Health and Human Services Board - 1st Monday — Agenda Packet

PORTAGE COUNTY MEETING AGENDA HEALTH AND HUMAN SERVICES BOARD PORTAGE COUNTY ANNEX CONFERENCE ROOMS 1 & 2 1462 STRONGS AVENUE STEVENS POINT, WI 54481 Monday, August 3, 2026 4:30 PM REMOTE ATTENDANCE & COMMENT To attend this meeting by telephone : dial 1-872-242-7813 , after dialing the number you will then be asked to enter in a meeting number. Use the following meeting number: 253 027 837, then press # To attend this meeting by video: Join the meeting now Page 1 of 2 CALL TO ORDER Committee Members enter Per Diem and Mileage PRESENTATIONS 1. Women, Infants, and Children (WIC) Presentation - Ashley Chrisinger, WIC Supervisor 2. Youth Risk Behavior Survey (YRBS) Presentation - Bryar Drexler, Community Health Educator 3. Division of Public Health Q2 2026 Statistics - Gary Garske, Public Health Manager REPORTS 4. Director's Report • Health and Human Services Staffing, Operations, and Activities 5. Special Meeting Attendance Reports (Portage County Ordinance 3.1.47 & 3.1.48) PUBLIC NOTICE Members of the public who wish to address the Committee on specific agenda items must register their request at this time, with such comments subject to the public comment ordinance and the reasonable control of the Committee Chair as set forth in Robert’s Rules of Order. APPROVAL OF MINUTES 6. July 20, 2026 DISCUSSION/POSSIBLE ACTION 7. Discussion/Possible Action Re: Approval of Acceptance for Traffic Safety Grant - Child Passenger Safety Seats 8. Discussion/Possible Action Re: Approval of Budget Amendment/Transfer Request for Traffic Safety Grant - Child Passenger Safety Seats NEXT MEETING DATE 9. August 17, 2026 CLOSED SESSION Page 1 of 30 Health and Human Services Board Meeting Agenda August 3, 2026 Page 2 of 2 10. Enter into Closed Session pursuant to Wis. Stats. Sec. 19.85(1)(F) to consider cases which involve social or personal histories of specific persons which, if discussed in public, would be likely to have a substantial adverse effect upon the person's reputation related to Permanency Planning meeting. OPEN SESSION 11. Reconvene to Open Session ADJOURNMENT Notice: Any person who has special needs and plans on attending this meeting in-person or remotely should contact the Facilities at 715- 346-1598 as soon as possible to ensure that reasonable accommodations can be made. Notice: Remote comment by the public during the meeting will be at the discretion of the Chair. Notice: A quorum of the Portage County Board of Supervisors, or any committee thereof, may be present at this meeting. Page 2 of 30 1 WIC & Nutrition Services Section Ashley Chrisinger MS, RDN, IFNCP 1 Nutrition Section Programs 2 WIC Our WHY: to safeguard the health of low-income pregnant, postpartum and breastfeeding women, infants, and children up to age 5 who are at nutritional risk. 3 How? WIC offers: – Nutrition education – Breastfeeding promotion and support – Nutritious foods – Referrals to health and other social services 4 12 34 Page 3 of 30 2 Nutrition education WIC works with families to address: – Eating habits – Dietary needs – Meal planning – Feeding concerns 5 Breastfeeding promotion & support 7 Nutritious foods 8 56 78 Page 4 of 30 3 9 Wisconsin MyWIC App Referrals to health and other social services – Prenatal Care Coordination, – Maternal Child Health immunizations program, – Car seat program – Lactation specialist, – Birth to 3 program, – Born Learning, – Dental services, – Emergency food resources 10 Who Qualifies? Individuals who are: • Pregnant • Breastfeeding or postpartum • Infants • Children under 5 years of age 11 Who Qualifies? • Resident of Wisconsin • Income eligible – Up to 185% of the federal poverty level – Enrolled in foster care, kinship care, or FoodShare – 88% of families enrolled in Medicaid/BadgerCare Plus • Eligible participants all have a health or nutrition need 12 91 0 11 12 Page 5 of 30 4 WIC Works! • Increased nutrients in the diet • Better birth outcomes • Improved cognitive and academic abilities • Preventive care services used at greater rates by children and mothers on WIC Medical cost savings of $4.21 for every $1 spent on WIC during pregnancy. 13 WIC in the Community • Metro Market Plover - $103,082.52 • Metro Market SP - $137,608.17 • Walmart - $443,128.72 • Festival Foods - $42,209.93 • Walgreens - $4,767.05 • Save A Lot - $9,743.12 • Amherst Family Foods - $3,267.57 Past Year Total for Portage County $743,807.08 14 FMNP $6,665 spent on local produce in 2025 15 Portage County Nutrition Services after losing FoodWise • HEAL Coalition • Partners HP • parenting classes • Nutrition lectures for • Nutrition Ed + family activities @ & Farmers Markets thanks to • FVRx – partnership with 16 13 14 15 16 Page 6 of 30 5 17 Wisconsin Well Woman Program Wisconsin Well Woman Program Who is eligible • You can enroll in the program if you • Are a woman between ages 40 and 64. • Don’t have health insurance, or • Have insurance that doesn’t include routine check-ups and screenings. • Aren’t able to pay the deductible or co-payment. • Live in Wisconsin • Meet income requirements (at or below 250% of the federal poverty level) 18 19 Wisconsin Well Woman Program Ashley Chrisinger WIC & Nutrition Supervisor Portage County HHS chrisina@co.portage.wi.gov or wic@co.portage.wi.gov 715-345-5744 20 Contact Information 17 18 19 20 Page 7 of 30 Division of Public Health Foundational Public Health Services 2nd Quarter Statistics for 2026 1 Foundational Public Health Services Areas: Communicable Disease The Communicable Disease Program is dedicated to the prevention and mitigation