Douglas County Commission discusses financial support for Bert Nash's sliding fee scale program

During the Douglas County Board's budget hearings on July 7, 2025, significant discussions centered around the funding and operational challenges faced by Bert Nash Community Mental Health Center. The meeting highlighted the pressing need for a sliding fee scale adjustment to accommodate an increasing number of uninsured individuals seeking mental health services.

Commissioners expressed concerns about the lack of prior consultation regarding changes to the sliding scale, emphasizing the importance of open communication between the county and Bert Nash. The center reported a 5% rise in uninsured clients over the past two years, alongside a growing number of underinsured individuals. This trend has strained the financial sustainability of outpatient services, which are critical for community members.

The dialogue underscored the necessity for the county to play a proactive role in funding decisions, ensuring that mental health services remain accessible without imposing financial burdens on clients. The center's leadership acknowledged the challenges posed by rising operational costs and the need to reassess service offerings in light of funding limitations.

Additionally, concerns were raised about Bert Nash's accounts receivable, which amounted to approximately $10 to $12 million, representing a significant portion of its annual budget. The new leadership at Bert Nash is prioritizing a review of financial processes to address these issues, including engaging an external accounting firm for support.

The meeting also touched on the complexities of renegotiating contracts with private payers, with decisions expected in the coming weeks. The urgency of these negotiations reflects the broader challenges faced by community mental health centers nationwide, as they navigate funding shortfalls and the evolving landscape of healthcare reimbursement.

In conclusion, the budget hearings revealed critical discussions about the future of mental health services in Douglas County. The county's commitment to addressing funding gaps and improving communication with Bert Nash will be vital in ensuring that essential services remain available to all community members. As the situation develops, stakeholders will need to remain engaged to find sustainable solutions for mental health care in the region.