The October 14th, 2025 meeting of the Anerondo County Board of Health is called to order.

Please ensure all phones and electronic devices are set to silent.

Good morning.

Dr.

Tony Geddon, our health officer is here, and I will let you introduce everyone with you.

Dr.

Gedden, you can go ahead and get started.

Actually, start with the staff that are here this morning.

So I'd like to one start by thanking everyone who helps to put this presentation together.

This is

not

an individual activity by any stretch of the imagination.

And so the folks that are with me at the table are Dr.

Tope Bada, the deputy health officer for public health,

and

Sean Kane, the deputy health officer for operations.

In the audience with us, Megan Pringle, Director of Communications, Sandy O'Neill, Director of Behavioral Health, Jennifer Snyder, Director of Disease Prevention and Management.

Don

Curtian, Director of Environmental Health, Peggy Cruz, Director of Family Health Services,

Karen

Siska Creel, Director of School Health Services, Courtney Scott, our Acting Director of Finance, and Donna Perkins, the director of the Office of Assessment and Planning.

And so all of these folks work really diligently to make sure that we provide you with the most up-to-date information from the health department and also when we get into questions, if there's something I don't know.

These are the folks that I'll be calling on today.

But also thank you to many other members of the health department team who helped to put this presentation together today, but also that do all of the fantastic

work

that we'll be talking about during our presentation.

I also want to acknowledge our colleagues from the mental health agency, Adrian Meichler and her team are here with us this morning.

So as we get into mental health agency business and crisis intervention, happy to have them here with us so they're also able to answer questions as needed.

Thank you to those of you who gave us thoughts and things that you would like covered this morning.

Always really helpful to make sure that our presentation is covering what's top of mind for county council, but also what's top of mind for residents.

And so this particular slide is one that we started presenting with the last presentation when there were questions about how the changes at a federal level would impact the health department's budget.

And so there are a couple of things I want to make sure that we go over with this slide because as my presentation proceeds, some of this will be important to remember.

So

this is just a breakdown of the county general funds that we receive, also opioid abatement funds, a small pot of funds that we've received via the video lottery fund grants, and then state core funding.

And then we break down the grants, state and federal, and the federal funds for us are passed through from the state.

So we don't have any direct federal funding.

So anything that's coming to us as a department is coming via the state health department down to us as a local jurisdiction.

Okay, so I'm gonna start this morning with federal updates.

I think for those of you who sent us questions, there were thoughts on what's coming, what you all should know, and just understanding some of the things that will definitely be impacting the health of Anerondo County residents.

I'm gonna start this morning with an overview of Medicaid.

This is not short, so I want to start with

that.

Um this time span is really important to understand that all of these changes do not go into place at the same time.

So understanding who will be impacted and when is really important for a lot of these, and then also what we know and do not know at this time in the conversations that we've had with the state and others around this.

So

just a quick overview of Medicaid for both the county and the state.

So in Anaurondo County, we have roughly 17,000 uh folks enrolled in Medicaid, and the health department's role with this is that we enroll people, right?

We are the enrollment center for the county.

Uh, our MCHIP staff work to do this.

A couple of really important distinctions this morning.

Traditional Medicaid enrollment is roughly 82,000 people, almost 83,000.

And of course, these numbers fluctuate from month to

month.

And expansion Medicaid enrollment.

So when I throughout this presentation, you'll hear me mention expansion adults or for affordable care act adults multiple times.

These are the individuals who, after the Affordable Care Act was put into place, were eligible to receive Medicaid based on their income and other factors.

So these are folks, these are not children, these are not necessarily disabled individuals, but this is one of the groups of adults that we will see most impacted by the changes that have been put into place by the one big beautiful bill act.

So in Anarondo County, there

are

about 25,000 people that fit into this category.