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Clay County Public Health proposes 31% levy reduction for 2027 amid program realignments and grant shifts

Clay County Board of Commissioners · August 4, 2026
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Summary

Public Health Director Jessica Mickelson and staff presented a 2027 budget with a proposed levy request of about $1.383 million (a 31% reduction), citing staff retirements, program transfers (MN Choices), contract renegotiations and grant changes that together reduce the county ask by roughly $634,000.

Clay County Public Health presented its proposed 2027 budget to commissioners, outlining program reallocations, grant changes and a headline 31% reduction in the county levy request.

Public Health Director Jessica Mickelson said the department’s 2027 levy request is about $1,383,249, down roughly $634,000 (31%) from 2026. She attributed most of the reduction to staff salary and benefit adjustments, five retirements in 2026 that reduced step‑salary costs, program reassignments (including moving MN Choices into Social Services), contract renegotiations with insurers and updated fee schedules. "Our 2027 levy request is 1,383,000… a reduction from '26 to '27 by $634,000 or 31%," Mickelson said.

Brandon Nelson, who presented detailed line‑by‑line program figures, described several specific changes: renegotiated MSOC/MSOE contracts that are projected to yield about $103,000 in additional revenue; a clinic‑hour restructuring that moved to two set clinic days (Tuesday and Thursday) and produced an estimated $83,000 levy benefit; environmental health fee adjustments expected to add about $40,000; and the loss of some multi‑year grants (for example, a positive community norms grant that ended) that required reallocation across other programs.

Jessica and Brandon also told the board they had applied for but did not receive a Drug Free Communities grant; the county’s letter was vague and staff are following up for more details. Commissioners asked about backfill and recruitment; Mickelson said several vacancies were filled externally and some recruitment investments were made using CDC infrastructure funds.

On net, Nelson said the department is projecting a $634,009 net reduction in county levy ask for 2027 across public health program lines. Commissioners thanked staff for the work and asked follow‑up questions about program details, clinic utilization, and the implications of insurance contract changes.