of diseases that are communicable or pose a substantial risk to public health. Core services include education for both the community and healthcare providers, coordination of diagnostic testing and treatment, systematic monitoring and surveillance of disease incidence, and comprehensive investigation and prevention of outbreaks. Outputs 2023 2024 2025 2026 (1st QTR) 2026 (2nd QTR) 2026 (3rd QTR) 2026 (4th QTR) # of animal bite/exposure reports received 20 22 27 6 12 # of outbreaks in nursing homes reported 29 21 19 5 1 # of food/water investigations (non-healthcare associated) 3 1 1 0 0 # of communicable disease reports (confirmed, probable, & suspect) 2,522 1,064 757 173 187 # of Chlamydia disease reports 180 167 166 41 40 # of condoms distributed 16,050 18,474 28,428 8,220 7,464 # of press releases, newsletters, interviews completed on CDC New 2024 2, 4, 1 2, 4, 0 0, 1, 0 0, 1, 0 # of community presentations / attendance at events New 2024 3, 8 8, 2 1, 0 0, 1 Performance Goal Outcome Measures 2023 2024 2025 2026 (1st QTR) 2026 (2nd QTR) 2026 (3rd QTR) 2026 (4th QTR) % of category 1 reportable disease 75.9% 10.9% 2% 2.3% 0.5% % of category 2 reportable disease 24.1% 89.1% 98% 97.7% 99.5% Protect individuals, families, and communities from infectious disease % of animal bites/exposures receiving follow-up 100% 100% 100% 100% 100% % of STI interviews completed 84% 82.9% 88.6% 90.7% 97.6% % of disease interviews who refused partner information 11.2% 22% 14.7% 18% 7.5% Decrease incidence of STI’s % of Portage County STI contacts notified of exposure 77% 87% 86% 100% 91% Page 8 of 30 Division of Public Health Foundational Public Health Services 2nd Quarter Statistics for 2026 2 Performance Goal Outcome Measures 2023 2024 2025 2026 (1st QTR) 2026 (2nd QTR) 2026 (3rd QTR) 2026 (4th QTR) # of Facebook/Instagram Posts related to communicable disease New 2024 36 69 5 35 Increase outreach and data sharing with community # of reach on Facebook and Instagram New 2024 16,309 23,275 1,568 58,980 % of 24-month-olds who have received recommended vaccines 74% 75% 69% 70% 75% % of adolescents age 11-18 with at least 1 dose of HPV 56% 57% 57% 57% 55% % of adolescents age 11-18 with at least 1 dose of Meningo. 69% 70% 71% 70% 69% Decrease vaccine preventable diseases % of those 6 months and older receiving Flu vaccine (July – June) 33.5% 32.7% In process for current season 31.9% 31.9% Additional Information – 2026 Quarter 2 Respiratory hospitalizations 1st Quarter 2026: • 1 hospitalized Influenza • 12 hospitalized RSV • 2 hospitalized Covid-19 2nd Quarter – Animal Bite/Exposure Testing - 10 submissions total, all negative (2 bats, 4 dogs, 1 squirrel, 3 cats) Public Health in the Community: Communicable Disease staff were present at the Point Pride Festival in May and had around 300 interactions with community members! The theme was “Taking Pride in Your Sexual Health” with fingerprints identifying individual uniqueness. Page 9 of 30 Division of Public Health Foundational Public Health Services 2nd Quarter Statistics for 2026 3 Chronic Disease & Injury Prevention The Chronic Disease Prevention Program encompasses a comprehensive range of initiatives and policy efforts designed to prevent or mitigate the impact of chronic conditions, including diabetes, cardiovascular disease, obesity, and lung cancer. Core services provided through this program include nutrition education and cancer screening. In addition, the program advances policy, systemic, environmental, and organizational strategies aimed at improving access to nutritious foods and fostering a health-supportive built environment for all individuals. Outputs 2023 2024 2025 2026 (1st Qtr) 2026 (2nd Qtr) 2026 (3rd Qtr) 2026 (4th Qtr) # of cribs distributed 22 15 17 5 8 # of families served for infant nutrition gaps/needs 25 30 60 21 7 # of car seats given / checks 3 / 11 15 / 21 17 / 23 12 / 16 12 / 25 # of families receiving breastfeeding resource assistance 26 20 24 5 3 # of children screened for lead (< age 6) 700 856 788 185 186 # of hearing / vision screenings 1278 h 3246 v 1379 h 3467 v 1448 h 3437 v N/A N/A N/A N/A # of dental screenings performed in schools (Noble Community Clinic #’s only Sep – Dec), Bridging Brighter Smiles – not reporting) 636 1256 1612 N/A N/A N/A N/A # of community collaborative meetings regarding child and adult injury prevention (CDR, OFR, SDR, PSPC, PCBC, COP) New 2024 40 39 16 12 # of community events attended in which injury education was presented (Aspirus PG Expo, Mark Motors Safety Fair, Amherst School Tabling) 2 13 12 2 3 # of children graduating Fit Families (FFY Oct-Sept) 63 43 43 -- -- -- $ of Farmers Market benefits provided to WIC participants $19,200 $27,320 $13,725 NA $4,525 Performance Goal Outcome Measures 2023 2024 2025 2026 (1st QTR) 2026 (2nd QTR) 2026 (3rd QTR) 2026 (4th QTR) Enhance Healthy Eating % WIC farmers market benefits redeemed 48% 46% 49% NA NA Page 10 of 30 Division of Public Health Foundational Public Health Services 2nd Quarter Statistics for 2026 4 Performance Goal Outcome Measures 2023 2024 2025 2026 (1st QTR) 2026 (2nd QTR) 2026 (3rd QTR) 2026 (4th QTR) % WIC children at a healthy weight 24.2% 44.4% 63.2% 61.7% 63% % Fit Families children with less than 2 hours of screen time daily. 