Hennepin County — Transcript

Thursday, October 23, 2025

Story

Hennepin County braces for federal cuts to food assistance programs

Health Line of Business 2026 Proposed Budget

Impact of Federal Funding Cuts and Response Strategies

Technology and Innovation in Human Services

Fund Balance and Financial Sustainability

Votes (2)

2026 Proposed Human Services Budget Hearing

Information Only (Budget Hearing)

The human services department presented its 2026 budget, totaling $846.1 million, a slight reduction from the previous year. The budget includes a 6% reduction in full-time equivalent positions (FTEs) through attrition. Extensive discussion focused on the impending federal cuts to SNAP, WIC, and MFIP, with staff outlining both immediate operational responses (like an incident command structure for application processing) and long-term strategic plans (including state legislative advocacy and maximizing Medicaid reimbursements). Commissioners voiced strong concerns about the impact on vulnerable residents and the need for greater state support, particularly given the 'known unknowns' of federal policy changes. The department emphasized its commitment to core safety net services, including addressing homelessness, youth mental health, and food security, while striving for financial sustainability and optimizing revenue. Technology improvements for benefit applications were also discussed.

2026 Proposed Health Line of Business Budget Hearing

Information Only (Budget Hearing)

The Health Line of Business presented its 2026 proposed budget of $611 million, noting a 33% increase mainly due to higher Hennepin Health enrollment. The Medical Examiner's office reported stable case numbers and encouraging declines in homicides and drug-related deaths since 2023, while highlighting ongoing efforts for missing persons cases and data accessibility. North Point Health and Wellness Center shared achievements like 100% healthy births in a Black women's program, increased clinical revenue, and reduced uninsured patients, emphasizing workforce stability and community-centered care. Public Health detailed its commitment to resiliency, prevention, and addressing disparities, including HIV prevention efforts. A key challenge identified was the decreased federal support for CDC activities, requiring local public health to step up in areas like disease surveillance and data collection, reinforcing the need for community trust and local capacity building.

Notable Quotes (9)

Today, we continue the conversation around budgets and the ways we connect our diverse work to our organizational priorities of disparity elimination and climate action.

Jody Wentland [0:06:21]
2026 Proposed Human Services Budget Hearing

The human services 2026 proposed operations budget is 846.1 million. This is a 0.5% or 4.6 million reduction from the 2025 adjusted operating budget.

Betsy David [0:10:49]
2026 Proposed Human Services Budget Hearing

There are known unknowns. Um there are ways in which uh federal legislation impacts how state operate, how our states operate our safety net programs. It is going to be up to the the state government, the legislature and our state agencies to decide how they comply with those cuts and that impacts us.

Kareem Murphy [0:27:14]
2026 Proposed Human Services Budget Hearing

So the um uh immediate what we call our our SNAP standalone food assistance is about 92,000 uh current active uh individuals.

Reggie Wagner [1:04:36]
2026 Proposed Human Services Budget Hearing

I think the crisis moment that we're in is by design. I mean, the reality is is what I think this overarching theme is is let's push people back to relying on religious institutions to get their food.

Commissioner Heather Edson [1:15:20]
2026 Proposed Human Services Budget Hearing

on the operating budget, I just want to highlight that overall we have a $611 million budget for this line of business. It's a 33% increase. The main driver is really Henipin Health and that is due to increased enrollment.

Joe Matthews [1:50:35]
2026 Proposed Health Line of Business Budget Hearing

In 2023, drugrelated deaths peaked, but since then have been on a downward trend both in Henipin County and nationally. Still, drugrelated fatalities in Henipin County are 80% higher than nine years ago when the rise in synthetic opioid overdoses, and by that we really mean fentanyl, began.

Andrew Baker [1:53:50]
2026 Proposed Health Line of Business Budget Hearing

Our culturally responsive, healthy pregnancy program achieved 100% healthy births among 35 black women. This is significant when black women are three to four times more likely to die from pregnancy related causes regardless of income or education.

Kimberly Spite [1:57:43]
2026 Proposed Health Line of Business Budget Hearing

We are also preparing for an increased need for state and local government to provide previous CDC activities such as disease surveillance, population health data, and health recommendations. With changes in federal priorities, functions states and local public health agencies have counted on now now no longer are being supported at the federal level.

Sarah Holly [2:06:21]
2026 Proposed Health Line of Business Budget Hearing

Ordinances & Resolutions (15)

2026 Proposed BudgetBudget

The central document being discussed during the budget hearings for Human Services and Health Line of Business.

Property Tax Levy increase of 7.79%Budget

The approved maximum property tax levy increase adopted by the county board.

2025 Adjusted Operating BudgetBudget

Used as a reference point for comparing the proposed 2026 budget figures.

2025 Adopted BudgetBudget

Original budget adopted for 2025, used for comparison.

HR1 federal legislation / reconciliation billLegislation

Federal legislation that passed over the summer, making changes to the SNAP program, including work requirements.

MaxisSystem

A legacy IT system used for SNAP/MIP benefits, which staff are working to integrate with a new web front-end.

Min Benefits applicationApplication

The state's online application for benefits, noted for its flaws and a source of frustration for residents and staff.

Community Health Improvement Plan (CHIP)Plan

Public Health's new plan launching in January 2026 to improve mental health access and basic needs.

Community Health AssessmentReport

Public Health's assessment informing the Community Health Improvement Plan.

Long-Term Services and Supports Advisory CouncilCouncil

A state-level advisory council where Hennepin County participates to reform the waiver system for supporting residents with disabilities.

MDH WickProgram

Minnesota Department of Health's Women, Infants, and Children food supports program.

Ryan White programProgram

A program mentioned for HIV prevention and care, with participants being housed by Healthcare for the Homeless.

Electronic Health Record (EHR)System

North Point's health record system, with enhancements including full dental integration into Epic.

EpicSystem

The specific electronic health record system used by North Point.

Shape SurveySurvey

A survey that Public Health will be implementing in 2026.

View Source
Hennepin County - Hennepin County Recorder