On the agenda: Chippewacowi Health & Human Services Board - Regular Meeting — data center (Aug 20)

Chippewa County
Health & Human Services Board
Regular Meeting
August 20, 2026
Chippewa County Courthouse, Room 302
8:00 AM

Kari Ives, Chair
District 21
Dennis Bachman, Vice-Chair
District 5
District 15
Lee Hennick

District 8
James Ericksen

Citizen Rep, MD
Robert Bullwinkel

Citizen Rep
John Halbleib

Citizen Rep
Marcia Kyes

Citizen Rep,MD
Sandy Frohling

District 2
Pam Guthman

Page 1 of 40

Chippewa County
Health & Human Services Board
Regular Meeting
August 20, 2026
Chippewa County Courthouse, Room 302
8:00 AM

1.

Call to Order

2.

Roll Call

3.

Members of the Public Wishing to Be Heard
(Comments will be limited to 5 minutes per speaker.)

4.

Consent Agenda
(Unless separation of an item is requested, all items will be adopted under one motion.)

5.

6.

1.

Approve the Agenda

2.

Approve the Minutes - July 16, 2026

3.

Schedule Next Meeting Date - September 17, 2026

Reports
1.

Aging and Disability Resource Center Board Minutes - July 9, 2026

2.

Human Services Policy, Practice, and Program Success - Kyra Secraw

3.

Human Services Director's Program and Financial Report - Bobbie Jaeger

4.

Public Health Director’s Program and Financial Report - Brittnay Fortuna

Business Items
1.

Resolution Supporting Increased and Sustainable State Funding for Local Public Health Departments

7.

Agenda Items for Future Consideration

8.

Adjourn

Chippewa County shall attempt to provide reasonable special accommodations to the public for access to its public meetings, provided
reasonable notice of special need is given. If special accommodations for a meeting are desired, contact the County Clerk’s Office at 715-7267980.
Members of the Chippewa County Board of Supervisors who are not members of this committee are entitled to attend this meeting. It is
possible that the attendance of one or more such nonmember Supervisors may create a quorum of some other county board committee,
board or commission. Such a quorum is unintended and the nonmember Supervisors are not meeting for the purpose of exercising the
responsibility, authority, power, or duties of any other committee, board or commission.

Published: August 13, 2026

Page 2 of 40

Chippewa County
Health & Human Services Board
Regular Meeting
July 16, 2026
Chippewa County Courthouse, Room 302
8:00 AM
1.

Call to Order
The Chair called the meeting to order at 08:00 AM.

2.

Roll Call
Members Present:
Kari Ives, James Ericksen, Pam Guthman, Dennis Bachman, John Halbleib, Sandy Frohling, MD, Marcia
Kyes
Members Absent:
Lee Hennick, Robert Bullwinkel, MD
Others Present:

County Administrator Andy Albarado; Public Health Staff: Brittnay Fortuna, Sarah McQuillan, Allie
Isaacson; Human Services Staff: Bobbie Jaeger, Paul Brenner, Jordan Hallingstad, Kyra Secraw, Brandi
Engel

3.

Members of the Public Wishing to Be Heard
(Comments will be limited to 5 minutes per speaker.)

There were no members of the public wishing to be heard.

4.

Consent Agenda
(Unless separation of an item is requested, all items will be adopted under one motion.)

Motion:
Result:
Mover:
Seconder:
Ayes:
Nayes:
Absent:

5.

Approved
Passed (7 - 0)
Pam Guthman
James Ericksen
Kari Ives, James Ericksen, Pam Guthman, Dennis Bachman, John Halbleib, Sandy Frohling, MD, Marcia
Kyes
None
Lee Hennick, Robert Bullwinkel, MD

1.

Approve the Agenda

2.

Approve the Minutes - June 18, 2026

3.

Schedule Next Meeting Date - August 20, 2026

Reports
1.

Human Services Director’s Program and Financial Report - Bobbie Jaeger
Human Services Director Bobbie Jaeger presented the Human Services Program and Financial Report.
Jaeger highlighted several items from her report: the Child Care Bridge payments expired June 30th —
75% of providers surveyed say they will need to raise rates in response, and it is likely to affect families
and employers; the State sent out letters with SSI information to outdated addresses; Wisconsin was one

Page 3 of 40

of nine states in the country with an error rate below 6% avoiding up to $205M in cost-sharing penalties;
the ADRC received a $30,810 grant which will go towards equipment and expanding access to the Meals
on Wheels program; CPS received a foster parent retention grant of $5,000; four consumers graduated
from the Community Support Program; Great Rivers Consortium caseloads are up while calls to the call
center are down suggesting questions are being answered effectively in fewer calls.
2.

Public Health Director’s Program and Financial Report - Brittnay Fortuna
Public Health Director Brittnay Fortuna presented the Public Health Program and Financial Report.
Fortuna highlighted several items from her report: the Administrative team is busy planning for the
budget season; the Community Health division had the opportunity to participate on a panel at the PATH
Conference to discuss approaches for expanding access to harm reduction; staff continue to monitor
outbreaks for Ebola and the New World Screw Worm - risk remains low in our area at this time; staff are
working on a heat-related illness advisory campaign; AirNow is a beneficial website for air quality
monitoring; there were 128 new communicable disease reports in June–30 were confirmed;
Environmental Health staff are in the field daily completing inspections and water testing; over half of the
farmer's market checks have been distributed; the ForwardHealth grant ended on June 30th; there is a
blood July 22nd to help with the emergency shortage; accreditation is on track and 81% of evidence has
been submitted.

3.

2027 Budget Update - Andy Albarado
County Administrator Andy Albarado provided an update on the process for the 2027 budget season.

6.

Business Items
1.

Human Services Financial User Fees - Bobbie Jaeger
Senior Fiscal Manager Paul Brenner presented the consumer user fees for approval.
Motion:
Result:
Mover:
Seconder:
Ayes:
Nayes:
Absent:

2.

Approved
Passed (7 - 0)
John Halbleib
Pam Guthman
Kari Ives, James Ericksen, Pam Guthman, Dennis Bachman, John Halbleib, Sandy Frohling, MD, Marcia
Kyes
None
Lee Hennick, Robert Bullwinkel, MD

Human Services 2027 Budget - Bobbie Jaeger/Paul Brenner
Human Services Director Bobbie Jaeger presented a department budget overview. The total levy
proposed remains the same as 2026. 2027 challenges include annual salary increases for all staff, a
stagnant levy, the unknown impacts of Medicaid changes, and an unpredictable number of out-of-home
placements, along with rising costs of placements. DHS is seeking to add a part-time social worker in Adult
Protective Services.
The Human Services 2026 budget was approved to forward to the County Administrator.
Motion:
Result:
Mover:

Approved
Passed (7 - 0)
Pam Guthman

Page 4 of 40

Seconder:
Ayes:
Nayes:
Absent:

3.

