, Dennis Bachman, John Halbleib, Sandy Frohling, MD, Marcia Kyes Absent: Lee Hennick, Robert Bullwinkel, MD Page 5 of 40 Statement of Explanation Aging and Disability Resource Center Board Minutes - July 9, 2026 1 The July 9, 2026, Aging and Disability Resource Center (ADRC) Board minutes are 2 attached. They are being shared with the Health & Human Services Board for informational 3 purposes only. 4 5 6 Page 6 of 40 Chippewa County Aging & Disability Resource Center (ADRC) Board Regular Meeting July 9, 2026 Chippewa County Courthouse, Room 302 3:00 PM 1. Call to Order The Chair called the meeting to order at 03:00 PM 2. Roll Call Members Present: Dennis Bachman, Cindy Spaeth, Kathy Schmiedeskamp, Larry Marquardt, Don Hauser, Yvonne Hedrington, Renee Thompson Members Absent: Others Present: County Administrator: Andy Albarado, DHS Staff: Bobbie Jaeger, Paul Brenner, Brandi Engel 3. Members of the Public Wishing to Be Heard (Comments will be limited to 5 minutes per speaker.) There were no members of the public wishing to be heard. 4. Consent Agenda (Unless separation of an item is requested, all items will be adopted under one motion.) Motion: Approved Result: Passed (7 - 0) Mover: Cindy Spaeth Seconder: Renee Thompson Ayes: Dennis Bachman, Cindy Spaeth, Kathy Schmiedeskamp, Larry Marquardt, Don Hauser, Yvonne Hedrington, Renee Thompson Nayes: None Absent: 1. Approve the Agenda 2. Approve the Minutes - May 14, 2026 3. Schedule Next Meeting Date - September 17, 2026 5. Reports 1. ADRC Staff Presentation: Meal Assessment Process - Kayla Colbenson Nutrition & Transportation Supervisor, Kayla Colbenson, provided a presentation explaining the meal assessment process. The ADRC of Chippewa County began using the state's new assessment process in January 2026. The assessment helps determine if a consumer is appropriate for in-home meals and at what level. 2. ADRC Manager Program and Financial Report - Bobbie Jaeger/Paul Brenner Director Bobbie Jaeger highlighted numerous items from the program report. There is a Site Aide driver Page 7 of 40 position open in Bloomer/Cornell with an interview scheduled for next week. 82% of the Farmer's Market Vouchers were disbursed within the first 30 days of them becoming available. A $30,810 grant from the Community Foundation was received and will be utilized to expand Meals on Wheels services. The restaurant used for the Café 60 program will be closing in August; Supervisor Kayla Colbenson is actively looking for a new location. Senior Fiscal Manager Paul Brenner reported that the financials are on track for this time of the year. 3. ADRC Advocacy Report - Bobbie Jaeger Director Bobbie Jaeger informed the Board the House Appropriations Committee has recommended an increase in funding for several Older Americans Act (OAA) program areas. The recommendation has been forwarded on to the senate. For Federal Fiscal Year 2026, we received an average of a 6% decrease in Older Americans Act funding across all OAA programs. 6. Business Items 1. 2027 Copays and Contributions - Kayla Colbenson The 2027 Copays and Contributions recommendations were reviewed and approved as presented. Motion: Approved Result: Passed (7 - 0) Mover: Don Hauser Seconder: Kathy Schmiedeskamp Ayes: Dennis Bachman, Cindy Spaeth, Kathy Schmiedeskamp, Larry Marquardt, Don Hauser, Yvonne Hedrington, Renee Thompson Nayes: None Absent: 2. 2027 ADRC Budget - Bobbie Jaeger/Paul Brenner Human Services Director, Bobbie Jaeger, and Senior Fiscal Manager, Paul Brenner, provided an overview of the 2027 ADRC budget. 2027 challenges include declining funding and increasing demand for services. The budget will be reviewed by the Health & Human Services board before moving on to the County Administrator and County Board. 7. Agenda Items for Future Consideration 8. Adjourn The meeting adjourned at: 03:35 PM Motion: Approved Result: Passed (7 - 0) Mover: Cindy Spaeth Seconder: Renee Thompson Ayes: Dennis Bachman, Cindy Spaeth, Kathy Schmiedeskamp, Larry Marquardt, Don Hauser, Yvonne Hedrington, Renee Thompson Nayes: None Absent: Page 8 of 40 Statement of Explanation Human Services Policy, Practice, and Program Success - Kyra Secraw 1 This presentation by Human Services staff educates the Health & Human Services Board 2 about the policy implications and success of our services. Page 9 of 40 Chippewa County Department of Human Services Children, Youth & Families Children With Differing Abilities Unit August 2026 Page 10 of 40 Children With Differing Abilities Unit Page 11 of 40 Children’s Long-Term Support (CLTS)  Voluntary Program  Funds community supports and services for children who have substantial limitations in their daily activities and need support to remain in their home/community.  Eligibility determined by Functional Screen  Developmental disabilities  Physical disabilities  Severe emotional disturbances  Services  Include but not limited to: Respite for caregivers, skill development, non-traditional therapies, home modifications for accessibility, equipment & supplies not covered by insurance & safety equipment for children with severe autism. • To receive a service there must be an assessed need • Payor of last resort  Fully funded through Medicaid Page 12 of 40 Children’s Comprehensive Community Services (CCS)  Voluntary Program  A recovery focused behavioral health program where traditional out-patient services have been unsuccessful and for those who may have ongoing needs that, if left unaddressed, could result in hospitalizations during times of crisis.  Eligibility determined by Functional Screen  Mental health diagnosis  Substance use disorder  Services  Service array: Skill development, non-tradition therapies, employment skills training, individual and family mental health treatment, wellness, recovery support, substance abuse treatment, diagnostic evaluation & medication management. • To receive a service there must be an assessed need and it must be clinically appropriate for the consumer.  