County public-health official warns August RFP will require heavy administrative lift for lead entity

May 5, 2026

Black Hawk County public-health staff briefed supervisors on an Iowa HHS RFP to designate a single lead entity for public-health services across 14 counties; the lead role would cover five core functions and significant contracting, fiscal, and compliance responsibilities, with a competitive RFP due in August and implementation beginning Jan. 1.

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Caitlyn Emer, public health staff for Black Hawk County, told the Board of Supervisors on May 5 that Iowa Department of Health and Human Services plans to release a competitive RFP in August seeking a single lead entity to ensure five core public-health services across District 7, which includes 14 counties and roughly one-third of Iowa’s population.

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