Des Moines County approves $3.09 million in payments tied to regional mental-health settlement

Des Moines County Board of Supervisors ยท January 21, 2026

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Summary

The Board of Supervisors approved $3,000,677.94 in accounts-payable disbursements and $92,249.38 in wire transfers as fiscal agent to settle obligations for the Southeast Iowa mental-health region; about $21,000 remained outstanding for reconciliation.

The Des Moines County Board of Supervisors on Jan. 20 approved $3,000,677.94 in accounts-payable disbursements and $92,249.38 in wire transfers that staff said represent final settlements for the Southeast Iowa mental-health region.

A board member explained the county was acting as fiscal agent after the state set a deadline for the region to close accounts. "The state ended that fiscal period on June 30 and gave until Dec. 30 to get all the bills paid," a board member said during the meeting. County staff said the bulk of the bills are cleared, but about $21,000 in outstanding checks remained to be reconciled.

The board moved to approve the payments; supervisors present recorded supportive votes. County staff indicated any remaining funds discovered during final reconciliation would be returned to the appropriate entity.

Why it matters: Because Des Moines County served as fiscal agent, the board's action cleared longstanding regional obligations and transferred administrative responsibility for final accounting to county staff. The payments were described as administrative settlement, not a new program appropriation.

What happened next: The board approved the accounts-payable batch after a brief staff explanation. Officials said they were waiting on final treasurer's-office balancing before closing out the file.