89% 84% 70% -- -- % WIC fruit & vegetable benefit spent 68.5% 70.2% 71.8% 67.9% 68.6% and Active Living % WIC infants breastfeeding at 12 months 27.6% 36.1% 30.4% Annual Data Annual Data % of students with hearing referrals 1% 0.78% 0.5% N/A N/A N/A N/A % of students with vision referrals 8.8% 8.1% 7.2% N/A N/A N/A N/A Enhance the early detection of health complications related to vision, hearing and dental issues in school aged children % of students with dental referrals (Sep. - Dec) 18.2% 24.8% 30% N/A N/A N/A N/A # of children with elevated blood level of > 3.5 mcg/dl 14 21 14 3 6 # of children with elevated lead screening > 10 mcg/dl 1 1 2 1 1 Enhance lead surveillance and intervention efforts to prevent long term complications associated with prolonged elevated lead levels in children. # of children with elevated lead screening requiring a lead home hazard assessment 0 1 1 0 0 # of injury related deaths ages 0-17 (per Wisconsin Interactive Statistics on Health) – latest data 2023 < 5 Data N/A Data N/A Data N/A Data N/A Data N/A Data N/A % of youth (0-24 years) ER visits r/t intentional poisoning (WISH) <5 Data N/A Data N/A Data N/A Data N/A Data N/A Data N/A Reduce the incidence of accidental injury and deaths in children % of youth hospitalizations r/t intentional poisoning (WISH) 8 Data N/A Data N/A Data N/A Data N/A Data N/A Data N/A Page 11 of 30 Division of Public Health Foundational Public Health Services 2nd Quarter Statistics for 2026 5 Performance Goal Outcome Measures 2023 2024 2025 2026 (1st QTR) 2026 (2nd QTR) 2026 (3rd QTR) 2026 (4th QTR) # of LifePoint client visits 66 157 1220. 27 24 # of Secondary Outreach 170 515 470 100 114 # of syringes given 30,410 32,780 29,135 6,247 6770 Increase the number of sterile syringes distributed to individuals at risk of bloodborne infections, such as HIV or Hepatitis, thereby reducing the transmission of these diseases. Syringe rate of return 135% 91% 170% 168% 93.6% # of Narcan distributed through LifePoint program 133 207 164 27 1 # of Narcan distributed through outside sources (EMS and volunteers & community) 410 173 385 56 2 # of Narcan distributed through Public Health Vending Machine (PHVM) N/A 434 273 91 33 # of Fentanyl Test Strips distributed through LifePoint program 248 395 285 35 5 # of Fentanyl Test Strips distributed in community 2,920 820 1200 65 0 Increase the accessibility and usage of Narcan and Fentanyl Testing Strips among individuals who use opioids – therefore reducing opioid overdoses and death. # of Fentanyl Test Strips distributed through PHVM N/A 675 860 105 60 # of Facebook/Instagram posts related to chronic disease and injury prevention New 2024 124 88 13 34 Increase outreach and data sharing with community # of identified reach on Facebook and Instagram New 2024 37,547 26,863 2,951 4,285 Community Interactions for Prevention: The Public Health Vending Machine (PHVM) went live in May 2024 offering harm reduction items such as Narcan, fentanyl testing strips (FTS) and Xylazine testing strips, condoms and gun locks and has expanded to meet the needs of the community offering diaper packs, reusable water bottles, and a variety of hygiene kits in 2025. Page 12 of 30 Division of Public Health Foundational Public Health Services 2nd Quarter Statistics for 2026 6 Months/Items 2024 Q1 2025 Q2 2025 Q3 2025 Q4 2025 Q1 2026 April 2026 May 2026 June 2026 TOTALS 2026 Narcan (Doses) 434 124 142 128 68 91 15 34 48 188 FTS (per strip) 675 170 220 280 185 105 55 25 60 245 XTS (per strip) 386 40 140 130 110 90 5 20 15 130 Hope Kit 105 21 0 13 34 0 8 12 9 29 Gun Lock 350 82 94 119 122 78 43 49 56 226 Deterra Bag 97 13 22 32 12 13 2 5 7 27 Condom Kit 288 121 134 222 163 0 0 0 0 0 Condom Box 0 0 67 78 95 182 51 114 88 435 General Hygiene Wipe 0 0 0 0 0 0 0 67 164 231 General Hygiene Kit 177 64 70 32 153 145 121 66 0 332 Feminine Hygiene Kit (Tampons) 138 81 12 78 30 55 0 67 164 74 Feminine Hygiene Kit (Pads) 78 28 54 47 39 13 18 1 0 41 Mylar Emergency Blanket 216 67 91 137 162 160 3 10 15 191 Tick Kit 293 73 148 94 103 91 31 0 0 268 STI Home Test Kit 63 0 0 21 11 28 0 0 0 28 Resource Packet 56 0 0 0 0 0 0 0 0 0 COVID-19 Test Kit 115 N/A N/A 0 0 0 0 0 0 0 Emergency Reusable Diaper Kit 14 10 8 32 0 0 0 0 0 0 Size 1 Diapers N/A 12 14 35 8 20 1 1 3 25 Size 2 Diapers N/A N/A 22 0 12 4 0 0 0 4 Size 4 Diapers N/A 3 4 0 0 6 0 0 0 6 Size 5 Diapers N/A 13 46 0 0 0 3 0 0 3 Size 6 Diapers N/A 13 0 15 21 0 14 17 1 32 Pregnancy Tests N/A N/A 8 45 6 6 0 0 12 18 Reusable Water Bottles N/A N/A N/A N/A 148 41 19 23 0 85 Page 13 of 30 Division of Public Health Foundational Public Health Services 2nd Quarter Statistics for 2026 7 Infant Hygiene Kits N/A N/A 43 53 11 0 0 0 0 24 First Aid Kit N/A N/A N/A N/A 5 53 1 0 0 54 Menstrual Cup N/A N/A N/A N/A 13 4 0 0 0 4 Socks N/A N/A N/A N/A 38 109 84 61 78 332 Locking Pill Container N/A N/A N/A N/A N/A 5 0 0 0 0 Summary of Harm Reduction Materials Distribution, Trainings, and Community Outreach Events • #of Narcan distributed through outside sources (EMS and volunteers & community): 2 • # of Narcan distributed through Public Health Vending Machine (PHVM): 97 • # of Fentanyl Test Strips distributed through LifePoint program: 180 • # of Fentanyl Test Strips distributed in community: 0 • # of Fentanyl Test Strips distributed through PHVM: 60 • # of Facebook Posts related to chronic disease and injury prevention: 34 • # of identified reach on Facebook and Instagram: 4,285 Community Interactions for Prevention • Community Events/Meetings • Narcan Trainings • Aspirus Behavioral Health – Residential o 4/13/2026 | 6 trainees o 5/11/2026 | 7 trainees • UWSP RA’s | 4/15/2026 | 25 trainees • Ruth Gilfry Center Trainings – 4/20/2026 o Session 1: 5 trainees o Session 2: 1 trainee • Healthy People Portage County (HPPC) ▪ Building a Safe and Thriving Community Workgroup Meeting | 4/6/2026 ▪ Equitable Opportunity to be Healthy Workgroup Meeting | 5/4/2026 ▪ Mental Health and