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Madison County public health director says county cuts force end of homemaker program on June 30, 2025
Summary
Public health administrator Susan Price told supervisors a $125,000 county funding cut and shifting state/local rules will end the county's homemaker/home‑health program on June 30, 2025; staff notified insurers and clients on Nov. 12 and will provide lists of private providers as a partial mitigation.
Susan Price, the county’s public health administrator, told the Madison County Board of Supervisors that county funding reductions have made a local homemaker/home‑health program unsustainable and that the board of health voted to end the program effective June 30, 2025. "The board of health members voted to send down the program by 06/30/2025," Price said, and she added that she notified insurers, Veterans Affairs and clients on Nov. 12.
Price gave a summary of recent local public‑health funding: the county received $43,603 for population health in fiscal year 2024 and moved shares between population and nonpopulation services year to year as state guidance required. She said the county’s own public‑health allocation was cut by $125,000 in fiscal year 2025 and that shifting the contract will channel more funds toward population‑level activities through fiscal 2027.
The change means services that were previously funded as "nonpopulation" — including homemaker visits and in‑home assistance — will no longer be supported by local public‑health dollars, Price said. She told the board she is collecting lists of private companies and individual providers to share with current clients who will not qualify for alternative waivers. "I'm gonna try and gather, private companies and send out a list of those to the clients also," she said.
Supervisors and attendees raised concern that veterans and low‑income seniors could "fall through the cracks" without the program. One supervisor described his own experience finding short, hourly private visits at higher rates and warned that without county support some residents will face more costly institutional care. Board members asked Price to continue outreach to insurers and to provide resource lists and other referral information so affected clients have options after the program ends.
No formal replacement program or new funding source was approved at the meeting. The board did not take final, separate action to reallocate county dollars at this session; Price said she would continue to provide information and resources to affected clients and insurers.
