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Metro Health warns loss of Medicaid 1115 waiver reserves will cut diabetes, oral-health and prevention programs
Summary
Metro Health leaders told the committee the anticipated lapse of Medicaid 1115 waiver reserve funding at the end of FY2026 puts about $8 million and more than 80 staff across multiple programs at risk, including a projected 72% funding cut to the diabetes prevention and control program in FY2027.
Metro Health officials told the Community Health Committee on Oct. 23 that the department faces significant fiscal stress if the Medicaid 1115 waiver reserves lapse at the end of the current burn rate in September 2026.
Dr. Claude Jacob, director-level staff at Metro Health, and Marjorie White, assistant director for the Community Health and Safety Division, outlined how the waiver and related charity-care reimbursements have supported an array of prevention and clinical programs. Jacob said the waiver reserves currently account for about $8 million of Metro Health's grant funding this year and support over 80 staff across eight program areas; those reserves are projected to expire at the department's current burn rate by the end of FY2026.
White described the department's diabetes prevention and control program in detail and the effect of the funding loss: for fiscal 2026 the diabetes program budget is about $1.6 million; without the waiver…
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