Social Wellbeing Workgroup | 5/11/2026 ▪ Full HPPC Workgroup Meeting | 3/2/2026 • Portage County Overdose Fatality Review Meeting ▪ Case Review Meeting | 4/7/2026 | 21 attendees ▪ Case Review Meeting | 6/3/2026 | 22 attendees • Mark Motors Safety Fair | 5/16/2026 | 120 attendees Environmental Public Health Environmental Public Health coordinates programs and services to protect food, water, and recreational sites, and to identify environmental health hazards in compliance with federal, state, and local regulations. It provides timely, accurate information on environmental threats and toxic exposures to state agencies, health partners, and communities. The Page 14 of 30 Division of Public Health Foundational Public Health Services 2nd Quarter Statistics for 2026 8 program builds partnerships, develops prioritized plans, secures funding for key initiatives, and supports land-use and sustainable development decisions that promote public health and community resilience. Outputs 2023 2024 2025 2026 (1st QTR) 2026 (2nd QTR) 2026 (3rd QTR) 2026 (4th QTR) Agent contract activities for licensed DATCP facilities. 643 749 798 176 167 Agent contract activities for licensed DSPS facilities. 40 27 39 3 27 Agent contract activities for licensed DNR-TNC facilities 128 421 451 33 173 EH focused surveillance (Recreational waters). 49 92 49 0 25 Childhood lead poisoning prevention through home investigations. 0 1 4 0 0 Communications to the community. N/A 4 2 1 0 Complaint investigations 29 37 44 22 5 Human health Hazards investigations 2 0 0 0 0 Radon testing in homes 91 63 70 52 9 Broad land use planning and sustainable development. 352 450 278 43 2 Performance Goal Outcome Measures 2nd QTR 2025 3rd QTR 2025 4th QTR 2025 1st QTR 2026 2nd QTR 2026 Pre-licensing inspections 29 13 13 9 21 Routine inspections 147 168 121 133 95 Follow-up inspections 1 7 1 5 1 Conditional licenses issued 2 1 2 5 1 Complaint investigations* 3 12 11 14 3 Temporary establishment inspections 31 52 1 5 38 In order to limit the incidence of food and waterborne disease outbreaks in facilities, complete DATCP contract deliverables by June 30th of the following year. Onsite consultations 4 10 11 19 8 Pre-licensing inspections 1 0 1 2 0 Routine inspections 25 3 0 1 26 Follow-up inspections 0 0 0 0 0 Complete DSPS contract deliverables by June 30th of the following year. Conditional licenses issued 0 0 0 0 0 Page 15 of 30 Division of Public Health Foundational Public Health Services 2nd Quarter Statistics for 2026 9 Performance Goal Outcome Measures 2nd QTR 2025 3rd QTR 2025 4th QTR 2025 1st QTR 2026 2nd QTR 2026 Complaint investigations* 3 3 1 2 1 Onsite consultations 1 0 0 0 0 Bacteria safe samples collected 67 41 66 9 81 Bacteria unsafe samples collected 11 9 14 6 17 Nitrate samples collected <10 mg/L 61 42 60 17 67 Nitrate samples collected 10-20 mg/L 6 10 2 1 7 Nitrate samples collected >20 mg/L 0 2 0 0 1 In order to limit the incidence of waterborne disease outbreaks in potable water for public consumption, complete 2025 DNR-TNC contract deliverables by 12/31/2025. TOTAL well water samples collected: 145 104 142 33 173 Inspection total for taverns includes pre- inspections, routine inspections, and on-site consultations. 1 2 3 3 2 Food or water-borne illness investigations 0 0 0 0 0 Recreational water samples collected from public beaches 25 24 0 N/A 25 Recreational water samples </= 235 colonies /100 ml 24 24 0 N/A 24 Recreational water samples > 235 colonies /100 ml, but <1000 colonies /100 ml 1 0 0 N/A 1 Recreational water samples =/> 1000 colonies /100 ml 0 0 0 N/A 0 Number of radon sample kits sold.50 short-term | 2 long-term kits 5 4 5 52 8 Limit environmental public health threats and health impacts from common environmental or toxic exposures. Radon samples collected N/A N/A 5 29 9 Page 16 of 30 Division of Public Health Foundational Public Health Services 2nd Quarter Statistics for 2026 10 Performance Goal Outcome Measures 2nd QTR 2025 3rd QTR 2025 4th QTR 2025 1st QTR 2026 2nd QTR 2026 Radon samples </= 4 pCi/L N/A N/A 4 13 3 Radon samples >/= 4 pCi/L N/A N/A 1 16 6 Highest radon result this quarter. N/A N/A 4.5 17.1 pCi/L 14.1 pCl/L Childhood Lead Prevention: Home/site investigations where venous BLL is 15 mcg/dl or greater. 0 2 0 0 0 Number of private well owners participating in the SLFRF Well Owners Assistance Program 81 93 47 32 0 Number of nitrate samples 1 14 1 9 2 Participate in broad land use planning and sustainable development to encourage decisions that promote positive public health outcomes and resilient communities (SLRF) Number of bacteria re- samples 3 10 12 2 0 Additional Information – 2nd Quarter 2026: SLFRF ARPA Water Project reimbursed $1,500.20 to homeowners for reverse osmosis systems and $0 funding was reimbursed to support TN systems for new wells or additional treatment systems. Note: WATER project ending in 2026 so remaining funds are being depleted. EH Staff led the following activities in our community during the second quarter of 2026: EH staff provided food safety training for non-profit organizations and businesses food vendors operating at the annual Cultural Festival at SPASH. License renewal for existing establishments, for the 2026-2027 licensing period. Maternal, Child, & Family Health Maternal, child, and family health programs aim to ensure optimal health outcomes for children and families through policies and initiatives that address prenatal and family health needs. Core services include home visitation through the Prenatal Care Coordination (PNCC) program, the Women, Infants, and Children (WIC) program, school