Dennis Bachman
Kari Ives, James Ericksen, Pam Guthman, Dennis Bachman, John Halbleib, Sandy Frohling, MD, Marcia
Kyes
None
Lee Hennick, Robert Bullwinkel, MD

Public Health 2027 Budget - Brittnay Fortuna/Sarah McQuillan
Public Health Director Brittnay Fortuna shared the proposed 2027 Budget. The total levy proposed is an
increase of $139 from 2026. 2027 challenges include uncertainty of state and federal funding, and
ensuring public funds are used strategically to achieve the greatest impact for the community. Public
Health is seeking to increase their LTE position into a part-time position in the Environmental Health
Division.
The Public Health 2026 budget was approved to forward to the County Administrator.
Motion:
Result:
Mover:
Seconder:
Ayes:
Nayes:
Absent:

Approved
Passed (7 - 0)
James Ericksen
Marcia Kyes
Kari Ives, James Ericksen, Pam Guthman, Dennis Bachman, John Halbleib, Sandy Frohling, MD, Marcia
Kyes
None
Lee Hennick, Robert Bullwinkel, MD

7.

Agenda Items for Future Consideration

8.

Adjourn
The meeting adjourned at: 09:20 AM.
Result:
Mover:
Seconder:
Ayes:
Absent:

Passed (7 - 0)
James Ericksen
Sandy Frohling, MD
Kari Ives, James Ericksen, Pam Guthman, Dennis Bachman, John Halbleib, Sandy Frohling, MD,
Marcia Kyes
Lee Hennick, Robert Bullwinkel, MD

Page 5 of 40

Statement of Explanation
Aging and Disability Resource Center Board Minutes - July 9, 2026

1

The July 9, 2026, Aging and Disability Resource Center (ADRC) Board minutes are

2

attached. They are being shared with the Health & Human Services Board for informational

3

purposes only.

4
5
6

Page 6 of 40

Chippewa County
Aging & Disability Resource Center (ADRC) Board
Regular Meeting
July 9, 2026
Chippewa County Courthouse, Room 302
3:00 PM
1.

Call to Order
The Chair called the meeting to order at 03:00 PM

2.

Roll Call
Members Present:
Dennis Bachman, Cindy Spaeth, Kathy Schmiedeskamp, Larry Marquardt, Don Hauser, Yvonne
Hedrington, Renee Thompson
Members Absent:
Others Present:

County Administrator: Andy Albarado, DHS Staff: Bobbie Jaeger, Paul Brenner, Brandi Engel

3.

Members of the Public Wishing to Be Heard
(Comments will be limited to 5 minutes per speaker.)

There were no members of the public wishing to be heard.

4.

Consent Agenda
(Unless separation of an item is requested, all items will be adopted under one motion.)

Motion:
Result:
Mover:
Seconder:
Ayes:
Nayes:
Absent:

5.

Approved
Passed (7 - 0)
Cindy Spaeth
Renee Thompson
Dennis Bachman, Cindy Spaeth, Kathy Schmiedeskamp, Larry Marquardt, Don Hauser, Yvonne
Hedrington, Renee Thompson
None

1.

Approve the Agenda

2.

Approve the Minutes - May 14, 2026

3.

Schedule Next Meeting Date - September 17, 2026

Reports
1.

ADRC Staff Presentation: Meal Assessment Process - Kayla Colbenson
Nutrition & Transportation Supervisor, Kayla Colbenson, provided a presentation explaining the meal
assessment process. The ADRC of Chippewa County began using the state's new assessment process in
January 2026. The assessment helps determine if a consumer is appropriate for in-home meals and at
what level.

2.

ADRC Manager Program and Financial Report - Bobbie Jaeger/Paul Brenner
Director Bobbie Jaeger highlighted numerous items from the program report. There is a Site Aide driver

Page 7 of 40

position open in Bloomer/Cornell with an interview scheduled for next week. 82% of the Farmer's Market
Vouchers were disbursed within the first 30 days of them becoming available. A $30,810 grant from the
Community Foundation was received and will be utilized to expand Meals on Wheels services. The
restaurant used for the Café 60 program will be closing in August; Supervisor Kayla Colbenson is actively
looking for a new location. Senior Fiscal Manager Paul Brenner reported that the financials are on track
for this time of the year.
3.

ADRC Advocacy Report - Bobbie Jaeger
Director Bobbie Jaeger informed the Board the House Appropriations Committee has recommended an
increase in funding for several Older Americans Act (OAA) program areas. The recommendation has been
forwarded on to the senate. For Federal Fiscal Year 2026, we received an average of a 6% decrease in
Older Americans Act funding across all OAA programs.

6.

Business Items
1.

2027 Copays and Contributions - Kayla Colbenson
The 2027 Copays and Contributions recommendations were reviewed and approved as presented.
Motion:
Result:
Mover:
Seconder:
Ayes:
Nayes:
Absent:

2.

Approved
Passed (7 - 0)
Don Hauser
Kathy Schmiedeskamp
Dennis Bachman, Cindy Spaeth, Kathy Schmiedeskamp, Larry Marquardt, Don Hauser, Yvonne
Hedrington, Renee Thompson
None

2027 ADRC Budget - Bobbie Jaeger/Paul Brenner
Human Services Director, Bobbie Jaeger, and Senior Fiscal Manager, Paul Brenner, provided an overview
of the 2027 ADRC budget. 2027 challenges include declining funding and increasing demand for services.
The budget will be reviewed by the Health & Human Services board before moving on to the County
Administrator and County Board.

7.

Agenda Items for Future Consideration

8.

Adjourn
The meeting adjourned at: 03:35 PM
Motion:
Result:
Mover:
Seconder:
Ayes:
Nayes:
Absent:

Approved
Passed (7 - 0)
Cindy Spaeth
Renee Thompson
Dennis Bachman, Cindy Spaeth, Kathy Schmiedeskamp, Larry Marquardt, Don Hauser, Yvonne
Hedrington, Renee Thompson
None

Page 8 of 40

Statement of Explanation
Human Services Policy, Practice, and Program Success - Kyra Secraw

1
2

This presentation by Human Services staff educates the Health & Human Services Board
about the policy implications and success of our services.

Page 9 of 40

Chippewa County
Department of Human Services
Children, Youth & Families
Children With Differing Abilities Unit

August 2026
Page 10 of 40

Children With Differing Abilities Unit

Page 11 of 40

Children’s Long-Term Support (CLTS)
 Voluntary Program


Funds community supports and services for children who have substantial limitations in their daily
activities and need support to remain in their home/community.

 Eligibility determined by Functional Screen




Developmental disabilities
Physical disabilities
Severe emotional disturbances

 Services


Include but not limited to: Respite for caregivers, skill development, non-traditional therapies,
home modifications for accessibility, equipment & supplies not covered by insurance & safety
equipment for children with severe autism.

• To receive a service there must be an assessed need
• Payor of last resort

 Fully funded through Medicaid

Page 12 of 40

Children’s Comprehensive Community Services (CCS)
 Voluntary Program


A recovery focused behavioral health program where traditional out-patient services have been
unsuccessful and for those who may have ongoing needs that, if left unaddressed, could result in
hospitalizations during times of crisis.

 Eligibility determined by Functional Screen



Mental health diagnosis
Substance use disorder

 Services


Service array: Skill development, non-tradition therapies, employment skills training, individual
and family mental health treatment, wellness, recovery support, substance abuse treatment,
diagnostic evaluation & medication management.
• To receive a service there must be an assessed need and it must be clinically appropriate
for the consumer.