Fully funded through Medicaid Page 13 of 40 Children’s Long-Term Support (CLTS) Dashboard Page 14 of 40 Statement of Explanation Human Services Director's Program and Financial Report - Bobbie Jaeger 1 Human Services Director, Bobbie Jaeger, and Senior Fiscal Manager, Paul Brenner, 2 provide a department program and financial report for review and discussion. Page 15 of 40 Human Services Director’s Report Board Meeting Date: August 20, 2026 1 WCHSA Updates WCHSA is working to determine advocacy priorities. The PAC committees have identified their top priorities, and WCHSA executive board will be voting to identify which one priority they will focus on: BH PAC recommendation Community Safety: Increase GPR funds for Adult Protective Services, Community Support Programs and Crisis, focused on serving the elder adult and adult-at-risk population. Allocations should include full funding where federal allocations are available (GPR for non-federal share) and an increase to the base allocation to account for inflation and service population growth. CYF PAC recommendation Funding increase for the Children and Families Allocation, either in addition to cost-to-continue increase to human service aid programs or as separate request. ES PAC recommendation Provide increase to base Income Maintenance allocation, either in addition to cost-to-continue increase to human service aid programs or separate if the cost-to-continue increase is not pursued. IM funding increase is needed to keep pace with growing workload and operating costs. Financial PAC recommendation Cap rate of Department of Corrections charges to counties for juvenile detention LTS PAC recommendation Provide increased GPR funding to counties for Adult Protective Services that reflects the significant increase in service population. As part of the increase, funds would build capacity by providing additional training for APS staff and more technical assistance to county agencies. Division of Children and Families (DCF) and CYF PAC • Wisconsin’s 2026 federal Child and Family Services Review will occur October 1, 2026-March 31, 2027. This is Wisconsin’s first review. Section 1123A of the Social Security Act requires the Children’s Bureau to conduct reviews of state child welfare systems every five to ten years to achieve three goals o Ensure conformity with federal child welfare requirements o Determine what children and families experience within the child welfare system o Assist states in helping children and families achieve positive outcomes Division of Health Services (DHS) • Last July, the federal government removed access to Foodshare for people with certain legal immigration statuses through the One Big Beautiful Bill. This federal change began impacting people in Wisconsin on July 1 st. DHS published a new webpage about this federal policy change Page 16 of 40 2 for non-citizens who currently receive Foodshare benefits. This webpage provides information about who is no longer eligible by immigration status. FoodShare: Benefits for Non-Citizens | Wisconsin Department of Health Services Behavioral Health PAC • No update Child Welfare PAC • 2025 Wisconsin Act 96 requires that if an agency knows or has reason to believe that a parent of the alleged maltreated child or unborn child is a member of the US armed forces, the agency shall provide notice to the appropriate authorities of the US Department of Defense as soon as practical after initiating the investigation. Income Maintenance PAC • DHS has created a dedicated Medicaid Federal Work Requirement webpage for members to learn about these upcoming changes. There is also a self-screener tool on the webpage which will give the member an indication of how this may apply to their specific situation. Medicaid: New Federal Work Requirement | Wisconsin Department of Health Services • DHS has shared with Consortia the number of impacted members related to the BadgerCare Plus Work Requirements. Below are two charts that show Consortium counts and county counts. This number shows the number of individuals open for BadgerCare as childless adults. This does not consider whether someone might be exempt or could already be meeting the work requirement. Long Term Care PAC • No update Financial PAC • No update Page 17 of 40 3 Department and Division Updates Department Updates Work Anniversary CONGRATS and THANKS to the following staff for their service and dedication: Kelly Zimmerman, RWC – 20 Years Michelle Phelps, MWR – 20 Years Trish Houle, MWR – 20 Years Susan Barnum, ADRC – 11 Years Carmen Olson, ADRC – 4 Years Macey Awe, CPS – 4 Years Cindy Sarazen, ADRC – 3 Years Elizabeth Patten, CWDA – 3 Years Laichia Xiong, CPS – 3 Years Lisa Traun, ES – 2 Years Mikala Talbot, CWDA – 2 Years Autumn Metoxen, YJ – 1 Year Kylee Pettis, CWDA – 1 Year Division Updates Aging & Disability Resource Center (ADRC) • The Site Aide-Driver Position is scheduled for August 12th. • New Meals on Wheels bags will be delivered this month which will allow us to start implementing new routes. • Our new Café 60 Location, Pink Highland Café in Holcombe, is now up and running so there will be no lapse in the Café 60 program when Sam’s Diner shuts down on August 23 rd. • Recruitment will begin soon for the Part Time Administrative Assistant position following a vacancy. Children, Youth & Families (CYF) Division Birth to Three (B-3) • Birth-to-Three had 21 new referrals for the month of July. On top of the business with the referrals, on July 8, 2026, the Unit received their Annual Determination from the State indicating that Chippewa County is in the category of “Meets Requirements. ” The State looks at data throughout the year, and the Unit received all the determination points giving the team a score of 100.00% for the data year of 2024-25. Staff continue to work hard to keep up with all the changes and this determination status shows the great work that Birth-to-Three staff do throughout the year! • Birth-to-Three also just finished their audit for the State called MetaStar, which took place the week of July 20; the team is awaiting the results from that. Child Protective Services (CPS) • In July 2026, the Department received seventy-two reports alleging Child Abuse and/or Neglect; of those reports, seventeen met the State Statute definition to screen in to complete an assessment. An