Health & Human Services Board - Regular Meeting — Agenda Packet

Chippewa County Health & Human Services Board Regular Meeting June 18, 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 88 Chippewa County Health & Human Services Board Regular Meeting June 18, 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 - May 21, 2026 3. Schedule Next Meeting Date - July 16, 2026 5. Reports 1. ADRC Board Minutes - May 14, 2026 2. Public Health Policy, Practice, and Program Success - Community Health Division Staff 3. Public Health Director’s Program and Financial Report – Brittnay Fortuna 4. Human Services Director’s Program and Financial Report – Bobbie Jaeger 5. Human Services 2025–2027 Strategic Plan Updates — Bobbie Jaeger 6. Public Health Frameworks and Their Role in Community Health and Healthcare Delivery - Brittnay Fortuna 6. Business Items 1. Public Health Financial User Fees – Brittnay Fortuna 2. Public Health Communications Policy - Brittnay Fortuna 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. Page 2 of 88 Chippewa County Health & Human Services Board Regular Meeting June 18, 2026 Chippewa County Courthouse, Room 302 8:00 AM Published: June 11, 2026 Page 3 of 88 Chippewa County Health & Human Services Board Regular Meeting May 21, 2026 Chippewa County Courthouse, Room 302 7:45 AM 1. Call to Order County Administrator Andy Albarado called the meeting to order at 07:45 AM 2. Roll Call Members Present: Kari Ives, Lee Hennick, James Ericksen, Pam Guthman, Dennis Bachman, John Halbleib, Sandy Frohling, MD, Marcia Kyes Members Absent: Robert Bullwinkel, MD Others Present: County Administrator Andy Albarado, Human Services Staff: Bobbie Jaeger, Paul Brenner; Brandi Engel, Sarah Zielke, Ashley Brott, Sara Torrence; Public Health Staff: Brittnay Fortuna, Audra Knowlton, Nikki Hoernke, Maryn Sargent, Grace VanDerhei; Members of the Public: Pandora Anderson, Nicole Crosby, and Lori Crosby. 3. Election of Chair Supervisor Kari Ives was nominated by Supervisor Guthman. Supervisor Ives was elected as Chair. Motion: Approved Result: Passed (8 - 0) Mover: John Halbleib Seconder: James Ericksen Ayes: Kari Ives, Lee Hennick, James Ericksen, Pam Guthman, Dennis Bachman, John Halbleib, Sandy Frohling, MD, Marcia Kyes Nayes: None Absent: Robert Bullwinkel, MD 4. Election of Vice Chair Supervisor Dennis Bachman was nominated by Supervisor Hennick. Supervisor Guthman made a motion to approve by unanimous vote. Supervisor Bachman is the Vice Chair. Motion: Approved Result: (8 - 0) Mover: Pam Guthman Seconder: Ayes: Kari Ives, Lee Hennick, James Ericksen, Pam Guthman, Dennis Bachman, John Halbleib, Sandy Frohling, MD, Marcia Kyes Nayes: None Absent: Robert Bullwinkel, MD 5. Members of the Public Wishing to Be Heard (Comments will be limited to 5 minutes per speaker.) Page 4 of 88 There were no members of the public wishing to be heard. 6. Consent Agenda (Unless separation of an item is requested, all items will be adopted under one motion.) Motion: Approved Result: Passed (8 - 0) Mover: Pam Guthman Seconder: Marcia Kyes Ayes: Kari Ives, Lee Hennick, James Ericksen, Pam Guthman, Dennis Bachman, John Halbleib, Sandy Frohling, MD, Marcia Kyes Nayes: None Absent: Robert Bullwinkel, MD 1. Approve the Agenda 2. Approve the Minutes - March 19, 2026 3. Schedule Next Meeting Date - June 18, 2026 7. Business Items 1. Set Regular Meeting Date and Time The Health & Human Services Board meetings will be held on the Third Thursday of each month beginning at 8:00 am. Motion: Approved Result: (7 - 1) Mover: Dennis Bachman Seconder: Lee Hennick Ayes: Kari Ives, Lee Hennick, Pam Guthman, Dennis Bachman, John Halbleib, Sandy Frohling, MD, Marcia Kyes Nayes: James Ericksen Absent: Robert Bullwinkel, MD 2. Human Services 2027 Opioid Fund Request - Bobbie Jaeger Human Services Director Bobbie Jaeger is seeking Opioid funding to support the Peer Support-Recovery Coach position in the Mental Wellness and Recovery Services. The Peer Support position has been successful in reducing inpatient days and decreasing substance use. She is asking for $50,000. Motion: Approved Result: Passed (8 - 0) Mover: Dennis Bachman Seconder: Pam Guthman Ayes: Kari Ives, Lee Hennick, James Ericksen, Pam Guthman, Dennis Bachman, John Halbleib, Sandy Frohling, MD, Marcia Kyes Nayes: None Absent: Robert Bullwinkel, MD 3. Public Health 2027 Opioid Fund Request - Harm Reduction Program - Brittnay Fortuna Public Health Director Brittnay Fortuna stated they are building on the existing harm reduction program to increase Naloxone training in the community and Jail. They will partner with End Overdose to provide Page 5 of 88 education at Force Fields, implement recommendations from the Overdose Fatality Review team, and provide staff training. She highlighted statistics since January 2025 to show the impact on the community. She is asking for $45,000. Motion: Approved Result: Passed (8 - 0) Mover: Marcia Kyes Seconder: Pam Guthman Ayes: Kari Ives, Lee Hennick, James Ericksen, Pam Guthman, Dennis Bachman, John Halbleib, Sandy Frohling, MD, Marcia Kyes Nayes: None Absent: Robert Bullwinkel, MD 4. Public Health 2027 Opioid Fund Request - Sharps Disposal Program - Brittnay Fortuna Public Health Director Brittnay Fortuna is asking for $20,000 to extend the sharps disposal program to help offset the disposal fee for community members. Community members are asking for sharps kiosks to be located in their communities. The Public Health Department charges a fee for sharps disposal at the office. Businesses bring their sharps to Public Health, and we have seen a cost barrier among community members. We partner with the Sheriff’s Department, Jail, and Mental Wellness and Recovery Services to dispose of sharps. The Fees for Service schedule will be adjusted in June to align with the disposal fee for different-sized containers received from businesses. Motion: Approved Result: Passed (8 - 0) Mover: John Halbleib Seconder: Pam Guthman Ayes: Kari Ives, Lee Hennick, James Ericksen, Pam Guthman, Dennis Bachman, John Halbleib, Sandy Frohling, MD, Marcia Kyes Nayes: None Absent: Robert Bullwinkel, MD 5. Public Health Document Governance Policy - Brittnay Fortuna Public Health Director Brittnay Fortuna gave a brief history of the old policy and shared why the updates are necessary. She reviewed the document types, the approval authority, and the review frequency. Document destruction follows the county ordinance and WI Statutes. A discussion was held regarding adding additional verbiage to the review timeframe. There is verbiage already in the policy. It was recommended to add an asterisk in the review frequency column to coincide with the fourth bullet under the Review and Maintenance section. Bachman made a motion to approve the policy with the addition of asterisks under the Review Frequency column to coincide with the fourth bullet under the Review and Maintenance section. Motion: Approved Result: Passed (8 - 0) Mover: Dennis Bachman Seconder: Pam Guthman Ayes: Kari Ives, Lee Hennick, James Ericksen, Pam Guthman, Dennis Bachman, John Halbleib, Sandy Frohling, MD, Marcia Kyes Nayes: None Absent: Robert Bullwinkel, MD Page 6 of 88 8. Reports 1. Friend of Public Health Recognition - Brittnay Fortuna Supervisor Guthman made a motion to move the Friend of Public Health Recognition before the Business Items. Seconded by Supervisor Hennick. Motion: Approved Result: Passed (8 - 0) Mover: Pam Guthman Seconder: Lee Hennick Ayes: Kari Ives, Lee Hennick, James Ericksen, Pam Guthman, Dennis Bachman, John Halbleib, Sandy Frohling, MD, Marcia Kyes Nayes: None Absent: Robert Bullwinkel, MD Public Health Director Brittnay Fortuna and Drug-Free Communities Project Coordinator Grace Vanderhei presented the 2026 Friend of Public Health award to Nicole Crosby, a Counselor at Lake Holcombe School District. Fortuna stated Crosby was nominated for her dedication to supporting youth mental health, substance-use prevention, and student wellbeing. 2. Aging and Disability Resource Center Board Minutes - March 12, 2026 The March 12, 2026, Aging and Disability Resource Center Board minutes were attached for informational purposes. 3. Human Services Policy, Practice, and Program Success - Children, Youth, and Families - Ashley Brott Children, Youth, and Families Manager Ashley Brott and Ongoing Worker Sarah Torrence highlighted from the presentation: Access statistics, initial assessment statistics, increase in caseload, 2025 statistics, ongoing statistics, number of current homes and types, funding resources, current child statistics, and areas the team is working on. Torrence shared a success story of one family with domestic violence and alcohol use in the home. A protective plan was created and then terminated. The children were placed with their maternal grandmother. After the baby was born, both Mom and baby were placed in a foster home. Mom was reunified with her children after receiving services through the program. Mom is now waiting to hear if she gets accepted into a Criminal Justice Program. She still has a close relationship with the foster family, went to Guatemala on a Mission Trip, and will be off probation in a year. 4. Public Health Director’s Program and Financial Report – Brittnay Fortuna Public Health Director Brittnay Fortuna highlighted from her Director’s Report: Administration -The 2026 Doris Vennard scholarship awardee is Sia Drivas. Community Health - Tick trends and safety measures, UW Eau Claire student interns worked on digital wellness, Hantavirus update, and communicable disease updates. Environmental Health - Water Lab and food inspection updates. Bre attended the Healthy Water Summit. Nutrition - Phase 2 of the 2024 New Food Rule was implemented, funding updates, Mind Over Matter program, Oral Health Grant recipient, and annual review of the ForwardHealth grant with the State, with no corrective actions. Planning and Strategy - Men’s Mental Health coaster campaign, Reaccreditation update, and Years of Service - Congratulations staff! Page 7 of 88 A recommendation was made to publish safety measures for tick prevention and types of sprays to use in the yard. If you get a deer tick embedded, it is recommended to see a doctor to get an antibiotic. 5. Public Health 2026-2028 Strategic Plan - Nikki Hoernke Planning and Strategy Division Manager Nikki Hoernke reviewed the 2026-2028 Strategic Plan, which defines the roles, priorities, and direction over the next three years. She highlighted the planning process, which involved creating a new mission, vision, and values. The three priority areas identified are Access & Reach, Trust & Awareness, and Capacity & Sustainability. Objectives and activities were drafted and submitted to the Strategic Plan Development Team. Hoernke reviewed the goals for each area and shared how the plan will be put into action. 6. Human Services Director’s Program and Financial Report – Bobbie Jaeger Human Services Director Bobbie Jaeger stated the first quarter of the year was busy with legislation and budget, and now they are in the implementation phase. Jaeger highlighted from her report: Governor Evers proclaimed May to be Aging, Disability, and Independent Living Network Professionals Appreciation Month, and May 3rd-9th as Public Servant Recognition Week. May is also Older Americans Month, Mental Health Awareness Month, and they celebrated Case Manager week. Income Maintenance PAC released the draft amendment to the SNAP funding and provided an overview of the proposed use of funds. Congratulations to the staff celebrating work anniversaries, and to Ann Teuteberg, celebrating 25 years. Child Protective Services hosted a Foster Parent Appreciation event, and the state certification review for Emergency Mental Health (Crisis) and Community Support Program (CSP) was completed, in which many areas of service were rated excellent. On the Dashboard, Jaeger provided context for the GRC error rate increase. Jaeger and Brenner reviewed the Out-of-Home and IMD placement costs, which are affected by clients' acuity. 7. Health & Human Services Board Orientation - Brittnay Fortuna/Bobbie Jaeger Human Services Director Bobbie Jaeger shared information included in the Human Services section. She welcomes members to contact her with any questions or to set up a meeting. Jaeger is looking at the continuation of a Day in the Life with the DHS staff. It was recommended to share with the County Board of Supervisors opportunities where they can help advocate at the state level, with colleagues, or beyond. Public Health Director Brittnay Fortuna reviewed what is included in the Public Health section. She reviewed the Public Health webpage, highlighting the About Us page, the Laws & Regulations page, along with the Data & Reports page. Fortuna welcomes members to contact her with any questions or to set up a meeting. 9. Agenda Items for Future Consideration Discuss initiatives with Chippewa Valley Health Cooperative, True Wellness, and Blue Zones. 10. Adjourn The meeting adjourned at 9:37 am. Motion: Approved Result: Passed (7 - 0) Mover: John Halbleib Page 8 of 88 Seconder: Lee Hennick Ayes: Kari Ives, Lee Hennick, Pam Guthman, Dennis Bachman, John Halbleib, Sandy Frohling, MD, Marcia Kyes Nayes: None Absent: James Ericksen, Robert Bullwinkel, MD Page 9 of 88 Statement of Explanation ADRC Board Minutes - May 14, 2026 1 The May 14, 2026 Aging and Disability Resource Center (ADRC) Board mnutes are 2 attached. They are being shared with the Health & Human Services Board for informational 3 purposes only. Page 10 of 88 Chippewa County Aging & Disability Resource Center (ADRC) Board Regular Meeting May 14, 2026 Chippewa County Courthouse, Room 302 3:30 PM 1. Call to Order The Chair called the meeting to order at 03:32 PM 2. Roll Call Members Present: Dennis Bachman, Kathy Schmiedeskamp, Larry Marquardt, Don Hauser, Cindy Spaeth, Renee Thompson Members Absent: Yvonne Hedrington Others Present: DHS Staff: Bobbie Jaeger, Paul Brenner, Sarah Zielke, Kayla Colbenson, Stephanie Rasmussen, Brandi Engel 3. Election of Vice-Chair Cindy Spaeth was elected the vice-chair position. Motion: Approved Result: Passed (5 - 1) Mover: Larry Marquardt Seconder: Renee Thompson Ayes: Dennis Bachman, Kathy Schmiedeskamp, Larry Marquardt, Don Hauser, Renee Thompson Nayes: Cindy Spaeth Absent: Yvonne Hedrington 4. 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. 5. Consent Agenda (Unless separation of an item is requested, all items will be adopted under one motion.) Motion: Approved Result: Passed (6 - 0) Mover: Larry Marquardt Seconder: Cindy Spaeth Ayes: Dennis Bachman, Kathy Schmiedeskamp, Larry Marquardt, Don Hauser, Cindy Spaeth, Renee Thompson Nayes: None Absent: Yvonne Hedrington 1. Approve the Agenda 2. Approve the Minutes - March 12, 2026 Page 11 of 88 3. Schedule Next Meeting Date - July 9, 2026 6. Reports 1. ADRC Staff Presentation: Success Story - Stephanie Rasmussen Disability Benefit Specialist, Stephanie Rasmussen, presented on a consumer with severe anxiety causing memory impairment. In October, the consumer sought assistance for SSI reinstatement. Social Security mistakenly mailed her a 15-page disability packet, causing undue stress upon the consumer. Stephanie offered reassurance that she did not need to complete the large packet and worked with social security to ensure nothing had gotten mixed up on their end. After the SSI reinstatement, Stephanie next assisted the consumer with becoming connected to an attorney to establish an ABLE account, along with other resources including housing, energy assistance, FoodShare, and a LifeLine phone. 2. ADRC Manager Program and Financial Report - Sarah Zielke/Paul Brenner Manager Sarah Zielke highlighted numerous items from her program report. Bronson Stelzer began in April as the new Dementia Care Specialist. Sarah noted there is currently one opening for a nutrition site aide due to an upcoming retirement. She also reported that the nutrition van was included in the Highway Department fleet upgrade this year and is now operational. ADRC staff continue completing daily time and task reporting in 15-minute increments to allow for Medicaid claim reimbursement, and this reporting will soon transition to the PeerPlace data tracking system. In recognition of Older Americans Month, Sarah acknowledged the contributions older adults make to the community. Fiscal Manager Paul Brenner reported that budget expenditures remain on track for this point in the year. Transportation spending continues to show lower utilization, and discussions are ongoing regarding ways to increase utilization, including the possibility of offering grocery and fitness/wellness transportation trips. 3. ADRC Advocacy Report - Sarah Zielke Manager Sarah Zielke informed the board the Patient Representative Bill was passed in March and will go into effect in June. This bill will allow for discharge and admission to a lower level care facility by a hospital-appointed representative versus waiting for a court-appointed guardian which can delay the process. There are ongoing ethical concerns and efficacy concerns yet to be addressed. 4. ADRC Strategic Plan Update - Sarah Zielke Manager Sarah Zielke provided status updates on their three strategic goals: 1. To further expand staff knowledge on community resources, staff participated in a poverty simulation, met with local hospice agencies, and partnered with UW-Extension and the Mental Wellness & Recovery division to learn more about end-of-life planning resources. 2. To increase community awareness of the ADRC's offerings, a new "contact us" form was added to the ADRC website, program outreach such as wellness groups and Medicare & You workshops have continued, and staff partnered with Public Health for an emergency preparedness needs assessment. 3. To enhance a healthy work environment, staff have participated in potlucks and will soon be hosting their annual team "org day" to reinforce connections. 7. Business Items Page 12 of 88 1. Set Regular Meeting Dates and Times - Sarah Zielke The ADRC Board meetings will be held on the second Thursday of odd months, but will have a start time of 3:00 PM. Motion: Approved Result: Passed (6 - 0) Mover: Renee Thompson Seconder: Don Hauser Ayes: Dennis Bachman, Kathy Schmiedeskamp, Larry Marquardt, Don Hauser, Cindy Spaeth, Renee Thompson Nayes: None Absent: Yvonne Hedrington 2. ADRC 2026 Confidentiality and Conflict of Interest Acknowledgement - Sarah Zielke ADRC Manager, Sarah Zielke, reviewed the Confidentiality and Conflict of Interest Agreements. Board members are asked to sign these policies on an annual basis per state requirements. 3. ADRC 2026 Program Prioritization Results - Sarah Zielke The 2026 ADRC Program Priority Rankings as determined by the ADRC Board members were reviewed and approved. Motion: Approved Result: Passed (6 - 0) Mover: Don Hauser Seconder: Renee Thompson Ayes: Dennis Bachman, Kathy Schmiedeskamp, Larry Marquardt, Don Hauser, Cindy Spaeth, Renee Thompson Nayes: None Absent: Yvonne Hedrington 8. Agenda Items for Future Consideration 9. Adjourn The meeting adjourned at 4:30 PM. Result: Passed (6 - 0) Mover: Cindy Spaeth Seconder: Don Hauser Ayes: Dennis Bachman, Kathy Schmiedeskamp, Larry Marquardt, Don Hauser, Cindy Spaeth, Renee Thompson Absent: Yvonne Hedrington Page 13 of 88 Statement of Explanation Public Health Policy, Practice, and Program Success - Community Health Division Staff 1 Public Health Nursing staff will provide an overview of the essential services they deliver 2 to protect and promote the health of Chippewa County residents, including communicable 3 disease response, animal bite investigations, immunizations, and reproductive health services. 4 The presentation will also highlight recent successes and examples of the impact these services 5 have on our community. Page 14 of 88 Public Health Nursing Services Health and Human Services Board – June 18, 2026 1 A Foundation in Wisconsin Law Wis. Stat. § 250: Local Health Department Duties: This statute mandates local health departments to provide essential public health nursing services, focusing on disease prevention, health promotion, and community well-being. 