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MCBDD reports growth in early intervention services, warns of Medicaid risk to local funding

Medina County Board of Commissioners · April 28, 2026
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Summary

Superintendent Stacey Maleckar told commissioners Early Intervention caseloads rose 16% year‑over‑year to 238 children and that 91% of Early Intervention expenses in 2025 were funded by property tax; she cautioned that potential Medicaid reductions could increase pressure on local funds.

Stacey Maleckar, superintendent of Medina County Board of Developmental Disabilities (MCBDD), reported to the commissioners on April 28 that the Early Intervention program (Early Adventures) served 238 children ages 0–2, a 16% increase from the prior February, and highlighted a long‑term rise in autism diagnosis rates. She said that in 2025 about 91% of Early Intervention expenses were funded by property tax and stressed the importance of that local revenue stream given possible Medicaid reductions.

Maleckar outlined services delivered by Early Intervention — physical and speech therapy, behavioral therapy and social‑skills development — and emphasized partnerships with childcare providers, local physicians and families. She also reported that MCBDD spent approximately $2.5 million on family support and supported living services in 2025, an increase of nearly 80% over four to five years, and described Safety Town Plus (in its 13th year) as a targeted program for kindergarten and first‑grade students with neurophysical and developmental disabilities.

The superintendent framed the program growth and funding reliance as a potential fiscal vulnerability if state Medicaid support changes; the commissioners received the update and recorded it in the meeting minutes.