additional four reports were screened in to offer services. • In July 2026, two cases were closed. A sibling group of two successfully closed due to their mother staying sober throughout their In-Home CHIPS Petitions. Page 18 of 40 4 • In July 2026, no children were reunified. • In July 2026, four children were removed from their parental home due to their mother driving under the influence while the children were in the car. Unfortunately, there is no family available to take placement, and the children were placed in foster care. • In July 2026, Foster Care Coordinator Sydney Kwallek and Manager Ashley Brott facilitated the Quarterly Foster Care/Kinship Care Support Group. This group had the largest turnout thus far with five families attending. The topic was “Managing Transitions and Goodbyes. ” The group was filled with rich conversation that went over the one hour planned and the families were connected with one another after the group to continue to be supports for one another. Children with Differing Abilities (CWDA) • The CLTS team underwent the MetaStar Audit during the month of July and is currently awaiting the final results. • Kelly Hazelton left employment with Chippewa County on 7/16. There is now 1 CCS position and 2 CLTS positions open which we are actively recruiting for. • The CWDA team continues to demonstrate resiliency through managing case coverage due to FMLA leaves, turnover, and high numbers of referrals. Youth Justice (YJ) • Autumn Metoxen joined the Youth Justice unit on July 20th. She is a strong addition to our team and completing her required YJ trainings through the State. • Manda facilitated a training to train other professionals in Aggression Replacement Training (ART). • We have 2 additional staffed trained in ART so we will be able to diversify facilitators of the groups we provide for our youth. • Kelly and Manda hosted a booth at National Night out, promoting the efforts of the School Threat Assessment Coalition. Economic Support (ES) Division • Stacy Vang has put in her resignation, and her final day will be 8/21. This will create an opening in our Child Care team. We thank Stacy for her 6 years with Chippewa County. Mental Wellness & Recovery (MWR) Division • A half-day event was held on August 6th for Team Building and Staff Development. Staff enjoyed this time away from regular work duties to recharge and connect with one another, recognizing the challenging work done each day in the MWR programs. Adult Comprehensive Services (CCS) • Interviews will be conducted on August 17th and 20th for the open adult CCS position. Once that person is hired, we will be almost full staffed, just one more service facilitator returning from maternity leave mid- September. Page 19 of 40 5 Adult Protective Services (APS) • APS staff work diligently in trying to manage very high caseload sizes. Last week there were 18 APS referrals in 10 days, along with guardianship referrals. Other team members have offered support and given time to assist with APS tasks to keep things within the time guidelines. There are 6 active financial exploitation cases currently. Community Support Program (CSP) • In one of the July CSP wellness groups there was a large turnout for a celebration of the peer support and group members RECOVERY success. Emergency Mental Health/Crisis (EMH) • August 13-14, 2026: Lisa Hudson, MWR Manager and David Pfeiffer, CSP and Crisis Clinician were invited by Judge Gibbs to the Sequential Intercept Model (SIM) Mapping Workshop. SIM was developed as a conceptual model to inform community-based responses to the involvement of people with mental and substance use disor4ders in the criminal legal system. • August 18, 2026: RWC Crisis Training – Topics: Assessment Techniques for Adolescents, Securing Lethal Means, Crisis De-escalation Techniques with Cody Butcher (Northwest Connections), Geriatric Mental Health with Amber Larson (NAMI), Overlap between 51/55 with a Corporation Counsel Attorney (still being arranged but hopeful we can make this work). Page 20 of 40 This takes effect January 1, 2027, but does not apply to current members until their next renewal starting March 2027. Federal Medicaid Work* Requirement: Who is exempt? *Other activities may count, too, like having an internship, volunteering, going to school, or getting more than a certain amount of income. As a reminder, the federal Medicaid work requirement only applies to you if you are a BadgerCare Plus member between 19 and 64 who is not pregnant and doesn’t have a dependent child living with you at least 40% of the time. Even if the requirement applies to you, there are many reasons why you might not need to meet it. Those are called exemptions. You do not need to meet the work requirement if: ͔ You are a member of an American Indian Tribe or an Alaska Native, or are the child or grandchild of Tribal member. ͔ You have a disability determination from the Social Security Administration. ͔ You are a veteran with a total (100%) disability rating. ͔ You have a serious or complex medical condition. ͔ You have a chronic substance use disorder. ͔ You have a disabling mental disorder. ͔ You have a physical, intellectual, or developmental disability that significantly impairs your ability to perform one or more activities of daily living. ͔ You are enrolled in a Medicaid long-term care program (IRIS, Family Care, Family Care Partnership, PACE). ͔ You are the caregiver of a child under age 14. ͔ You are the caregiver of someone who has a disability. ͔ You are in a qualifying drug addiction or alcoholic treatment and rehabilitation programs. ͔ You are currently in prison or jail, or were in prison or jail in the past three months. ͔ You are enrolled in FoodShare and not exempt from FoodShare work requirements. ͔ You are complying with the Wisconsin Works (W-2) work requirements. ͔ You have a qualifying short-term hardship situation, such as a hospital stay or needing to travel outside of your community for an extended period of time for medical care. More information To learn more about exemptions, visit dhs. wi.gov/medicaid/work. htm or scan the QR code with your phone. P-03809A (07/2026) Page 