01 Wis. Admin. Code DHS 140: Public Health Agency Standards: Outlines specific program requirements for public health agencies, ensuring standardized delivery of services such as maternal and child health, communicable disease control, and environmental health. 02 Wis. Stat. § 252: Communicable Disease Control: Empowers public health nurses with authority in disease investigation, surveillance, and the implementation of effective control measures to protect communities from outbreaks. 03 2 Page 15 of 88 Level Three Excellence: Our Nursing Mandate Population Health Assessment Leading data-driven evaluations of community health needs and outcomes Policy Innovation Developing evidence-based strategies to address emerging health challenges Community Protection Translating surveillance data into action that safeguards all residents 3 Communicable Disease Prevention & Response STIsMeasles Foodborne Illness HepatitisTuberculosis Pertussis VectorborneRespiratory 4 Page 16 of 88 Animal Bite & Rabies Prevention •Wisconsin State Statute §95.21 requires investigation and follow-up of animal bites and potential rabies exposures, including animal observation or testing when indicated. Why it matters: Rabies is nearly always fatal once symptoms develop. Timely investigation and intervention are critical to protecting residents. 5 Immunization Services Helping protect individuals and communities from vaccine- preventable diseases •Services We Provide: •Childhood and adult immunizations •Vaccines for uninsured and underinsured individuals •Travel vaccine referrals and education •School and childcare immunization support •Community vaccine clinics and outreach Public Health Impact: Vaccination remains one of the most effective tools for preventing serious illness and protecting vulnerable populations.6 Page 17 of 88 Reproductive & Family Planning Services •Our nurses provide confidential, equitable access to high-quality reproductive healthcare — supporting informed decision-making at every stage of life. Family Planning Visits Counseling, contraceptive supplies, and personalized care plans STI Testing & Treatment Confidential screening and treatment referrals Pregnancy Testing Testing and supportive care coordination Health Education Reproductive health education and community referrals 7 8 Page 18 of 88 Community-Based Public Health Nursing Health Education & Outreach •W o r k s h o p s , screenings, and prevention programs Emergency Preparedness • Response coordination during public health emergencies Care Coordination • Linking residents to healthcare and social services Community Partnerships •C o l l a b o r a t i n g with schools, providers, and organizations Public Health Nurses are a trusted presence in Chippewa County — meeting residents where they are, connecting them to services, and strengthening community health from the ground up 9 Protecting, Promoting, and Improving Health Through prevention, education, investigation, and partnership, Public Health Nursing helps create a healthier Chippewa County for all. Questions? 10 Page 19 of 88 711 N Bridge Street Room 121 Chippewa Falls, WI 54729 715-726-7900 800-400-3678 health@chippewacountywi.gov 11 Page 20 of 88 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 21 of 88 1 June 18, 2026 Health & Human Services Board Brittnay Fortuna’s Director’s Report Administration Division May proved to be another busy month for the Administration Team. April worked diligently to ensure the Food Safety and Recreational Licensing (FSRL) renewal notices were printed and distributed at the beginning of the month. The administrative staff has been actively processing payments and issuing updated licenses. Audra assisted with providing annual training and respirator fit testing to front-line staff to ensure proper use and sealing of N95 masks, reinforcing our commitment to safety and preparedness. Fifteen wheelchairs were loaned out in May, and Audra has been busy cleaning and maintaining the wheelchairs being returned. Sarah has been focusing on processing payments and making deposits, working on budgets, meeting with staff to finalize consumer fee increases for 2027, and helping with supply ordering. As always, we remain dedicated to supporting both the community and our staff. Our ongoing efforts include facilitating appointment scheduling, providing support at immunization clinics, conducting car seat installs and providing education, offering Breastfeeding Peer Counseling, and distributing water sample kits. Community Health Division Community Health Division Update: Force Fields Festival Partnership The Chippewa County Department of Public Health's Community Health Division partnered with End Overdose, a national nonprofit organization dedicated to preventing overdose deaths through education, naloxone distribution, and overdose response training, during the 2026 Force Fields Festival in Cadott. End Overdose works at music festivals and events across the country to equip attendees with lifesaving knowledge and resources that help prevent and respond to overdose emergencies. As part of this collaboration, the Community Health Division supplied overdose prevention and harm reduction materials to support festival outreach efforts. Resources included naloxone administration quick guides in both English and a newly translated Spanish version, helping expand access to overdose response information for a broader audience. The department also provided 250 boxes (500 doses) of nasal naloxone and more than 2,500 fentanyl test strips for distribution during the event. These resources help increase access to lifesaving overdose reversal medication and drug-checking supplies in settings where individuals may be at elevated risk of exposure to fentanyl and other substances. Page 22 of 88 2 December 18, 2025 This partnership represents an important opportunity to extend public health outreach beyond traditional settings, meet people where they are, and support a safer festival environment through education, prevention, and access to harm reduction resources. Rabies Prevention and Surveillance Activities As we move into the warmer months, it is not uncommon for the Health Department to receive an increase in calls related to bats. This time of year, bats become more active and are more likely to find their way into homes, garages, and other buildings, resulting in potential human or pet exposures. Recently, the Health Department submitted several bats for rabies testing. We are pleased to report that all the bats tested negative for rabies. While these results are reassuring, testing remains an important part of our public health response. Rabies is a communicable disease that can be transmitted through bites or other exposures from infected animals. Although rabies is rare, it is almost always fatal once symptoms develop. The good news is that it is preventable when appropriate medical care is sought promptly after a potential exposure. When reports of bat encounters are received, our staff conduct exposure assessments to determine whether testing is recommended. This due diligence helps ensure that individuals receive appropriate guidance and, when necessary, post-exposure prophylaxis (PEP) to prevent rabies infection. Just as importantly, testing can often help avoid unnecessary medical treatment when results are negative. We continue to encourage community members to contact the Health Department if they find a bat in their home or have concerns about a possible exposure. Situations involving direct contact with a bat, waking up in a room with a bat, or circumstances where a bite or scratch cannot be ruled out should be evaluated promptly. Safely capturing and testing the bat whenever possible helps guide medical decision-making and protects both individual and community health. Rabies surveillance is a routine but important part of our communicable disease prevention efforts, and we will continue to work closely with healthcare providers, local veterinarians, and community members to ensure timely assessment and response to potential exposures. Ebola Outbreak Situational Awareness Update Public health agencies continue to monitor the ongoing Ebola outbreak in the Democratic Republic of the Congo (DRC) and Uganda. While the situation remains serious in the affected regions, the risk to the United States and Wisconsin remains low at this time. There are currently no high-risk travelers returning to the United States, and no cases associated with this outbreak have been identified in the U.S. Federal partners, including the CDC, have implemented several precautionary measures to help protect the public. Travelers arriving from Uganda, the DRC, and South Sudan are being routed through designated international airports where they receive enhanced health screening and follow- up guidance as appropriate. Page 23 of 88 3 December 18, 2025 From a local public health perspective, we are staying informed through regular updates from the CDC, Wisconsin Department of Health Services, and other trusted public health partners. We are also communicating with local healthcare providers, hospitals, and EMS agencies to ensure they have the latest information and remain prepared to identify and respond appropriately should a potential case be identified. While the likelihood of a local case remains very low, maintaining awareness and preparedness is an important part of our role in protecting community health. At this time, no additional actions are recommended for the general public in Wisconsin beyond routine travel precautions and awareness. We will continue to monitor the situation closely and provide updates should conditions change. Additional information and resources: • Ebola Disease Basics • Ebola Outbreak: Current Situation • CDC Health Alert Notice (HAN): Ebola Disease Outbreak in the Democratic Republic of the Congo and Uganda 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 May, we received 95 new reports: 27 confirmed (9 Chlamydia, 5 Lyme Disease, and 4 Anaplasmosis); 7 probable cases (7 Lyme Laboratory Reports), and 44 that did not meet the definition of a case (15 Lyme Laboratory Reports, 7 Hepatitis A, and 6 Lead-Blood Levels-Adult). See the attached report for further breakdown by disease type. Environmental Health Division (EH) May has kicked off the summer season with a bang! Environmental Health staff completed 49 food and recreational safety inspections to help ensure facilities were operating in compliance with health and safety regulations. In addition, 24 new businesses opened - new campgrounds, restaurants, gas stations, tourist rooming houses, and more. This has been a huge increase over the last year and has brought a heavier workload for our inspectors working with new business owners to educate them on safety and regulations. Chippewa County currently has the largest number of FSRL licenses the county has ever seen! The entire team completed campground training with a DATCP agent to gain a better understanding of the campground code and to better assist our 59 campground owners. The water lab processed 33 nitrate samples and 25 bacteria samples for homeowners, supporting safe private drinking water throughout the county. Our water lab has been so busy this year, and the community is continuing to show interest in groundwater and water testing. For example, last May, Page 24 of 88 4 December 18, 2025 we only had eight homeowners bring us a nitrate sample; that is over a 300 percent increase from last year! Bre presented the groundwater model that the department was awarded at the Bloomer Senior Center to a group who were interested in water quality. The water lab completed seven sanitary surveys by doing an inspection of the entire water system and the distribution lines for the DNR TNC program. Seasonal facility sampling, which is primarily campgrounds, has started, and the team collected 47 bacteria samples and 35 nitrate samples for our TNC program. About 50 percent of our seasonal facilities remain to be sampled. Beach sampling has begun! We have 11 beaches this year on the program that agreed to weekly sampling and monitoring. We collect samples on Wednesdays and get results the following Thursday. Our team sampled twice in the month of May and has seen low algae and bacteria amounts. The water temperature across all beaches had a 10-15 degree jump with that super hot last week in May! Nutrition Division Women, Infants and Children (WIC) Program Management Evaluation (ME) Every two years, WIC agencies go through a state management evaluation. This includes a desk, chart, document, and fiscal review, as well as an all-day onsite clinic observation of staff by our Regional Nutritionist, Sarah Nix. Our on-site observation is scheduled for October 6. WIC staff will be preparing over the next several months for the 106 criteria that will be evaluated. Outreach Stephanie recently met with CESA 11 Head Start administration to share information about WIC services and outreach opportunities. She also presented to the Marshfield Health Primary Care team in June. Farmers Market Programs We started issuance of Farmers Market Nutrition Program (FMNP) checks and Farm Fresh Produce Program vouchers June 1. We have partnered with UW Extension to again provide classes at the market in June and July. Families can enjoy a story about eating fruits and veggies, receive their FMNP checks and Farm Fresh vouchers to go shopping that day, and receive a goodie bag with the book they read and kitchen utensils to get kids in the kitchen, which was funded in part by grant funding Page 25 of 88 5 December 18, 2025 from the Chippewa County Dental Endowment Fund through the Community Foundation of Chippewa County. Marshfield/Security Health Plan Food Insecurity Grant Two hundred sets of $25 vouchers have been given to the four pantries that agreed to distribute them. They include Bloomer/New Auburn food pantry, Stanley food pantry located at Our Savior’s Lutheran Church, CDC Outreach office, and First Presbyterian Church food pantry, both located in Chippewa Falls. These vouchers will be prioritized for those pantry patrons who do not have the opportunity to receive WIC or senior FMNP checks. A listing of all FMNP and Farm Fresh Produce vendors is available on our website: Farmers Market Nutrition Programs | Chippewa County, WI. Blood Drive July We invite you to join us on Wednesday, July 22, from 10:00 a.m. to 4:00 p.m. to give the gift of life. Your donation can help save lives and make a lasting difference in our community. Schedule your appointment here: https://www.redcrossblood.org/give.html/drive- results?zipSponsor=Chippewa%20County. Page 26 of 88 6 December 18, 2025 Planning and Strategy IMPACT Council Launch Update The department has officially launched the IMPACT Council, a cross‑divisional group that will guide our performance management and quality improvement efforts. The Council provides ongoing leadership and oversight to ensure PM and QI practices are embedded in daily operations and project-based work. Its members include Leadership Team members and PM Champions (representatives from each division) who help connect Council work with division‑level implementation. The IMPACT Council will support a culture of quality by reviewing PMQI activities quarterly, monitoring progress toward Domain 9 reaccreditation requirements, and advancing key action steps in the PMQI Plan. Through regular data review and staff engagement, the Council will help ensure our improvement efforts remain aligned with strategic priorities and grounded in data-informed decision- making. Single Point of Entry: Centralized Support for Families of Children with Special Needs in Chippewa County The CRC-West serves as the Single Point of Entry for families in Chippewa County seeking support for children with special needs. This means families can contact CRC-West as a central place to access a variety of services without needing to reach out to multiple organizations. Under a contract with the Department of Human Services, CRC-West connects families to programs like Birth to Three, Children’s Comprehensive Community Services (CCS), and the Children’s Long-Term Support (CLTS) Waiver and assists with functional screenings for these services. In May, SPOE received 33 referrals (13 Birth to Three referrals, 20 CLTS/CCS) and completed 12 functional screens during the month. The average number of days from referral to eligibility remains well below the state benchmark of 45 days. The team is working on an updated dashboard that they plan to launch next month. Page 27 of 88 7 June 18, 2026 Health & Human Services Board Brittnay Fortuna’s Director’s Report Page 28 of 88 8 Children’s Resource Center (CRC) – West CRC-West continued providing resource navigation, consultation, and support services to families and professionals across western Wisconsin. Program referral and navigation calls remained steady throughout the month. CRC-West also continued collaboration efforts with community partners and professionals throughout the region to support coordinated care and improve access to resources for families. During the first part of the year, CRC-West has seen an increase in professionals reaching out for consultation, collaboration, and resource navigation support. In addition, the program anticipates a slight increase in family calls and service navigation requests as schools begin wrapping up for the summer months and families navigate changes in routines, supports, and services. As CRC-West approaches mid-year, many planned mid-year benchmarks and goals are already being met, placing the program in a strong position moving into the second half of the year. Staff continues to actively plan and organize upcoming projects, outreach efforts, and grant deliverables to support the successful completion of end-of-year goals. A Chippewa County-specific highlight has been the continued use of Iron Will Endowment funds through the Chippewa Community Foundation to support local families during extended hospital stays. Through these funds, CRC-West was able to assist three different Chippewa County families by providing gas cards and hospital support bags. These bags include practical and comfort items intended to help support families through longer hospital stays and reduce some of the stress and financial strain that can come with extended time away from home. All three families supported through this effort reside in Chippewa County, allowing these local funds to directly support families within the community who are navigating complex health care needs. 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.  Christina Agnew, Account Assistant – 4 years  Meghan Ketchens, Registered Nurse – 4 years Page 29 of 88 Disease Confirmed Probable Suspect Not A Case Total LYME LABORATORY REPORT 0 7 1 15 23 CHLAMYDIA TRACHOMATIS INFECTION 9 0 0 0 9 HEPATITIS A 0 0 0 7 7 ANAPLASMOSIS, A. phagocytophilum 4 0 1 1 6 LEAD-BLOOD LEVELS - ADULT 0 0 0 6 6 LYME DISEASE, ERYTHEMA MIGRANS (EM) RASH 5 0 0 0 5 HEPATITIS B, CHRONIC 0 0 0 4 4 HAEMOPHILUS INFLUENZAE, INVASIVE DISEASE 0 0 0 3 3 RESPIRATORY SYNCYTIAL VIRUS (RSV) - ASSOCIATED HOSPITALIZATION 3 0 0 0 3 STREPTOCOCCAL DISEASE, INVASIVE, GROUP B 0 0 2 1 3 STREPTOCOCCUS PNEUMONIAE, INVASIVE DISEASE 1 0 2 0 3 CAMPYLOBACTERIOSIS 0 0 1 1 2 E-COLI, ENTEROPATHOGENIC (EPEC) 0 0 2 0 2 HEPATITIS C, CHRONIC 0 0 0 2 2 Q FEVER, unspecified 0 0 0 2 2 RESPIRATORY SYNCYTIAL VIRUS (RSV) 2 0 0 0 2 VARICELLA (CHICKENPOX) 0 0 1 1 2 AFB SMEAR 0 0 1 0 1 Jurisdiction: Chippewa County County Board of Health Report Wisconsin Department of Health Services Division of Public Health PHAVR - WEDSS Received Date: 5/1/2026 to 5/31/2026 Executed: 6/5/2026 9:25:31 AM Page 1 of 2 Page 30 of 88 Disease Confirmed Probable Suspect Not A Case Total CARBAPENEMASE PRODUCING ORGANISM (CPO) 0 0 0 1 1 CARBON MONOXIDE POISONING 0 0 1 0 1 COCCIDIOIDOMYCOSIS 1 0 0 0 1 EHRLICHIOSIS, E. muris eauclairensis (EML) 0 0 1 0 1 GONORRHEA 1 0 0 0 1 LEAD-BLOOD LEVELS - ADULT - BLL 10 1 0 0 0 1 STREPTOCOCCAL DISEASE, INVASIVE, GROUP A 0 0 1 0 1 TOXOPLASMOSIS 0 0 1 0 1 TUBERCULOSIS, CLASS A OR B 0 0 1 0 1 TUBERCULOSIS, LATENT INFECTION (LTBI) 0 0 1 0 1 Total 27 7 17 44 95 Default Filters: 'State' EQUAL TO 'WI' Executed: 6/5/2026 9:25:31 AM Page 2 of 2 Page 31 of 88 Public Health Financial Results May 2026 Revenue Expense Fund Description Budget Actual % Collected Budget Actual % Spent 54100 Community Health (554,657.00)$ (513,702.15)$ 92.6% 554,657.00$ 235,508.00$ 42.5% 54121 Nurse Family Partnership (134,610.00) (98,657.75) 73.3% 134,610.00 63,577.42 47.2% 54122 Beach Water Testing - (346.95) #DIV/0! - 1,873.04 #DIV/0! 