 Fully funded through Medicaid

Page 13 of 40

Children’s Long-Term Support (CLTS) Dashboard

Page 14 of 40

Statement of Explanation
Human Services Director's Program and Financial Report - Bobbie Jaeger

1
2

Human Services Director, Bobbie Jaeger, and Senior Fiscal Manager, Paul Brenner,
provide a department program and financial report for review and discussion.

Page 15 of 40

Human Services Director’s Report

Board Meeting Date: August 20, 2026
WCHSA Updates

WCHSA is working to determine advocacy priorities. The PAC committees have identified their top
priorities, and WCHSA executive board will be voting to identify which one priority they will focus on:
BH PAC recommendation
Community Safety: Increase GPR funds for Adult Protective Services, Community Support
Programs and Crisis, focused on serving the elder adult and adult-at-risk population. Allocations should
include full funding where federal allocations are available (GPR for non-federal share) and an increase
to the base allocation to account for inflation and service population growth.
CYF PAC recommendation
Funding increase for the Children and Families Allocation, either in addition to cost-to-continue increase
to human service aid programs or as separate request.
ES PAC recommendation
Provide increase to base Income Maintenance allocation, either in addition to cost-to-continue increase
to human service aid programs or separate if the cost-to-continue increase is not pursued. IM funding
increase is needed to keep pace with growing workload and operating costs.
Financial PAC recommendation
Cap rate of Department of Corrections charges to counties for juvenile detention
LTS PAC recommendation
Provide increased GPR funding to counties for Adult Protective Services that reflects the significant
increase in service population. As part of the increase, funds would build capacity by providing
additional training for APS staff and more technical assistance to county agencies.

Division of Children and Families (DCF) and CYF PAC
•

Wisconsin’s 2026 federal Child and Family Services Review will occur October 1, 2026-March 31,
2027. This is Wisconsin’s first review. Section 1123A of the Social Security Act requires the
Children’s Bureau to conduct reviews of state child welfare systems every five to ten years to
achieve three goals
o Ensure conformity with federal child welfare requirements
o Determine what children and families experience within the child welfare system
o Assist states in helping children and families achieve positive outcomes

Division of Health Services (DHS)
•

Last July, the federal government removed access to Foodshare for people with certain legal
immigration statuses through the One Big Beautiful Bill. This federal change began impacting
people in Wisconsin on July 1st. DHS published a new webpage about this federal policy change
1

Page 16 of 40

for non-citizens who currently receive Foodshare benefits. This webpage provides information
about who is no longer eligible by immigration status. FoodShare: Benefits for Non-Citizens |
Wisconsin Department of Health Services

Behavioral Health PAC
•

No update

Child Welfare PAC
•

2025 Wisconsin Act 96 requires that if an agency knows or has reason to believe that a parent of
the alleged maltreated child or unborn child is a member of the US armed forces, the agency shall
provide notice to the appropriate authorities of the US Department of Defense as soon as
practical after initiating the investigation.

Income Maintenance PAC
•

•

DHS has created a dedicated Medicaid Federal Work Requirement webpage for members to learn
about these upcoming changes. There is also a self-screener tool on the webpage which will give
the member an indication of how this may apply to their specific situation. Medicaid: New Federal
Work Requirement | Wisconsin Department of Health Services
DHS has shared with Consortia the number of impacted members related to the BadgerCare Plus
Work Requirements. Below are two charts that show Consortium counts and county counts. This
number shows the number of individuals open for BadgerCare as childless adults. This does not
consider whether someone might be exempt or could already be meeting the work requirement.

Long Term Care PAC
•

No update

Financial PAC
•

No update

2

Page 17 of 40

Department and Division Updates
Department Updates
Work Anniversary CONGRATS and THANKS to the following staff for their service and dedication:
Kelly Zimmerman, RWC – 20 Years
Michelle Phelps, MWR – 20 Years
Trish Houle, MWR – 20 Years
Susan Barnum, ADRC – 11 Years
Carmen Olson, ADRC – 4 Years
Macey Awe, CPS – 4 Years

Cindy Sarazen, ADRC – 3 Years
Elizabeth Patten, CWDA – 3 Years
Laichia Xiong, CPS – 3 Years
Lisa Traun, ES – 2 Years
Mikala Talbot, CWDA – 2 Years
Autumn Metoxen, YJ – 1 Year
Kylee Pettis, CWDA – 1 Year

Division Updates
Aging & Disability Resource Center (ADRC)
•
•
•
•

The Site Aide-Driver Position is scheduled for August 12th.
New Meals on Wheels bags will be delivered this month which will allow us to start implementing
new routes.
Our new Café 60 Location, Pink Highland Café in Holcombe, is now up and running so there will be
no lapse in the Café 60 program when Sam’s Diner shuts down on August 23rd.
Recruitment will begin soon for the Part Time Administrative Assistant position following a
vacancy.

Children, Youth & Families (CYF) Division
Birth to Three (B-3)
•

•

Birth-to-Three had 21 new referrals for the month of July. On top of the business with the referrals,
on July 8, 2026, the Unit received their Annual Determination from the State indicating that
Chippewa County is in the category of “Meets Requirements.” The State looks at data throughout
the year, and the Unit received all the determination points giving the team a score of 100.00% for
the data year of 2024-25. Staff continue to work hard to keep up with all the changes and this
determination status shows the great work that Birth-to-Three staff do throughout the year!
Birth-to-Three also just finished their audit for the State called MetaStar, which took place the
week of July 20; the team is awaiting the results from that.

Child Protective Services (CPS)
•

•

In July 2026, the Department received seventy-two reports alleging Child Abuse and/or Neglect; of
those reports, seventeen met the State Statute definition to screen in to complete an assessment.
An additional four reports were screened in to offer services.
In July 2026, two cases were closed. A sibling group of two successfully closed due to their mother
staying sober throughout their In-Home CHIPS Petitions.
3

Page 18 of 40

•
•

•

In July 2026, no children were reunified.
In July 2026, four children were removed from their parental home due to their mother driving
under the influence while the children were in the car. Unfortunately, there is no family available to
take placement, and the children were placed in foster care.
In July 2026, Foster Care Coordinator Sydney Kwallek and Manager Ashley Brott facilitated the
Quarterly Foster Care/Kinship Care Support Group. This group had the largest turnout thus far with
five families attending. The topic was “Managing Transitions and Goodbyes.” The group was filled
with rich conversation that went over the one hour planned and the families were connected with
one another after the group to continue to be supports for one another.

Children with Differing Abilities (CWDA)
•
•
•

The CLTS team underwent the MetaStar Audit during the month of July and is currently awaiting
the final results.
Kelly Hazelton left employment with Chippewa County on 7/16. There is now 1 CCS position and 2
CLTS positions open which we are actively recruiting for.
The CWDA team continues to demonstrate resiliency through managing case coverage due to
FMLA leaves, turnover, and high numbers of referrals.

Youth Justice (YJ)
•
•
•
•

Autumn Metoxen joined the Youth Justice unit on July 20th. She is a strong addition to our team
and completing her required YJ trainings through the State.
Manda facilitated a training to train other professionals in Aggression Replacement Training (ART).
We have 2 additional staffed trained in ART so we will be able to diversify facilitators of the groups
we provide for our youth.
Kelly and Manda hosted a booth at National Night out, promoting the efforts of the School Threat
Assessment Coalition.

