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Mills County approves $13,844 from opioid settlement fund to support community health worker for one year

Mills County Board of Supervisors · November 18, 2025
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Summary

County public health staff requested $13,844 from opioid settlement funds to cover one year of a community health worker's salary and benefits; supervisors approved the expenditure after confirming available fund balance.

The Mills County Board of Supervisors approved using $13,844 from the county's opioid settlement fund to support a community health worker for one year.

Public health staff presented the request, describing the payment as one quarterly installment of a two-year contract; the total program cost was described as a modest portion of broader public health services intended to connect people at risk of opioid use disorder to care. Staff said the county's opioid settlement balance was "a little over $200,000" and that they had budgeted $50,000 of opioid-settlement expenses for the current year.

"We could probably cover more than just opioid-specific services," staff said, noting allowable uses listed by the Iowa Attorney General include activities to prevent or treat opioid use disorder and related social determinants of health. One supervisor moved to approve the $13,844 allocation from the opioid settlement fund for a community health worker; the motion was seconded and carried with recorded 'Aye' votes.

The allocation is for one year of the position; staff said they would return next year with continued budget requests if needed.