54123 Farmers Market (1,397.00) (49.55) 3.5% 1,397.00 305.60 21.9% 54124 CRC West Peer Support - (1,906.15) #DIV/0! - 7,329.94 #DIV/0! 54125 Prenatal Care Coordination (26,697.00) (7,127.10) 26.7% 26,697.00 14,261.12 53.4% 54126 FP Dual Protection - (828.10) #DIV/0! - 2,700.88 #DIV/0! 54128 Public Health Preparedness (35,386.00) (12,915.70) 36.5% 35,386.00 19,282.36 54.5% 54129 TN Program (56,267.00) (21,127.70) 37.5% 56,267.00 13,369.42 23.8% 54130 CHIP Coalition (4,000.00) - 0.0% 4,000.00 49.35 1.2% 54131 Mind Over Matter - - #DIV/0! - 146.89 #DIV/0! 54132 Drug Free Community Grant (136,461.00) (36,658.80) 26.9% 136,461.00 48,429.95 35.5% 54133 Iron Will Endowment Fund (1,881.00) (2,593.02) 137.9% 1,881.00 576.42 30.6% 54134 Schaus MD Health Care Endowmen - (544.00) #DIV/0! - - #DIV/0! 54136 Aspirus Farm Fresh - (5,000.00) #DIV/0! - - #DIV/0! 54138 Planning & Strategy (368,628.00) (324,987.95) 88.2% 368,628.00 166,855.99 45.3% 54140 WIC (431,791.00) (203,424.03) 47.1% 431,791.00 181,789.40 42.1% 54142 Maternal & Child Health Program (27,759.00) (12,770.65) 46.0% 27,759.00 18,090.81 65.2% 54144 Wisconsin Wins (5,353.00) (849.75) 15.9% 5,353.00 895.00 16.7% 54149 SAP Services Block Grant (20,319.00) (953.22) 4.7% 20,319.00 1,398.25 6.9% 54150 Prevention (9,239.00) (3,066.95) 33.2% 9,239.00 4,845.67 52.4% 54151 Equipment Loan Closet (2,916.00) (197.60) 6.8% 2,916.00 1,266.78 43.4% 54152 Childrens Resource Center (218,267.00) (8,133.50) 3.7% 218,267.00 104,292.14 47.8% 54153 WIC Endowment - (2,559.42) #DIV/0! - - #DIV/0! 54154 Title X Reproductive Health (11,174.00) (13,560.75) 121.4% 11,174.00 16,806.33 150.4% 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) (13,730.64) 26.5% 51,751.00 19,806.44 38.3% 54158 WIC BF Peer Counseling (24,274.00) (6,802.50) 28.0% 24,274.00 15,296.34 63.0% 54159 Men's Mental Hlth - MC - (10,049.55) #DIV/0! - 2,406.20 #DIV/0! 54161 Health Clinics (48,398.00) (3,457.57) 7.1% 48,398.00 6,669.00 13.8% 54163 Overdose Fatality Review (42,656.00) (9,198.40) 21.6% 42,656.00 13,311.17 31.2% 54165 GYT - Get Yourself Tested (2,129.00) (1,134.70) 53.3% 2,129.00 1,489.96 70.0% 54166 Water Lab (9,138.00) (5,195.00) 9,138.00 13,379.82 146.4% 54167 NW Coalition (18,211.00) (574.95) 18,211.00 3,352.77 18.4% 54168 Farm Fresh Program - (8,824.98) - - #DIV/0! 54169 PH Vending Machine - (1,000.00) - 886.40 #DIV/0! 54170 Food Insecurity - Marshfield C - (10,337.05) - 12,276.64 #DIV/0! 54171 Food Safety Recreation License (400,594.00) (192,309.42) 400,594.00 152,196.41 38.0% 54172 Infant Immunization Grant (17,056.00) (3,459.40) 20.3% 17,056.00 7,291.86 42.8% 54173 Opioid Abatement (2,348.00) (1,115.40) 2,348.00 7,769.01 330.9% 54174 Forward Health Outreach (32,823.00) (6,728.70) 20.5% 32,823.00 12,926.17 39.4% 54176 Environmental Health (77,139.00) (71,558.78) 92.8% 77,139.00 9,047.34 11.7% 54178 Public Health Infrastructure (106,350.00) (13,298.95) 106,350.00 19,336.88 18.2% 54180 DHS Agreement (166,179.00) (35,101.02) 21.1% 166,179.00 56,461.50 34.0% 54182 Environmental Tracking (10,684.00) (259.72) 10,684.00 259.72 2.4% 54184 Childhood Lead Poisoning Prev. (9,697.00) (1,209.20) 12.5% 9,697.00 1,066.14 11.0% 54186 Charity Outreach Program (250.00) - 0.0% 250.00 - 0.0% 54190 Public Health Donation Expendi (1,000.00) (120.00) 12.0% 1,000.00 - 0.0% 3,115,276.00$ 1,677,255.40$ 53.8% 3,115,276.00$ 1,269,056.81$ 40.7% Page 32 of 88 Public Health Revenue vs Expenses Variance Year-to-Date through May 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 33 of 88 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 34 of 88 Human Services Director’s Report Board Meeting Date: June 18, 2026 1 WCHSA Updates Division of Children and Families (DCF) and CYF PAC • This June, DCF is changing the process for deciding how quickly Child Protective Services must respond to a screened-in CPS report. The goal is to make the response time decision easier and more consistent across the state. • The Bureau of Youth Services is rolling out Quality Case Planning (QCP) with youth justice (YJ) and juveniles in need of protective services (JIPS) cases. Standards for this will roll out on June 22, 2026, with the eWiSACWIS changes occurring that same weekend. DSP staff will attend regional supervisor and director meetings in upcoming months to discuss this phase of the initiative. Division of Health Services (DHS) • As of June 1, 2026, the 2025 Wisconsin Act 115 update to Wis. Stat. § 50.06 creates a new legal decision-maker and an alternative route for admission to a Community Based Residential Facility (CBRF) or nursing home from inpatient hospitalization. The new legal decision-maker – entitled patient’s representative – may act in circumstances when a family member in a hospital is incapacitated and lacks advanced directives or a legal decision-maker to access post-hospital facility placement and health care decisions. The goal of this legislation is to help incapacitated patients access post-hospital facility care faster, reduce unnecessary hospital stays, ease strain on Wisconsin’s health care system, and include family involvement in decision making. • Governor Tony Evers Interagency Council on Mental Health (ICMH) released its statewide action plan outlining how state government can better support mental health in Wisconsin. The plan includes actions state government can implement immediately to help improve Wisconsinites’ mental health, as well as recommendations for additional support like funding, staffing capacity, and legislative action. Behavioral Health PAC • No meeting. Next meeting is June 26th Child Welfare PAC • No meeting Income Maintenance PAC • Waiting on corrected contract amendment for quality assurance funding • Creating a short-term work group to explore efficiencies when working with the state problem resolution team, this is the ES Helpdesk. Hoping to be efficient statewide with sharing answers to questions coming in regarding all upcoming policy changes. Page 35 of 88 2 Center for Medicaid Services (CMS) As required by law, on June 1, 2026, the Centers for Medicare & Medicaid Services (CMS) issued an interim final rule implementing a new statutory requirement for certain adults in Medicaid to meet an 80 hours per month work requirement (sometimes referred to as Medicaid community engagement) as a condition of eligibility. States must generally implement this requirement no later than January 1, 2027. The work requirement applies to non-pregnant adults between the ages of 19 and 64 who are not entitled to or enrolled in Medicare and are eligible for or enrolled in the Medicaid adult group or in certain section 1115 demonstrations that provide minimum essential coverage to adult beneficiaries. Certain individuals are exempt from the requirement, including those who are pregnant or in a postpartum period, disabled or medically frail, parents and caretakers of children under 14 years of age or people with disabilities, American Indians and Alaska Natives, and certain others. States may also elect to offer short-term hardship exceptions for individuals subject to the work requirement under specific circumstances – for example, those receiving inpatient or certain other medical services, individuals who need (or whose dependent needs) to travel outside their community for certain medical care not available in their home community, those in a county with an unemployment rate at or above 8% or 1.5 times the national average, and those who reside in a county where certain national emergencies or disasters exist. Under the rule, affected Medicaid applicants and enrollees (referred to as “applicable individuals”) will be required to demonstrate 80 hours per month of qualifying activities, such as employment, participation in certain work programs, or community service, or be enrolled in educational program at least half time. Individuals may combine activities to meet the 80-hour requirement. or meet it by earning at least 80 times the Federal hourly minimum wage ($580 per month in 2026); for seasonal workers, there is a different calculation. Certain new Medicaid applicants will need to meet the requirement for at least one month before the month in which the applicant applies, and existing Medicaid beneficiaries will need to meet the requirement for one or more months between renewals. States must verify compliance of applicable individuals at application, at renewal, and – at state option – at more frequent periodic intervals. If a state cannot verify that an individual has met the requirement, it must send a notice of noncompliance and provide the individual with 30 calendar days to demonstrate compliance or that the requirement does not apply to them. If the individual fails to do so, their application might be denied, or they might be disenrolled from Medicaid. Individuals who are disenrolled may reapply at any time and will be assessed for compliance upon reapplication. Long Term Care PAC • No update Financial PAC • No update Page 36 of 88 3 Department and Division Updates Department Updates Work Anniversary CONGRATS and THANKS to the following staff for their service and dedication: Melinda Steele, ES – 11 Years Hannah Kleist-Mousel, CWDA – 7 Years Jill Johnson, Fiscal – 6 Years Tiffiny Fedie, Fiscal – 4 Years Stephanie Rasmussen, ADRC – 4 Years Jason Kolano, ADRC – 4 Years Karen Herbison, ADRC – 1 Year Kelly Berdan, YJ – 1 Year Ryan Fox, ES – 1 Year Division Updates Aging & Disability Resource Center (ADRC) • Once again, the Senior Farmers Market Voucher program demonstrated strong community engagement. We began accepting applications on June 1, and in the first week, we distributed over 50% of our allocated program vouchers! We received 308 vouchers from the State program this year, and plan to request additional vouchers based on availability. In 2025, we served a total of 388 consumers, resulting in $6,545 in local fresh produce being redeemed. • We are hiring for a Site Aide driver position for the Nutrition Program to transport home-delivered meals from Bloomer to Cornell three days per week. Children, Youth & Families (CYF) Division Birth to Three (B-3) • Birth-to-Three had a quieter month with only eleven referrals for the month of May. The team is just starting the process to get ready for their annual state audit coming up in July with MetaStar; the initial call occurred in late May. Child Protective Services (CPS) • In May 2026, the Department received sixty reports alleging Child Abuse and/or Neglect; of those reports, fifteen met the State Statute definition to screen-in to complete an assessment. An additional eight reports were screened-in to offer services. • In May 2026, no cases were closed. • In May 2026, one child was reunified with his parents right before his first birthday. • In May 2026, five children were removed from their parental home. A sibling group of four were removed due to their mother’s substance use; the children were able to be placed with their respective fathers. In addition, one child was removed from the hospital due to his mother and father’s methamphetamine use. • The unit is seeing an uprise in reports that are reaching the level of removal due to parental substance use. Removing children is time-consuming and emotionally draining for both staff and the families we work with. Page 37 of 88 4 • There is staff turnover in the unit. One Initial Assessment Worker left Chippewa County and another Initial Assessment Worker will be transferring units. Forutnately, two staff members from Comprehensive Community Services have expressed interest and will be filling these slots. This is great for the unit as the external hiring process does not need to occur. Children with Differing Abilities (CWDA) • We have three different staff transitioning into other units/positions in July. These workers are Autumn Metoxen (moving to YJ), Lexi Hollmann (moving to CPS), and Tara Reitan (moving to CPS). We also had one employee, Nicole Vinson, leave employment with Chippewa County in May. One of the CCS positions will be transitioning to a CLTS position. Mikala Talbot will be moving into one of the vacant CCS positions in July. The other vacant CCS positions and the CLTS position will be posted soon. With all the transitions, caseloads are getting high for workers. Youth Justice (YJ) • We are on track for the transition of Kerry Krista to move to her new position in MWR and to have Amanda D’Jock move into the role of Juvenile Court Intake worker. These ladies will officially assume their new roles as of July 7th, 2026. Autumn Metoxen will be moving from Children’s CCS to ongoing YJ on July 20th, 2026. We will be welcoming Manda Young back from FMLA on July 8th, 2026. We look forward to getting our feet back on the ground during the summer months, which are typically less busy than during the school year! Economic Support (ES) Division • Erin Blum to start 6/22, Economic Support will be fully staffed again. Mental Wellness & Recovery (MWR) Division Adult Protective Services (APS) • Elder Abuse Awareness Day is June 15th! This is an opportunity to educate the community and provide resources to increase awareness and where to go for assistance. Flyers are distributed throughout the community. o Example: Signs of Elder Abuse: Elder abuse is an intentional act or failure to act that causes or creates a risk of harm to an older adult. Common types of elder mistreatment include physical, sexual, emotional/psychological, or financial abuse, neglect or self- neglect. Elder abuse impacts people of all ages, identities and backgrounds. o FACTS: 1 in 10 community-dwelling older adults experience abuse every year. 1 in 2 older adults with cognitive impairment experiences abuse. Community Support Program (CSP) • There have been some discharges in 2026 for clients who are able to be served in the community. There were 4/5 successful graduations with the CSP discharges. This allows for space for people on the CSP wait list. CSP is actively working to move 7 people from the wait list to enrollment, prioritizing the mental health needs of the individuals needing CSP . Page 38 of 88 5 • Staffing remains stable in the CSP program which is positive for program participants. Comprehensive Community Services (CCS) • Service Facilitator Case Loads are full at this time; 7 consumers are ready to be assigned and enrolled. The overflow is due to one staff on maternity leave and a new staff officially starting in adult CCS on July 6 th. The current number of active referrals is 30. The clinician and lead worker have an efficient system in managing referrals and assignments, so we are hopeful that numbers will even out over the next few months. • Referrals for adult CCS remain consistent with regular weekly referrals for people seeking services. Despite a high number of referrals, the waiting list has been reduced since the end of 2025. • The CCS team reported 3 successful graduations from the program during the past month. • The 6 th Annual Collaboration, Recognition & Unity (CRU) Event is scheduled for June 16, 2026. The CRU event is an opportunity for CCS service facilitators and contracted providers to collaborate and connect outside the everyday CCS operations. Training is a key component for the day. Crisis Program • We’ve had an increase in complex cases this spring, and cases where emergency mental health and adult protective services overlap, so there have been consultations with corporation counsel on how to manage these cases statutorily. • There were 123 crisis cases needing follow up in May 2026. Thus far in 2026 there have been 50 emergency detentions, 471 individual crisis response plans formulated, and 389 crisis contacts resolved through least-restrictive interventions, follow-up, and community-based supports rather than involuntary detention or placement. Special Events in the Month Of June » Pride Month: Celebrated globally with parades and festivals to honor the LGBTQ+ community » PTSD (Post-Traumatic Stress Disorder) Awareness Month » Flag Day (June 14): Commemorates the adoption of the US Flag » Juneteenth (June 19): Commemorates the emancipation of enslaved African Americans in the US » Summer Solstice (June 21) Page 39 of 88 DHS Dashboard Report Date: 06/2026 CPS Caseload 1 FTE 1 FTE 1 FTE 1 FTE 1 FTE 1 FTE 1 FTE 1 FTE 1 FTE Total IA 10 8 8 8 -- 34 Ongoing 12 7 8 7 34 68 YJ Caseload 1 FTE 1 FTE 1 FTE 1 FTE 1 FTE 0.5 LTE Total Ongoing 12 11 16 On Leave 9 48 Deferred Agreements 31 2 33 81 IMD Expenditures April Children: $34,216 Adults: $356,166 Total: $390,382 CPS Reports May 60 Crisis Reports May 123 YJ Referrals March 34 Meals Served April 2,880 B-3 Referrals May 11 GRC Cases April 61,023 Options Counselor Monthly Contacts April 254 Benefit Specialist Monthly Contacts April 173 GRC Calls Received: 12,687 April GRC FNS Error Rate: 13.13% State FNS Error Rate: 6.11% Contract Requirement: Below 6% Data current: April 2026 GRC Average Speed of Answer: 5.41 Mins Contract Requirement: ≤10 Minutes April 102 68 79 82 92 2022 2023 2024 2025 2026 YTD CPS Screen-Ins 289 133 136 142 123 Jan Feb Mar Apr May Crisis Reports (2026) 156 130 63 102 107 2022 2023 2024 2025 2026 YTD Out-of-Home Placements Total served includes Kinship 4 2 24 18 CWDA CASE STATUS Cases Opened Waitlist - Screening Waitlist - CCS Waitlist - CLTS 45 15 CPS SCREENING Screen Out Screen In May 90 33 CRISIS REPORTS Adults Children May WCHSA Caseload Recommendations Initial Assessments: 11 cases per worker with no more than 6 new assessments per worker per month Ongoing: 10 cases per worker with no more than 15 children per worker Page 40 of 88 2026 Monthly Fiscal Information Through Month of: May 2026 16,251,705$ Expenses Paid (Through January 31): 11,687,977$ 4,563,728$ 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 443,723 June 36,977 July 443,723 July 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: 122,516$ 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 1,068,015 June 89,001 July 1,068,015 July 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: 427,222$ 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 479,041 June 39,920 July 479,041 July 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: 164,613$ 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 765,000 May 63,750 June 765,000 June 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: 291,303$ 765,000$ 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 2026 Budget (Total is $39,004,091): Prorated - 5 months April 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 Chippewa County Department of Human Services Page 41 of 88 Statement of Explanation Human Services 2025–2027 Strategic Plan Updates — Bobbie Jaeger 1 Human Services Director, Bobbie Jaeger, presents Human Services 2025–2027 Strategic 2 Plan updates. Page 42 of 88 Department of Human Services 2025-2027 Strategic Plan Department/Division Goals: 1. Build a culture of community engagement 2. Utilize data-driven decision-making 3. Demonstrate fiscal responsibility 4. Build a culture of service 5. Continue to build and maintain a healthy workplace Leadership Team Objective Improve interconnectedness within the Leadership Team Status Update December 2025  The DHS Leadership team created a schedule of program presentations that are given at leadership meetings. So far, the leadership team has heard presentations from: Economic Support, Adult Protective Services, Birth to 3, Youth Justice, Fiscal, ADRC Nutrition and Transportation, RWC Consortium, and ADRC Options Counseling. This additional time spent learning more about each program’s offerings and the work they do assists leadership in building connections as co-workers and better serving consumers.  