Economic Support (ES) Division
•

Stacy Vang has put in her resignation, and her final day will be 8/21. This will create an opening in
our Child Care team. We thank Stacy for her 6 years with Chippewa County.

Mental Wellness & Recovery (MWR) Division
•

A half-day event was held on August 6th for Team Building and Staff Development. Staff enjoyed
this time away from regular work duties to recharge and connect with one another, recognizing
the challenging work done each day in the MWR programs.

Adult Comprehensive Services (CCS)
•

Interviews will be conducted on August 17th and 20th for the open adult CCS position. Once that
person is hired, we will be almost full staffed, just one more service facilitator returning from
maternity leave mid- September.

4

Page 19 of 40

Adult Protective Services (APS)
•

APS staff work diligently in trying to manage very high caseload sizes. Last week there were 18
APS referrals in 10 days, along with guardianship referrals. Other team members have offered
support and given time to assist with APS tasks to keep things within the time guidelines. There
are 6 active financial exploitation cases currently.

Community Support Program (CSP)
•

In one of the July CSP wellness groups there was a large turnout for a celebration of the peer
support and group members RECOVERY success.

Emergency Mental Health/Crisis (EMH)
•

•

August 13-14, 2026: Lisa Hudson, MWR Manager and David Pfeiffer, CSP and Crisis Clinician were
invited by Judge Gibbs to the Sequential Intercept Model (SIM) Mapping Workshop. SIM was
developed as a conceptual model to inform community-based responses to the involvement of
people with mental and substance use disor4ders in the criminal legal system.
August 18, 2026: RWC Crisis Training – Topics: Assessment Techniques for Adolescents,
Securing Lethal Means, Crisis De-escalation Techniques with Cody Butcher (Northwest
Connections), Geriatric Mental Health with Amber Larson (NAMI), Overlap between 51/55 with a
Corporation Counsel Attorney (still being arranged but hopeful we can make this work).

5

Page 20 of 40

Federal Medicaid Work* Requirement:
Who is exempt?
*Other activities may count, too, like having an internship, volunteering, going
to school, or getting more than a certain amount of income.

This takes effect
January 1, 2027,
but does not apply
to current members
until their next
renewal starting
March 2027.

As a reminder, the federal Medicaid work requirement only applies to
you if you are a BadgerCare Plus member between 19 and 64 who is not
pregnant and doesn’t have a dependent child living with you at least 40% of the time.
Even if the requirement applies to you, there are many reasons why you might not need to meet it.
Those are called exemptions.

You do not need to meet the work requirement if:
͔ You are a member of an American Indian
Tribe or an Alaska Native, or are the child or
grandchild of Tribal member.

͔ You are the caregiver of a child under age 14.

͔ You have a disability determination from the
Social Security Administration.

͔ You are in a qualifying drug addiction or
alcoholic treatment and rehabilitation programs.

͔ You are a veteran with a total (100%)
disability rating.
͔ You have a serious or complex
medical condition.
͔ You have a chronic substance use disorder.

͔ You are the caregiver of someone who has
a disability.

͔ You are currently in prison or jail, or were in
prison or jail in the past three months.
͔ You are enrolled in FoodShare and not exempt
from FoodShare work requirements.

͔ You have a disabling mental disorder.

͔ You are complying with the Wisconsin Works
(W-2) work requirements.

͔ You have a physical, intellectual, or
developmental disability that significantly
impairs your ability to perform one or more
activities of daily living.

͔ You have a qualifying short-term hardship
situation, such as a hospital stay or needing
to travel outside of your community for an
extended period of time for medical care.

͔ You are enrolled in a Medicaid long-term
care program (IRIS, Family Care, Family Care
Partnership, PACE).

More information

P-03809A (07/2026)

To learn more about
exemptions, visit dhs.
wi.gov/medicaid/work.
htm or scan the QR
code with your phone.
Page 21 of 40

DHS Dashboard
Report Date: 08/2026
GRC
Calls Received:

Crisis Reports

YJ Referrals

IMD Expenditures

137

40

Children: $8,554
Adults: $480,631
Total: $489,185

CPS Reports

GRC Cases

B-3 Referrals

72

60,583

21

Meals Served
June

Benefit Specialist
Caseload

Options Counselor
Monthly Contacts

2,814

174

249

July

13,718

June

May

June

GRC Average
Speed of Answer:

5.02 Mins

June

July

Contract Requirement: ≤10 Minutes
June

GRC
FNS Error Rate:

9.91%

State FNS Error Rate: 6.11%

Contract Requirement: Below 6%
June

Cases Opened

14

Waitlist - Screening

16

Waitlist - CCS

5
6

Waitlist - CLTS

CPS
Caseload

1
FTE

1
FTE

1
FTE

1
FTE

1
FTE

IA

9

8

9

3

9

1
FTE

1
FTE

1
FTE

1
FTE

5

4

6

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

Ongoing

1

Deferred
Agreements

11

1
FTE

Screen Out
Screen In

55

91

0.5
LTE

Total

15

15

10

3

44

Children

2022

2023

113

120

2024

2025

2026

Total served includes Kinship

156

19
CRISIS REPORTS

107

YTD Out-of-Home Placements

1
FTE

Adults

July

61

1
FTE

63

135
64

2022

2023

2024

104

113

2025

2026

Crisis Reports (2026)

23

17

123

23

1
FTE

8

CPS SCREENING

YTD CPS Screen-Ins
Total

38
8

Ongoing

YJ Caseload

June

June

CWDA CASE STATUS

1
FTE

July

289
July

133

136

142

123

136

137

Feb

Mar

Apr

May

Jun

Jul

114
Jan

Page 22 of 40

2026 Monthly Fiscal Information
Through Month of: June 2026
$ 22,752,387 Prorated - 7 months
$ 17,377,056
$ 5,375,331

2026 Budget (Total is $39,004,091):
Expenses Paid (Through July 31):
Variance to Budget:

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.
2026 Kinship Placement with a Relative
2026 Grant
Month
Kinship
Projected Cost
Over/(Under)
Amount
January
80
$
443,723
February
80
443,723
March
76
443,723
April
75
352,743
443,723
(90,980)
May
75
367,548
443,723
(76,175)
June
74
351,624
443,723
(92,099)
July
74
348,600
443,723
(95,123)
August
443,723
September
443,723
October
443,723
November
443,723
December
443,723

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 Kinship
Monthly Grant
Month
Amount Paid
Amount
January
$
2,168 $
36,977
February
33,453
36,977
March
30,448
36,977
April
28,422
36,977
May
28,025
36,977
June
23,996
36,977
July
27,789
36,977
August
36,977
September
36,977
October
36,977
November
36,977
December
36,976
Total: $ 174,301 $
443,723

2026 Children and Youth in Out-of-Home Placements

2026 Children & Youth Placements
Monthly Grant
Month
Amount Paid
Amount
89,001
$
449 $
January
February
99,334
89,001
March
150,604
89,001
April
115,039
89,001
May
61,796
89,001
June
73,968
89,001
July
137,201
89,001
August
89,001
September
89,001
October
89,001
November
89,001
December
89,004
Total: $ 638,391 $ 1,068,015