health services, and collaboration with community partners. This work is critical because healthy growth and development provide the foundation for future academic achievement, economic productivity, and responsible citizenship. Page 17 of 30 Division of Public Health Foundational Public Health Services 2nd Quarter Statistics for 2026 11 Outputs 2023 2024 2025 2026 (1st Qtr.) 2026 (2nd Qtr.) 2026 (3rd Qtr) 2026 (4th Qtr) # of people referred to PNCC 133 158 188 40 21 # of PNCC enrollments (from referrals) 59 65 59 19 14 # of individuals participating in WIC (yearly is unduplicated, quarterly is monthly average) 1,300 1,316 1,283 836 831 % of WIC families needing interpretation 7.2% 7.8% 8.4% 9.25% 9.37% # of individuals who received outreach letters for WIC n/a 253 130 53 40 % of PNCC clients with limited English proficiency 15.5% 24.5% 25% 14% 21% % of PNCC clients with at risk prenatal depression screening 37.7% 46.3% 40.7% 31.6% 35.7% % of PNCC clients with at risk postpartum depression screening 41.7% 46.2% 12% 0% 30% # of community collaborative meetings on maternal child and health promotion (PCBC, PSPC Sub-Group, BL, HEAL) Not Tracked 53 42 12 12 # of social media posts related to maternal and child health Social Media Reach Not Tracked 53 11,707 89 28,455 2 561 37 5,190 # of students served by school health contracts 1264 1235 1213 N/A N/A N/A N/A # of students with health conditions 200 384 358 N/A N/A N/A N/A # of staff trained on medication administration 132 277 95 N/A N/A N/A N/A # of student office visits 1948 3253 2733 N/A N/A N/A N/A # of newsletters distributed regarding maternal, child & family health (school and MCH) 4 50 83 Additional Information – 2026 Quarter 2 • 38 clients participated in PNCC – 2nd Quarter 2026 o 18 clients discharged from the program during 2nd Quarter 2026 Performance Goal Outcome Measures 2023 2024 2025 2026 (1st Qtr.) 2026 (2nd Qtr.) 2026 (3rd Qtr.) 2026 (4th Qtr) % of PNCC clients enrolling into Born Learning initiative (restarted late 2023) 0% 7.9% 1.5% 0% 0% % of PNCC clients with identified safety risk connected to successive program 80% 33% 33% 0% No safety concerns Increase early childhood health/healthy start to life % of PNCC clients who initiate breastfeeding after birth 91% 66.7% 76% 50% 100% Page 18 of 30 Division of Public Health Foundational Public Health Services 2nd Quarter Statistics for 2026 12 Performance Goal Outcome Measures 2023 2024 2025 2026 (1st Qtr.) 2026 (2nd Qtr.) 2026 (3rd Qtr.) 2026 (4th Qtr) % of WIC breastfeeding incidence 80.4% 81.2% 79.5% Annual Data Annual Data % of WIC participants receiving recommended nutrition education contacts 68.8% 68% 65% 68% 70% % of PNCC clients who successfully complete program 66% 58% 63% 50% 50% % of WIC infants born at LBW <5.5# New 2026 New 2026 New 2026 10.3% 7% % of WIC infants born preterm, <37wk New 2026 New 2026 New 2026 17.2% 11% % of prenatal clients who use tobacco and other substances that enroll into First Breath 0% 6.25% 33% 0% 0% % of PNCC enrollments from referrals 44% 41.1% 31% 47.5% 66% % of PNCC clients delivering prematurely (before 37 weeks) 17% 7.4% 7.1% 16% 20% % of PNCC clients with low- birth-weight infants 17% 7.4% 9.5% 0% 20% Increase Healthy Birth Outcomes % of PNCC clients receiving prenatal care in 1st trimester 72% 77.8% 86% 94.7% 84.6% Promote health and safety of students in school settings served through contracted nursing services % of students with life threatening conditions 27 % 16.6% 5.9% N/A N/A N/A N/A Promote health and safety of students in school settings served through contracted nursing services % of students with a life threating condition that have emergency medication 30 % 31.3% 100% N/A N/A N/A N/A Page 19 of 30 Division of Public Health Foundational Public Health Services 2nd Quarter Statistics for 2026 13 MCH in the Community: Staff supported the 2026 Mark Motors Safety Fair, May 16th offering education topics on car seat installation, immunizations and poisoning prevention. Making a Difference in MCH: This quarter, staff demonstrated strong cross‑program coordination to meet emerging client needs. During a clinic visit for a routine TB skin test, nursing staff identified that the client was pregnant and provided information on available maternal support services. The client was enrolled in PNCC during the same visit, and staff facilitated same‑day enrollment in WIC, ensuring timely access to comprehensive resources. Additionally, during an initial home visit for a child with newly elevated lead levels, two senior public health nurses learned that the child’s mother was expecting another baby. They connected her to both lead‑prevention services and our prenatal program, enabling the team to address multiple health concerns during a single encounter and establish continued support for the family. Access To & Linkage with Care The purpose of access to care and linkage with care in public health is to ensure that all individuals have opportunity to access the necessary health services and support. By ensuring access to care and effective linkage with services, public health supports the delivery of high-quality health services and contributes to the overall well-being of the community. Outputs 2023 2024 2025 2026 (1st Qtr) 2026 (2nd Qtr) 2026 (3rd Qtr) 2026 (4th Qtr) Total # of childhood immunizations administered 367 362 369 36 39 Total # of adult immunizations administered 122 97 93 25 8 # of seasonal flu vaccines administered 174 208 238 10 2 # of Covid-19 vaccines administered 154 36 20 4 1 # of TB skin tests administered during the year 125 117 109 Annual