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Public Fiduciary warns 'big bad' bill and benefit changes are straining county guardianship services
Summary
Coconino County’s Public Fiduciary reported a caseload of 133 clients and described how recent state and federal policy changes are complicating Medicaid and SNAP redeterminations, increasing staff work, and threatening housing stability for wards; supervisors asked for talking points and leave-behind materials for federal and state advocacy.
Coconino County’s Public Fiduciary (introduced at the meeting as Fiduciary Stominski) briefed the Board of Supervisors on Feb. 17 about the office’s caseload, operations, and the consequences of recent state and federal changes to benefit programs.
The office reported managing 133 clients, with case administrators handling caseloads of roughly 32–35 clients each. The fiduciary described placement challenges—especially for clients who are developmentally disabled or seriously mentally ill—and noted that specialized providers have moved…
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