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Acton consolidates Health and Human Services; announces tenant clinics, childcare subsidies and new electric van deployment
Summary
Town reorganized public health, nursing, Council on Aging and community services into a Health and Human Services department. Officials detailed a community health needs assessment, ARPA-funded tenant legal clinics, childcare subsidies, strong transportation demand and an electric vehicle van to join the fleet.
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The newly organized Health and Human Services department — led by Director Penelope Fanioli — presented its FY26 structure and program work, integrating environmental health, nursing, community resource, Council on Aging (COA), veterans services and transportation.
Fanioli said the reorganization aims to knit public health, social services and elder care more closely and to support initiatives on mental health, housing stability and service navigation. The department will begin a community health needs assessment in coming weeks to identify priorities and measurable outcomes.
Program highlights across subunits:
- Tenant legal clinics: Community Services Director Laura Ducharme said ARPA funds will be used to subcontract with MetroWest Legal Services to provide tenant support clinics at the Human Services Center on the second Tuesday of each month from 4–6 p.m. through Dec. 31, 2026; the clinics already have received inquiries.
- Childcare subsidies: Ducharme said $40,000 in prior ARPA funds were used for childcare subsidies; depending on family need, the allotment could support about 14 families at $3,000 each or be disbursed in smaller monthly payments to childcare providers, with funds billed by providers monthly. She estimated those funds would be allocated through the coming school year.
- Nursing and public health: Acton Nursing Service Director Heather York described two budgets: a Medicare‑certified Visiting Nurse Association (VNA) enterprise fund for home health services and a public health budget for clinics, disease surveillance and outreach. The VNA reported historically strong patient satisfaction and a Medicare quality rating consistent with state averages. York said the department moved $7,000 into an on‑call line to improve weekend per‑diem nursing pay and attract per‑diem nurse coverage.
- Council on Aging: COA Director Sharon Mercurio described robust programming, the Bistro 30 dining program, memory cafes and socialization services. The COA receives state formula funding and a $25,000+ annual contribution from a Friends group to support programs.
- Transportation: Ducharme presented transit statistics showing strong demand. Over recent months the town’s van services recorded 1,518 rides in October, 1,223 in November and 1,111 in December; the department reported only six unfulfilled ride requests across those months. The department secured an electric vehicle transfer from the Lowell Regional Transit Authority; staff planned vendor training and anticipated putting the EV into service in February.
Ending: Directors emphasized outreach, the upcoming community health needs assessment and a focus on sustainable funding for services. The board encouraged coordinated planning and offered advisory support for grant and grant‑application strategies.

