Concerns over the future of Walworth County's Birth to 3 program took center stage during the Health & Human Services Board meeting on June 18, 2025. The discussion highlighted the potential shift to contracting outside therapy providers, a move aimed at improving efficiency but fraught with implications for current county employees.

The proposal, presented as part of the 2026 budget discussions, seeks to address vulnerabilities within the Birth to 3 program, which provides essential early intervention services for children. The county's management acknowledged that while the current team has performed admirably, the specialized nature of their roles makes it challenging to adapt to staffing changes. “I’m concerned that it’s unsustainable,” stated a county official, emphasizing the need for a more flexible approach to service delivery.

The proposed contract with an external agency could streamline operations and reduce reliance on county resources, but it also raises questions about job security for four current employees. “There’s a human cost,” the official noted, indicating that any transition would require careful planning to maintain service quality and meet state requirements.

Additionally, the meeting addressed ongoing financial challenges faced by the county's health services. A therapist pointed out that while a contracted agency might secure better reimbursement rates, they would still encounter similar financial struggles. The therapist advocated for modernizing the billing system to facilitate payments from families, which could significantly boost revenue.

As the county navigates these complex issues, the board is committed to ensuring that any changes enhance the quality of services provided to families. The discussions reflect a broader trend in public health services, where efficiency and effectiveness must be balanced with the needs of the community and the workforce. The board plans to continue exploring these options, with further discussions anticipated in the coming months.