Volume 36, Number 2
February 2025
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‘Quad-demic’ of illness reported
QUAD-DEMIC To page 3
Ann Roscoe remembered Page 5 An Arc MN 'father' Page 2 Special Olympics leader Page 6 Facility celebrated Page 7
New state budget proposal could bring cuts to disability services Disability community advocates and organizational leaders are mobilizing in response to sweeping budget cuts proposed by Gov. Tim Walz. The cuts, which focus largely on disability services and special education, were announced at a time of turmoil at the capitol. The legislative session began January 14. The House’s power struggle created uncertainty for anyone bringing forward legislation. As of late January, almost 500 bills were introduced in the Senate. Fewer than 200 bills were introduced in the House, all by Republicans. DFLers, sworn in before the session began,
Transit changes Page 9
staged a boycott until legal issues were resolved by the Minnesota Supreme Court January 24. The budget proposal is raising the most alarm, with disability advocacy groups meeting to hone their messages and counter the cuts. One message, discussed at a recent Minnesota Consortium for Citizens with Disabilities (MNCCD) meeting, is that advocate are willing and able to work with state officials to find costs savings while preserving key aspects of programs. Another issue eyed warily is what federal PROPOSAL To page 4
Harpstead steps down after five-plus years leading DHS Minnesota will have a new Department of Human Services (DHS) commissioner as Jodi Harpstead steps down as of February 3. She has led the agency for more than five years. Minnesotans with disabilities, their allies and service organizations are scrutinizing what the change in leadership at DHS will mean, on top of ongoing changes structurally to the department. Harpstead has been leading DHS through the major task of splitting into three smaller entities. DHS as one state department has had about 7,400 workers. Its budget as reached about $30 billion per year. That has drawn criticism from some state lawmakers, who consider DHS to have gotten too large and unwieldy. Two years ago work began to split off a direct care and treatment agency to oversee facilities including psychiatric hospitals, substance abuse treatment centers and sex offender treatment program. Another step was to create a Department of Children, Youth and Families. A third part of the ongoing transition is for DHS’s focus to be on other programs and services including Medicaid and Medicare. Harpstead released a statement after her departure was announced. “I have been so proud to be the commissioner of the caring, competent, and high-capacity Department of Human Services. I’m pleased that we were able to balance new, stronger process controls with greater responsiveness to community partners, worked with the DHS grants and contracts team to imagine a redesign of the agency’s thousands of grants, and built an unparalleled team of strong senior leaders.” Harpstead’s future plans have not been announced. Gov. Tim Walz expressed gratitude to Harpstead. “I want to extend my deepest thanks to Commissioner Harpstead for answering the call of public service five and a
Jodi Harpstead half years ago,” he said. “I am proud of her work running the most complex and wide-ranging agency in state government. I am especially proud of how Commissioner Harpstead supported the enterprise-wide work to separate DHS into three separate agencies, which will make each of them more effective, more accountable, and easier to manage.” Harpstead took the helm at DHS in August 2019. She succeeded Tony Lourey, who resigned after six months on the job. She came to DHS from Lutheran Social Services of Minnesota (LSS), where she had served as president and CEO since September 2011. Before her tenure at
DHS
Call it the “quad-demic.” Minnesotans have faced a surge in four illnesses this winter, battling COVID-19, influenza, respiratory syncytial virus (RSV) and norovirus. Surges in illnesses are typically seen during the winter months. But this winter season’s illnesses have health care professionals calling for everyone to take extra steps to stay healthy and safe. People with disabilities, especially those with compromised immune systems, must especially be vigilant to ward off illness. Vaccines, masking, frequent hand washing and staying home during illnesses are all measures advised. A check with area hospitals, clinics and care facilities around the state indicates that many have gone into what is called their “surge” mode. This can take several forms, such as requiring that everyone mask up and take other health precautions. Visitors may be limited or even banned for a time. Because emergency rooms are often quite busy, people who do feel ill have been encouraged to do telehealth virtual visits or calls when possible. Both the Minnesota Department of Health (MDH) and federal Centers for Disease Control and Prevention (CDC) track disease trends. The CDC has released national reports on a weekly basis. Seasonal influenza activity remains elevated across the country, according to the CDC. COVID-19 activity has increased in most areas of the country. In contrast, RSV activity has peaked in many areas. Emergency room visits for all three conditions are on the rise. Flu is the most prevalent of respiratory illnesses, with high rates of illness in most of the state’s counties. As January drew to a close, MDH was reported that Minnesota was nearing the 3,400 mark in terms hospitalizations for flu. That number is for the winter season of 2024-2025. Historically the highest number is 4,375 for winter 2023-2024. Most cases or 58 percent have been in the Twin Cities metropolitan area. Data thus far skews toward elders aged 65 and older as accounting for most cases. The CDC continues to report elevated levels of flu. That level is expected to continue for several more weeks. Nationwide, there have been at least 12 million illnesses, 160,000 hospitalizations and 6,600 deaths from flu so far this season. When looking at respiratory illnesses as a whole, Minnesota ranks high when compared to other states. The CDC providers updated, integrated information each week about COVID-19, flu, and RSV activity.
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LSS, she had spent 23 years at Medtronic She has a long record of community service, including volunteer leadership at Lutheran Services in America, ARRM and Augsburg University. She took the helm at DHS during a time of upheaval at the department in the wake of Lourey’s department. Among the first issues she faced were concerns about Medicaid overpayment to tribes and fraud in the child care assistance program. Less than a year into her tenure, the COVID-19 pandemic hit. While Harpstead made fiscal accountability and fraud prevention a focus, fraud has continued to draw scrutiny. Most recently the focus has been on two autism programs alleged to have improperly received a combined $20 million in Medicaid claims. The fraud case centered on Feeding Our Future has also been one that has drawn much criticism. Operations of specific facets of DHS program have also been questioned, in how Minnesota Sex Offender Treatment Program, which has been under increased pressure to release more of the people in its program. The Office of the Legislative Auditor has called out for better management of housing and behavioral health funding. Yet another issue is tens of millions of dollars owed by medical providers and care facilities, and the need to step up collections. No timeline to appoint a successor has been announced.
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