21 of 40 DHS Dashboard Report Date: 08/2026 CPS Caseload 1 FTE 1 FTE 1 FTE 1 FTE 1 FTE 1 FTE 1 FTE 1 FTE 1 FTE Total IA 9 8 9 3 9 38 Ongoing 8 5 4 6 23 61 YJ Caseload 1 FTE 1 FTE 1 FTE 1 FTE 1 FTE 0.5 LTE Total Ongoing 1 15 15 10 3 44 Deferred Agreements 11 8 19 63 IMD Expenditures June Children: $8,554 Adults: $480,631 Total: $489,185 CPS Reports July 72 Crisis Reports July 137 YJ Referrals May 40 Meals Served June 2,814 B-3 Referrals July 21 GRC Cases June 60,583 Options Counselor Monthly Contacts June 249 Benefit Specialist Caseload June 174 GRC Calls Received: 13,718 June GRC FNS Error Rate: 9.91% State FNS Error Rate: 6.11% Contract Requirement: Below 6% June GRC Average Speed of Answer: 5.02 Mins Contract Requirement: ≤10 Minutes June 123 91 107 113 120 2022 2023 2024 2025 2026 YTD CPS Screen-Ins 289 133 136 142 123 136 137 Jan Feb Mar Apr May Jun Jul Crisis Reports (2026) 156 135 64 104 113 2022 2023 2024 2025 2026 YTD Out-of-Home Placements Total served includes Kinship 6 5 16 14 CWDA CASE STATUS Cases Opened Waitlist - Screening Waitlist - CCS Waitlist - CLTS 55 17 CPS SCREENING Screen Out Screen In July 114 23 CRISIS REPORTS Adults Children July WCHSA Caseload Recommendations Initial Assessments: 11 cases per worker with no more than 6 new assessments per worker per month Ongoing: 10 cases per worker with no more than 15 children per worker Page 22 of 40 2026 Monthly Fiscal Information Through Month of: June 2026 22,752,387$ Expenses Paid (Through July 31): 17,377,056$ 5,375,331$ Month Kinship Projected Cost 2026 Grant Amount Over/(Under) Month Amount Paid Monthly Grant Amount January 80 443,723$ January 2,168$ 36,977$ February 80 443,723 February 33,453 36,977 March 76 443,723 March 30,448 36,977 April 75 352,743 443,723 (90,980) April 28,422 36,977 May 75 367,548 443,723 (76,175) May 28,025 36,977 June 74 351,624 443,723 (92,099) June 23,996 36,977 July 74 348,600 443,723 (95,123) July 27,789 36,977 August 443,723 August 36,977 September 443,723 September 36,977 October 443,723 October 36,977 November 443,723 November 36,977 December 443,723 December 36,976 Total: 174,301$ 443,723$ Month Out of Home* Out of Home** Projected Cost 2026 Budget Over/(Under) Month Amount Paid Monthly Grant Amount January 30 0 1,068,015$ January 449$ 89,001$ February 31 0 1,068,015 February 99,334 89,001 March 29 0 1,068,015 March 150,604 89,001 April 29 0 1,483,404 1,068,015 415,389 April 115,039 89,001 May 26 0 1,508,304 1,068,015 440,289 May 61,796 89,001 June 31 0 1,287,300 1,068,015 219,285 June 73,968 89,001 July 32 0 1,268,640 1,068,015 200,625 July 137,201 89,001 August 1,068,015 August 89,001 September 1,068,015 September 89,001 October 1,068,015 October 89,001 November 1,068,015 November 89,001 December 1,068,015 December 89,004 Total: 638,391$ 1,068,015$ Month Out of Home Projected Cost 2026 Budget Over/(Under) Month Amount Paid Monthly Grant Amount January 10 479,041$ January -$ 39,920$ February 7 479,041 February 14,425 39,920 March 11 479,041 March 43,981 39,920 April 9 499,129 479,041 20,088 April 38,229 39,920 May 12 580,959 479,041 101,918 May 67,978 39,920 June 9 531,915 479,041 52,874 June 19,876 39,920 July 13 539,256 479,041 60,215 July 58,899 39,920 August 479,041 August 39,920 September 479,041 September 39,920 October 479,041 October 39,920 November 479,041 November 39,920 December 479,041 December 39,921 Total: 243,388$ 479,041$ Month Inpatient Days Projected Cost* 2026 Budget Over/(Under) Month Amount Paid Monthly Grant Amount January 119 765,000$ January -$ 63,750$ February 111 765,000 February 41,539 63,750 March 163 1,331,701 765,000 566,701 March 160,415 63,750 April 121 1,171,148 765,000 406,148 April 89,349 63,750 May 131 1,023,213 765,000 258,213 May 135,036 63,750 June 79 978,370 765,000 213,370 June 62,846 63,750 July 765,000 July 63,750 August 765,000 August 63,750 September 765,000 September 63,750 October 765,000 October 63,750 November 765,000 November 63,750 December 765,000 December 63,750 Total: 489,185$ 765,000$ 2026 Budget (Total is $39,004,091): Prorated - 7 months June IMD is the latest 2026 invoice received Variance to Budget: 2026 Institute for Mental Disease (IMD) Placements **Additional children placed with relatives (unpaid) 2026 Kinship Placement with a Relative 2026 Children and Youth in Out-of-Home Placements 2026 IMD 2026 Adult Mental Health CBRF Out-of-Home Placements Note: Projected cost is based on the actual amounts paid in months where payments have been made, extrapolated to the rest of the year. Due to a lack of data related to 2026, projections will begin when the first quarter payments are complete. Note: The following reports show monthly disbursement amounts for each placement category. The month shown is the month the invoice was paid (not the month the charge was incurred). 2026 Children & Youth Placements *Children and Youth in Placement: Foster Care, Treatment Foster Care, Group Home, Residential Care 2026 Kinship 2026 Adults in CBRF Placement Chippewa County Department of Human Services Page 23 of 40 Statement of Explanation Public Health Director’s Program and Financial Report - Brittnay Fortuna 1 Public Health Director Brittnay Fortuna provides a department program and financial 2 report for review and discussion. Page 24 of 40 1 August 20, 2026 Health & Human Services Board Brittnay Fortuna’s Director’s Report Administration Division The Admin Team has been processing overdue Food, Safety, and Recreational Licensing (FSRL) renewals and TN water bills, assisting with scheduling appointments, distributing water sample bottles, and answering public health questions. April has been busy addressing inquiries about car seat safety, conducting car seat installations, and ordering car seats through the DOT Grant. April has provided Breastfeeding Peer Counseling to 93 assigned families (55 pregnant participants and 38 breastfeeding participants). She also took minutes for the Overdose Fatality Review meeting. Audra continues to dedicate time to the Wheelchair Loan Closet, ensuring the safety of Chippewa County citizens. During July, 14 wheelchairs were loaned out, and 16 were returned. Sarah finalized the