Month

Out of Home*

Out of Home**

January
February
March
April
May
June
July
August
September
October
November
December

30
31
29
29
26
31
32

0
0
0
0
0
0
0

Projected Cost

1,483,404
1,508,304
1,287,300
1,268,640

2026 Budget
$ 1,068,015
1,068,015
1,068,015
1,068,015
1,068,015
1,068,015
1,068,015
1,068,015
1,068,015
1,068,015
1,068,015
1,068,015

*Children and Youth in Placement: Foster Care, Treatment Foster Care, Group Home, Residential Care

Over/(Under)

415,389
440,289
219,285
200,625

**Additional children placed with relatives (unpaid)

2026 Adult Mental Health CBRF Out-of-Home Placements
Month

Out of Home

January
February
March
April
May
June
July
August
September
October
November
December

10
7
11
9
12
9
13

Projected Cost

2026 Budget
$

499,129
580,959
531,915
539,256

479,041
479,041
479,041
479,041
479,041
479,041
479,041
479,041
479,041
479,041
479,041
479,041

Over/(Under)

20,088
101,918
52,874
60,215

2026 Institute for Mental Disease (IMD) Placements
Month
January
February
March
April
May
June
July
August
September
October
November
December

Inpatient Days Projected Cost*
119
111
163
121
131
79

1,331,701
1,171,148
1,023,213
978,370

June IMD is the latest 2026 invoice received

2026 IMD
2026 Budget

$

2026 Adults in CBRF Placement
Monthly Grant
Month
Amount Paid
Amount
January
$
$
39,920
February
14,425
39,920
March
43,981
39,920
April
38,229
39,920
May
67,978
39,920
June
19,876
39,920
July
58,899
39,920
August
39,920
September
39,920
October
39,920
November
39,920
December
39,921
Total: $ 243,388 $
479,041

765,000
765,000
765,000
765,000
765,000
765,000
765,000
765,000
765,000
765,000
765,000
765,000

Over/(Under)

566,701
406,148
258,213
213,370

Month

Amount Paid

January
$
February
March
April
May
June
July
August
September
October
November
December
Total: $

41,539
160,415
89,349
135,036
62,846

489,185

Monthly Grant
Amount
$
63,750
63,750
63,750
63,750
63,750
63,750
63,750
63,750
63,750
63,750
63,750
63,750
$
765,000

Chippewa County Department of Human Services

Page 23 of 40

Statement of Explanation
Public Health Director’s Program and Financial Report - Brittnay Fortuna

1
2

Public Health Director Brittnay Fortuna provides a department program and financial
report for review and discussion.

Page 24 of 40

Health & Human Services Board
Brittnay Fortuna’s Director’s Report

August 20, 2026

Administration Division
The Admin Team has been processing overdue Food, Safety, and Recreational Licensing (FSRL)
renewals and TN water bills, assisting with scheduling appointments, distributing water sample
bottles, and answering public health questions.
April has been busy addressing inquiries about car seat safety, conducting car seat installations, and
ordering car seats through the DOT Grant. April has provided Breastfeeding Peer Counseling to 93
assigned families (55 pregnant participants and 38 breastfeeding participants). She also took minutes
for the Overdose Fatality Review meeting.
Audra continues to dedicate time to the Wheelchair Loan Closet, ensuring the safety of Chippewa
County citizens. During July, 14 wheelchairs were loaned out, and 16 were returned.
Sarah finalized the department budget for Health & Human Services Board approval before
forwarding it to the County Administrator. She also completed the WIMCR (Wisconsin Medicaid Cost
Report) for 2025. Christina continues to ensure that payroll is entered on time for the department and
that service billing is submitted promptly.

Community Health Division
BadgerCare Plus 12-Month Postpartum Coverage Extension
Wisconsin's BadgerCare Plus postpartum coverage extension allows eligible members to keep their
full BadgerCare Plus (Medicaid) benefits for 12 months after their pregnancy ends, instead of losing
pregnancy-related coverage after 60 days. This change took effect on June 1st and is intended to
improve access to health care during the first year after childbirth.
The extension provides continuous coverage from the last day of the pregnancy—regardless of
whether the pregnancy ends in a live birth, miscarriage, or stillbirth—through the end of the month
in which the 365th day after the pregnancy occurs.
Previously, BadgerCare Plus provided postpartum coverage for only 60 days following the end of a
pregnancy.
Members enrolled in BadgerCare Plus may also receive Prenatal Care Coordination (PNCC) services, a
Medicaid benefit that offers support during pregnancy and throughout the postpartum period.
PNCC providers can help members:
•

Schedule and coordinate medical appointments.

•

Connect with behavioral health and other community resources.
1

Page 25 of 40

•

18, 2025
Access services that support the health and well-being of both the parent andDecember
baby.

Impact on our Department
The 12-month postpartum coverage extension allows our department to continue providing PNCC
services and ongoing support to eligible members throughout the entire postpartum period. This
expanded coverage strengthens continuity of care by enabling our staff to maintain consistent
contact with families, coordinate needed medical and behavioral health services, connect members
with community resources, and address health-related social needs during the critical first year after
pregnancy.
By extending access to both Medicaid coverage and PNCC services, this policy supports improved
maternal and infant health outcomes while allowing our department to provide more
comprehensive, uninterrupted care to the families we serve.
Air Quality Preparedness Update
This summer has highlighted the importance of air quality preparedness as a critical public health
function, as Chippewa County experienced several days of unhealthy air quality due to wildfire smoke
impacting much of Wisconsin. These events reinforced the need for local public health agencies to
prepare for environmental health threats that can rapidly affect community health and require a
coordinated response.
Poor air quality, particularly elevated levels of fine particulate matter (PM2.5) and ground-level
ozone, can have immediate and long-term health impacts. PM2.5 can penetrate deep into the lungs
and bloodstream, contributing to increased respiratory symptoms, asthma exacerbations,
cardiovascular impacts, and other adverse health outcomes. Ozone exposure can worsen respiratory
conditions and reduce lung function. Individuals with chronic health conditions, children, older
adults, and pregnant individuals are among those at greatest risk during periods of poor air quality.
From a preparedness perspective, the Health Department plays an important role in monitoring
emerging environmental health risks, communicating timely guidance, and coordinating with
community partners to protect residents. During air quality events, our department works to share
information regarding Air Quality Index (AQI) levels, recommended protective actions, and strategies
to reduce exposure, particularly for populations most vulnerable to health impacts. Preparedness
efforts also include maintaining strong communication pathways with healthcare providers,
emergency management, schools, youth leagues, and other community partners to support a
coordinated response.
The increasing frequency of environmental health events highlights the importance of planning for
both immediate response and long-term prevention. Factors such as wildfire smoke, increased
electricity demand, expansion of energy-intensive industries, including data centers, and continued
reliance on fossil fuel-based energy sources may contribute to future air quality challenges. As
communities experience growth and changing energy needs, it is important to consider potential
public health impacts and ensure that infrastructure and economic development decisions include
health considerations.
2
Page 26 of 40