Annual # of clients utilizing TB Dispensary 1 4 4 3 3 # of WWWP enrollments (7 counties) 162 187 137 142 147 # WIC referrals to community partners and healthcare referrals 67 66 131 23 16 Maintaining WIC Caseload within certain % 97.3% 91.8% 93.8% 96.8% 95.5% Page 20 of 30 Division of Public Health Foundational Public Health Services 2nd Quarter Statistics for 2026 14 Performance Goal Outcome Measures 2023 2024 2025 2026 (1st Qtr) 2026 (2nd Qtr) 2026 (3rd Qtr) 2026 (4th Qtr) Enhance early detection to cancers related to cervical or breast issues % of WWWP eligible participants receiving breast or cervical screenings through WWWP 43.3% (31%) 7.6% (33%) 7.8% 8.1% 9.8% Additional Information – 2026 Quarter 2 • Immunization Clinic: As part of a quality improvement project, Community Health front desk staff are offering additional recommended vaccines beyond what clients schedule for. In 1st quarter – 30% of vaccines offered were given and in 2nd quarter 7% of vaccines offered were given. • WWWP: For this quarter’s outreach efforts our WWWP coordinator used social media to educate about mammogram anxiety and incorporated partner H2N. For physical outreach, WWWP set up a table at the Stevens Point Farmers Market to educate community members on cancer prevention screenings and WWWP enrollment criteria. o Total caseload: 51 o Women enrolled/reenrolled: 8 o New to WWWP: 4 o Women Screened: 5 o New cancer cases: 0 • WIC provides internal referrals to programs like the Birth to 3, PNCC, immunizations program, well water testing, and the car seat program which is now internal. It also provides external referrals to medical and dental providers, mental health navigators, housing and food assistance, and tobacco cessation programs. The three pillars of WIC are 1. referrals, 2. nutrition education, and 3. our food package – tailored to the age, development and nutritional needs of each participant. This food package has gone through several changes between October 2025 and April 2026 increasing in value and ease of use. • Some insights from WIC’s 2nd quarter: Our 2026 goal is to increase enrollment to recover funding for 2027. This quarter we did outreach to libraries and daycares within Portage County that are Young Star certified to ensure they had materials to provide qualifying families with. We resumed our paper mailings to families referred to by insurance providers. We also worked with UWSP student interns to expand the outreach and nutrition education we provide over social media. Without our Fit Families program, we’re assessing our capacity for nutrition education outside of WIC and have applied for grant funding to re-introduce nutrition education in our rural schools, with the Food and Farm Exploration Center, and programming through Children’s WI. • At this point in 2026, we’ve successfully exceeded our 2025 participant numbers positively impacting next year’s funding, and we launched our FMNP program where we’re continuing community outreach at the local markets. Page 21 of 30 Division of Public Health Foundational Public Health Services 2nd Quarter Statistics for 2026 15 Additional Division Program Highlights CHIPP Highlights Healthy People Portage County (HPPC) is a community-wide collaborative effort led by Division of Public Health, engaging key stakeholders. HPPC has quarterly full group meetings where high-level updates and collaboration take place regarding CHIPP objective implementation. Healthy People Portage County (HPPC) MISSION: Fostering collaboration for community wellbeing. VISION: Optimal wellbeing through safe and healthy environments in the Portage County Community. VALUES: Excellence | Collaboration | Equal Opportunity 2024-2028 CHIPP Priority Area Workgroups & Full Group Highlights Equitable Opportunity to Be Healthy - Quarter two workgroup meeting: 8 members engaged in the quarterly meeting - Objective update: increase utilization of current public spaces by community members: o In quarter two, Division of Public Health (DPH) staff invited 13 representatives from 8 key agencies/departments to join in a meeting to discuss utilization of public spaces. 10 representatives joined the meeting along with 4 DPH staff. This group decided to schedule quarterly meetings to keep the conversation moving forward. Mental health and Social Wellbeing - Quarter two workgroup meeting: 8 members engaged in the quarterly meeting Building a Safe and Thriving Community - Quarter two workgroup meeting: 12 members engaged in the quarterly meeting - Falls review planning team is still meeting and starting to explore additional agencies to participate in the planning and development of this initiative. Healthy People Portage County Full Group - Quarter two Full Group meeting: 13 members engaged in the quarterly meeting - ODC joined HPPC as part of the full group and all three priority area workgroups Page 22 of 30 Division of Public Health Foundational Public Health Services 2nd Quarter Statistics for 2026 16 The LEO Program Page 23 of 30 PORTAGE COUNTY MEETING MINUTES HEALTH AND HUMAN SERVICES BOARD PORTAGE COUNTY ANNEX CONFERENCE ROOMS 1 & 2 1462 STRONGS AVENUE STEVENS POINT, WI 54481 Monday, July 20, 2026 4:30 PM REMOTE ATTENDANCE & COMMENT To attend this meeting by telephone : dial 1-872-242-7813, after dialing the number you will then be asked to enter in a meeting number. Use the following meeting number: 940 824 324, then press # To attend this meeting by video: Join the meeting now Page 1 of 3 CALL TO ORDER Committee Members enter Per Diem and Mileage The Health and Human Services Board meeting was called to order