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Board accepts regional mental‑health grant contracts; staff outlines potential state cost shifts

2530160 · February 11, 2025
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Summary

Nicollet County’s Health and Human Services department won board approval for regional mental‑health contracts and accepted an unplanned short‑term distribution of underspent regional funds, while staff briefed commissioners on proposed state budget changes that could shift costs to counties.

Nicollet County’s Health and Human Services department reported two contract approvals tied to the South Central Community Based Initiative and briefed the board on proposed state budget changes that could shift new costs to county taxpayers.

Contracts and short-term funds: HHS director Cassie (last name not recorded in the transcript) presented a purchase-of-service agreement through the South Central Community Based Initiative, a joint powers board that coordinates adult mental health initiative and crisis grants for a 10‑county region that includes Nicollet. Through that initiative the county receives reimbursements for case management, community support program services and funding for a local clubhouse. Cassie reported that in the February 2024 reporting period the clubhouse served about 70 members, made more than 1,000 outreach calls and provided community support services to 13 individuals. The board approved the contract as presented.

Separately, the joint powers board divided underspent regional funds at the end of a grant cycle; Nicollet County stands to receive up to $52,581 in additional short‑term funds to offset expenses in the psychiatric/provider area. Cassie said the county’s spending in these service areas exceeds available grant dollars by about $146,000; the board approved the short‑term contract to accept the distribution.

Proposed state budget cost shifts (informational): Cassie also reviewed proposed elements of the governor’s budget that could shift costs to counties. Key items discussed included: - A proposed county responsibility of 5% for residential waiver services (staff said estimating local impact is difficult and the numbers presented may be underestimates until state data are available); - A proposed shift of Minnesota Offender Program costs to counties from current levels to 40% county responsibility; staff estimated a half‑year impact for calendar 2025 of about $95,000 and an annualized impact of roughly $190,000 thereafter based on current civil commitments; - A behavioral health fund change that would raise county share from 23% to 50% and eliminate an administrative allocation; staff estimated an added county cost of about $31,530 and a loss of $18,000 in administrative funding.

Cassie provided multi‑year county cost projections tied to the proposed changes (figures presented by staff): $240,500 (2026), $736,000 (2027), $826,000 (2028) and $886,000 (2029). She emphasized these are preliminary estimates and depend on final program details and enrollment; she urged continued advocacy through the Association of Minnesota Counties and described coordination with regional partners.

Board action and comment: Commissioners asked about the value of the regional programs and whether one‑time underspending is expected to recur; Cassie said the clubhouse and community supports address gaps in adult mental health services and that underspending distributions are not guaranteed annually.

Details in brief: Joint powers participants named by staff include Blue Earth, Brown, Faribault, Martin, Freeborn, Le Sueur, Nicollet, Rice, Sibley and Watonwan counties; potential short‑term distribution to Nicollet: up to $52,581; reported local clubhouse usage (Feb 2024): ~70 members, >1,000 outreach calls, community support services to 13 individuals.