department budget for Health & Human Services Board approval before forwarding it to the County Administrator. She also completed the WIMCR (Wisconsin Medicaid Cost Report) for 2025. Christina continues to ensure that payroll is entered on time for the department and that service billing is submitted promptly. Community Health Division BadgerCare Plus 12-Month Postpartum Coverage Extension Wisconsin's BadgerCare Plus postpartum coverage extension allows eligible members to keep their full BadgerCare Plus (Medicaid) benefits for 12 months after their pregnancy ends, instead of losing pregnancy-related coverage after 60 days. This change took effect on June 1st and is intended to improve access to health care during the first year after childbirth. The extension provides continuous coverage from the last day of the pregnancy—regardless of whether the pregnancy ends in a live birth, miscarriage, or stillbirth—through the end of the month in which the 365th day after the pregnancy occurs. Previously, BadgerCare Plus provided postpartum coverage for only 60 days following the end of a pregnancy. Members enrolled in BadgerCare Plus may also receive Prenatal Care Coordination (PNCC) services, a Medicaid benefit that offers support during pregnancy and throughout the postpartum period. PNCC providers can help members: • Schedule and coordinate medical appointments. • Connect with behavioral health and other community resources. Page 25 of 40 2 December 18, 2025 • Access services that support the health and well-being of both the parent and baby. Impact on our Department The 12-month postpartum coverage extension allows our department to continue providing PNCC services and ongoing support to eligible members throughout the entire postpartum period. This expanded coverage strengthens continuity of care by enabling our staff to maintain consistent contact with families, coordinate needed medical and behavioral health services, connect members with community resources, and address health-related social needs during the critical first year after pregnancy. By extending access to both Medicaid coverage and PNCC services, this policy supports improved maternal and infant health outcomes while allowing our department to provide more comprehensive, uninterrupted care to the families we serve. Air Quality Preparedness Update This summer has highlighted the importance of air quality preparedness as a critical public health function, as Chippewa County experienced several days of unhealthy air quality due to wildfire smoke impacting much of Wisconsin. These events reinforced the need for local public health agencies to prepare for environmental health threats that can rapidly affect community health and require a coordinated response. Poor air quality, particularly elevated levels of fine particulate matter (PM2.5) and ground-level ozone, can have immediate and long-term health impacts. PM2.5 can penetrate deep into the lungs and bloodstream, contributing to increased respiratory symptoms, asthma exacerbations, cardiovascular impacts, and other adverse health outcomes. Ozone exposure can worsen respiratory conditions and reduce lung function. Individuals with chronic health conditions, children, older adults, and pregnant individuals are among those at greatest risk during periods of poor air quality. From a preparedness perspective, the Health Department plays an important role in monitoring emerging environmental health risks, communicating timely guidance, and coordinating with community partners to protect residents. During air quality events, our department works to share information regarding Air Quality Index (AQI) levels, recommended protective actions, and strategies to reduce exposure, particularly for populations most vulnerable to health impacts. Preparedness efforts also include maintaining strong communication pathways with healthcare providers, emergency management, schools, youth leagues, and other community partners to support a coordinated response. The increasing frequency of environmental health events highlights the importance of planning for both immediate response and long-term prevention. Factors such as wildfire smoke, increased electricity demand, expansion of energy-intensive industries, including data centers, and continued reliance on fossil fuel-based energy sources may contribute to future air quality challenges. As communities experience growth and changing energy needs, it is important to consider potential public health impacts and ensure that infrastructure and economic development decisions include health considerations. Page 26 of 40 3 December 18, 2025 In addition to responding to acute air quality events, the Health Department will continue to engage with partners to upstream prevention efforts aimed at addressing the conditions that contribute to poor air quality. This includes supporting community conversations, promoting practices that reduce environmental health risks, and collaborating across sectors to identify opportunities that improve the overall health and resilience of our community. As air quality concerns continue to evolve, public health preparedness requires both the ability to respond to hazards as they occur and the commitment to addressing the underlying factors that influence community health. Through continued monitoring, education, partnership, and prevention- focused efforts, the Health Department remains committed to protecting residents and building a healthier, more resilient community. Communicable Disease The Health Officer is required by Wisconsin State Statute 252.05 to report information on current communicable disease reporting and follow-up to the Health and Human Services Board. In July, we received 146 new reports: 33 confirmed (10 Chlamydia, 10 Lyme Disease, and 3 E-coli); 20 probable cases (19 Lyme Laboratory Reports and 1 Anaplasmosis), and 58 that did not meet the definition of a case (22 Lyme Laboratory Reports, 17 Hepatitis A, and 5 Lead-Blood Levels-Adult). See the attached report for further breakdown by disease type. Environmental Health Division (EH) Food & Recreational Safety • Completed 65 food