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Supervisors discuss Eastern Iowa Mental Health Region reimbursement proposal and disability-access point; 28E agreement on hold
Summary
Board members reported recent meetings with the Eastern Iowa Mental Health Region and an Administrative Services Organization (ASO). Supervisors said they will pause consideration of a proposed 28E intergovernmental agreement after questions about reimbursement rates and long-term county obligations.
Members of the Muscatine County Board of Supervisors reported updates on regional mental-health discussions and a possible 28E intergovernmental agreement at the March 24 meeting, and said they will delay signing until questions about reimbursement rates and long-term obligations are resolved.
Why it matters: A 28E agreement could commit counties to shared financial responsibilities for regional mental-health services; supervisors said they were concerned about an open-ended reimbursement obligation.
A supervisor summarized a recent meeting with the Administrative Services Organization (ASO) and said that one county — Scott County — had proposed higher reimbursement rates and salary levels. Other counties were reportedly reluctant to accept an open-ended funding commitment. The supervisor said county staff and elected officials reviewed a potential 28E agreement and that Muscatine County would put signing on hold while the ASO and Scott County resolved disagreements over rates.
Separately, the board discussed a regional plan that designated a county or organization as a disability access point. The Eastern Iowa region had pursued designation for one provider; Muscatine County officials said they did not currently see capacity to serve as a disability access point across a 14-county area, citing staffing limitations and travel burdens for county employees.
No formal county commitment to the 28E agreement or to becoming a disability access point was recorded; supervisors said they would wait for further details and a business plan before deciding.
