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Black Hawk County health officials warn local services will be cut after state contract termination

Black Hawk County Board of Supervisors · March 24, 2026
AI-Generated Content: All content on this page was generated by AI to highlight key points from the meeting. For complete details and context, we recommend watching the full video. so we can fix them.

Summary

A county public-health official said Iowa HHS terminated a pharmacy contract that may reduce $22 million in reinvested funds, disrupting 340B medication supplies, TB case management incentives and a $50,000 FY27 disease-intervention contract; the county is seeking contingency plans and awaiting an emergency state contract.

Kaitlyn, a public-health department representative, told the Black Hawk County Board of Supervisors on March 24 that the Iowa Department of Health and Human Services has terminated a contract with Nira Pharmacy that had included reimbursements the department reinvested in local public-health programs. "What's been reported in the news involves a lack of a reimbursement to Iowa HHS from Nira in the ballpark of $22 million," Kaitlyn said.

The $22 million, Kaitlyn said, had been used to support sexually transmitted infection prevention, HIV treatment, immunizations and tuberculosis programs at the state level and in county subcontracts. She said the termination is already causing immediate prioritization of scarce resources: remaining 340B medication…

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