safety, recreational, and lodging inspections throughout Chippewa County. • Investigated four consumer complaints and provided education to operators to promote compliance with Wisconsin Food Code. • Continued seasonal inspections for campgrounds, temporary events including Northern WI State Fair and Rock Fest, and licensed recreational facilities during the busy summer tourism season. Water Laboratory • Continued providing coliform and E. coli bacteria testing for homeowners, public facilities, and water treatment operators. • Processed 43 nitrate and 33 bacteria samples for private homeowners. • Supported beach monitoring efforts by analyzing 57 recreational water samples this month. DNR Transient Non-Community (TNC) Program • Continued annual site visits and completed five sanitary surveys for TNC water systems. Page 27 of 40 4 December 18, 2025 • Completed 37 bacteria samples in July, and 21 nitrate samples were collected and processed. • Worked with facility owners to ensure seasonal water systems were operating safely and meeting sampling requirements. Nutrition Division Women, Infants and Children (WIC) Program August is National Breastfeeding Month The 2026 theme for National Breastfeeding Month is “RISE: Resilience, Interdependence, Self-Determination, Empowerment,” celebrating the strength of breast milk as one of the first foods. WIC is committed to being part of parents’ support systems by providing free phone and in-person services. April Krumenauer is our Breastfeeding Peer Counselor (BFPC), and she helps support pregnant and breastfeeding moms and babies enrolled in WIC as they prepare and learn to breastfeed. She regularly follows up with families to see how breastfeeding is going and offers ongoing support and encouragement, especially in the first six months postpartum. Amy Ralph is our Designated Breastfeeding Expert (DBE) and supports those breastfeeding dyads that have more significant concerns that are outside of April’s scope. She offers support via phone or in- person lactation visits. In Chippewa County, 83.3% of all infants enrolled in WIC have received breast milk, which is higher than the Statewide comparison of 76.3%. Thank you, Amy and April, for helping our WIC families meet their breastfeeding goal! August Weekly Observances August 1-7: WIC Breastfeeding Week and World Breastfeeding Week Theme: Breastfeeding for a Sustainable Start in Life: Strengthen What Works. This theme reaffirms our commitment at WIC to improve breastfeeding support in our community. August 8-14: Indigenous Milk Medicine Week Theme: We Keep the Fires Lit: Rising Through Milk Medicine August 15-21: AANHPI Breastfeeding Week Theme: Better Data, Better Care for AANHPI Families Page 28 of 40 5 December 18, 2025 August 22-24: Military Lactation Week August 25-31: Black Breastfeeding Week Theme: We All We Got: 15 Years of Community, Care, and Collective Power Public Charge Ruling On July 20, 2026, the Trump Administration finalized rulemaking expanding the scope of the public charge test. The new rule, which takes effect on September 18, 2026, provides immigration officials broad discretion to deny changes in legal status to certain immigrants based on use of public benefit programs. Most immigrants are not subject to the public charge test. Please see this resource from the Protecting Immigrant Families Coalition to learn more about when the public charge test applies. For the first time, the new rule could allow immigration officials to consider WIC participation when assessing public charge. The administration is expected to publish additional guidance before the effective date of the new rule. To learn more about the public charge rule and its implications for immigrant families, see these resources from the Protecting Immigrant Families Coalition. Farmers Market Updates Fun at the Farmers Market Our last class was held Thurs, July 30 at the Chippewa Falls Farmers Market and was well attended. A special thank you to Jeanne Walsh and Margaret Murphy from UW Extension for their partnership with the WIC Program and for providing story time to our families. Page 29 of 40 6 December 18, 2025 We have issued more than 90% of our Farmers Market Nutrition Program (FMNP) checks (400 booklets) in just over two months. Distribution will continue until all booklets have been issued or through the end of September, with the goal of achieving 100 percent issuance before the end of the month. We have also distributed nearly 350 sets of WIC Farm Fresh Produce Program vouchers. By comparison, we issued nearly 400 voucher sets during the entire previous season, so we are currently ahead of last year's pace for both the FMNP and WIC Farm Fresh Produce Program. Marshfield/Security Health Plan Food Insecurity Grant We have successfully met nearly all objectives outlined in this grant. The remaining objective is to strengthen coordination efforts to distribute unused and excess produce to community members through local food pantries. To help address the continued need for fresh produce, Aspirus provided Public Health with an additional $1,500 for the Farm Fresh Produce Program, allowing food pantries to distribute additional voucher sets. These vouchers were provided to the CDC Outreach Office, which requested more due to strong community demand. A limited number of voucher sets remain available at Public Health for individuals referred through the ADRC, as the Senior Farmers Market Nutrition Program (FMNP) checks have now been exhausted. Mind Over Matter: Healthy Bowels, Healthy Bladder (MOM) There is still time to sign up for this class facilitated by Amy. It includes three sessions that are each two hours long. Register by calling the ADRC at 715-726-7777 or online: www.chippewacountywi.gov/adrc/events Page 30 of 40 7 December 18, 2025 Planning and Strategy Community Outreach and Prevention Chippewa County Department of Public Health (CCDPH) continues to expand community outreach through prevention education, resources, and connections to services. Summer and early fall outreach includes two National Night Out events, the Chippewa County Foster Care Event, and back- to-school events throughout the