In addition to responding to acute air quality events, the Health Department will continueDecember
to engage 18, 2025
with partners to upstream prevention efforts aimed at addressing the conditions that contribute to
poor air quality. This includes supporting community conversations, promoting practices that reduce
environmental health risks, and collaborating across sectors to identify opportunities that improve
the overall health and resilience of our community.
As air quality concerns continue to evolve, public health preparedness requires both the ability to
respond to hazards as they occur and the commitment to addressing the underlying factors that
influence community health. Through continued monitoring, education, partnership, and preventionfocused efforts, the Health Department remains committed to protecting residents and building a
healthier, more resilient community.
Communicable Disease
The Health Officer is required by Wisconsin State Statute 252.05 to report information on current
communicable disease reporting and follow-up to the Health and Human Services Board.
In July, we received 146 new reports: 33 confirmed (10 Chlamydia, 10 Lyme Disease, and 3 E-coli);
20 probable cases (19 Lyme Laboratory Reports and 1 Anaplasmosis), and 58 that did not meet the
definition of a case (22 Lyme Laboratory Reports, 17 Hepatitis A, and 5 Lead-Blood Levels-Adult). See
the attached report for further breakdown by disease type.

Environmental Health Division (EH)
Food & Recreational Safety
•
•
•

Completed 65 food safety, recreational, and lodging inspections throughout Chippewa
County.
Investigated four consumer complaints and provided education to operators to promote
compliance with Wisconsin Food Code.
Continued seasonal inspections for campgrounds, temporary events including Northern
WI State Fair and Rock Fest, and licensed recreational facilities during the busy summer
tourism season.

Water Laboratory
•
•
•

Continued providing coliform and E. coli bacteria testing for homeowners, public
facilities, and water treatment operators.
Processed 43 nitrate and 33 bacteria samples for private homeowners.
Supported beach monitoring efforts by analyzing 57 recreational water samples this
month.

DNR Transient Non-Community (TNC) Program
•

Continued annual site visits and completed five sanitary surveys for TNC water systems.
3
Page 27 of 40

•
•

18, 2025
Completed 37 bacteria samples in July, and 21 nitrate samples were collectedDecember
and
processed.
Worked with facility owners to ensure seasonal water systems were operating safely and
meeting sampling requirements.

Nutrition Division
Women, Infants and Children (WIC) Program
August is National Breastfeeding Month
The 2026 theme for National Breastfeeding Month is “RISE: Resilience,
Interdependence, Self-Determination, Empowerment,” celebrating the strength
of breast milk as one of the first foods. WIC is committed to being part of
parents’ support systems by providing free phone and in-person services.
April Krumenauer is our Breastfeeding Peer Counselor (BFPC), and she helps
support pregnant and breastfeeding moms and babies enrolled in WIC as they
prepare and learn to breastfeed. She regularly follows up with families to see
how breastfeeding is going and offers ongoing support and encouragement,
especially in the first six months postpartum.
Amy Ralph is our Designated Breastfeeding Expert (DBE) and supports those breastfeeding dyads that
have more significant concerns that are outside of April’s scope. She offers support via phone or inperson lactation visits. In Chippewa County, 83.3% of all infants enrolled in WIC have received breast
milk, which is higher than the Statewide comparison of 76.3%.
Thank you, Amy and April, for helping our WIC families meet their breastfeeding goal!
August Weekly Observances
August 1-7: WIC Breastfeeding Week and World Breastfeeding Week Theme: Breastfeeding for a
Sustainable Start in Life: Strengthen What Works. This theme reaffirms our commitment at WIC to
improve breastfeeding support in our community.
August 8-14: Indigenous Milk Medicine Week Theme: We Keep the Fires Lit: Rising Through Milk
Medicine
August 15-21: AANHPI Breastfeeding Week Theme: Better Data, Better Care for AANHPI Families

4
Page 28 of 40

December 18, 2025
August 22-24: Military Lactation Week
August 25-31: Black Breastfeeding Week Theme: We All We Got: 15 Years of Community, Care, and
Collective Power

Public Charge Ruling
On July 20, 2026, the Trump Administration finalized rulemaking expanding the scope of the public
charge test. The new rule, which takes effect on September 18, 2026, provides immigration officials
broad discretion to deny changes in legal status to certain immigrants based on use of public benefit
programs.
Most immigrants are not subject to the public charge test. Please see this resource from the
Protecting Immigrant Families Coalition to learn more about when the public charge test applies.
For the first time, the new rule could allow immigration officials to consider WIC participation when
assessing public charge. The administration is expected to publish additional guidance before the
effective date of the new rule.
To learn more about the public charge rule and its implications for immigrant families, see
these resources from the Protecting Immigrant Families Coalition.
Farmers Market Updates
Fun at the Farmers Market
Our last class was held Thurs, July 30 at the Chippewa Falls Farmers Market and was well attended. A
special thank you to Jeanne Walsh and Margaret Murphy from UW Extension for their partnership
with the WIC Program and for providing story time to our families.

5
Page 29 of 40

18, 2025
We have issued more than 90% of our Farmers Market Nutrition Program (FMNP) checks December
(400
booklets) in just over two months. Distribution will continue until all booklets have been issued or
through the end of September, with the goal of achieving 100 percent issuance before the end of the
month.
We have also distributed nearly 350 sets of WIC Farm Fresh Produce Program vouchers. By
comparison, we issued nearly 400 voucher sets during the entire previous season, so we are currently
ahead of last year's pace for both the FMNP and WIC Farm Fresh Produce Program.
Marshfield/Security Health Plan Food Insecurity Grant
We have successfully met nearly all objectives outlined in this grant. The remaining objective is to
strengthen coordination efforts to distribute unused and excess produce to community members
through local food pantries.
To help address the continued need for fresh produce, Aspirus provided Public Health with an
additional $1,500 for the Farm Fresh Produce Program, allowing food pantries to distribute
additional voucher sets. These vouchers were provided to the CDC Outreach Office, which requested
more due to strong community demand.
A limited number of voucher sets remain available at Public Health for individuals referred through
the ADRC, as the Senior Farmers Market Nutrition Program (FMNP) checks have now been
exhausted.
Mind Over Matter: Healthy Bowels, Healthy Bladder (MOM)
There is still time to sign up for this class facilitated by Amy. It includes three sessions that are each
two hours long. Register by calling the ADRC at 715-726-7777 or online:
www.chippewacountywi.gov/adrc/events

6
Page 30 of 40

December 18, 2025

Planning and Strategy
Community Outreach and Prevention

Chippewa County Department of Public Health (CCDPH) continues to expand community outreach
through prevention education, resources, and connections to services. Summer and early fall
outreach includes two National Night Out events, the Chippewa County Foster Care Event, and backto-school events throughout the county.
Through collaboration with the Chippewa County Healthy Communities (CCHC) coalition and partner
organizations, CCDPH supports countywide prevention efforts, including alcohol assessments at
community events, implementation and support of the mental health coaster campaign at local
Chippewa County establishments, and working with the Nutrition Division to address food access.
Children’s Resource Center (CRC)-West
CRC West recently utilized Iron Will Endowment funds to provide direct support to a family during an
extended hospital stay. The family received a hospital support bag with practical comfort items,
along with a gas card to help ease the cost of traveling to and from the hospital. This support
allowed CRC West to respond to an immediate need and help reduce some of the additional
financial and practical stress the family was experiencing, while focusing on their child’s care.
The Iron Will Endowment continues to provide CRC West with valuable flexibility to support families
in meaningful ways when unexpected needs arise.

