Cook County Board Health and Hospital Committee Meeting
April 14, 2026 (regular meeting)

Cook County Health (CCH) CEO Erik Mikaitis, along with Kathy Chan and Alexandra Normington, presented  a report on CCH’s Medicaid Impact Workgroup (item # 23-0202).

• CCH is asking everyone to share the Medicaid Facts Microsite:  https://getmedicaidfacts.com 
• Medicaid Eligibility Changes as a result of the bill known as H.R.1 passed in 2025 include: (1) Narrows definition of “qualified immigrant” which will end eligibility for many lawfully present individuals (such as refugee and asylum seekers and victims of domestic violence and trafficking) – effective October 1, 2026; (2) Redeterminations for Affordable Care Act (ACA) adults - twice a year (instead of annual)– effective January 1, 2027; (3) New Federal Medicaid Rules require 80 hours per month of work, school, or volunteering effective January 1, 2027. Federal guidance with more specifics expected June 2026. 
• As a result of these changes, 400,000 people in Illinois are estimated to lose coverage, including 20,000 CCH patients. This could result in a $280 M negative impact on CCH’s budget.
• Up to now, even though County Care has one of the highest retention rates for Medicaid managed care plans, between 11 and 14% lose coverage during every redetermination period:  70% due to paperwork/administration issues; 30% due to no longer being eligible.
• Arkansas implemented work requirements in 2018:  18,000 enrollees lost coverage; 97% of those were eligible; and the State spent $26 M to implement before the program was halted by a federal judge after 4 months.
• Provided Update on the Cook County Health Medicaid Impact Workgroup. In September 2025, Cook County Health hosted a cross-sector convening of 60+ health care providers, payers, foundations, academia, advocates, community organizations, business to mitigate harms from H.R.1 eligibility changes. 
• Three sub-groups have been established: Communicate & Educate, Coalition Building, Innovate & Create. CCH is also working with the National Association of Counties (NACo) to scale best practices, learn from other counties, and leverage collective advocacy opportunities 
• Cook County Health created a communications toolkit in 6 languages that provides resources for partners to share. Materials were purposefully left unbranded to allow other orgs to brand, supporting increased use, visibility and trust. 
• Commissioners Lowry and Anaya spoke of the need to elevate the conversation at the state level and the need for a toolkit for Commissioners who will be lobbying state officials. They emphasized the need for coordinated state messaging. Commissioner Lowry will ask for an update from the County’s legislative lobbying team. 
• Commissioners Miller and McCaskill questioned which members (community and academic) from the suburban community were invited to participate in the CCH Medicaid Impact Workgroup. Kathy Chan responded that currently there is no academic representation and one or two community representatives. CCH leadership agreed to work with Commissioners to increase participation from the suburban community. 
• Commissioners Daley and Stamps asked that the newly created communications toolkit be sent to the Commissioners so it can be tied to their outreach events. Both Commissioners emphasized the need for tighter communication between commissioners and the County’s legislative lobbying team.
• In response to questions from Commissioner Daley regarding the Health System impact of the closing of West Suburban Hospital, Dr. Mikaitis said the Health System received 65 to 70 transfers. Dr. Mikaitis announced that Craig Williams, Executive Chief Operating Officer, will be leaving the Health System for a new position.

Dr. Kiran Joshi, head of the Cook County Department of Public Health (CCDPH) provided the quarterly update on COVID-19 and Infectious Diseases (Item 22-3815):

• A judicial order issued in March temporarily blocks changes to federal immunization recommendations. The halts are temporary, pending either a trial or a decision for summary judgment.
• Despite judicial ruling, the U.S. Dept of Health & Human Services published a revised charter for ACIP (Advisory Committee on Immunization Practices) on April 9 which puts greater emphasis on potential harms from vaccines and allows for membership on the Committee beyond past emphasis on expertise in immunization practice.
• COVID-19 vaccination is still recommended and older adults/those at high risk could consider a booster
• Flu and RSV remain low; COVID-19 remains minimal as of 4/4/26
• 2025-26 Free Flu & Covid Vaccination Clinics: Eight events with community organizations plus 22 with the Access Community Health Network held:  1897 vaccines administered. CCDPH is working to move the vaccinations clinics to larger and public spaces for 2027  
• Commissioner Trevor asked about the weight of recommendations for immunizations from professional organizations and the impact on reimbursement from insurance companies. Dr Joshi answered hat the national association of insurance companies has issued a statement that it supports science-based recommendations which in effect indicate support of the professional recommendations. 