county. Through collaboration with the Chippewa County Healthy Communities (CCHC) coalition and partner organizations, CCDPH supports countywide prevention efforts, including alcohol assessments at community events, implementation and support of the mental health coaster campaign at local Chippewa County establishments, and working with the Nutrition Division to address food access. Children’s Resource Center (CRC)-West CRC West recently utilized Iron Will Endowment funds to provide direct support to a family during an extended hospital stay. The family received a hospital support bag with practical comfort items, along with a gas card to help ease the cost of traveling to and from the hospital. This support allowed CRC West to respond to an immediate need and help reduce some of the additional financial and practical stress the family was experiencing, while focusing on their child’s care. The Iron Will Endowment continues to provide CRC West with valuable flexibility to support families in meaningful ways when unexpected needs arise. Years of Service CONGRATULATIONS to the following staff for their hard work and dedication to providing excellent customer service to the citizens of Chippewa County.  Jenny Lenbom, Registered Nurse – 20 years  Nikki Hoernke, Planning and Strategy Division Manager – 7 years  Tabby Wessels, Registered Nurse – 7 years Page 31 of 40 8 Page 32 of 40 9 Page 33 of 40 Disease Confirmed Probable Suspect Not A Case Total LYME LABORATORY REPORT 0 19 1 22 42 HEPATITIS A 0 0 0 17 17 LYME DISEASE, ERYTHEMA MIGRANS (EM) RASH 10 0 1 0 11 CHLAMYDIA TRACHOMATIS INFECTION 10 0 0 0 10 E-COLI, ENTEROPATHOGENIC (EPEC) 0 0 9 0 9 E-COLI, ENTEROTOXIGENIC (ETEC) 3 0 2 0 5 LEAD-BLOOD LEVELS - ADULT 0 0 0 5 5 ANAPLASMOSIS, A. phagocytophilum 0 1 3 0 4 CRYPTOSPORIDIOSIS 2 0 1 1 4 SALMONELLOSIS 1 0 3 0 4 TUBERCULOSIS, LTBI - LABORATORY RESULTS ONLY 0 0 4 0 4 CARBAPENEMASE PRODUCING ORGANISM (CPO) 0 0 1 2 3 HEPATITIS B, CHRONIC 0 0 0 3 3 STREPTOCOCCAL DISEASE, INVASIVE, GROUP B 0 0 3 0 3 CAMPYLOBACTERIOSIS 0 0 2 0 2 HEPATITIS C, CHRONIC 0 0 0 2 2 LEGIONELLOSIS 2 0 0 0 2 ARBOVIRAL ILLNESS, WEST NILE VIRUS, Unspecified 0 0 0 1 1 Jurisdiction: Chippewa County County Board of Health Report Wisconsin Department of Health Services Division of Public Health PHAVR - WEDSS Received Date: 7/1/2026 to 7/31/2026 Executed: 8/5/2026 1:33:43 PM Page 1 of 2 Page 34 of 40 Disease Confirmed Probable Suspect Not A Case Total BABESIOSIS 0 0 0 1 1 BORDETELLA HOLMESII 0 0 1 0 1 BORRELIOSIS, BORRELIA MIYAMOTOI 1 0 0 0 1 CANDIDA AURIS, COLONIZATION/SCREENI NG 0 0 0 1 1 E-COLI, SHIGA TOXIN- PRODUCING (STEC) 1 0 0 0 1 EHRLICHIOSIS/ANAPLAS MOSIS, undetermined 0 0 1 0 1 GIARDIASIS 0 0 0 1 1 HEPATITIS C, ACUTE 1 0 0 0 1 HISTOPLASMOSIS 1 0 0 0 1 INFLUENZA-ASSOCIATED HOSPITALIZATION 1 0 0 0 1 MEASLES (RUBEOLA) 0 0 1 0 1 MYCOBACTERIAL DISEASE (NON- TUBERCULOUS) 0 0 1 0 1 PARAPERTUSSIS 0 0 0 1 1 PERTUSSIS (WHOOPING COUGH) 0 0 1 0 1 VARICELLA (CHICKENPOX) 0 0 0 1 1 Total 33 20 35 58 146 Default Filters: 'State' EQUAL TO 'WI' Executed: 8/5/2026 1:33:43 PM Page 2 of 2 Page 35 of 40 Public Health Financial Results July 2026 Revenue Expense Fund Description Budget Actual % Collected Budget Actual % Spent 54100 Community Health (554,657.00)$ (526,148.29)$ 94.9% 554,657.00$ 308,117.56$ 55.6% 54121 Nurse Family Partnership (134,610.00) (104,354.53) 77.5% 134,610.00 87,845.90 65.3% 54122 Beach Water Testing - (881.73) #DIV/0! - 8,145.86 #DIV/0! 54123 Farmers Market (1,397.00) (69.37) 5.0% 1,397.00 1,337.35 95.7% 54124 CRC West Peer Support - (8,316.81) #DIV/0! - 13,994.01 #DIV/0! 54125 Prenatal Care Coordination (26,697.00) (11,661.87) 43.7% 26,697.00 19,675.81 73.7% 54126 FP Dual Protection - (3,056.14) #DIV/0! - 3,152.84 #DIV/0! 54128 Public Health Preparedness (35,386.00) (20,875.18) 59.0% 35,386.00 33,529.02 94.8% 54129 TN Program (56,267.00) (33,377.23) 59.3% 56,267.00 21,076.76 37.5% 54130 CHIP Coalition (4,000.00) - 0.0% 4,000.00 49.35 1.2% 54131 Mind Over Matter - - #DIV/0! - 1,526.61 #DIV/0! 54132 Drug Free Community Grant (136,461.00) (58,180.49) 42.6% 136,461.00 65,541.75 48.0% 54133 Iron Will Endowment Fund (1,881.00) (2,593.02) 137.9% 1,881.00 593.33 31.5% 54134 Schaus MD Health Care Endowmen - (544.00) #DIV/0! - 200.00 #DIV/0! 54136 Aspirus Farm Fresh - (5,000.00) #DIV/0! - 140.00 #DIV/0! 54138 Planning & Strategy (368,628.00) (329,903.53) 89.5% 368,628.00 229,749.95 62.3% 54140 WIC (431,791.00) (282,492.51) 65.4% 431,791.00 246,042.80 57.0% 54142 Maternal & Child Health Program (27,759.00) (18,859.71) 67.9% 27,759.00 20,633.48 74.3% 54144 Wisconsin Wins (5,353.00) (1,177.45) 22.0% 5,353.00 2,848.36 53.2% 54149 SAP Services Block Grant (20,319.00) (1,710.52) 8.4% 20,319.00 1,710.52 8.4% 54150 Prevention (9,239.00) (5,250.93) 56.8% 9,239.00 5,985.05 64.8% 54151 Equipment Loan Closet (2,916.00) (238.64) 8.2% 2,916.00 1,974.10 67.7% 54152 Childrens Resource Center (218,267.00) (114,053.90) 52.3% 218,267.00 133,728.68 61.3% 54153 WIC Endowment - (2,559.42) #DIV/0! - - #DIV/0! 54154 Title X Reproductive Health (11,174.00) (19,676.45) 176.1% 11,174.00 18,072.00 161.7% 54156 FIT WIC (47,797.00) (9,828.68) 20.6% 47,797.00 10,061.58 21.1% 54157 Reproductive Health (51,751.00) (25,879.74) 50.0% 51,751.00 24,296.14 46.9% 54158 WIC BF Peer Counseling (24,274.00) (7,154.70) 29.5% 24,274.00 21,584.77 88.9% 54159 Men's Mental Hlth - MC - (10,069.37) #DIV/0! - 4,565.36 #DIV/0! 54161 Health Clinics (48,398.00) (4,706.51) 9.7% 48,398.00 7,563.32 15.6% 54163 Overdose Fatality Review (42,656.00) (15,122.96) 35.5% 42,656.00 21,870.98 51.3% 54165 GYT - Get Yourself Tested (2,129.00) (1,148.58) 53.9% 2,129.00 1,503.84 70.6% 54166 Water Lab (9,138.00) (10,450.00) 9,138.00 21,083.32 230.7% 54167 NW Coalition (18,211.00) (804.93) 18,211.00 4,202.74 23.1% 54168 Farm Fresh Program - (8,824.98) - 335.00 #DIV/0! 54169 PH Vending Machine - (1,000.00) - 949.95 #DIV/0! 54170 Food Insecurity - Marshfield C - (10,471.87) - 14,756.81 #DIV/0! 