The DHS director has taken the opportunity to shadow other DHS staff. This has included sitting in on crisis meetings, Youth Justice and CPS team meetings, Permanency Plan Reviews for children placed out of the home, attending court for a CPS case, attending an ADRC team meeting, Sitting in on an Options Counseling appointment, sitting in on a truancy intake, observing all reception areas, attending a youth justice court hearing, attending a Birth to 3 home visit, sitting in on an APS team meeting to name a few. Status Update June 2026  Program presentations have continued at Leadership meetings. In 2026, we’ve had presentations from the Administrative Assistant team, Family Care and Kinship, CSP and Adult CCS, ADRCs EBS and DBS, and Children’s CCS and CLTS.  The Leadership team has taken the opportunity to do some small group work to discuss Strategies for Leaders Addressing Negativity Within Teams, and Team Wellbeing and Burnout Objective Educate County stakeholders and decision-makers on DHS programs Status Update December 2025  DHS staff continue to provide the county board with success stories and program overviews. Staff have also attended informational meetings with Rogers Health and LSS as they prepare to begin service to Chippewa County. Status Update June 2026  DHS staff continue to provide the county board with success stories and program overviews.  Social media pages have been utilized to engage the community by providing education, information, and time sensitive announcements. Page 43 of 88 2025-2027 DHS Strategic Plan  The 2025 Annual Report was completed and is available on our website Objective Continue to increase employee engagement Status Update December 2025  DHS crisis team presented on their program at the DHS all staff meeting in November.  DHS Director offered any staff interested one-on-one meetings in April and August.  Voluntary “Coffee Chats” were scheduled for staff. These were virtual meetings where DHS staff could get together and chat about a specific theme or just say hello to get to know staff in other divisions. Status Update June 2026  DHS Director offered one-on-one meetings to interested staff in March  Child Protective Services presented on their programs at the February All Staff Meeting  A survey was sent to all DHS staff in May. The survey asked how satisfied they are will their role, the likelihood they will remain in that type of role for the next 5 years, what they want other DHS staff to know about the work they do, and an opportunity to ask questions about another division or unit within DHS. Staff were presented with the results and a few of the questions from that survey will be highlighted at the August All Staff meeting. Objective Improve outcomes through data-driven decisions Status Update December 2025  Division Score cards will be reviewed at the December 11th Leadership Meeting Status Update June 2026  Division Score Cards will be reviewed at a July Leadership Meeting. Aging & Disability Resource Center (ADRC) Objective Expand staff knowledge of community resources and ensure partners have accurate information about the ADRC Status Update December 2025  Staff connected directly with community partners, including the Family Health Center Benefit Navigator, Compass Independent Living, the Veteran Service Office, WestCap, the State Volunteer Ombudsman Program, and UW-Madison Extension-Human Development & Relationships program, learning more about their services, referral processes, and local trends.  Staff met with the Mental Wellness and Recovery (MWR) division to explore service areas and make connections that support cross-division collaboration.  A presentation was provided to students enrolled in the Wisconsin Area Health Education Centers program to share the role of ADRCs and how they serve the community. Status Update June 2026  Staff strengthened understanding of community needs and service delivery approaches through participation in a local Poverty Simulation and a staff training on end-of-life supports presented by death doulas. Page 44 of 88 2025-2027 DHS Strategic Plan  ADRC continued to build awareness of its services among future professionals and community partners through presentations to UW–Eau Claire Social Work students and participation in local resource fairs and outreach events.  Targeted partner engagement improved coordination of services, including meetings with three local hospice agencies to align referral timing and processes for Family Care and IRIS, and collaboration between the Elder Benefit Specialist and Veterans Service Office to strengthen cross-program understanding.  A large-scale outreach mailing to community partners increased awareness of ADRC services, Benefit Specialist roles, and key program offerings across a wide range of organizations.  Collaborative partnerships supported expanded programming and access, including a Planning Ahead class with UW Extension and Mental Wellness and Recovery (with Power of Attorney completion option), ongoing administration of the Senior Farmer’s Market Voucher Program, and environmental health education in partnership with Public Health. Objective Empower Chippewa County residents to easily access current information about ADRC programs, services, and events available in each community Status Update December 2025  Programs such as Mind Over Matter workshop in Stanley, the Brain & Body Fitness class with the Chippewa Falls YMCA - a new offering in Chippewa County, expanding SAIL (Staying Active and Independent for Life) sessions, and the fall Strong Bodies program in Bloomer have all seen strong attendance and positive responses.  Began tracking Power of Attorney Workshop attendance and survey feedback to guide future offerings.  The ADRC Resource Guide is being updated alongside the new Chippewa County website to improve usability and meet full ADA compliance; it’s widely used across DHS divisions and County departments, serving as a central resource for both staff and the community.  Additional engagement efforts included the 3rd Annual Age Your Way Conference, “Facing the Wind” free movie and pizza nights at Bloomer and Chippewa Falls Libraries, and the Senior Farmer Market Voucher program, which distributed 388 vouchers through walk-in, mail, and online. Status Update June 2026  A “Contact Us” form was added to the ADRC website, creating a simple, direct access point for residents to connect with staff and request information online.  Core programming remains strong and accessible, including Brain & Body Fitness (YMCA partnership), and ongoing SAIL and Strong Bodies sessions, all with consistent participation. Page 45 of 88 2025-2027 DHS Strategic Plan  A large-scale outreach mailing introduced ADRC Benefit Specialists and promoted available services, including the monthly Medicare & You workshop, significantly expanding awareness across community settings.  A needs assessment on emergency preparedness, conducted in partnership with Public Health and UW–Eau Claire nursing students, directly informed follow-up education and resource distribution at senior dining and home-delivered meal sites.  Additional access-focused initiatives included a medication disposal-by-mail program in partnership with Public Health and expanded newsletter distribution across the county, increasing reach—particularly in rural communities. Objective Continuously enhance a healthy work environment through engagement and operational efficiency Status Update December 2025  Onboarding a new front desk team member provided an opportunity to clarify roles based on staff strengths and capacity, improving communication and efficiency across the office.  Team-building events, including Org Day, seasonal potlucks, flannel day, and staff games, provided opportunities for staff to connect and engage with one another outside of regular duties.  Staff played a key role in quality improvement projects, including the revision of the Consumer Walk-in Form, helping make office processes smoother and more effective. Status Update June 2026  Internal adjustments to office space aligned closely related roles, improving communication, collaboration, and day-to-day operational efficiency.  Volunteer appreciation events were held across Nutrition program sites, recognizing the contributions of volunteers and supporting continued engagement.  Program efficiency and access were strengthened through updates to the DOT 85.21 Vehicle Modification Grant and outreach in partnership with A&J Mobility, increasing awareness and improving access to vehicle modification resources. Children, Youth, & Families: Birth to 3/Child Protective Services (B3/CPS) Objective Continue to educate and increase collaboration with law enforcement, schools, medical providers, daycares and community members about programs Status Update December 2025  CPS, Law Enforcement, the District Attorney’s Office, and the Corporation Counsel’s Office collaborate monthly at a standing meeting on Fridays.  CPS continues to present to a Criminal Justice Class at Chippewa Falls High School each semester.  Birth-to-Three Staff joined a lunch and greet with Early Headstart in October 2025.  The Birth-to-Three Program Coordinator joined the Early Childhood Education Panel at the Chippewa Valley Technical College in October 2025. Page 46 of 88 2025-2027 DHS Strategic Plan  Birth-to-Three Staff engaged in the Northern/Western Regional Birth-to-Three and Family Foundations Home Visit Partnership Roundtable Collaboration Meeting in November 2025.  In early 2026, CPS and Birth-to-Three will send out information to law enforcement, schools, medical providers, daycares, and other community members to see if they are interested in either unit coming to speak to their teams about programs and services. Status Update June 2026  Monthly meetings with Law Enforcement, the District Attorney’s Office, and the Corporation Counsel’s Office are still occurring.  CPS is continuing to present to high school and college classes.  Birth-to-Three sent out information to medical providers about the Birth-to-Three Program. Objective Increase the number of Foster Parents who are willing to take placement of teenagers and children with exceptional needs Status Update December 2025  Currently, CPS is working on supporting the three families who are willing to take placement of teenagers and children with exceptional needs so that they can be retained and not burn out.  In 2026, CPS will be initiating recruitment efforts in hopes of finding more homes that are willing to take placement of teenagers and children with exceptional needs. These recruitment efforts will include informational sessions, fliers, and connecting with the community. Status Update June 2026  The Unit is reconvening the Recruitment Team to try and engage more homes that are willing to take placement of teenagers and children with exceptional needs. Children, Youth, & Families: Children with Differing Abilities/Youth Justice (CWDA/YJ) Objective Increase staff satisfaction Status Update December 2025  CWDA Workers are working very hard to get cases closed out when appropriate.  We have created internal timelines.  There have been trainer meetings established that are ongoing to tighten up training.  We will be working with the functional screener to have them meet with new staff.  Team bonding events occur at least quarterly. Status Update June 2026  It has been difficult to manage caseload sizes with an increase in staff turnover.  Team bonding continues to occur quarterly. Objective Learn more about other programs that CWDA works with Status Update December 2025  CWDA had different units present to our team about what they do. Status Update June 2026  No new updates. Objective Increase staff fidelity of Youth Assessment and Screening Instrument (YASI) Page 47 of 88 2025-2027 DHS Strategic Plan Status Update December 2025  We have updated our intake form.  We reserve one unit meeting per month dedicated to YASI practice, each worker taking the lead on the discussion on a rotating basis.  Reminders for annual YASI booster trainings have been given. Status Update June 2026  No changes from December update. Objective Increase prevention and diversion of YJ referrals Status Update December 2025  Coordinator has been hired.  A quarterly meeting schedule has been established.  Trainings for Behavioral Threat Assessment and Management (BTAM) members are scheduled and two have been held already.  No official community education has taken place yet.  We applied for and were awarded a substantial continuation grant for 2026 for this effort.  We have restructured one role within the unit to help with workload and pre-truancy intervention in Juvenile Court Intake.  A needs assessment was completed at the time of the strategic plan development. Another one will be done in January 2026.  We are navigating the reporting system to gather this data. Status Update June 2026  A needs assessment was completed in the first quarter of 2026  No other changes from December Objective Increase employee engagement Status Update December 2025  Staff determined that they’d rather have an organic way of recognizing the work they do and established that recognition can come from each other and doesn’t always have to come from the manager.  We created a “get to know you” form and it is kept in a centralized location in the YSS O- Drive for staff to access. This assists staff receiving recognition that are meaningful to them. Status Update June 2026  After staff changes are established, we will evaluate how the tool has been utilized. Economic Support (ES) Objective Implement regular staff camaraderie Status Update December 2025  Staff “get to know you” document was sent out to determine individual needs 5/25  Emily is sending weekly emails with positive quotes  Manager is meeting with staff bi-monthly for check-ins via Teams Meetings  Bi-monthly donut talks implemented for staff to mingle in small groups Status Update  Emily and Leah sending weekly emails with positive quotes Page 48 of 88 2025-2027 DHS Strategic Plan June 2026  Manager continues to meet with staff bi-monthly via Team meeting Objective Implement two in-person training programs for ES staff annually Status Update December 2025  In person staff meeting held in August and October Status Update June 2026  Beginning to work on August/Sept in-person training Objective Support telework through balancing the needs of the consumer, team, and individual staff Status Update December 2025  Manager sends quarterly emails to staff regarding IT issues, so far, no unmet needs have been reported. Status Update June 2026  Manager continues to send email, no response with unmet needs to this date Fiscal Objective Manage Medicaid changes to programs and technologies to continue to bill and receive revenue timely Status Update December 2025  The fiscal team successfully made changes to billing templates in Avatar to be able to bill CLTS Case Management to ForwardHealth, as well as establishing a process to receive reimbursement for CLTS purchases timely.  The fiscal team has training with Joxel the first week of December to learn new billing processes with the Avatar enhancement project. Status Update June 2026  Six contracted providers are now onboarded to directly enter their notes in Avatar  Adjustments to Avatar and billing processes have been made by the fiscal team to optimize the process between the provider entering the note, paying the invoice, and billing the claim to ForwardHealth Objective Increase employee engagement Status Update December 2025  The fiscal team met to go over everyone’s roles in the AP/AR process to understand how each step impacts the next.  Several members of the fiscal team have attended training at CVTC.  Fiscal team has established times to get together for team building. Status Update June 2026  As noted in the leadership section above, a survey of DHS staff was carried out in May. The survey asked about satisfaction in their role, the likelihood remaining in their role, and things they would like to share or learn about others in the department. The overall score for the department was 4.3 out of 5 and the fiscal team score was 4.8 out of 5. Objective Adhere to billing timelines for all Medicaid programs Status Update December 2025  We reduced our AR days for 2025 services from 34 in January to 26 for September (last month of contracted services billed). Page 49 of 88 2025-2027 DHS Strategic Plan  We have a template for timeliness for CCS payments that is green when all our deadlines are met and will create one for the other programs. Status Update June 2026  Billing deadlines were met in the first quarter of 2026. Mental Wellness & Recovery (MWR) Objective Improve outcomes through data-driven decisions Status Update December 2025  Adult Protective Services (APS) tracks the amount of time to complete a screen-in investigation (point of initial contact to point of supervisor signing off on report). This will help in meeting compliance concerns with new APS standards.  Comprehensive Community Services (CCS) tracks the time consumer spends on waitlist for services (point of functional screen completion to signing of admission paperwork). CCS is not allowed to have a waitlist.  Community Support Program (CSP) tracks the percentage of consumers actively engaged in wellness checks with health care providers. CSP consumers, on average, have shorter life span of 15 years.  Emergency Mental Health Services (EMHS) is tracking number of uninsured consumers. With pending loss of health care subsidies, the County may be at financial liability for cost of mental health services. Status Update June 2026  APS has had conversations about the timeline to complete a screen-in investigation and where we are currently at with investigations. Due to multiple intakes, guardianships and investigations in 2026, staff completing the investigations have needed to do some catch up work to get the reports all entered. We need to revisit an efficient method for tracking actual time for investigations being completed and have this implemented by August 2026. Program staff have attended APS Intake Modernization Project meetings.  CCS has a system in place to track the time a consumer spends on the waitlist for services, and this data is readily available. The data tracking worksheet is reviewed and monitored regularly by the CCS clinician and lead worker. Additional data tracked include: referral follow-up, acuity levels, assigned service facilitators and program graduations.  CSP team consistently works with consumers to encourage having a primary care physician and schedule wellness checks. CSP clinician has a plan to create a tracking method to determine what percent of consumers in CSP are accomplishing this. Along with wellness checks we want to track those consumers with metabolic syndrome and identify ways to target this issue with consumers – in conjunction with the CSP nurse and psychiatric provider and primary doctor. Page 50 of 88 2025-2027 DHS Strategic Plan  The crisis team identifies consumers without insurance and will work with them to get assistance from hospital social workers, group home staff, or the ADRC to apply for MA. Multiple data points are tracked by the crisis clinician, which include: number of crisis contacts/linkage and follow-up; emergency detentions; commitments and settlement agreements; and amount of time spent by crisis staff with consumers. Objective Increase employee engagement Status Update December 2025  2025 Org Day completed 9/4/25 with individual recognition for each workers contribution  2026 establish a sign-up sheet for each worker to give a short 10 min presentation on topic of their own choice. Status Update June 2026  Planning a half day team event to take a break from daily workloads and do something recreationally in the community.  There will be another Org Day scheduled and planned for Sept. 2026  The 10-minute presentations have not been scheduled.  We’ve had team discussions re: Division Meetings regarding change in managers in 2026. Objective Update MWR-Core procedures Status Update December 2025  Core mental health and substance abuse manual update completed 10/26  Core Fiscal and Medical scheduled for completion 12/1 Status Update June 2026  Nine MWR procedures have been assigned to review and update by admin. These will be completed by the end of June 2026.  