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Public health board to decertify; Tama County supervisors approve public-health/home-health budget with one abstention

Tama County Board of Supervisors · April 20, 2026
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Summary

The Tama County Public Health Board decided to decertify due to limited staffing and will no longer serve Medicare/Medicaid patients; the Board of Supervisors approved the presented public-health/home-health budget, with Supervisor David Turner recording an abstention and the remaining supervisors voting aye.

The Tama County Public Health Board informed the Board of Supervisors on April 20 that it had voted to decertify public health services because of limited staffing, and the Board of Supervisors approved the public-health/home-health budget submitted at the meeting.

The minutes state the decertification decision means the county public-health operation will no longer be able to serve Medicare or Medicaid patients. Supervisor Curt Hilmer moved to approve the budget; Supervisor Heather Knebel seconded. Supervisors Hilmer, Knebel, Doland and Kupka voted aye; Supervisor David Turner abstained. The motion carried.

The Board requested periodic reports from public health throughout the upcoming fiscal year to monitor the transition and implementation of services. The minutes do not list funding amounts for the public-health budget in this item; separate claims payments approved during the meeting included $166,479.38 in regular claims and $5,168.00 in health-fund claims.