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County monitors Family Health Care contract for jail nursing as scope questions arise
Summary
Cass County officials said Family Health Care provides nursing services for jail inmates and may face limitations from its association on which inmate classifications it can serve; county staff will gather additional information and report back before any contract amendment.
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County staff briefed commissioners that Cass County has an agreement with Family Health Care to provide nursing services in the county jail and that the arrangement has delivered prescription-drug cost savings through federal program discounts. The provider’s executive director signaled that association guidance may limit the scope of services the organization can lawfully provide for certain inmate classifications (for example, some state or federal-designated inmates or sentences over/under 90 days).
What staff will do: Mr. Wilson said a multiagency group met earlier in the day (including family-health representatives, the state's attorney, the sheriff’s office and county administrators) to identify information needs; Family Health Care will receive guidance from its association and return with recommendations, and staff will present next steps to the commission when additional details are available.
Why it matters: County staff warned that losing access to prescription-drug discounts and the current scope of services could have a meaningful fiscal impact on the jail budget and county costs for inmate health care.
Status: Informational briefing at Jan. 20 meeting; county awaiting additional information from the provider’s association.