In addition, 6 new procedures have been implemented, which will be submitted at the same time as procedures above. Objective Crosstrain all staff to complete initial intakes for Adult Protective Services (APS) Status Update December 2025  Training completed to MWR staff by August 2025. Due to inefficiencies, APS went back to performing their own intakes starting in September. APS staff cannot meet the demands of the aging population. Federal guidelines are being rolled out in 2026/27 that will place time frames and other expectations on investigations. Mikala Talbot (CPS unit) has been aiding in completing investigations. Her assistance is much appreciated. Status Update June 2026  Additional MWR staff have been trained in APS intakes, to cover when intake social worker is out or on vacation. MWR staff assist when needed with APS cases and need. There is also collaboration between crisis and APS services for specific services. Objective Develop strategies to improve collaboration with community partners Status Update December 2025  Jennifer Van Sleet is working with schools on the impact of alcohol consumption on motor skills (drunk goggles).  Lisa Hudson and David Pfeiffer have made informal connection with Rogers Hospital for purpose of future collaboration. Page 51 of 88 2025-2027 DHS Strategic Plan Status Update June 2026  In 2026 there has been collaboration with the following: law enforcement; LSS Gaining Ground program; Public Health; ADRC; corporation counsel and Aurora services. There will be additional collaboration with Rogers Hospital, as time gets closer to the opening of their facility. Western Region Recovery & Wellness Consortium (WRRWC) Objective Create more opportunities for team building/connectedness Status Update December 2025  Team Celebration took place with AVATAR Enhancement Project Go-LIVE.  The team meets once per month in person for Lead Team meetings.  Team Holiday gathering will take place at the end of December. Status Update June 2026  The team continues to meet in person once per month. The team will be getting together for a “team-building” afternoon, later this summer, after the new Administrative Assistant starts. Objective Revise current RWC Consortium-Wide training resources to be more current and sustainable Status Update December 2025  Lead County met in September to start reviewing which training topics need to be updated in SharePoint. Topics were assigned out and will be revisited in 2026. This will also be included in the WRRWC Consortium Strategic Plan for 26-28.  Discussions have also begun around integrating fidelity tools for wraparound. This will also be a part of the WRRWC Consortium Strategic Plan. Status Update June 2026  Most of the outdated trainings have been updated in SharePoint. Additional changes will be made following the review of feedback from the consortium counties. Survey will be sent mid to end of June. Objective Create an RWC-Lead Team Onboarding Process that can be used as a resource for coverage for any level of absence needs and/or new staff Status Update December 2025  Initial discussions were had. This item has been identified to begin in February 2026. Status Update June 2026  About half of the team has started their list. Further meetings will be scheduled once the two vacancies on the team have been filled. Page 52 of 88 Statement of Explanation Public Health Frameworks and Their Role in Community Health and Healthcare Delivery - Brittnay Fortuna 1 Overview of key public health frameworks, including the Ten Essential Public Health 2 Services and Foundational Public Health Services. The presentation will explore how social 3 determinants of health influence health outcomes and healthcare utilization, and discuss the 4 relationships among public health, healthcare delivery, and population health in Chippewa 5 County. Page 53 of 88 Intro to Public Health Frameworks June 2026 Public Health continues to evolve over time, and is currently in the Public Health 3.0 era 1 Page 54 of 88 Although work in all areas is necessary to improve health, Public Health 3.0 focuses on 2 & 3 The following 4 topic areas will be discussed in the next sections 10 Essential Public Health Services Foundational Public Health Services PHAB 2022 Standards & Measures Core Competencies The 10 EPHS were developed to describe the activities the public health system should undertake in all communities. They provide a framework for public health to protect and promote the health of all people in all communities. The FPHS were developed to represent a minimum package of public health services to make the case for sustainable funding and to set a foundation for what is needed everywhere for public health to function anywhere. The Public Health Accreditation Boards (PHAB) Standards & Measures were developed as a tool to improve the performance and quality of public health departments. The Core Competencies for Public Health Professionals (Core Competencies) are a consensus set of foundational skills for the broad practice of public health, as defined by the 10 Essential Public Health Services. 2 Page 55 of 88 10 Essential Public Health Services THE 10 ESSENTIAL PUBLIC HEALTH SERVICES The 10 Essential Public Health Services provide a framework for public health to protect and promote the health of all people in all communities. To achieve equity, the Essential Public Health Services actively promote policies, systems, and overall community conditions that enable optimal health for all and seek to remove systemic and structural barriers that have resulted in health inequities. Such barriers include poverty, racism, gender discrimination, ableism, and other forms of oppression. Everyone should have a fair and just opportunity to achieve optimal health and well-being. 3 Page 56 of 88 This service includes: •Maintaining an ongoing understanding of health in the jurisdiction by collecting, monitoring, and analyzing data on health and factors that influence health to identify threats, patterns, and emerging issues, with a particular emphasis on disproportionately affected populations •Using data and information to determine the root causes of health disparities and inequities •Working with the community to understand health status, needs, assets, key influences, and narrative •Collaborating and facilitating data sharing with partners, including multi- sector partners •Using innovative technologies, data collection methods, and data sets •Utilizing various methods and technology to interpret and communicate data to diverse audiences •Analyzing and using disaggregated data (e.g., by race) to track issues and inform equitable action •Engaging community members as experts and key partners ESSENTIAL PUBLIC HEALTH SERVICE #1 Assess and monitor population health status, factors that influence health, and community needs and assets ESSENTIAL PUBLIC HEALTH SERVICE #2 Investigate, diagnose, and address health problems and hazards affecting the population This service includes: •Anticipating, preventing, and mitigating emerging health threats through epidemiologic identification •Monitoring real-time health status and identifying patterns to develop strategies to address chronic diseases and injuries •Using real-time data to identify and respond to acute outbreaks, emergencies, and other health hazards •Using public health laboratory capabilities and modern technology to conduct rapid screening and high-volume testing •Analyzing and utilizing inputs from multiple sectors and sources to consider social, economic, and environmental root causes of health status •Identifying, analyzing, and distributing information from new, big, and real-time data sources 4 Page 57 of 88 ESSENTIAL PUBLIC HEALTH SERVICE #3 Communicate effectively to inform and educate people about health, factors that influence it, and how to improve it This service includes: •Developing and disseminating accessible health information and resources, including through collaboration with multi-sector partners •Communicating with accuracy and necessary speed •Using appropriate communications channels (e.g., social media, peer-to-peer networks, mass media, and other channels) to effectively reach the intended populations •Developing and deploying culturally and linguistically appropriate and relevant communications and educational resources, which includes working with stakeholders and influencers in the community to create effective and culturally resonant materials •Employing the principles of risk communication, health literacy, and health education to inform the public, when appropriate •Actively engaging in two-way communication to build trust with populations served and ensure accuracy and effectiveness of prevention and health promotion strategies •Ensuring public health communications and education efforts are asset-based when appropriate and do not reinforce narratives that are damaging to disproportionately affected populations ESSENTIAL PUBLIC HEALTH SERVICE #4 Strengthen, support, and mobilize communities and partnerships to improve health This service includes: •Convening and facilitating multi-sector partnerships and coalitions that include sectors that influence health (e.g., planning, transportation, housing, education, etc.) •Fostering and building genuine, strengths-based relationships with a diverse group of partners that reflect the community and the population •Authentically engaging with community members and organizations to develop public health solutions •Learning from, and supporting, existing community partnerships and contributing public health expertise 5 Page 58 of 88 ESSENTIAL PUBLIC HEALTH SERVICE #5 Create, champion, and implement policies, plans, and laws that impact health This service includes: •Developing and championing policies, plans, and laws that guide the practice of public health •Examining and improving existing policies, plans, and laws to correct historical injustices •Ensuring that policies, plans, and laws provide a fair and just opportunity for all to achieve optimal health •Providing input into policies, plans, and laws to ensure that health impact is considered •Continuously monitoring and developing policies, plans, and laws that improve public health and preparedness and strengthen community resilience •Collaborating with all partners, including multi-sector partners, to develop and support policies, plans, and laws •Working across partners and with the community to systematically and continuously develop and implement health improvement strategies and plans, and evaluate and improve those plans ESSENTIAL PUBLIC HEALTH SERVICE #6 Utilize legal and regulatory actions designed to improve and protect the public’s health This service includes: •Ensuring that applicable laws are equitably applied to protect the public’s health •Conducting enforcement activities that may include, but are not limited to sanitary codes, especially in the food industry; full protection of drinking water supplies; and timely follow-up on hazards, preventable injuries, and exposure-related diseases identified in occupational and community settings •Licensing and monitoring the quality of healthcare services (e.g., laboratory, nursing homes, and home healthcare) •Reviewing new drug, biologic, and medical device applications •Licensing and credentialing the healthcare workforce •Including health considerations in laws from other sectors (e.g., zoning) 6 Page 59 of 88 ESSENTIAL PUBLIC HEALTH SERVICE #7 Assure an effective system that enables equitable access to the individual services and care needed to be healthy This service includes: •Connecting the population to needed health and social services that support the whole person, including preventive services •Ensuring access to high-quality and cost-effective healthcare and social services, including behavioral and mental health services, that are culturally and linguistically appropriate •Engaging health delivery systems to assess and address gaps and barriers in accessing needed health services, including behavioral and mental health •Addressing and removing barriers to care •Building relationships with payers and healthcare providers, including the sharing of data across partners to foster health and well-being •Contributing to the development of a competent healthcare workforce ESSENTIAL PUBLIC HEALTH SERVICE #8 Build and support a diverse and skilled public health workforce This service includes: •Providing education and training that encompasses a spectrum of public health competencies, including technical, strategic, and leadership skills •Ensuring that the public health workforce is the appropriate size to meet the public’s needs •Building a culturally competent public health workforce and leadership that reflects the community and practices cultural humility •Incorporating public health principles in non-public health curricula •Cultivating and building active partnerships with academia and other professional training programs and schools to assure community- relevant learning experiences for all learners •Promoting a culture of lifelong learning in public health •Building a pipeline of future public health practitioners •Fostering leadership skills at all levels 7 Page 60 of 88 ESSENTIAL PUBLIC HEALTH SERVICE #9 Improve and innovate public health functions through ongoing evaluation, research, and continuous quality improvement This service includes: •Building and fostering a culture of quality in public health organizations and activities •Linking public health research with public health practice •Using research, evidence, practice-based insights, and other forms of information to inform decision-making •Contributing to the evidence base of effective public health practice •Evaluating services, policies, plans, and laws continuously to ensure they are contributing to health and not creating undue harm •Establishing and using engagement and decision-making structures to work with the community in all stages of research •Valuing and using qualitative, quantitative, and lived experience as data and information to inform decision-making ESSENTIAL PUBLIC HEALTH SERVICE #10 Build and maintain a strong organizational infrastructure for public health This service includes: •Developing an understanding of the broader organizational infrastructures and roles that support the entire public health system in a jurisdiction (e.g., government agencies, elected officials, and non- governmental organizations) •Ensuring that appropriate, needed resources are allocated equitably for the public’s health •Exhibiting effective and ethical leadership, decision-making, and governance •Managing financial and human resources effectively •Employing communications and strategic planning capacities and skills •Having robust information technology services that are current and meet privacy and security standards •Being accountable, transparent, and inclusive with all partners and the community in all aspects of practice 8 Page 61 of 88 Additional Resources Or check out this website: https://phnci.org/national- frameworks/10-ephs click the image to download a pdf one-pager Foundational Public Health Services 9 Page 62 of 88 Foundational Public Health Services The framework outlines the unique responsibilities of governmental public health and defines a minimum set of foundational capabilities and foundational areas that must be available in every community. Public health programs, or Foundational Areas, are basic public health, topic- specific programs and services aimed at improving the health of the community They reflect the minimum level of service that should be available in all communities Foundational Public Health Services 10 Page 63 of 88 Foundational Public Health Services Public health infrastructure consists of Foundational Capabilities that are the cross-cutting skills and capacities needed to support basic public health protections, programs, and activities key to ensuring community health, wellbeing and achieving equitable outcomes Like the foundation of a house, the FPHS are a universal set of services that should be available at all state and local health departments. They provide the strong foundation needed to protect a community’s health and help achieve equitable health outcomes. Just as every house needs to have wiring and plumbing, all public health departments should have the FPHS. A Strong Foundation to Protect a Community’s Health 11 Page 64 of 88 Additional Resources •https://phnci.org/transformation /fphs •How Do The Frameworks Align: 10 EPHS and FPHC click the image to download the pdf fact sheet Interaction between health outcomes, the SDoH, and policies and programs 12 Page 65 of 88 SDoH are influenced by policies and programs and are associated with better health outcomes. 13 Page 66 of 88 Statement of Explanation Public Health Financial User Fees – Brittnay Fortuna 1 Public Health Director, Brittnay Fortuna, and Public Health Fiscal Manager, Sarah 2 McQuillan, will present and review the changes to Public Health's Financial User Fees. Health & 3 Human Services Board approval is requested for revisions to the Financial Services User Fees for 4 2026 and 2027. 