at 04:30 PM Members Present: Greg Hakala, Jeanne Dodge, Suzanne Oehlke, Barry Jacowski, Robin Falk, Bev Laska, Amber Garner, Joseph Jarabek Attending In-Person: Greg Hakala, Jeanne Dodge, Suzanne Oehlke, Barry Jacowski, Robin Falk, Bev Laska, Amber Garner, Joseph Jarabek Attending Online: None Members Excused: None Members Absent: Landon Elgersma Staff Attending: Jessica Hake, Director; Gary Garske, Public Health Manager; Craig Sankey, Children and Family Services Manager; Gretchen Hintz, Community Programs Manager; Katie Gonzalez Martin, Office Supervisor; Teresa Kovach, Child Proective Services Supervisor; Eric Olson, County Executive 2027 HEALTH AND HUMAN SERVICES BUDGET PUBLIC HEARING Adjourn the Health and Human Services Board Committee meeting to hold the public hearing. Reconvene to the Health and Human Services Board Committee meeting A motion was made by Barry Jacowski, seconded by Jeanne Dodge, to adjourn the Health and Human Services Board Committee meeting and convene the 2027 Health and Human Services Budget Public Hearing. Motion carried by voice vote, with no negative votes. The Health and Human Services Board Committee meeting was adjourned and the 2027 Health and Human Services Budget Public Hearing was von No comments were offered. A motion was made by Amber Garner, seconded by Barry Jacowski, to adjourn the 2027 Health and Human Services Budget Public Hearing and reconvene the Health and Human Services Board Committee meeting. Motion carried by voice vote, with no negative votes. The Budget Public Hearing was adjourned and the Health and Human Services Board Committee was reconvened by call of the chair. PRESENTATIONS 1. Child Welfare Access and Initial Assessment Presentation - Teresa Kovach, Child Protective Services Supervisor Teresa Kovach presented on child welfare access and initial assessment. REPORTS 2. Director's Report • Health and Human Services Staffing, Operations, and Activities Director Hake provided the Director's Report. Page 24 of 30 Health and Human Services Board Meeting Minutes July 20, 2026 Page 2 of 3 3. Special Meeting Attendance Reports (Portage County Ordinance 3.1.47 & 3.1.48) No reports. PUBLIC NOTICE Members of the public who wish to address the Committee on specific agenda items must register their request at this time, with such comments subject to the public comment ordinance and the reasonable control of the Committee Chair as set forth in Robert’s Rules of Order. APPROVAL OF MINUTES 4. July 6, 2026 A motion was made by Bev Laska, seconded by Jeanne Dodge, to Approve the Health and Human Services Board Committee meeting minutes from July 6, 2026. Motion to Approve carried by voice vote, with no negative votes. DISCUSSION/POSSIBLE ACTION 5. Discussion/Possible Action Re: Approval of Application for Community Mental Health Services Block Grant Supplemental Award A motion was made by Barry Jacowski, seconded by Robin Falk, to Approve the application for the Community Mental Health Services Block Grant Supplemental Award. Motion to Approve carried by voice vote, with no negative votes. 6. Discussion/Possible Action Re: Approval of Acceptance of 2017 Wisconsin Act 260 Foster Parent Grant A motion was made by Jeanne Dodge, seconded by Amber Garner, to Approve the acceptance of the 2017 Wisconsin Act 260 Foster Parent Grant. Motion to Approve carried by voice vote, with no negative votes. 7. Discussion/Possible Action Re: Approval of Budget Amendment/Transfer Request Form for the 2017 Wisconsin Act 260 Foster Parent Grant A motion was made by Jeanne Dodge, seconded by Barry Jacowski, to Approve the budget amendment/transfer request form for the 2017 Wisconsin Act 260 Foster Parent Grant. Motion to Approve carried by voice vote, with no negative votes. 8. Discussion/Possible Action Re: Approval of Application and Acceptance of Caring for Communities Grant A motion was made by Barry Jacowski, seconded by Bev Laska, to Approve the application and acceptance of the Caring for Communities Grant. Motion to Approve carried by voice vote, with no negative votes. 9. Discussion/Possible Action Re: Approval of Budget Amendment/Transfer Request Form for the Caring for Communities Grant A motion was made by Robin Falk, seconded by Barry Jacowski, to Approve the budget amendment/transfer request form for the Caring for Communities Grant. Motion to Approve carried by voice vote, with no negative votes. NEXT MEETING DATE 10. August 3, 2026 CLOSED SESSION 11. Enter into Closed Session pursuant to Wis. Stats. Sec. 19.85(1)(F) to consider cases which involve social or personal histories of specific persons which, if discussed in public, would be likely to have a substantial adverse effect upon the person's reputation related to Permanency Planning meeting. A motion was made by Barry Jacowski, seconded by Amber Garner, to enter into Closed Session. The motion to enter into Closed Session carried by the following vote: 8 Yes: Greg Hakala, Jeanne Dodge, Suzanne Oehlke, Barry Jacowski, Robin Falk, Bev Laska, Amber Garner, Joseph Jarabek 0 No: None 0 Abstain: None OPEN SESSION 12. Reconvene to Open Session Meeting did not reconvene to Open Session. Page 25 of 30 Health and Human Services Board Meeting Minutes July 20, 2026 Page 3 of 3 ADJOURNMENT Meeting adjourned at 05:36 PM Page 26 of 30 PORTAGE COUNTY, WISCONSIN Grant Application Information Form Grantor Agency (Federal or State Agency - Grant Type) County Department Fiscal Year: ________ Grantor Type: Grant Name Application Amount $ ☒ Federal ☒ State ☒ Local ☒ Other Date of Application Notice of Award Date Pass Through Agency (Agency Name