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Bremer County public health reports opioid fund balance, approves Pathways Behavioral Services agreement
Summary
Public health reported an FY26 opioid fund balance of $378,771.98, outlined $72,288 in fiscal-year revenue and several expenditures including a $2,089 grant to Community Memorial Hospital, and the board approved an agreement with Pathways Behavioral Services that requires reporting and assurances.
Bremer County Public Health updated the Board of Supervisors on opioid-related revenues and expenditures and secured board approval for an agreement with Pathways Behavioral Services.
Public health staff reported total opioid fund revenue for fiscal year 2026 of $72,288, including about $8,000 in interest, and cited expenditures that included a $2,089 grant to Community Memorial Hospital and $12,446 reported spending by the Pathways contract as of the end of April. The department said it distributed Deterra drug-deactivation pouches countywide at community events and will distribute more at the upcoming Bremer County Fair.
The public-health representative reported an opioid fund balance of $378,771.98 as of the end of June. She said the Pathways agreement being considered is a contract with assurances requiring timely reporting and spelled-out uses of funds; the board approved the agreement by voice vote and the chair said he would sign it.
In a broader department update, staff reported FY26 departmental expenditures of about $199,347.30 (using approximately 94% of budget) and outlined several grant-funded initiatives: radon test-kit distribution and mitigation/measurement scholarships; a skin-cancer screening initiative that includes dermatoscopes and training; colorectal FIT kit distribution to uninsured residents; telehealth tablet placements in libraries or pharmacies; and a $4,046 award from the Bremer County Community Foundation for a 'ready at home' initiative and stop-the-bleed supplies.
Supervisors asked which programs will continue into FY27 and how uninsured residents will be identified for FIT kits; staff said some projects are one-time and others will continue and that distribution will rely on public availability and partner channels. The department noted an unresolved billing issue in which $22,000 was pulled by Iowa Total Care from CVS for 2020 services (staff said they are pursuing recovery for the correct provider).