5 6 7 Page 67 of 88 Green = Proposed Effective 7/1/2026 Purple = Proposed Effective 1/1/2027 RED = Proposed Effective 4/1/2027 SERVICE 2025 FEE 2026 FEE 2027 FEE COMMUNITY HEALTH Mantoux/TB (Chippewa Cty Resident) $35.00 $40.00 $40.00 Mantoux/TB (NON Resident) $35.00 $40.00 $40.00 Influenza Vaccine $50.00 $23.00 effective for 2025 flu season $23.00 $25.00 effective for 2026 flu season Immunization Administration $32.00 effective for 2025 flu season $32.00 $35.00 effective for 2026 flu season COVID-19 Vaccine $150.00 $150.00 $150.00 $155.00 COVID-19 Vaccine Administration $45.00 $45.00 $45.00 In-Home Administration $35.00 $35.00 $35.00 Hepatitis B (other county depts) Actual Cost of Vaccine Actual Cost of Vaccine Actual Cost of Vaccine Hepatitis B (non county/gov't) Actual Cost of Vaccine + $25.00 (staff time/supplies) Actual Cost of Vaccine + $25.00 (staff time/supplies) Actual Cost of Vaccine + $25.00 $30.00 (staff time/supplies) Used sharps disposal & sharps container $5 disposal fee per container $5 for new sharps container $10 for sharps container and disposal fee $7 disposal fee per container $7 for new sharps container $14 for sharps container and disposal fee $7 disposal fee per container $7 for new sharps container $14 for sharps container and disposal fee Sharps disposal - Chippewa County residents $0.00 Sharps disposal - for businesses and non-Chippewa County residents, based on container size $8.00 - Less than one gallon $15.00 - one gallon to <2 gallon $25.00 - 2 gallon $40.00 - Larger than 2 gallon Sharps Container - 1 gallon size $7.00 Interpreting Services per billable unit $35.00 $35.00 $35.00 Medicaid Services (Health Check, Direct TB Services, and Prenatal Care Coordination) Health Check Lab Handling Fee $14.00 $14.00 $14.00 Lead Inspection initial $800.00 per Medicaid billing $800.00 per Medicaid billing $800.00 per Medicaid billing Lead Inspection, Follow up $300 per Medicaid billing $300 per Medicaid billing $300 per Medicaid billing Educational Visit After Lead Inspection $25.00/15 mins Nurse Education per Medicaid billing $25.00/15 mins Nurse Education per Medicaid billing $25.00/15 mins Nurse Education per Medicaid billing Direct TB Services $65.00/hr. $65.00/hr. $65.00/hr. Prenatal Care Coordination Risk Assessment $96.00 $96.00 $96.00 Initial Care Plan Development $96.00 $96.00 $96.00 Home Visit $65.00/visit $65.00/visit $65.00/visit Ongoing Care Coordination and Monitoring $65.00 $65.00 $65.00 Health Education /Nutrition Counseling - Individual $65.00/hr. $65.00/hr. $65.00/hr. Health Education /Nutrition Counseling - Group $25.00/hr. $25.00/hr. $25.00/hr. ADDITIONAL CHARGES Fee for Copy of Document $0.25 per page $0.25 per page $0.25 per page Federal Poverty Level Less than 101% Poverty 100% Discount Less than 101% Poverty 100% Discount Less than 101% Poverty Less than 100% Poverty 100% Discount Office Visit-New 15-29 Minutes (Straight Forward) $0.00 $0.00 $0.00 30-44 Minutes (Low) $0.00 $0.00 $0.00 45-59 Min (Moderate) $0.00 $0.00 $0.00 Office Visit-Continued CHIPPEWA COUNTY DEPARTMENT OF PUBLIC HEALTH FEES FOR SERVICES Page 1 of 18 Page 68 of 88 Green = Proposed Effective 7/1/2026 Purple = Proposed Effective 1/1/2027 RED = Proposed Effective 4/1/2027 SERVICE 2025 FEE 2026 FEE 2027 FEE CHIPPEWA COUNTY DEPARTMENT OF PUBLIC HEALTH FEES FOR SERVICES 0-9 Minutes (Minimal) $0.00 $0.00 $0.00 10-19 Minutes (Straight Forward) $0.00 $0.00 $0.00 20-29 Minutes (Low) $0.00 $0.00 $0.00 30-39 Minutes (Moderate) $0.00 $0.00 $0.00 Established patient 40+ Min $0.00 $0.00 Phone Visit Shipping $0.00 $0.00 $0.00 Online Digital Evaluation & Management 5-10 Minutes $0.00 $0.00 11-20 Minutes $0.00 $0.00 21+ Minutes $0.00 $0.00 Nurse Practitioner Fees New Client 12-17 years old $0.00 $0.00 $0.00 New Client 18-39 years old $0.00 $0.00 $0.00 New Client 40-64 years old $0.00 $0.00 $0.00 Established Client 12-17 years old $0.00 $0.00 $0.00 Established Client 18-39 years old $0.00 $0.00 $0.00 Established Client 40-64 years old $0.00 $0.00 $0.00 Implant Insertion $0.00 $0.00 $0.00 Implant Removal $0.00 $0.00 $0.00 Implant R&R $0.00 $0.00 $0.00 IUD Insertion $0.00 $0.00 $0.00 IUD Surveillance $0.00 $0.00 $0.00 IUD Removal $0.00 $0.00 $0.00 IUD R&R $0.00 $0.00 $0.00 IUD Insertion Failure $0.00 $0.00 $0.00 Wart Destruction <14 $0.00 $0.00 $0.00 Wart Destruction 15+ $0.00 $0.00 $0.00 Anus Wart Treatment $0.00 $0.00 $0.00 Vulva Wart Treatment $0.00 $0.00 $0.00 Thin Prep Pap $0.00 $0.00 $0.00 Pap Overread $0.00 $0.00 $0.00 HPV Testing $0.00 $0.00 $0.00 Trichomoniasis $0.00 $0.00 $0.00 Syphilis-VDRL $0.00 $0.00 $0.00 Hep C Testing $0.00 $0.00 $0.00 Herpes Testing $0.00 $0.00 $0.00 HIV-Serum $0.00 $0.00 $0.00 Wet Mount $0.00 $0.00 $0.00 Lab Services Pregnancy Test $0.00 $0.00 $0.00 Urine Test (LET/NIT) $0.00 $0.00 $0.00 Mycoplasma Genitalium Test $0.00 $0.00 $0.00 STD Screening HIV $0.00 $0.00 $0.00 Chlamydia (SLH) $0.00 $0.00 $0.00 Gonorrhea (SLH) $0.00 $0.00 $0.00 Shipping/Handling Lab/STD $0.00 $0.00 $0.00 STD Medications Doxycycline $0.00 $0.00 $0.00 Ceftriaxone $0.00 $0.00 $0.00 Zithromax (Azithromycin) (market price) $0.00 $0.00 $0.00 Page 2 of 18 Page 69 of 88 Green = Proposed Effective 7/1/2026 Purple = Proposed Effective 1/1/2027 RED = Proposed Effective 4/1/2027 SERVICE 2025 FEE 2026 FEE 2027 FEE CHIPPEWA COUNTY DEPARTMENT OF PUBLIC HEALTH FEES FOR SERVICES Bicillin $0.00 $0.00 $0.00 Supplies Emergency Contraception $0.00 $0.00 $0.00 Condoms and Lube $0.00 $0.00 $0.00 Non-latex Condoms $0.00 $0.00 $0.00 Dispensing & Education Fees $0.00 $0.00 $0.00 Vaginal Ring $0.00 $0.00 $0.00 Injectable Contraceptive $0.00 $0.00 $0.00 Oral Contraceptives $0.00 $0.00 $0.00 Cycle Beads $0.00 $0.00 $0.00 Female Condoms $0.00 $0.00 $0.00 Ciprofloxacin/Nitrofurantoin $0.00 $0.00 $0.00 Acyclovir $0.00 $0.00 $0.00 Terconazole/Fluconazole $0.00 $0.00 $0.00 Metro gel vag/Metronidazole $0.00 $0.00 $0.00 Nexplanon $0.00 $0.00 $0.00 Paragard $0.00 $0.00 $0.00 Liletta $0.00 $0.00 $0.00 Mirena $0.00 $0.00 $0.00 Kyleena $0.00 $0.00 $0.00 Imiquimod $0.00 $0.00 $0.00 Prenatal Vitamins $0.00 $0.00 $0.00 Federal Poverty Level Over 101-150% Poverty 75% Discount Over 101-150% Poverty 75% Discount Over 101-150% Poverty 100-149% Poverty 75% Discount Office Visit-New 15-29 Minutes (Straight Forward) $18.75 $18.75 $18.75 30-44 Minutes (Low) $27.50 $27.50 $27.50 45-59 Min (Moderate) $40.00 $40.00 $40.00 60-74 Min (High) $52.50 $52.50 Office Visit-Continued 0-9 Minutes (Minimal) $8.75 $8.75 $8.75 10-19 Minutes (Straight Forward) $13.75 $13.75 $13.75 20-29 Minutes (Low) $20.00 $20.00 $20.00 30-39 Minutes (Moderate) $25.00 $27.50 $27.50 Established patient 40+ Min $37.50 $37.50 Phone Visit Shipping $1.00 $1.00 $1.00 Online Digital Evaluation & Management 5-10 Minutes $5.00 $5.00 11-20 Minutes $8.50 $8.50 21+ Minutes $12.00 $12.00 Nurse Practitioner Fees New Client 12-17 years old $42.50 $42.50 $42.50 New Client 18-39 years old $42.50 $42.50 $42.50 New Client 40-64 years old $42.50 $42.50 $42.50 Established Client 12-17 years old $30.00 $30.00 $30.00 Established Client 18-39 years old $30.00 $30.00 $30.00 Established Client 40-64 years old $30.00 $30.00 $30.00 Implant Insertion $93.50 $93.50 $93.50 Implant Removal $46.75 $46.75 $46.75 Implant R&R $10.00 $10.00 $10.00 IUD Insertion $93.50 $112.50 $112.50 IUD Surveillance $0.00 $9.50 $9.50 IUD Removal $46.75 $187.00 $187.00 Page 3 of 18 Page 70 of 88 Green = Proposed Effective 7/1/2026 Purple = Proposed Effective 1/1/2027 RED = Proposed Effective 4/1/2027 SERVICE 2025 FEE 2026 FEE 2027 FEE CHIPPEWA COUNTY DEPARTMENT OF PUBLIC HEALTH FEES FOR SERVICES IUD R&R $109.00 $117.50 $117.50 IUD Insertion Failure $27.50 $93.75 $93.75 Wart Destruction <14 $12.50 $12.50 $12.50 Wart Destruction 15+ $22.50 $22.50 $22.50 Anus Wart Treatment $15.00 $15.00 $15.00 Vulva Wart Treatment $37.50 $37.50 $37.50 Thin Prep Pap $20.00 $20.00 $20.00 Pap Overread $17.50 $17.50 $17.50 HPV Testing $27.50 $27.50 $27.50 Trichomoniasis $17.50 $17.50 $17.50 Syphilis-VDRL $10.00 $10.00 $10.00 Hep C Testing $20.00 $20.00 $20.00 Herpes Testing $47.50 $47.50 $47.50 HIV-Serum $15.00 $15.00 $15.00 Wet Mount $12.50 $12.50 $12.50 Lab Services Pregnancy Test $5.00 $5.00 $5.00 Urine Test (LET/NIT) $2.50 $2.50 $2.50 Mycoplasma Genitalium Test $18.75 $18.75 $18.75 STD Screening HIV $7.50 $7.50 $7.50 Chlamydia (SLH) $22.50 $22.50 $22.50 Gonorrhea (SLH) $22.50 $22.50 $22.50 Shipping/Handling Lab/STD $3.50 $3.50 $3.50 STD Medications Doxycycline 25% of Market Price 25% of Market Price 25% of Market Price Ceftriaxone 25% of Market Price 25% of Market Price 25% of Market Price Zithromax (Azithromycin) (market price) 25% of Market Price 25% of Market Price 25% of Market Price Bicillin 25% of Market Price 25% of Market Price 25% of Market Price Supplies Emergency Contraception 25% of Market Price 25% of Market Price 25% of Market Price Condoms and Lube 25% of Market Price 25% of Market Price 25% of Market Price Non-latex Condoms 25% of Market Price 25% of Market Price 25% of Market Price Dispensing & Education Fees $46.75 $46.75 $46.75 Vaginal Ring 25% of Market Price 25% of Market Price 25% of Market Price Injectable Contraceptive 25% of Market Price 25% of Market Price 25% of Market Price Oral Contraceptives 25% of Market Price 25% of Market Price 25% of Market Price Cycle Beads 25% of Market Price 25% of Market Price 25% of Market Price Female Condoms 25% of Market Price 25% of Market Price 25% of Market Price Ciprofloxacin/Nitrofurantoin 25% of Market Price 25% of Market Price 25% of Market Price Acyclovir 25% of Market Price 25% of Market Price 25% of Market Price Terconazole/Fluconazole 25% of Market Price 25% of Market Price 25% of Market Price Metro gel vag/Metronidazole 25% of Market Price 25% of Market Price 25% of Market Price Nexplanon 25% of Market Price 25% of Market Price 25% of Market Price Paragard 25% of Market Price 25% of Market Price 25% of Market Price Liletta 25% of Market Price 25% of Market Price 25% of Market Price Mirena 25% of Market Price 25% of Market Price 25% of Market Price Kyleena 25% of Market Price 25% of Market Price 25% of Market Price Imiquimod 25% of Market Price 25% of Market Price 25% of Market Price Prenatal Vitamins 25% of Market Price 25% of Market Price 25% of Market Price Federal Poverty Level Over 151-200% Poverty 50% Discount Over 151-200% Poverty 50% Discount Over 151-200% Poverty 150-199% Poverty 50% Discount Office Visit-New Page 4 of 18 Page 71 of 88 Green = Proposed Effective 7/1/2026 Purple = Proposed Effective 1/1/2027 RED = Proposed Effective 4/1/2027 SERVICE 2025 FEE 2026 FEE 2027 FEE CHIPPEWA COUNTY DEPARTMENT OF PUBLIC HEALTH FEES FOR SERVICES 15-29 Minutes (Straight Forward) $37.50 $37.50 $37.50 30-44 Minutes (Low) $55.00 $55.00 $55.00 45-59 Min (Moderate) $80.00 $80.00 $80.00 60-74 Min (High) $105.00 $105.00 Office Visit-Continued 0-9 Minutes (Minimal) $17.50 $17.50 $17.50 10-19 Minutes (Straight Forward) $27.50 $27.50 $27.50 20-29 Minutes (Low) $40.00 $40.00 $40.00 30-39 Minutes (Moderate) $50.00 $55.00 $55.00 Established patient 40+ Min $75.00 $75.00 Phone Visit Shipping $2.00 $2.00 $2.00 Online Digital Evaluation & Management 5-10 Minutes $10.00 $10.00 11-20 Minutes $17.00 $17.00 21+ Minutes $24.00 $24.00 Nurse Practitioner Fees New Client 12-17 years old $85.00 $85.00 $85.00 New Client 18-39 years old $85.00 $85.00 $85.00 New Client 40-64 years old $85.00 $85.00 $85.00 Established Client 12-17 years old $60.00 $60.00 $60.00 Established Client 18-39 years old $60.00 $60.00 $60.00 Established Client 40-64 years old $60.00 $60.00 $60.00 Implant Insertion $187.00 $187.00 $187.00 Implant Removal $93.50 $93.50 $93.50 Implant R&R $218.00 $218.00 $218.00 IUD Insertion $187.00 $225.00 $225.00 IUD Surveillance $0.00 $19.00 $19.00 IUD Removal $93.50 $187.00 $187.00 IUD R&R $218.00 $235.00 $235.00 IUD Insertion Failure $55.00 $187.50 $187.50 Wart Destruction <14 $25.00 $25.00 $25.00 Wart Destruction 15+ $45.00 $45.00 $45.00 Anus Wart Treatment $30.00 $30.00 $30.00 Vulva Wart Treatment $75.00 $75.00 $75.00 Thin Prep Pap $40.00 $40.00 $40.00 Pap Overread $35.00 $35.00 $35.00 HPV Testing $55.00 $55.00 $55.00 Trichomoniasis $35.00 $35.00 $35.00 Syphilis-VDRL $20.00 $20.00 $20.00 Hep C Testing $40.00 $40.00 $40.00 Herpes Testing $95.00 $95.00 $95.00 HIV-Serum $30.00 $30.00 $30.00 Wet Mount $25.00 $25.00 $25.00 Lab Services Pregnancy Test $10.00 $10.00 $10.00 Urine Test (LET/NIT) $5.00 $5.00 $5.00 Mycoplasma Genitalium Test $37.50 $37.50 $37.50 STD Screening HIV $15.00 $15.00 $15.00 Chlamydia (SLH) $45.00 $45.00 $45.00 Gonorrhea (SLH) $45.00 $45.00 $45.00 Shipping/Handling Lab/STD $7.00 $7.00 $7.00 STD Medications Doxycycline 50% of Market Price 50% of Market Price 50% of Market Price Ceftriaxone 50% of Market Price 50% of Market Price 50% of Market Price Zithromax (Azithromycin) (market price) 50% of Market Price 50% of Market Price 50% of Market Price Page 5 of 18 Page 72 of 88 Green = Proposed Effective 7/1/2026 Purple = Proposed Effective 1/1/2027 RED = Proposed Effective 4/1/2027 SERVICE 2025 FEE 2026 FEE 2027 FEE CHIPPEWA COUNTY DEPARTMENT OF PUBLIC HEALTH FEES FOR SERVICES Bicillin 50% of Market Price 50% of Market Price 50% of Market Price Supplies Emergency Contraception 50% of Market Price 50% of Market Price 50% of Market Price Condoms and Lube 50% of Market Price 50% of Market Price 50% of Market Price Non-latex Condoms 50% of Market Price 50% of Market Price 50% of Market Price Dispensing & Education Fees $93.50 $93.50 $93.50 Vaginal Ring 50% of Market Price 50% of Market Price 50% of Market Price Injectable Contraceptive 50% of Market Price 50% of Market Price 50% of Market Price Oral Contraceptives 50% of Market Price 50% of Market Price 50% of Market Price Cycle Beads 50% of Market Price 50% of Market Price 50% of Market Price Female Condoms 50% of Market Price 50% of Market Price 50% of Market Price Ciprofloxacin/Nitrofurantoin 50% of Market Price 50% of Market Price 50% of Market Price Acyclovir 50% of Market Price 50% of Market Price 50% of Market Price Terconazole/Fluconazole 50% of Market Price 50% of Market Price 50% of Market Price Metro gel vag/Metronidazole 50% of Market Price 50% of Market Price 50% of Market Price Nexplanon 50% of Market Price 50% of Market Price 50% of Market Price Paragard 50% of Market Price 50% of Market Price 50% of Market Price Liletta 50% of Market Price 50% of Market Price 50% of Market Price Mirena 50% of Market Price 50% of Market Price 50% of Market Price Kyleena 50% of Market Price 50% of Market Price 50% of Market Price Imiquimod 50% of Market Price 50% of Market Price 50% of Market Price Prenatal Vitamins 50% of Market Price 50% of Market Price 50% of Market Price Federal Poverty Level Over 201-250% Poverty 25% Discount Over 201-250% Poverty 25% Discount Over 201-250% Poverty 200-249% Poverty 25% Discount Office Visit-New 15-29 Minutes (Straight Forward) $56.25 $56.25 $56.25 30-44 Minutes (Low) $82.50 $82.50 $82.50 45-59 Min (Moderate) $120.00 $120.00 $120.00 60-74 Min (High) $157.50 $157.50 Office Visit-Continued 0-9 Minutes (Minimal) $26.25 $26.25 $26.25 10-19 Minutes (Straight Forward) $41.25 $41.25 $41.25 20-29 Minutes (Low) $60.00 $60.00 $60.00 30-39 Minutes (Moderate) $75.00 $82.50 $82.50 Established patient 40+ Min $112.50 $112.50 Phone Visit Shipping $3.00 $3.00 $3.00 Online Digital Evaluation & Management 5-10 Minutes $15.00 $15.00 11-20 Minutes $25.50 $25.50 21+ Minutes $36.00 $36.00 Nurse Practitioner Fees New Client 12-17 years old $127.50 $127.50 $127.50 New Client 18-39 years old $127.50 $127.50 $127.50 New Client 40-64 years old $127.50 $127.50 $127.50 Established Client 12-17 years old $90.00 $90.00 $90.00 Established Client 18-39 years old $90.00 $90.00 $90.00 Established Client 40-64 years old $90.00 $90.00 $90.00 Implant Insertion $280.50 $280.50 $280.50 Implant Removal $140.25 $140.25 $140.25 Implant R&R $327.00 $327.00 $327.00 IUD Insertion $280.50 $337.50 $337.50 Page 6 of 18 Page 73 of 88 Green = Proposed Effective 7/1/2026 Purple = Proposed Effective 1/1/2027 RED = Proposed Effective 4/1/2027 SERVICE 2025 FEE 2026 FEE 2027 FEE CHIPPEWA COUNTY DEPARTMENT OF PUBLIC HEALTH FEES FOR SERVICES IUD Surveillance $0.00 $28.50 $28.50 IUD Removal $140.25 $187.00 $187.00 IUD R&R $327.00 $352.50 $352.50 IUD Insertion Failure $82.50 $281.25 $281.25 Wart Destruction <14 $37.50 $37.50 $37.50 Wart Destruction 15+ $67.50 $67.50 $67.50 Anus Wart Treatment $45.00 $45.00 $45.00 Vulva Wart Treatment $112.50 $112.50 $112.50 Thin Prep Pap $60.00 $60.00 $60.00 Pap Overread $52.50 $52.50 $52.50 HPV Testing $82.50 $82.50 $82.50 Trichomoniasis $52.50 $52.50 $52.50 Syphilis-VDRL $30.00 $30.00 $30.00 Hep C Testing $60.00 $60.00 $60.00 Herpes Testing $142.50 $142.50 $142.50 HIV-Serum $45.00 $45.00 $45.00 Wet Mount $37.50 $37.50 $37.50 Lab Services Pregnancy Test $15.00 $15.00 $15.00 Urine Test (LET/NIT) $7.50 $7.50 $7.50 Mycoplasma Genitalium Test $56.25 $56.25 $56.25 STD Screening HIV $22.50 $22.50 $22.50 Chlamydia (SLH) $67.50 $67.50 $67.50 Gonorrhea (SLH) $67.50 $67.50 $67.50 Shipping/Handling Lab/STD $10.50 $10.50 $10.50 STD Medications Doxycycline 75% of Market Price 75% of Market Price 75% of Market Price Ceftriaxone 75% of Market Price 75% of Market Price 75% of Market Price Zithromax (Azithromycin) (market price) 75% of Market Price 75% of Market Price 75% of Market Price Bicillin 75% of Market Price 75% of Market Price 75% of Market Price Supplies Emergency Contraception 75% of Market Price 75% of Market Price 75% of Market Price Condoms and Lube 75% of Market Price 75% of Market Price 75% of Market Price Non-latex Condoms 75% of Market Price 75% of Market Price 75% of Market Price Dispensing & Education Fees $140.25 $140.25 $140.25 Vaginal Ring 75% of Market Price 75% of Market Price 75% of Market Price Injectable Contraceptive 75% of Market Price 75% of Market Price 75% of Market Price Oral Contraceptives 75% of Market Price 75% of Market Price 75% of Market Price Cycle Beads 75% of Market Price 75% of Market Price 75% of Market Price Female Condoms 75% of Market Price 75% of Market Price 75% of Market Price Ciprofloxacin/Nitrofurantoin 75% of Market Price 75% of Market Price 75% of Market Price Acyclovir 75% of Market Price 75% of Market Price 75% of Market Price Terconazole/Fluconazole 75% of Market Price 75% of Market Price 75% of Market Price Metro gel vag/Metronidazole 75% of Market Price 75% of Market Price 75% of Market Price Nexplanon 75% of Market Price 75% of Market Price 75% of Market Price Paragard 75% of Market Price 75% of Market Price 75% of Market Price Liletta 75% of Market Price 75% of Market Price 75% of Market Price Mirena 75% of Market Price 75% of Market Price 75% of Market Price Kyleena 75% of Market Price 75% of Market Price 75% of Market Price Imiquimod 75% of Market Price 75% of Market Price 75% of Market Price Prenatal Vitamins 75% of Market Price 75% of Market Price 75% of Market Price Page 7 of 18 Page 74 of 88 Green = Proposed Effective 7/1/2026 Purple = Proposed Effective 1/1/2027 RED = Proposed Effective 4/1/2027 SERVICE 2025 FEE 2026 FEE 2027 FEE CHIPPEWA COUNTY DEPARTMENT OF PUBLIC HEALTH FEES FOR SERVICES Federal Poverty Level Over 250% Poverty 0% Discount Over 250% Poverty 0% Discount Over 250% and Over Poverty 0% Discount Office Visit-New 15-29 Minutes (Straight Forward) $75.00 $75.00 $75.00 30-44 Minutes (Low) $110.00 $110.00 $110.00 45-59 Min (Moderate) $160.00 $160.00 $160.00 60-74 Min (High) $210.00 $210.00 Office Visit-Continued 0-9 Minutes (Minimal) $35.00 $35.00 $35.00 10-19 Minutes (Straight Forward) $55.00 $55.00 $55.00 20-29 Minutes (Low) $80.00 $80.00 $80.00 30-39 Minutes (Moderate) $100.00 $110.00 $110.00 Established patient 40+ Min $150.00 $150.00 Phone Visit Shipping $4.00 $4.00 $4.00 Online Digital Evaluation & Management 5-10 Minutes $20.00 $20.00 11-20 Minutes $34.00 $34.00 21+ Minutes $48.00 $48.00 Nurse Practitioner Fees New Client 12-17 years old $170.00 $170.00 $170.00 New Client 18-39 years old $170.00 $170.00 $170.00 New Client 40-64 years old $170.00 $170.00 $170.00 Established Client 12-17 years old $120.00 $120.00 $120.00 Established Client 18-39 years old $120.00 $120.00 $120.00 Established Client 40-64 years old $120.00 $120.00 $120.00 Implant Insertion $374.00 $374.00 $374.00 Implant Removal $187.00 $187.00 $187.00 Implant R&R $436.00 $436.00 $436.00 IUD Insertion $374.00 $450.00 $450.00 IUD Surveillance $0.00 $38.00 $38.00 IUD Removal $187.00 $187.00 $187.00 IUD R&R $436.00 $470.00 $470.00 IUD Insertion Failure $110.00 $375.00 $375.00 Wart Destruction <14 $50.00 $50.00 $50.00 Wart Destruction 15+ $90.00 $90.00 $90.00 Anus Wart Treatment $60.00 $60.00 $60.00 Vulva Wart Treatment $150.00 $150.00 $150.00 Thin Prep Pap $80.00 $80.00 $80.00 Pap Overread $70.00 $70.00 $70.00 HPV Testing $110.00 $110.00 $110.00 Trichomoniasis $70.00 $70.00 $70.00 Syphilis-VDRL $40.00 $40.00 $40.00 Hep C Testing $80.00 $80.00 $80.00 Herpes Testing $190.00 $190.00 $190.00 HIV-Serum $60.00 $60.00 $60.00 Wet Mount $50.00 $50.00 $50.00 Lab Services Pregnancy Test $20.00 $20.00 $20.00 Urine Test (LET/NIT) $10.00 $10.00 $10.00 Mycoplasma Genitalium Test $75.00 $75.00 $75.00 Page 8 of 18 Page 75 of 88 Green = Proposed Effective 7/1/2026 Purple = Proposed Effective 1/1/2027 RED = Proposed Effective 4/1/2027 SERVICE 2025 FEE 2026 FEE 2027 FEE CHIPPEWA COUNTY DEPARTMENT OF PUBLIC HEALTH FEES FOR SERVICES STD Screening HIV $30.00 $30.00 $30.00 Chlamydia (SLH) $90.00 $90.00 $90.00 Gonorrhea (SLH) $90.00 $90.00 $90.00 Shipping/Handling Lab/STD $14.00 $14.00 $14.00 STD Medications Doxycycline Market Price Market Price Market Price Ceftriaxone Market Price Market Price Market Price Zithromax (Azithromycin) (market price) Market Price Market Price Market Price Bicillin Market Price Market Price Market Price Supplies Emergency Contraception Market Price Market Price Market Price Condoms and Lube Market Price Market Price Market Price Non-latex Condoms Market Price Market Price Market Price Dispensing & Education Fees $187.00 $187.00 $187.00 Vaginal Ring Market Price Market Price Market Price Injectable Contraceptive Market Price Market Price Market Price Oral Contraceptives Market Price Market Price Market Price Cycle Beads Market Price Market Price Market Price Female Condoms Market Price Market Price Market Price Ciprofloxacin/Nitrofurantoin Market Price Market Price Market Price Acyclovir Market Price Market Price Market Price Terconazole/Fluconazole Market Price Market Price Market Price Metro gel vag/Metronidazole Market Price Market Price Market Price Nexplanon Market Price Market Price Market Price Paragard Market Price Market Price Market Price Liletta Market Price Market Price Market Price Mirena Market Price Market Price Market Price Kyleena Market Price Market Price Market Price Imiquimod Market Price Market Price Market Price Prenatal Vitamins Market Price Market Price Market Price ENVIRONMENTAL HEALTH Radon Kit $10.00 $12.00 $12.00 HepaVac $25.00 refundable deposit $25.00 refundable deposit $25.00 refundable deposit HepaVac Bag $2.50 $2.50 $2.50 Meth testing of home environment $350.00 $350.00 $350.00 Transient Program Fees Water Test