or Direct Program) Match Requirement ____% Amount $ ☒ Yes ☒ No ☒ Cash ☒ In-Kind Purpose of the Grant: How will grant funds be used? Brief explanation or provide a simple budget. Person preparing grant proposal Person reviewing grant proposal Please answer the following questions regarding the grant application: Yes No Does the grant require subcontracts: Does the grant require staffing: ☒ Existing Position(s) ☒ New Position(s) Does the grant require work from other county departments: Has the grant been reviewed by the department finance liaison: Does the grant comply with county purchasing policy: Does the grant comply with county ethics policy: Has the grant been approved by the Finance Director: Has the grant been approved by the County Executive: Certification of Summary The foregoing information has been reviewed and is hereby certified as accurate and correct. Department Director Date * Please submit the application portion of this form to grants@co.portage.wi.gov when completed. * Please update this form as changes or updates to your grant are made. Once your application has been approved, update the remaining forms and re-submit to the grants email. Page 27 of 30 PORTAGE COUNTY, WISCONSIN Grant Award Information Form Grant Name Grant Number ALN (Assistance Listing No.) ALN Program Title State ID No. State Program Title Date of Award Original Award Amount Pass-Through Agency ID No. Munis Project No. Performance Start Date Performance End Date GEARS/SPARC No. Munis Org/Object Grant included in County Budget? ☒ Yes ☒ No *If No, fill out Budget Amendment & Transfer Form County Policy: The County will only charge costs for allowed activities to each federal grant. All costs charged to federal grants will conform to applicable cost principles and/or will be allowable costs under grant provisions. Person approving grant expenditures Person reviewing grant costs for allowability Person preparing grant claims for internal review (Finance Grants III) Person approving grant claims for submission (Finance Liaison) Specific Grant Limitations or Exclusions (list if applicable) Grant Modification/Amendment – 1 Grant Modification Number Date of Revision Revised Award Amount Performance Start Date Performance End Date Grant included in County Budget? ☒ Yes ☒ No *If No, fill out Budget Amendment & Transfer Form Grant Modification/Amendment – 2 Grant Modification Number Date of Revision Revised Award Amount Performance Start Date Performance End Date Grant included in County Budget? ☒ Yes ☒ No *If No, fill out Budget Amendment & Transfer Form Grant Modification/Amendment – 3 Grant Modification Number Date of Revision Revised Award Amount Performance Start Date Performance End Date Grant included in County Budget? ☒ Yes ☒ No *If No, fill out Budget Amendment & Transfer Form Page 28 of 30 PORTAGE COUNTY, WISCONSIN Grant Compliance Requirement Form Grant Name: ALN Number: GEARS/SPARC Number: Enter in the "Documentation Required" Column; one of the following: Applies County-wide; see County-wide procedures YC Applies Dept.-wide; see Dept.-wide procedures YD Applies - requires documentation of dept. procedures and risk assessment controls - (Must attach documentation) Y Not applicable per OMB A-133 Matrix N/A No activity or insignificant activity None Type of Compliance Requirement Documentation Required Comments A. Activities Allowed or Unallowed B. Allowable Costs/Cost Principles C. Cash Management D. Reserved E. Eligibility F. Equipment and Real Property Management G. Period of Performance H. Procurement and Suspension and Debarment I. Program Income J. Reserved K. Reporting L. Subrecipient Monitoring M. Special Tests and Provisions For Finance Use Only DATA Role Assigned: Process Role Assigned: Project Master: Budget Entered: Committee Approvals: Page 29 of 30 County of Portage Finance Department Budget Amendment/Transfer Request Form Policy #: TBD Effective: September 21, 2025 Department: Health and Human Services Fiscal Year: 2026 Submitted By: Gary Garske Date Submitted: 07/28/2026 Type: Check one Description: County Board Date: 8/18/2026 ☐ ☐ ☐ ☐ ☐ ☒ ☐ ☐ ☐ Transfer within appropriation – account to account (Department Director) Transfer due to technical correction – tracking or accounting purposes (Finance Director) Transfer up to 10% of original appropriation (Finance Committee) Transfer over 10% of original appropriation (County Board) Transfer between two or more departments (County Board) Increase in appropriation with grant revenue – new grant or increased funding (County Board) Increase in appropriation with contingency funds (County Board) Increase in appropriation with offsetting revenue or existing fund balance (County Board) Increase in appropriation with General Fund (County Board) Justification for Budget Amendment/Transfer: Fiscal Impact: 5,092.00 BOTS funds child safety seats for families in need, aiming to ensure every child is in the correct seat to reduce injury or death in crashes. Attachments Department Head Jessica Hake AUTHORIZATION Finance Staff Recommendation Approval documented in EERP System County Executive Approval documented in EERP System Governing Committee Action: Approval documented in EERP System Meeting Date:08/03/2026 Finance Committee Action: Approval documented in EERP System Meeting Date: 08/10/2026 Financial Action Increase Decrease Fund Name/Account Description Account Number Requested Amount ☒ ☐ State Health Grants – Community Health 22412040-43550 $5092.00 Operating Materials – Community Health 22412040-53400 $5092.00 ☐ ☐ ☐ ☐ ☐ ☐ Finance Director Initials C omments: ☐☒ Page 30 of 30