Years of Service
CONGRATULATIONS to the following staff for their hard work and dedication to providing excellent
customer service to the citizens of Chippewa County.
 Jenny Lenbom, Registered Nurse – 20 years
 Nikki Hoernke, Planning and Strategy Division Manager – 7 years
 Tabby Wessels, Registered Nurse – 7 years

7
Page 31 of 40

8
Page 32 of 40

9
Page 33 of 40

Wisconsin Department of Health Services
Division of Public Health
PHAVR - WEDSS

County Board of Health Report
Jurisdiction: Chippewa County
Received Date: 7/1/2026 to 7/31/2026
Disease

Confirmed

Probable

Suspect

Not A Case

Total

LYME LABORATORY
REPORT

0

19

1

22

42

HEPATITIS A

0

0

0

17

17

LYME DISEASE,
ERYTHEMA MIGRANS
(EM) RASH

10

0

1

0

11

CHLAMYDIA
TRACHOMATIS
INFECTION

10

0

0

0

10

E-COLI,
ENTEROPATHOGENIC
(EPEC)

0

0

9

0

9

E-COLI,
ENTEROTOXIGENIC
(ETEC)

3

0

2

0

5

LEAD-BLOOD LEVELS ADULT

0

0

0

5

5

ANAPLASMOSIS, A.
phagocytophilum

0

1

3

0

4

CRYPTOSPORIDIOSIS

2

0

1

1

4

SALMONELLOSIS

1

0

3

0

4

TUBERCULOSIS, LTBI LABORATORY RESULTS
ONLY

0

0

4

0

4

CARBAPENEMASE
PRODUCING ORGANISM
(CPO)

0

0

1

2

3

HEPATITIS B, CHRONIC

0

0

0

3

3

STREPTOCOCCAL
DISEASE, INVASIVE,
GROUP B

0

0

3

0

3

CAMPYLOBACTERIOSIS

0

0

2

0

2

HEPATITIS C, CHRONIC

0

0

0

2

2

LEGIONELLOSIS

2

0

0

0

2

ARBOVIRAL ILLNESS,
WEST NILE VIRUS,
Unspecified

0

0

0

1

1

Executed: 8/5/2026 1:33:43 PM

Page 1 of 2

Page 34 of 40

Disease

Confirmed

Probable

Suspect

Not A Case

Total

BABESIOSIS

0

0

0

1

1

BORDETELLA HOLMESII

0

0

1

0

1

BORRELIOSIS, BORRELIA
MIYAMOTOI

1

0

0

0

1

CANDIDA AURIS,
COLONIZATION/SCREENI
NG

0

0

0

1

1

E-COLI, SHIGA TOXINPRODUCING (STEC)

1

0

0

0

1

EHRLICHIOSIS/ANAPLAS
MOSIS, undetermined

0

0

1

0

1

GIARDIASIS

0

0

0

1

1

HEPATITIS C, ACUTE

1

0

0

0

1

HISTOPLASMOSIS

1

0

0

0

1

INFLUENZA-ASSOCIATED
HOSPITALIZATION

1

0

0

0

1

MEASLES (RUBEOLA)

0

0

1

0

1

MYCOBACTERIAL
DISEASE (NONTUBERCULOUS)

0

0

1

0

1

PARAPERTUSSIS

0

0

0

1

1

PERTUSSIS (WHOOPING
COUGH)

0

0

1

0

1

VARICELLA
(CHICKENPOX)

0

0

0

1

1

Total

33

20

35

58

146

Default Filters: 'State' EQUAL TO 'WI'

Executed: 8/5/2026 1:33:43 PM

Page 2 of 2

Page 35 of 40

Public Health Financial Results
July 2026

Fund
54100
54121
54122
54123
54124
54125
54126
54128
54129
54130
54131
54132
54133
54134
54136
54138
54140
54142
54144
54149
54150
54151
54152
54153
54154
54156
54157
54158
54159
54161
54163
54165
54166
54167
54168
54169
54170
54171
54172
54173
54174
54176
54178
54180
54182
54184
54186
54190

Description
Community Health
$
Nurse Family Partnership
Beach Water Testing
Farmers Market
CRC West Peer Support
Prenatal Care Coordination
FP Dual Protection
Public Health Preparedness
TN Program
CHIP Coalition
Mind Over Matter
Drug Free Community Grant
Iron Will Endowment Fund
Schaus MD Health Care Endowmen
Aspirus Farm Fresh
Planning & Strategy
WIC
Maternal & Child Health Program
Wisconsin Wins
SAP Services Block Grant
Prevention
Equipment Loan Closet
Childrens Resource Center
WIC Endowment
Title X Reproductive Health
FIT WIC
Reproductive Health
WIC BF Peer Counseling
Men's Mental Hlth - MC
Health Clinics
Overdose Fatality Review
GYT - Get Yourself Tested
Water Lab
NW Coalition
Farm Fresh Program
PH Vending Machine
Food Insecurity - Marshfield C
Food Safety Recreation License
Infant Immunization Grant
Opioid Abatement
Forward Health Outreach
Environmental Health
Public Health Infrastructure
DHS Agreement
Environmental Tracking
Childhood Lead Poisoning Prev.
Charity Outreach Program
Public Health Donation Expendi

Revenue
Budget
(554,657.00) $
(134,610.00)
(1,397.00)
(26,697.00)
(35,386.00)
(56,267.00)
(4,000.00)
(136,461.00)
(1,881.00)
(368,628.00)
(431,791.00)
(27,759.00)
(5,353.00)
(20,319.00)
(9,239.00)
(2,916.00)
(218,267.00)
(11,174.00)
(47,797.00)
(51,751.00)
(24,274.00)
(48,398.00)
(42,656.00)
(2,129.00)
(9,138.00)
(18,211.00)
(400,594.00)
(17,056.00)
(2,348.00)
(32,823.00)
(77,139.00)
(106,350.00)
(166,179.00)
(10,684.00)
(9,697.00)
(250.00)
(1,000.00)

$

3,115,276.00 $

% Collected
Actual
(526,148.29)
94.9%
(104,354.53)
77.5%
(881.73) #DIV/0!
(69.37)
5.0%
(8,316.81) #DIV/0!
(11,661.87)
43.7%
(3,056.14) #DIV/0!
(20,875.18)
59.0%
(33,377.23)
59.3%
0.0%
#DIV/0!
(58,180.49)
42.6%
(2,593.02) 137.9%
(544.00) #DIV/0!
(5,000.00) #DIV/0!
(329,903.53)
89.5%
(282,492.51)
65.4%
(18,859.71)
67.9%
(1,177.45)
22.0%
(1,710.52)
8.4%
(5,250.93)
56.8%
(238.64)
8.2%
(114,053.90)
52.3%
(2,559.42) #DIV/0!
(19,676.45) 176.1%
(9,828.68)
20.6%
(25,879.74)
50.0%
(7,154.70)
29.5%
(10,069.37) #DIV/0!
(4,706.51)
9.7%
(15,122.96)
35.5%
(1,148.58)
53.9%
(10,450.00)
(804.93)
(8,824.98)
(1,000.00)
(10,471.87)
(389,558.06)
47.0%
(8,021.96)
(1,561.56)
(14,827.98)
45.2%
(75,009.12)
97.2%
(22,810.33)
(67,838.83)
40.8%
(259.72)
(1,512.88)
15.6%
0.0%
(620.00)
62.0%
2,238,464.48

