A LWV Observer attended the June meeting of the County Health and Human Services Committee where members focused extensively on Medicaid and Food Share (SNAP) in La Crosse County. Eligibility for these programs was clarified: Children, parents, seniors, people with disabilities, and working adults whose jobs don’t offer affordable health coverage may be eligible for Medicaid, depending on their income, household size, and specific needs. Food Share eligibility is also determined by income, household size, and allowable expenses. The committee noted that 19,357 La Crosse County residents received Medicaid in 2024, for a total of $589 million in benefits, and 10,230 received Food Share in 2024, for a total of $18.9 million in benefits for La Crosse County.
The committee then discussed proposed changes to Medicaid, including Medicaid work requirements, the reduction in federal matching funds for administrative costs, and Food Share error penalties. Concerns about these changes were extensive and focused on uncertainties about specific work requirements, residents’ inability to work 20 hours per week, and increased administrative costs (potentially $2 million) and penalties for small errors in Food Share distribution (potentially $1-5 million).
The committee turned to other business, including any budget requests (the only suggestion being to provide dental services) and a policy issue concerning fees for the required course for intoxicated driving, first offense. Western charges $300 for the in-person course, which many of the 25,000 drivers required to take it each year unable to attend the classes. The County has proposed to offer an online course that would generate revenue and be available across the state. The Committee voted to support this proposal.
~reported by Mary Faherty