The Metropolitan Detention Center (MDC) asked the county commission to increase its medical, mental‑health and medication‑assisted‑treatment (MAT) contract budget by $686,192 after fourth‑quarter contract true‑ups.

Warden Kai Smith told commissioners the shortfall totals $686,192.45: $465,117 for medical and mental‑health services and $221,075.45 for MAT services. Smith said the MDC will cover the shortfall using savings from closed projects and internal budget adjustments and that the MDC Healthcare Fund acts as a pass‑through account for payments to UNMH and other contract providers.

Outcome: The commission voted in favor of the financial resolution to increase the MDC medical contract budget; commissioners and staff noted that the MDC used internal savings to offset the shortfall.

Why it matters: The true‑up represents a near‑term budget adjustment to pay contractual healthcare bills for jail populations. Warden Smith described supporting documentation and said the MDC worked with the county’s finance team to identify internal offsets.

Next steps: Staff will implement the budget change and document expenditures against the MDC Healthcare Fund; the commission did not request additional supplemental funding beyond the approved adjustment.