Fee (Bacteria & Nitrate) $60.00 $70.00 $70.00 Late Fee $10.00 $10.00 per month late $10.00 per month late Additional Follow-up Samples - Each Sample $25.00 Bacteria $25.00 Nitrate $35.00 Bacteria $25.00 Nitrate $35.00 Nitrite Sample on New Well $30.00 $37.00 $37.00 Bacteria Trip Charge (Check, Trigger, Repeat, 2 investigative, 3 additional, increased monitoring) $35.00 $35.00 Nitrate Trip Charge (confirmation sample, increased monitoring) $35.00 $35.00 Level 2 Assessment Trip Charge $25.00 $25.00 Water Lab Fees Private Bacteria Sample $25.00 $25.00 $25.00 Public Bacteria Sample (i.e. public works, municipal water utility) $15.00 $15.00 $15.00 Private Nitrate Sample $30.00 $30.00 $30.00 Contracted Lab Fee $5.00 $5.00 Page 9 of 18 Page 76 of 88 Green = Proposed Effective 7/1/2026 Purple = Proposed Effective 1/1/2027 RED = Proposed Effective 4/1/2027 SERVICE 2025 FEE 2026 FEE 2027 FEE CHIPPEWA COUNTY DEPARTMENT OF PUBLIC HEALTH FEES FOR SERVICES Rush Fee for Nitrate sample analyzed within 48 hours $10.00 $10.00 Private Manganese $20.00 $35.00 $35.00 Private Arsenic $45.00 $35.00 $35.00 Private Lead $40.00 $35.00 $35.00 Home Owner's Bundle (includes Lead, Copper, Nitrate, Arsenic & Manganese) $110.00 $110.00 Surface Water E. Coli (Private Beach, Pond, etc.) $35.00 $35.00 $35.00 Surface Water E. Coli (Beach Testing Package) $352.00 $352.00 FSRL Fees Operating without a license $749.00 $772.00 $772.00 Late Fee $85.00 $85.00 $85.00 Duplicate Permit Fee $15.00 $15.00 $15.00 Operating without a Food Manager $150.00 $150.00 $150.00 Special Inspection Fee $175.00 $175.00 $175.00 Chlorine Test Strips $10.00 $10.00 Quaternary Ammonia Test Strips $10.00 $10.00 Transient Food Stand License – Prepackaged TCS If NOT licensed from State or other county: $60.00 If NOT licensed from State or other county: $62.00 If NOT licensed from State or other county: $62.00 $65.00 Transient Food Vendor License If NOT licensed from State or other county: $240.00 If NOT licensed from State or other county: $248.00 If NOT licensed from State or other county: $248.00 $260.00 Transient Food Vendor License - Non TCS Food If NOT licensed from State or other county:$140.00 If NOT licensed from State or other county:$145.00 If NOT licensed from State or other county:$145.00 $152.00 Transient and Mobile Food Stand Inspection Fee (Licensed by State or other County): $30.00 Transient and Mobile Food Stand Inspection Fee (Licensed by State or other County): $31.00 Transient and Mobile Food Stand Inspection Fee (Licensed by State or other County): $31.00 $40.00 Transient and Mobile Food Stand Inspection Fee - Non TCS Foods (Licensed by State or Other County): $15.00 Transient and Mobile Food Stand Inspection Fee - Non TCS Foods (Licensed by State or Other County): $16.00 Transient and Mobile Food Stand Inspection Fee - Non TCS Foods (Licensed by State or Other County): $16.00 $20.00 Transient Food and Mobile Stand Inspection Fee - Prepackaged TCS (Licensed by State or Other County) $10 Transient Food and Mobile Stand Inspection Fee - Prepackaged TCS (Licensed by State or Other County) $11.00 Transient Food and Mobile Stand Inspection Fee - Prepackaged TCS (Licensed by State or Other County) $11.00 $20.00 Fee Exempt Food Safety Inspection - $100.00 Mobile Retail Food - Serving Meals Simple Full service-Simple* $762.00 ($365.00 permit fee + $397.00 preinspection fee) First Re-Inspection $0.00 Second Re-inspection $265.00 Additional Re-inspections $353.00 Full service-Simple* $785.00 ($376.00 permit fee + $409.00 preinspection fee) First Re-Inspection $0.00 Second Re-inspection $273.00 Additional Re-inspections $364.00 Full service-Simple* $785.00 $824.00 ($376.00 $395.00 permit fee + $409.00 $429.00 preinspection fee) First Re-Inspection $0.00 Second Re-inspection $273.00 $287.00 Additional Re-inspections $364.00 $382.00 Moderate Full service-Moderate* $1130.00 ($540.00 permit fee + $590.00 preinspection fee) First Re-Inspection $0.00 Second Re-inspection $390.00 Additional Re-inspections $519.00 Full service-Moderate* $1165.00 ($557.00 permit fee + $608.00 preinspection fee) First Re-Inspection $0.00 Second Re-inspection $402.00 Additional Re-inspections $535.00 Full service-Moderate* $1165.00 $1223.00 ($557.00 $585.00 permit fee + $608.00 $638.00 preinspection fee) First Re-Inspection $0.00 Second Re-inspection $402.00 $422.00 Additional Re-inspections $535.00 $562.00 Complex Full service-Complex* $1689.00 ($740.00 Permit fee + $949.00 preinspection fee) First Re-Inspection $0.00 Second Re-inspection $638.00 Additional Re-inspections $849.00 Full service-Complex* $1741.00 ($763.00 Permit fee + $978.00 preinspection fee) First Re-Inspection $0.00 Second Re-inspection $658.00 Additional Re-inspections $875.00 Full service-Complex* $1741.00 $1828.00 ($763.00 $801.00 Permit fee + $978.00 $1027.00 preinspection fee) First Re-Inspection $0.00 Second Re-inspection $658.00 $691.00 Additional Re-inspections $875.00 $919.00 Page 10 of 18 Page 77 of 88 Green = Proposed Effective 7/1/2026 Purple = Proposed Effective 1/1/2027 RED = Proposed Effective 4/1/2027 SERVICE 2025 FEE 2026 FEE 2027 FEE CHIPPEWA COUNTY DEPARTMENT OF PUBLIC HEALTH FEES FOR SERVICES Prepackaged Full service-Prepackaged* $398.00 ($199.00 Permit fee + $199.00 preinspection fee) First Re-Inspection $0.00 Second Re-inspection $108.00 Additional Re-inspections $144.00 Full service-Prepackaged* $410.00 ($205.00 Permit fee + $205.00 preinspection fee) First Re-Inspection $0.00 Second Re-inspection $112.00 Additional Re-inspections $149.00 Full service-Prepackaged* $410.00 $430.00 ($205.00 $215.00 Permit fee + $205.00 $215.00 preinspection fee) First Re-Inspection $0.00 Second Re-inspection $112.00 $118.00 Additional Re-inspections $149.00 $156.00 Mobile Retail Foods -Serving Meals - Service Base Prepackaged Mobile Service Base-Must be an enclosed building $398.00 ($199.00 Permit fee + $199.00 preinspection fee) First Re-Inspection $0.00 Second Re-inspection $108.00 Additional Re-inspections $144.00 Mobile Service Base-Must be an enclosed building $410.00 ($205.00 Permit fee + $205.00 preinspection fee) First Re-Inspection $0.00 Second Re-inspection $112.00 Additional Re-inspections $149.00 Mobile Service Base-Must be an enclosed building $410.00 $303.00 ($205.00 $147.00 Permit fee + $205.00 $156.00 preinspection fee) First Re-Inspection $0.00 Second Re-inspection $112.00 $118.00 Additional Re-inspections $149.00 $156.00 Simple Mobile Service Base-Simple* $762.00 ($365.00 permit fee + $397.00 preinspection fee) First Re-Inspection $0.00 Second Re-inspection $265.00 Additional Re-inspections $353.00 Mobile Service Base-Simple* $785.00 ($376.00 permit fee + $409.00 preinspection fee) First Re-Inspection $0.00 Second Re-inspection $273.00 Additional Re-inspections $364.00 Mobile Service Base-Simple* $785.00 $706.00 ($376.00 $322.00 permit fee + $409.00 $384.00 preinspection fee) First Re-Inspection $0.00 Second Re-inspection $273.00 $287.00 Additional Re-inspections $364.00 $382.00 Moderate Mobile Service Base-Moderate* $1130.00 ($540.00 Permit fee + $590.00 preinspection fee) First Re-Inspection $0.00 Second Re-inspection $390.00 Additional Re-inspections $519.00 Mobile Service Base-Moderate* $1165.00 ($557.00 permit fee + $608.00 preinspection fee) First Re-Inspection $0.00 Second Re-inspection $402.00 Additional Re-inspections $535.00 Mobile Service Base-Moderate* $1165.00 $1026.00 ($557.00 $462.00 permit fee + $608.00 $564.00 preinspection fee) First Re-Inspection $0.00 Second Re-inspection $402.00 $422.00 Additional Re-inspections $535.00 $562.00 Complex Mobile Service Base-Complex* $1689.00 ($740.00 Permit fee + $949.00 preinspection fee) First Re- Inspection $0.00 Second Re-inspection $638.00 Additional Re-inspections $850.00 Mobile Service Base-Complex* $1741.00 ($763.00 Permit fee + $978.00 preinspection fee) First Re-Inspection $0.00 Second Re-inspection $658.00 Additional Re-inspections $875.00 Mobile Service Base-Complex* $1741.00 $1680.00 ($763.00 $756.00 Permit fee + $978.00 $924.00 preinspection fee) First Re-Inspection $0.00 Second Re-inspection $658.00 $691.00 Additional Re-inspections $875.00 $919.00 Mobile Retail Food Establishment - Not Serving Meals Complex License Fee $1169.00 Preinspection Fee $375.00 First Re-Inspection $0.00 Second/Additional Re-inspections $546.00 License Fee $1205.00 Preinspection Fee $387.00 First Re-Inspection $0.00 Second/Additional Re-inspections $563.00 License Fee $1205.00 $1265.00 Preinspection Fee $387.00 $406.00 First Re-Inspection $0.00 Second/Additional Re-inspections $563.00 $591.00 Moderate License Fee $552.00 Preinspection Fee $221.00 First Re-Inspection $0.00 Second/Additional Re-inspections $231.00 License Fee $569.00 Preinspection Fee $228.00 First Re-Inspection $0.00 Second/Additional Re-inspections $238.00 License Fee $569.00 $597.00 Preinspection Fee $228.00 $239.00 First Re-Inspection $0.00 Second/Additional Re-inspections $238.00 $250.00 Simple TCS License Fee $397.00 Preinspection Fee $177.00 First Re-Inspection $0.00 Second/Additional Re-inspections $231.00 License Fee $409.00 Preinspection Fee $183.00 First Re-Inspection $0.00 Second/Additional Re-inspections $238.00 License Fee $409.00 $429.00 Preinspection Fee $183.00 $192.00 First Re-Inspection $0.00 Second/Additional Re-inspections $238.00 $250.00 Simple Non-TCS License Fee $166.00 Preinspection Fee $166.00 First Re-Inspection $0.00 Second/Additional Re-inspections $110.00 License Fee $171.00 Preinspection Fee $171.00 First Re-Inspection $0.00 Second/Additional Re-inspections $114.00 License Fee $171.00 $180.00 Preinspection Fee $171.00 $180.00 First Re-Inspection $0.00 Second/Additional Re-inspections $114.00 $120.00 Page 11 of 18 Page 78 of 88 Green = Proposed Effective 7/1/2026 Purple = Proposed Effective 1/1/2027 RED = Proposed Effective 4/1/2027 SERVICE 2025 FEE 2026 FEE 2027 FEE CHIPPEWA COUNTY DEPARTMENT OF PUBLIC HEALTH FEES FOR SERVICES Prepackaged License Fee $110.00 Preinspection Fee $133.00 First Re-Inspection $0.00 Second Re-inspection $110.00 License Fee $114.00 Preinspection Fee $137.00 First Re-Inspection $0.00 Second Re-inspection $114.00 License Fee $114.00 $120.00 Preinspection Fee $137.00 $144.00 First Re-Inspection $0.00 Second Re-inspection $114.00 $120.00 Mobile Retail Food Establishment - Not Serving Meals Base Complex License Fee $1169.00 Preinspection Fee $375.00 First Re-Inspection $0.00 Second/Additional Re-inspections $546.00 License Fee $1205.00 Preinspection Fee $387.00 First Re-Inspection $0.00 Second/Additional Re-inspections $563.00 License Fee $1205.00 Preinspection Fee $387.00 First Re-Inspection $0.00 Second/Additional Re-inspections $563.00 Moderate License Fee $552.00 Preinspection Fee $221.00 First Re-Inspection $0.00 Second/Additional Re-inspections $231.00 License Fee $569.00 Preinspection Fee $228.00 First Re-Inspection $0.00 Second/Additional Re-inspections $238.00 License Fee $569.00 Preinspection Fee $228.00 First Re-Inspection $0.00 Second/Additional Re-inspections $238.00 Simple TCS License Fee $397.00 Preinspection Fee $177.00 First Re-Inspection $0.00 Second/Additional Re-inspections $231.00 License Fee $409.00 Preinspection Fee $183.00 First Re-Inspection $0.00 Second/Additional Re-inspections $238.00 License Fee $409.00 Preinspection Fee $183.00 First Re-Inspection $0.00 Second/Additional Re-inspections $238.00 Simple Non-TCS License Fee $166.00 Preinspection Fee $166.00 First Re-Inspection $0.00 Second/Additional Re-inspections $110.00 License Fee $171.00 Preinspection Fee $171.00 First Re-Inspection $0.00 Second/Additional Re-inspections $114.00 License Fee $171.00 Preinspection Fee $171.00 First Re-Inspection $0.00 Second/Additional Re-inspections $114.00 Prepackaged License Fee $110.00 Preinspection Fee $133.00 First Re-Inspection $0.00 Second Re-inspection $110.00 License Fee $114.00 Preinspection Fee $137.00 First Re-Inspection $0.00 Second Re-inspection $114.00 License Fee $114.00 Preinspection Fee $137.00 First Re-Inspection $0.00 Second Re-inspection $114.00 Mobile Retail Food Base - No Food Activities $65.00 $65.00 $65.00 VENDING Vending Machine Operator $144.00 $149.00 $149.00 $156.00 Vending Machine License $11 per machine $11 per machine $11.00 $12.00 per machine Operating without a vending sticker $27.00 $27.00 $27.00 $28.00 One Micro Market License Fee $49.00 First Re-inspection $0.00 Second Re-inspection $110.00 License Fee $51.00 First Re-inspection $0.00 Second Re-inspection $114.00 License Fee $51.00 $54.00 First Re-inspection $0.00 Second Re-inspection $114.00 $120.00 Two or More Micro Markets Same Building License Fee $73.00 First Re-inspection $0.00 Second Re-inspection $110.00 License Fee $76.00 First Re-inspection $0.00 Second Re-inspection $114.00 License Fee $76.00 $80.00 First Re-inspection $0.00 Second Re-inspection $114.00 $120.00 FOOD SERVICE PERMIT Retail Food Establishments - Not Serving Meals Complex License Fee $1,169.00 Preinspection Fee $375.00 First Re-Inspection $0.00 Second/Additional Re-inspections $546.00 License Fee $1205.00 Preinspection Fee $387.00 First Re-Inspection $0.00 Second/Additional Re-inspections $563.00 License Fee $1205.00 $1265.00 Preinspection Fee $387.00 $406.00 First Re-Inspection $0.00 Second/Additional Re-inspections $563.00 $591.00 Page 12 of 18 Page 79 of 88 Green = Proposed Effective 7/1/2026 Purple = Proposed Effective 1/1/2027 RED = Proposed Effective 4/1/2027 SERVICE 2025 FEE 2026 FEE 2027 FEE CHIPPEWA COUNTY DEPARTMENT OF PUBLIC HEALTH FEES FOR SERVICES Moderate License Fee $552.00 Preinspection Fee $221.00 First Re-Inspection $0.00 Second/Additional Re-inspections $231.00 License Fee $569.00 Preinspection Fee $228.00 First Re-Inspection $0.00 Second/Additional Re-inspections $238.00 License Fee $569.00 $597.00 Preinspection Fee $228.00 $239.00 First Re-Inspection $0.00 Second/Additional Re-inspections $238.00 $250.00 Simple -TCS License Fee $397.00 Preinspection Fee $177.00 First Re-Inspection $0.00 Second/Additional Re-inspections $231.00 License Fee $409.00 Preinspection Fee $183.00 First Re-Inspection $0.00 Second/Additional Re-inspections $238.00 License Fee $409.00 $429.00 Preinspection Fee $183.00 $192.00 First Re-Inspection $0.00 Second/Additional Re-inspections $238.00 $250.00 Simple Non-TCS License Fee $166.00 Preinspection Fee $166.00 First Re-Inspection $0.00 Second/Additional Re-inspections $110.00 License Fee $171.00 Preinspection Fee $171.00 First Re-Inspection $0.00 Second/Additional Re-inspections $114.00 License Fee $171.00 $180.00 Preinspection Fee $171.00 $180.00 First Re-Inspection $0.00 Second/Additional Re-inspections $114.00 120.00 Pre-Packaged License Fee $110.00 Preinspection Fee $133.00 First Re-Inspection $0.00 Second/Additional Re-inspections $110.00 License Fee $114.00 Preinspection Fee $137.00 First Re-Inspection $0.00 Second Re-inspection $114.00 License Fee $114.00 $120.00 Preinspection Fee $137.00 $144.00 First Re-Inspection $0.00 Second Re-inspection $114.00 $120.00 Retail Food Establishments - SERVING MEALS Prepackaged Prepackaged off-premise $398.00 ($199.00 Permit fee + $199.00 Preinspection fee) First Re-Inspection $0.00 Second Re-inspection $108.00 Additional Re-inspections $144.00 Prepackaged off-premise $410.00 ($205.00 Permit fee + $205.00 preinspection fee) First Re-Inspection $0.00 Second Re-inspection $112.00 Additional Re-inspections $149.00 Prepackaged off-premise $410.00 $430.00 ($205.00 215.00 Permit fee + $205.00 $215.00 preinspection fee) First Re-Inspection $0.00 Second Re-inspection $112.00 $118.00 Additional Re-inspections $149.00 $156.00 Simple Full-service – Simple $761.00 ($364.00 Permit fee + $397.00 Preinspection fee) First Re-Inspection $0.00 Second Re-inspection $265.00 Additional Re-inspections $353.00 Full-service – Simple $785.00 ($376.00 permit fee + $409.00 preinspection fee) First Re-Inspection $0.00 Second Re-inspection $273.00 Additional Re-inspections $364.00 Full-service – Simple $785.00 $824.00 ($376.00 $395.00 permit fee + $409.00 $429.00 preinspection fee) First Re-Inspection $0.00 Second Re-inspection $273.00 $287.00 Additional Re-inspections $364.00 $382.00 Moderate Full-service – Moderate $1,131.00 ($541.00 Permit fee + $590.00 Preinspection fee) First Re-Inspection $0.00 Second Re-inspection $390.00 Additional Re-inspections $519.00 Full-service – Moderate $1165.00 ($557.00 permit fee + $608.00 preinspection fee) First Re-Inspection $0.00 Second Re-inspection $402.00 Additional Re-inspections $535.00 Full-service – Moderate $1165.00 $1223.00 ($557.00 $585.00 permit fee + $608.00 $638.00 preinspection fee) First Re-Inspection $0.00 Second Re-inspection $402.00 $422.00 Additional Re-inspections $535.00 $562.00 Complex Full-service – Complex $1687.00 ($739.00 Permit fee + $949.00 Preinspection fee) First Re-Inspection $0.00 Second Re-inspection $638.00 Additional Re-inspections $849.00 Full-service – Complex $1741.00 ($763.00 Permit fee + $978.00 preinspection fee) First Re-Inspection $0.00 Second Re-inspection $658.00 Additional Re-inspections $875.00 Full-service – Complex $1741.00 $1828.00 ($763.00 $801.00 Permit fee + $978.00 $1027.00 preinspection fee) First Re-Inspection $0.00 Second Re-inspection $658.00 $691.00 Additional Re-inspections $875.00 $919.00 DEPARTMENT OF PUBLIC INSTRUCTION Production Kitchen $380.00 $380.00 Satellite Kitchen $135.00 $135.00 LODGING PERMIT Tourist Rooming House (1 TRH) $770.00 ($355 Permit fee + $415 Preinspection fee) First Re-inspection $0.00 Second Re-inspection $150.00 Additional Re-inspection $200.00 Tourist Rooming House (1 TRH) $770.00 $809.00 ($355.00 $373.00 Permit fee + $415.00 $436.00 Preinspection fee) First Re-inspection $0.00 Second Re-inspection $150.00 $158.00 Additional Re-inspection $200.00 $210.00 Page 13 of 18 Page 80 of 88 Green = Proposed Effective 7/1/2026 Purple = Proposed Effective 1/1/2027 RED = Proposed Effective 4/1/2027 SERVICE 2025 FEE 2026 FEE 2027 FEE CHIPPEWA COUNTY DEPARTMENT OF PUBLIC HEALTH FEES FOR SERVICES Tourist Rooming House (2-4 TRH) $1,170.00 ($540 Permit fee + $630 Preinspection fee) First Re-inspection $0.00 Second Re-inspection $150.00 Additional Re-inspection $200.00 Tourist Rooming House (2-4 TRH) $1,170.00 $1229.00 ($540.00 $567.00 Permit fee + $630.00 $662.00 Preinspection fee) First Re-inspection $0.00 Second Re-inspection $150.00 $158.00 Additional Re-inspection $200.00 $210.00 Tourist Rooming House (5-9 TRH) $1,430.00 ($660 Permit fee + $770 Preinspection fee) First Re-inspection $0.00 Second Re-inspection $150.00 Additional Re-inspection $200.00 Tourist Rooming House (5-9 TRH) $1,430.00 $1502.00 ($660.00 $693.00 Permit fee + $770.00 $809.00 Preinspection fee) First Re-inspection $0.00 Second Re-inspection $150.00 $158.00 Additional Re-inspection $200.00 $210.00 Tourist Rooming House (10-19 TRH) $1,560.00 ($720 Permit fee + $840 Preinspection fee) First Re-inspection $0.00 Second Re-inspection $150.00 Additional Re-inspection $200.00 Tourist Rooming House (10-19 TRH) $1,560.00 $1638.00 ($720.00 $756.00 Permit fee + $840.00 $882.00 Preinspection fee) First Re-inspection $0.00 Second Re-inspection $150.00 $158.00 Additional Re-inspection $200.00 $210.00 Tourist Rooming House (20-39 TRH) $1,820.00 ($840 Permit fee + $980 Preinspection fee) First Re-inspection $0.00 Second Re-inspection $150.00 Additional Re-inspection $200.00 Tourist Rooming House (20-39 TRH) $1,820.00 $1911.00 ($840.00 $882.00 Permit fee + $980.00 $1029.00 Preinspection fee) First Re-inspection $0.00 Second Re-inspection $150.00 $158.00 Additional Re-inspection $200.00 $210.00 Tourist Rooming House (40-99 TRH) $2,080.00 ($960 Permit fee + $1,120 Preinspection fee) First Re-inspection $0.00 Second Re-inspection $150.00 Additional Re-inspection $200.00 Tourist Rooming House (40-99 TRH) $2,080.00 $2184.00 ($960.00 $1008.00 Permit fee + $1120.00 $1176.00 Preinspection fee) First Re-inspection $0.00 Second Re-inspection $150.00 $158.00 Additional Re-inspection $200.00 $210.00 Tourist Rooming House (100-299 TRH) $2,340.00 ($1,080 Permit fee + $1,260 Preinspection fee) First Re-inspection $0.00 Second Re-inspection $150.00 Additional Re-inspection $200.00 Tourist Rooming House (100-299 TRH) $2,340.00 $2457.00 ($1,080.00 $1134.00 Permit