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Health department moves multiple small appropriations and raises injectable typhoid fee
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Summary
Health finance director asked for several appropriations (NACCHO mentor funds, FAIR Foundation donation, and a staffing reclassification) and a code amendment increasing the injectable typhoid vaccine fee from $116 to $176 to cover new single‑dose supplies; all items were recommended favorably by committee.
Amy Rupi, finance director for the St. Joseph County Health Department, presented a group of budget actions and fee changes. The department requested removal of a $1,396.83 line for field supplies (reflecting a lower available balance) and sought to appropriate unused NACCHO mentor funds ($26,317.98) and a $10,760.85 donation from the FAIR Foundation to support county schools. Rupi also described a budget‑neutral reallocation ($74,719.62) to convert a part‑time nursing registrar into a full‑time medical assistant who would perform registration duties and administer vaccines.
Rupi explained the health department must switch from multidose typhoid vials to prefilled syringes, a change that increases the per‑dose cost. The department requested a codebook amendment to raise the injectable typhoid fee from $116 to $176 per dose to cover purchase and an administration component; committee members asked for comparables and were told Rupi would provide county benchmarking.
All health items discussed (appropriations and the fee increase) were recommended favorably by the committee and will be forwarded to the full council.
