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County staff warn of potential state and federal funding cuts affecting local public health and social services

5061957 · June 20, 2025
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Summary

County administrators told the committee that state and federal budget actions could reduce pass‑through funding for local public health and other programs and estimated Marathon County might lose roughly $92,000–$100,000 in public‑health emergency‑preparedness funding based on population share.

County administrators briefed the committee on possible impacts from pending state and federal budget actions, highlighting a likely decrease in public‑health emergency‑preparedness pass‑through funds and a broader set of federal proposals tied to reconciliation that could affect Medicaid, SNAP and other programs.

Staff noted Wisconsin historically relies heavily on federal funding for local public health. Based on statewide allocations cited in a Wisconsin Counties Association presentation, staff used Marathon County’s population share (about 2.3% when applied to state allocations shown in the presentation) to estimate a local reduction of roughly $92,000–$100,000 in the public‑health emergency‑preparedness pass‑through funding; staff said they would bring a plan to appropriate committees on how to respond to that specific loss.

County administrators cautioned that larger, less‑certain federal reconciliation provisions could have broader implications for Medicaid administration, community‑based services, North Central Health Care (NCHC) reimbursements, and SNAP‑Ed prevention programs. Staff said the timing and scope of those potential changes remain unclear and that some proposals could shift administrative workload to county staff. The committee asked staff to prepare program‑level analyses and lists of services and positions that could be affected so supervisors can evaluate options if state or federal funding is reduced.

Staff emphasized the information is provisional and subject to change as the state and federal legislative processes continue; they plan to report updates as more certainty emerges.