fee + $1,260.00 $1323.00 Preinspection fee) First Re-inspection $0.00 Second Re-inspection $150.00 $158.00 Additional Re-inspection $200.00 $210.00 Tourist Rooming House (300-599 TRH) $2,600.00 ($1,200 Permit fee + $1,400 Preinspection fee) First Re-inspection $0.00 Second Re-inspection $150.00 Additional Re-inspection $200.00 Tourist Rooming House (300-599 TRH) $2,600.00 $2730.00 ($1,200.00 $1260.00 Permit fee + $1,400.00 $1470.00 Preinspection fee) First Re-inspection $0.00 Second Re-inspection $150.00 $158.00 Additional Re-inspection $200.00 $210.00 Tourist Rooming House (600+ TRH) $2,860.00 ($1,320 Permit fee + $1,540 Preinspection fee) First Re-inspection $0.00 Second Re-inspection $150.00 Additional Re-inspection $200.00 Tourist Rooming House (600+ TRH) $2,860.00 $3003.00 ($1,320.00 $1386.00 Permit fee + $1,540.00 $1617.00 Preinspection fee) First Re-inspection $0.00 Second Re-inspection $150.00 $158.00 Additional Re-inspection $200.00 $210.00 Hotel/Motel/Resort (5-30 rooms) $1,120.00 ($420 Permit fee + $700 Preinspection fee) First Re-inspection $0.00 Second Re-inspection $225.00 Additional Re-inspection $300.00 Hotel/Motel/Resort (5-30 rooms) $1,120.00 $1176.00 ($420.00 $441.00 Permit fee + $700.00 $735.00 Preinspection fee) First Re-inspection $0.00 Second Re-inspection $225.00 $236.00 Additional Re-inspection $300.00 $315.00 Page 14 of 18 Page 81 of 88 Green = Proposed Effective 7/1/2026 Purple = Proposed Effective 1/1/2027 RED = Proposed Effective 4/1/2027 SERVICE 2025 FEE 2026 FEE 2027 FEE CHIPPEWA COUNTY DEPARTMENT OF PUBLIC HEALTH FEES FOR SERVICES Hotel/Motel/Resort (31-99 rooms) $1,440.00 ($540 Permit fee + $900 Preinspection fee) First Re-inspection $0.00 Second Re-inspection $225.00 Additional Re-inspection $300.00 Hotel/Motel/Resort (31-99 rooms) $1,440.00 $1512.00 ($540.00 $567.00 Permit fee + $900.00 $945.00 Preinspection fee) First Re-inspection $0.00 Second Re-inspection $225.00 $236.00 Additional Re-inspection $300.00 $315.00 Hotel/Motel/Resort (100-249 rooms) $1,760.00 ($660 Permit fee + $1,100 Preinspection fee) First Re-inspection $0.00 Second Re-inspection $225.00 Additional Re-inspection $300.00 Hotel/Motel/Resort (100-249 rooms) $1760.00 $1848.00 ($660.00 $693.00 Permit fee + $1,100.00 $1155.00 Preinspection fee) First Re-inspection $0.00 Second Re-inspection $225.00 $236.00 Additional Re-inspection $300.00 $315.00 Hotel/Motel/Resort (250-499 rooms) $2,080.00 ($780 Permit fee + $1,300 Preinspection fee) First Re-inspection $0.00 Second Re-inspection $225.00 Additional Re-inspection $300.00 Hotel/Motel/Resort (250-499 rooms) $2,080.00 $2184.00 ($780.00 $819.00 Permit fee + $1,300.00 $1365.00 Preinspection fee) First Re-inspection $0.00 Second Re-inspection $225.00 $236.00 Additional Re-inspection $300.00 $315.00 Hotel/Motel/Resort (500-749 rooms) $2,400.00 ($900 Permit fee + $1,500 Preinspection fee) First Re-inspection $0.00 Second Re-inspection $225.00 Additional Re-inspection $300.00 Hotel/Motel/Resort (500-749 rooms) $2,400.00 $2520.00 ($900.00 $945.00 Permit fee + $1,500.00 $1575.00 Preinspection fee) First Re-inspection $0.00 Second Re-inspection $225.00 $236.00 Additional Re-inspection $300.00 $315.00 Hotel/Motel/Resort (750-1000 rooms) $2,720.00 ($1,020 Permit fee + $1,700 Preinspection fee) First Re-inspection $0.00 Second Re-inspection $225.00 Additional Re-inspection $300.00 Hotel/Motel/Resort (750-1000 rooms) $2,720.00 $2856.00 ($1020.00 $1071.00 Permit fee + $1700.00 $1785.00 Preinspection fee) First Re-inspection $0.00 Second Re-inspection $225.00 $236.00 Additional Re-inspection $300.00 $315.00 Hotel/Motel/Resort (1000+ rooms) $3,040.00 ($1,140 Permit fee + $1,900 Preinspection fee) First Re-inspection $0.00 Second Re-inspection $225.00 Additional Re-inspection $300.00 Hotel/Motel/Resort (1000+ rooms) $3040.00 $3192.00 ($1140.00 $1197.00 Permit fee + $1900.00 $1995.00 Preinspection fee) First Re-inspection $0.00 Second Re-inspection $225.00 $236.00 Additional Re-inspection $300.00 $315.00 CAMPGROUND PERMIT Campground (1-25 sites) $739.00 ($298.00 Permit fee + $441.00 Preinspection fee) First Re-inspection $0.00 Second Re-inspection $199.00 Additional Re-inspection $265.00 Campground (1-25 sites) $762.00 ($307.00 Permit fee + $455.00 Preinspection fee) First Re-inspection $0.00 Second Re-inspection $205.00 Additional Re-inspection $273.00 Campground (1-25 sites) $762.00 $800.00 ($307.00 $322.00 Permit fee + $455.00 $478.00 Preinspection fee) First Re-inspection $0.00 Second Re-inspection $205.00 $215.00 Additional Re-inspection $273.00 $287.00 Campground (26-50 sites) $1020.00 ($364.00 Permit fee + $656.00 Preinspection fee) First Re-inspection $0.00 Second Re-inspection $290.00 Additional Re-inspection $386.00 Campground (26-50 sites) $1051.00 ($375.00 Permit fee + $676.00 Preinspection fee) First Re-inspection $0.00 Second Re-inspection $299.00 Additional Re-inspection $398.00 Campground (26-50 sites) $1051.00 $1104.00 ($375.00 $394.00 Permit fee + $676.00 $710.00 Preinspection fee) First Re-inspection $0.00 Second Re-inspection $299.00 $314.00 Additional Re-inspection $398.00 $418.00 Page 15 of 18 Page 82 of 88 Green = Proposed Effective 7/1/2026 Purple = Proposed Effective 1/1/2027 RED = Proposed Effective 4/1/2027 SERVICE 2025 FEE 2026 FEE 2027 FEE CHIPPEWA COUNTY DEPARTMENT OF PUBLIC HEALTH FEES FOR SERVICES Campground (51-100 sites) $1257.00 ($430.00 Permit fee + $827.00 Preinspection fee) First Re-inspection $0.00 Second Re-inspection $352.00 Additional Re-inspection $469.00 Campground (51-100 sites) $1295.00 ($443.00 Permit fee + $852.00 Preinspection fee) First Re-inspection $0.00 Second Re-inspection $363.00 Additional Re-inspection $484.00 Campground (51-100 sites) $1295.00 $1360.00 ($443.00 $465.00 Permit fee + $852.00 $895.00 Preinspection fee) First Re-inspection $0.00 Second Re-inspection $363.00 $381.00 Additional Re-inspection $484.00 $508.00 Campground (101-199 sites) $1440.00 ($475.00 Permit fee + $965.00 Preinspection fee) First Re-inspection $0.00 Second Re-inspection $414.00 Additional Re-inspection $552.00 Campground (101-199 sites) $1484.00 ($490.00 Permit fee + $994.00 Preinspection fee) First Re-inspection $0.00 Second Re-inspection $427.00 Additional Re-inspection $569.00 Campground (101-199 sites) $1484.00 $1558.00 ($490.00 $515.00 Permit fee + $994.00 $1044.00 Preinspection fee) First Re-inspection $0.00 Second Re-inspection $427.00 $448.00 Additional Re-inspection $569.00 $597.00 Campground (200+ sites) $1677.00 ($574.00 Permit fee + $1103.00 Preinspection fee) First Re-inspection $0.00 Second Re-inspection $480.00 Additional Re-inspection $640.00 Campground (200+ sites) $1729.00 ($592.00 Permit fee + $1137.00 Preinspection fee) First Re-inspection $0.00 Second Re-inspection $495.00 Additional Re-inspection $660.00 Campground (200+ sites) $1729.00 $1815.00 ($592.00 $622.00 Permit fee + $1137.00 $1194.00 Preinspection fee) First Re-inspection $0.00 Second Re-inspection $495.00 $520.00 Additional Re-inspection $660.00 $693.00 Temporary Campground (1-25 Sites) $193.00 Temporary Campground (1-25 Sites) $199.00 Temporary Campground (1-25 Sites) $199.00 $210.00 Temporary Campground (26-50 Sites) $276.00 Temporary Campground (26-50 Sites) $285.00 Temporary Campground (26-50 Sites) $285.00 $300.00 Temporary Campground (51-100 Sites) $337.00 Temporary Campground (51-100 Sites) $348.00 Temporary Campground (51-100 Sites) $348.00 $366.00 Temporary Campground (101-199 Sites) $392.00 Temporary Campground (101-199 Sites) $404.00 Temporary Campground (101-199 Sites) $404.00 $426.00 Temporary Campground (Over 200 Sites) $453.00 Temporary Campground (Over 200 Sites) $468.00 Temporary Campground (Over 200 Sites) $468.00 $492.00 RECREATIONAL & EDUCATIONAL CAMP PERMIT Simple (0-5) $1873.00 ($630.00 Permit fee + $1243.00 Preinspection fee) First Re-inspection $0.00 Second Re-inspection $567.00 Additional Re-inspection $756.00 $1930.00 ($649.00 Permit fee + $1281.00 Preinspection fee) First Re-inspection $0.00 Second Re-inspection $585.00 Additional Re-inspection $779.00 $1930.00 $2026.00 ($649.00 $681.00 Permit fee + $1281.00 $1345.00 Preinspection fee) First Re-inspection $0.00 Second Re-inspection $585.00 $614.00 Additional Re-inspection $779.00 $818.00 Simple/w Hospitality $2037.00 ($679.00 Permit fee + $1358.00 Preinspection fee) First Re-inspection $0.00 Second Re-inspection $567.00 Additional Re-inspection $756.00 $2099.00 ($700.00 Permit fee + $1399.00 Preinspection fee) First Re-inspection $0.00 Second Re-inspection $585.00 Additional Re-inspection $779.00 $2099.00 $2204.00 ($700.00 $735.00 Permit fee + $1399.00 $1469.00 Preinspection fee) First Re-inspection $0.00 Second Re-inspection $585.00 $614.00 Additional Re-inspection $779.00 $818.00 Moderate (6-10) $2011.00 ($670.00 Permit fee + $1341.00 Preinspection fee) First Re-inspection $0.00 Second Re-inspection $567.00 Additional Re-inspection $756.00 $2073.00 ($691.00 Permit fee + $1382.00 Preinspection fee) First Re-inspection $0.00 Second Re-inspection $585.00 Additional Re-inspection $779.00 $2073.00 $2177.00 ($691.00 $726.00 Permit fee + $1382.00 $1451.00 Preinspection fee) First Re-inspection $0.00 Second Re-inspection $585.00 $614.00 Additional Re-inspection $779.00 $818.00 Moderate/w Hospitality $2394.00 ($798.00 Permit fee + $1596.00 Preinspection fee) First Re-inspection $0.00 Second Re-inspection $567.00 Additional Re-inspection $756.00 $2466.00 ($822.00 Permit fee + $1644.00 Preinspection fee) First Re-inspection $0.00 Second Re-inspection $585.00 Additional Re-inspection $779.00 $2466.00 $2589.00 ($822.00 $863.00 Permit fee + $1644.00 $1726.00 Preinspection fee) First Re-inspection $0.00 Second Re-inspection $585.00 $614.00 Additional Re-inspection $779.00 $818.00 Complex (11+) $2150.00 ($717.00 Permit fee + $1433.00 Preinspection fee) First Re-inspection $0.00 Second Re-inspection $567.00 Additional Re-inspection $756.00 $2215.00 ($739.00 Permit fee + $1476.00 Preinspection fee) First Re-inspection $0.00 Second Re-inspection $585.00 Additional Re-inspection $779.00 $2215.00 $2326.00 ($739.00 $776.00 Permit fee + $1476.00 $1550.00 Preinspection fee) First Re-inspection $0.00 Second Re-inspection $585.00 $614.00 Additional Re-inspection $779.00 $818.00 Page 16 of 18 Page 83 of 88 Green = Proposed Effective 7/1/2026 Purple = Proposed Effective 1/1/2027 RED = Proposed Effective 4/1/2027 SERVICE 2025 FEE 2026 FEE 2027 FEE CHIPPEWA COUNTY DEPARTMENT OF PUBLIC HEALTH FEES FOR SERVICES Complex/w Hospitality $2696.00 ($899.00 Permit fee + $1797.00 Preinspection fee) First Re-inspection $0.00 Second Re-inspection $567.00 Additional Re-inspection $756.00 $2777.00 ($926.00 Permit fee + $1851.00 Preinspection fee) First Re-inspection $0.00 Second Re-inspection $585.00 Additional Re-inspection $779.00 $2777.00 $2916.00 ($926.00 $972.00 Permit fee + $1851.00 $1944.00 Preinspection fee) First Re-inspection $0.00 Second Re-inspection $585.00 $614.00 Additional Re-inspection $779.00 $818.00 SWIMMING POOL PERMIT Simple Pool (0-2) $651.00 ($336.00 Permit fee + $315.00 Preinspection fee) First Re-inspection $0.00 Second Re-inspection $158.00 Additional Re-inspection $263.00 $672.00 ($347.00 Permit fee + $325.00 Preinspection fee) First Re-inspection $0.00 Second Re-inspection $163.00 Additional Re-inspection $271.00 $672.00 $705.00 ($347.00 $364.00 Permit fee + $325.00 $341.00 Preinspection fee) First Re-inspection $0.00 Second Re-inspection $163.00 $171.00 Additional Re-inspection $271.00 $285.00 Simple Pool with Features $834.00 (417.00 Permit fee + $417.00 Preinspection fee) First Re-inspection $0.00 Second Re-inspection $158.00 Additional Re-inspection $263.00 $860.00 ($430.00 Permit fee + $430.00 Preinspection fee) First Re-inspection $0.00 Second Re-inspection $163.00 Additional Re-inspection $271.00 $860.00 $904.00 ($430.00 $452.00 Permit fee + $430.00 $452.00 Preinspection fee) First Re-inspection $0.00 Second Re-inspection $163.00 $171.00 Additional Re-inspection $271.00 $285.00 Moderate Pool (2.5-3) $754.00 ($377.00 Permit fee + $377.00 Preinspection fee) First Re-inspection $0.00 Second Re-inspection $158.00 Additional Re-inspection $263.00 $778.00 ($389.00 Permit fee + $389.00 Preinspection fee) First Re-inspection $0.00 Second Re-inspection $163.00 Additional Re-inspection $271.00 $778.00 $816.00 ($389.00 $408.00 Permit fee + $389.00 $408.00 Preinspection fee) First Re-inspection $0.00 Second Re-inspection $163.00 $171.00 Additional Re-inspection $271.00 $285.00 Moderate Pool with Features $1088.00 ($544.00 Permit fee + $544.00 Preinspection fee) First Re-inspection $0.00 Second Re-inspection $158.00 Additional Re-inspection $263.00 $1122.00 ($561.00 Permit fee + $561.00 Preinspection fee) First Re-inspection $0.00 Second Re-inspection $163.00 Additional Re-inspection $271.00 $1122.00 $1178.00 ($561.00 $589.00 Permit fee + $561.00 $589.00 Preinspection fee) First Re-inspection $0.00 Second Re-inspection $163.00 $171.00 Additional Re-inspection $271.00 $285.00 Complex Pool (3.5+) $944.00 ($472.00 Permit fee + $472.00 Preinspection fee) First Re-inspection $0.00 Second Re-inspection $158.00 Additional Re-inspection $263.00 $974.00 ($487.00 Permit fee + $487.00 Preinspection fee) First Re-inspection $0.00 Second Re-inspection $163.00 Additional Re-inspection $271.00 $974.00 $1022.00 ($487.00 $511.00 Permit fee + $487.00 $511.00 Preinspection fee) First Re-inspection $0.00 Second Re-inspection $163.00 $171.00 Additional Re-inspection $271.00 $285.00 Complex Pool with Features $1274.00 ($637.00 Permit fee + $637.00 Preinspection fee) First Re-inspection $0.00 Second Re-inspection $158.00 Additional Re-inspection $263.00 $1314.00 ($657.00 Permit fee + $657.00 Preinspection fee) First Re-inspection $0.00 Second Re-inspection $163.00 Additional Re-inspection $271.00 $1314.00 $1380.00 ($657.00 $690.00 Permit fee + $657.00 $690.00 Preinspection fee) First Re-inspection $0.00 Second Re-inspection $163.00 $171.00 Additional Re-inspection $271.00 $285.00 TATTOO & BODY-PIERCING PERMIT Operating without a Practitioner $150.00 $155.00 $155.00 $163.00 Tattoo Establishments $563.00 ($232.00 Permit fee + $331.00 Preinspection fee) First Re-inspection $0.00 Second Re-inspection $149.00 Additional Re-inspection $199.00 Tattoo Establishments $579.00 ($239.00 Permit fee + $340.00 Preinspection fee) First Re-inspection $0.00 Second Re-inspection $154.00 Additional Re-inspection $205.00 Tattoo Establishments $579.00 $608.00 ($239.00 $251.00 Permit fee + $340.00 357.00 Preinspection fee) First Re-inspection $0.00 Second Re-inspection $154.00 162.00 Additional Re-inspection $205.00 215.00 Body-Piercing Establishments $563.00 ($232.00 Permit fee + $331.00 Preinspection fee) First Re-inspection $0.00 Second Re-inspection $149.00 Additional Re-inspection $199.00 Body-Piercing Establishments $579.00 ($239.00 Permit fee + $340.00 Preinspection fee) First Re-inspection $0.00 Second Re-inspection $154.00 Additional Re-inspection $205.00 Body-Piercing Establishments $579.00 $608.00 ($239.00 $251.00 Permit fee + $340.00 357.00 Preinspection fee) First Re-inspection $0.00 Second Re-inspection $154.00 162.00 Additional Re-inspection $205.00 215.00 Page 17 of 18 Page 84 of 88 Green = Proposed Effective 7/1/2026 Purple = Proposed Effective 1/1/2027 RED = Proposed Effective 4/1/2027 SERVICE 2025 FEE 2026 FEE 2027 FEE CHIPPEWA COUNTY DEPARTMENT OF PUBLIC HEALTH FEES FOR SERVICES Combined Tattoo / Body-Piercing Establishments $778.00 ($309.00Permit fee + $469.00 Preinspection fee) First Re-inspection $0.00 Second Re-inspection $244.00 Additional Re-inspection $326.00 Combined Tattoo / Body-Piercing Establishments $803.00 ($319.00Permit fee + $484.00 Preinspection fee) First Re-inspection $0.00 Second Re-inspection $252.00 Additional Re-inspection $336.00 Combined Tattoo / Body-Piercing Establishments $803.00 $843.00 ($319.00 $335.00 Permit fee + $484.00 508.00 Preinspection fee) First Re-inspection $0.00 Second Re-inspection $252.00 $265.00 Additional Re-inspection $336.00 $353.00 Temporary Tattoo Establishments $180.00 Temporary Tattoo Establishments $186.00 Temporary Tattoo Establishments $186.00 $200.00 Temporary Body-Piercing Establishments $180.00 Temporary Body-Piercing Establishments $186.00 Temporary Body-Piercing Establishments $186.00 $200.00 Combined Temporary Tattoo / Body-Piercing Establishments $230.00 Combined Temporary Tattoo / Body-Piercing Establishments $237.00 Combined Temporary Tattoo / Body-Piercing Establishments $237.00 $265.00 Page 18 of 18 Page 85 of 88 Statement of Explanation Public Health Communications Policy - Brittnay Fortuna 1 Public Health Director Brittnay Fortuna reviews the Public Health Communications 2 Policy and seeks approval from the Board. Page 86 of 88 POLICY Chippewa County Department of Public Health Page 1 of 2 Communications Policy PURPOSE To establish and provide clear standards for how the Chippewa County Department of Public Health (CCDPH) shares information with clients, partners, and the public. Clear, consistent, and accessible communication is essential to protecting and promoting community health. SCOPE All CCDPH staff, programs, and applicable contracted services that create or share information on behalf of the department. POLICY Policy Statement For all internal and external communications, the CCDPH: • Is committed to responding to all information requests in a timely, accurate, appropriate, reliable, relevant, and professional manner. • Will provide effective, understandable, and respectful communications and services that are responsive to diverse cultural health beliefs and practices, preferred languages, health literacy, and other communication needs. • Will strive for all communication materials (digital, print, and in‑person) to be accessible and compliant with the Americans with Disabilities Act (ADA), including providing alternative formats, effective communication supports, and accessible digital content. • Will fully comply with the Health Insurance Portability and Accountability Act (HIPAA) and related privacy regulations, ensuring all communications involving protected health information (PHI) follow established CCDPH safeguarding and minimum‑necessary standards. • Will be branded according to the branding and style guidelines. Use of Existing Procedures & Plans All communication activities must follow the department’s communication structure and supports including: • Communications Plan (includes Non-Emergency Communication Procedures, Branding and Style Guide, and additional communication tools) • Public Health Emergency Preparedness (PHEP) Plan – Communications Section • Communication-related job aids • Other program-specific, department, or county communication standards/guidelines. Staff are responsible for reviewing and using these resources before and while developing new materials. Page 87 of 88 POLICY Chippewa County Department of Public Health Page 2 of 2 Responsibility It is the responsibility of all CCDPH employees and contractors to ensure this policy is followed throughout the department. It is the responsibility of the division managers to ensure that employees are educated on and adhere to the policy. DEFINITIONS & EXPLANATIONS OF TERMS • ADA: The Americans with Disabilities Act is an equal opportunity law for people with disabilities. For communications, the ADA requires public entities to provide accessible information and effective communication for individuals with disabilities. • HIPAA: Health Insurance Portability and Accountability is United States legislation that provides data privacy and security provisions for safeguarding medical information. For communications, HIPAA outlines strict standards for when and how protected health information (PHI) may be used or disclosed. REFERENCES / LEGAL AUTHORITY • Americans with Disabilities Act • Health Insurance Portability and Accountability Act • Chippewa County Human Resources Policy Manual – Social Media Policy RELATED PROCEDURES • Communications Plan • Public Health Emergency Preparedness Plan – Communications Section • Chippewa County Website Internal Standards POLICY HISTORY Date Issued: Authorized By: Revision History: Revision # Effective Date Notes Authorized By Page 88 of 88