71.9%

$

$

Expense
Budget
554,657.00 $
134,610.00
1,397.00
26,697.00
35,386.00
56,267.00
4,000.00
136,461.00
1,881.00
368,628.00
431,791.00
27,759.00
5,353.00
20,319.00
9,239.00
2,916.00
218,267.00
11,174.00
47,797.00
51,751.00
24,274.00
48,398.00
42,656.00
2,129.00
9,138.00
18,211.00
400,594.00
17,056.00
2,348.00
32,823.00
77,139.00
106,350.00
166,179.00
10,684.00
9,697.00
250.00
1,000.00
3,115,276.00 $

Actual
% Spent
308,117.56
55.6%
87,845.90
65.3%
8,145.86 #DIV/0!
1,337.35
95.7%
13,994.01 #DIV/0!
19,675.81
73.7%
3,152.84 #DIV/0!
33,529.02
94.8%
21,076.76
37.5%
49.35
1.2%
1,526.61 #DIV/0!
65,541.75
48.0%
593.33
31.5%
200.00 #DIV/0!
140.00 #DIV/0!
229,749.95
62.3%
246,042.80
57.0%
20,633.48
74.3%
2,848.36
53.2%
1,710.52
8.4%
5,985.05
64.8%
1,974.10
67.7%
133,728.68
61.3%
#DIV/0!
18,072.00
161.7%
10,061.58
21.1%
24,296.14
46.9%
21,584.77
88.9%
4,565.36 #DIV/0!
7,563.32
15.6%
21,870.98
51.3%
1,503.84
70.6%
21,083.32
230.7%
4,202.74
23.1%
335.00 #DIV/0!
949.95 #DIV/0!
14,756.81 #DIV/0!
212,463.93
53.0%
10,296.33
60.4%
4,575.15
194.9%
24,934.09
76.0%
10,959.90
14.2%
26,502.79
24.9%
77,297.61
46.5%
259.72
2.4%
1,437.18
14.8%
152.95
61.2%
0.0%
1,726,524.97

55.4%

Page 36 of 40

Public Health Revenue vs Expenses
Variance Year-to-Date through July 2026

Total Revenues for All Years

Total Expenses for All Years

4,000,000

4,000,000

3,500,000

3,500,000

3,000,000

3,000,000

2,500,000

2,500,000

2,000,000

2,000,000

1,500,000

1,500,000

1,000,000

1,000,000

500,000

500,000

-

0
2022
Acutals

2023
Acutals

2024
Actuals

2025 2026 YTD
Actuals Actuals

Taxes

Intergov Grants & Aids

Licenses & Permits

Fines & Forfeitures

Public Charges for Services

Intergov Charges for Services

Misc Revenues

Other Financing Sources

2022
Acutals

2023
Acutals

2024
Actuals

2025 2026 YTD
Actuals Actuals

Transfer To Other Funds

Capital Outlay

Refunds/Restitutions

Debt Service

Fixed Charges

Supplies & Expense

Contractual Services

Personal Services

Page 37 of 40

Statement of Explanation
Resolution Supporting Increased and Sustainable State Funding for
Local Public Health Departments

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Passage of this resolution expresses Chippewa County’s support for sustained and
increased state funding for local public health departments. Local health departments are
required to provide essential public health services under Wisconsin law, but current funding
sources are outdated, not indexed to inflation, and insufficient to cover the cost of these
services.
The resolution calls for a funding model that provides increased General Purpose Revenue
support, automatic inflation adjustments, greater flexibility in how funds are used, and less
dependence on short-term, restricted, or competitive grants. It further urges the State of
Wisconsin to recognize public health as a core governmental function and encourages the
Wisconsin Counties Association to advocate for reduced reliance on local property tax levy to
fund foundational public health services.

Page 38 of 40

Resolution No.
Resolution Supporting Increased and Sustainable State Funding for Local Public Health
Departments
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WHEREAS, local health departments (LHDs) in Wisconsin are legally required to provide a
core set of public health services under Wisconsin Statutes Chapter 251 and Wisconsin
Administrative Code Chapter DHS 140; and
WHEREAS, responsibilities of LHDs have expanded significantly in recent years due to
emerging public health threats, workforce shortages, and increasing community health needs;
and
WHEREAS, LHDs rely significantly on a combination of limited state aids, categorical
grants, and local property tax levy to fund these mandated services; and
WHEREAS, current state funding mechanisms for public health are largely outdated, not
indexed to inflation, and do not reflect the true cost of delivering foundational public health
services; and
WHEREAS, Wisconsin currently ranks 49th among the 50 states in state dollars dedicated
to public health per person
(https://www.americashealthrankings.org/explore/measures/PH_funding); and
WHEREAS, public health initiatives consistently deliver high returns on investment (ROI),
with recent data showing a median ROI of 14.3 to 1, often saving $14 in medical and societal
costs for every $1 spent (https://www.pew.org/en/research-andanalysis/articles/2025/07/08/public-health-initiatives-deliver-big-returns-on-investment); and
WHEREAS, reliance on short-term, restricted, or competitive grant funding creates
instability and limits long-term planning; and
WHEREAS, counties bear a disproportionate share of the financial burden for providing
foundational public health services, placing additional pressure on local property taxpayers;
and
WHEREAS, a strong and adequately funded public health system is essential to protect the
health, safety, and economic stability of Wisconsin residents and communities; and
NOW, THEREFORE BE IT RESOLVED, that the Chippewa County Board of Supervisors
supports continuing to build and retain public health infrastructure through increased and
flexible funding; and
BE IT FURTHER RESOLVED, that such a funding model should:
• Provide increased General Purpose Revenue (GPR) support for local health departments
• Include automatic inflationary adjustments

Page 39 of 40

Resolution No.
Resolution Supporting Increased and Sustainable State Funding for Local Public Health
Departments
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• Allow for flexible use of funds to meet local needs
• Reduce reliance on short-term, restricted, and/or competitive grants; and
BE IT FURTHER RESOLVED, that the State of Wisconsin recognize public health as a core
governmental function and prioritize sustained investment to ensure consistent service delivery
across all jurisdictions; and
BE IT FURTHER RESOLVED, that Chippewa County requests that the Wisconsin Counties
Association advocate for policies that reduce the reliance on local property tax levy to fund
foundational public health services; and
BE IT FURTHER RESOLVED, that a copy of this resolution be forwarded to the Governor of
Wisconsin, members of the Wisconsin State Legislature, the Wisconsin Department of Health
Services, and all Wisconsin counties.
Forwarded to the County Board by the Health & Human Services Board.
Financial Impact
By passage of this resolution, there is no fiscal impact to Chippewa County.
Signatures
Approved as to Form:

County Administrator

Finance Director

Corporation Counsel

Page 40 of 40