54171 Food Safety Recreation License (400,594.00) (389,558.06) 400,594.00 212,463.93 53.0% 54172 Infant Immunization Grant (17,056.00) (8,021.96) 47.0% 17,056.00 10,296.33 60.4% 54173 Opioid Abatement (2,348.00) (1,561.56) 2,348.00 4,575.15 194.9% 54174 Forward Health Outreach (32,823.00) (14,827.98) 45.2% 32,823.00 24,934.09 76.0% 54176 Environmental Health (77,139.00) (75,009.12) 97.2% 77,139.00 10,959.90 14.2% 54178 Public Health Infrastructure (106,350.00) (22,810.33) 106,350.00 26,502.79 24.9% 54180 DHS Agreement (166,179.00) (67,838.83) 40.8% 166,179.00 77,297.61 46.5% 54182 Environmental Tracking (10,684.00) (259.72) 10,684.00 259.72 2.4% 54184 Childhood Lead Poisoning Prev. (9,697.00) (1,512.88) 15.6% 9,697.00 1,437.18 14.8% 54186 Charity Outreach Program (250.00) - 0.0% 250.00 152.95 61.2% 54190 Public Health Donation Expendi (1,000.00) (620.00) 62.0% 1,000.00 - 0.0% 3,115,276.00$ 2,238,464.48$ 71.9% 3,115,276.00$ 1,726,524.97$ 55.4% Page 36 of 40 Public Health Revenue vs Expenses Variance Year-to-Date through July 2026 - 500,000 1,000,000 1,500,000 2,000,000 2,500,000 3,000,000 3,500,000 4,000,000 2022 Acutals 2023 Acutals 2024 Actuals 2025 Actuals 2026 YTD Actuals Total Revenues for All Years Taxes Intergov Grants & Aids Licenses & Permits Fines & Forfeitures Public Charges for Services Intergov Charges for Services Misc Revenues Other Financing Sources 0 500,000 1,000,000 1,500,000 2,000,000 2,500,000 3,000,000 3,500,000 4,000,000 2022 Acutals 2023 Acutals 2024 Actuals 2025 Actuals 2026 YTD Actuals Total Expenses for All Years Transfer To Other Funds Capital Outlay Refunds/Restitutions Debt Service Fixed Charges Supplies & Expense Contractual Services Personal Services Page 37 of 40 Statement of Explanation Resolution Supporting Increased and Sustainable State Funding for Local Public Health Departments 1 Passage of this resolution expresses Chippewa County’s support for sustained and 2 increased state funding for local public health departments. Local health departments are 3 required to provide essential public health services under Wisconsin law, but current funding 4 sources are outdated, not indexed to inflation, and insufficient to cover the cost of these 5 services. 6 7 The resolution calls for a funding model that provides increased General Purpose Revenue 8 support, automatic inflation adjustments, greater flexibility in how funds are used, and less 9 dependence on short-term, restricted, or competitive grants. It further urges the State of 10 Wisconsin to recognize public health as a core governmental function and encourages the 11 Wisconsin Counties Association to advocate for reduced reliance on local property tax levy to 12 fund foundational public health services. Page 38 of 40 Resolution No. Resolution Supporting Increased and Sustainable State Funding for Local Public Health Departments 13 WHEREAS, local health departments (LHDs) in Wisconsin are legally required to provide a 14 core set of public health services under Wisconsin Statutes Chapter 251 and Wisconsin 15 Administrative Code Chapter DHS 140; and 16 17 WHEREAS, responsibilities of LHDs have expanded significantly in recent years due to 18 emerging public health threats, workforce shortages, and increasing community health needs; 19 and 20 21 WHEREAS, LHDs rely significantly on a combination of limited state aids, categorical 22 grants, and local property tax levy to fund these mandated services; and 23 24 WHEREAS, current state funding mechanisms for public health are largely outdated, not 25 indexed to inflation, and do not reflect the true cost of delivering foundational public health 26 services; and 27 28 WHEREAS, Wisconsin currently ranks 49th among the 50 states in state dollars dedicated 29 to public health per person 30 (https://www.americashealthrankings.org/explore/measures/PH_funding); and 31 32 WHEREAS, public health initiatives consistently deliver high returns on investment (ROI), 33 with recent data showing a median ROI of 14.3 to 1, often saving $14 in medical and societal 34 costs for every $1 spent (https://www.pew.org/en/research-and- 35 analysis/articles/2025/07/08/public-health-initiatives-deliver-big-returns-on-investment); and 36 37 WHEREAS, reliance on short-term, restricted, or competitive grant funding creates 38 instability and limits long-term planning; and 39 40 WHEREAS, counties bear a disproportionate share of the financial burden for providing 41 foundational public health services, placing additional pressure on local property taxpayers; 42 and 43 44 WHEREAS, a strong and adequately funded public health system is essential to protect the 45 health, safety, and economic stability of Wisconsin residents and communities; and 46 47 NOW, THEREFORE BE IT RESOLVED, that the Chippewa County Board of Supervisors 48 supports continuing to build and retain public health infrastructure through increased and 49 flexible funding; and 50 51 BE IT FURTHER RESOLVED, that such a funding model should: 52 53 • Provide increased General Purpose Revenue (GPR) support for local health departments 54 • Include automatic inflationary adjustments Page 39 of 40 Resolution No. Resolution Supporting Increased and Sustainable State Funding for Local Public Health Departments 55 • Allow for flexible use of funds to meet local needs 56 • Reduce reliance on short-term, restricted, and/or competitive grants; and 57 58 BE IT FURTHER RESOLVED, that the State of Wisconsin recognize public health as a core 59 governmental function and prioritize sustained investment to ensure consistent service delivery 60 across all jurisdictions; and 61 62 BE IT FURTHER RESOLVED, that Chippewa County requests that the Wisconsin Counties 63 Association advocate for policies that reduce the reliance on local property tax levy to fund 64 foundational public health services; and 65 66 BE IT FURTHER RESOLVED, that a copy of this resolution be forwarded to the Governor of 67 Wisconsin, members of the Wisconsin State Legislature, the Wisconsin Department of Health 68 Services, and all Wisconsin counties. 69 70 Forwarded to the County Board by the Health & Human Services Board. 71 72 Financial Impact 73 By passage of this resolution, there is no fiscal impact to Chippewa County. 74 75 Signatures 76 Approved as to Form: 77 County Administrator Finance Director Corporation Counsel 78 Page 40 of 40