A representative for Prairie View addressed the board to summarize recent service expansions and to request a 10 percent increase in Harvey County funding for 2026.

The speaker said Prairie View became a certified community behavioral health clinic (CCBHC), which improved Medicaid‑related funding streams but left the agency to continue serving a majority of county residents who are uninsured or whose commercial insurance does not cover the full range of services they need. “Underinsured means your insurance doesn't cover all the services that you may need,” the representative said, noting that many crisis and case‑management services are not covered by non‑Medicaid plans.

Prairie View said it has expanded supported housing, supported employment, mobile crisis response (including teams that sometimes respond without law enforcement), school‑based services across the tri‑county area, and suicide‑prevention and behavioral urgent care services. The behavioral urgent care unit is licensed for eight beds and typically operates at 4–6 occupants; it can hold patients up to 72 hours and can extend stays by reassessment when clinically appropriate. The agency has also started a capital campaign to develop 90‑day crisis housing units for transient people who require stabilization and intensive services prior to returning to community housing.

The agency reported 3,271 Harvey County residents served in the past year and a 36 percent increase in total services delivered to those patients compared with the prior year. The presenter said 51 percent of the county patients were uninsured or underinsured, creating local bad‑debt exposures. Prairie View requested a 10 percent increase (to $211,000 total county support across the request) to sustain expanded staff and services.

Ending: Commissioners asked clarifying questions about bed counts and VA cooperation; Prairie View said it is licensed for eight urgent care beds (remodeled to accommodate more) and is prioritizing county residents in its service area. The request for increased funding will be considered in upcoming budget work sessions.