Observer: Susan Avila 

Finance Committee Meeting
April 15, 2026
Commissioners Closely Reviewing Reallocation of ARPA Dollars

The proposed reallocation of almost $2.3 M of previously committed federal dollars from the American Rescue Plan Act (ARPA) generated the most discussion at the meeting before being approved by the Committee on a vote of 16 yea’s, with Comm. Moore voting present. (Item 26-0828)

• The Commissioners were told that the County had determined that some entities and programs previously awarded ARPA dollars were not going to be able to spend the full amount by December 31, the last date for use of those dollars.  In order to not turn any money back, this proposal is to reallocate the dollars to 3 programs and entities for behavioral health that have demonstrated the ability to spend ARPA amounts already allocated and which entities could put the additional dollars to good use. 
• $112,000 to the Chinese American Service League, $1.2 M to the Communities in Schools of Chicago, and $954,000 to the Juvenile Protective Association.
• Dr. Thomas Nutter, Chief Behavioral Health Officer at Cook County Health, explained that $44 M of ARPA dollars was previously awarded to 52 entities throughout the County for behavioral health programs.  A report on the impact of these grants through 2025 should be released soon.  Commissioner Stamps asked what the metrics for success are.  Dr. Nutter said that some of the metrics are simply how many people were “touched,” by the programs, but other metrics deal with outcomes.
• Comm. Stamps also asked why is additional money being given to these entities, as opposed to seeking new programs and entities.  Chief Financial Officer Tanya Anthony explained that ARPA dollars cannot be awarded now to new entities, but can only be reallocated under existing agreements.  In response to Comm. Sean Morrison’s question, he was assured that what is proposed here is allowed under the ARPA regulations.
• Comm. McCaskill pointed out that none of the 3 entities and programs will be providing the services in South Suburban Cook or the South side of Chicago.  In response to Comm. Stamps, Dr. Nutter did say that some of the 52 entities and programs which originally received grants did provide services in these areas.  Chair Daley said that all people coming before the Board should be prepared to show what and how much is being provided in all areas of the County.

The Committee also voted to authorize the Justice Advisory Council to provide up to $1.02 M to Heartland Human Care Serviced for 1 year starting May 1 for the Supporting Education and Employment Development (SEED) Program. (Item 26-0552)

• This Program provides education and employment services directed to 18 to 26 year-olds who have the opportunity to have criminal charges for selling drugs dismissed upon successful completion of the program’s requirements.  The Commissioners were told that this is the first of its kind diversion programs because of the services provided.
• Comm. Degnen said she was voting yes, but said she was very disappointed that the money being used to fund this extension of the program had originally been designated for environmental programs, such as installation of electric car charging stations.  She said she does not understand why the County had not been able to utilize the money for those programs.

The County Committee heard from the Comptroller that for the first 3 months of the fiscal year (thru Feb. 2026)

• The County’s General Fund has a surplus of $234.5M as compared to budget, due to a positive $204.5M in revenues and $30M less in expenses than budgeted.
• The Health Fund has a slight negative net of -$3 M as compared to budget on a cash basis, with a -$39.5M in revenues and $36.5 M less in expenses than budgeted.
• Illinois owes the County $98 M.
• The Federal government has cancelled $27 M in grants this fiscal year.

Observer:  Priscilla Mims

Finance Subcommittee on Litigation Meeting
April 15, 2026 
Inspector General Report Generates Commissioner Questions

Independent Inspector General Tirrell Paxton presented an overview of the 2025 4th Quarter Report.  (Item 26-0691)

• Commissioner Moore asked what happened when a case was determined to be unfounded, i.e., how did the employee who may have been investigated show that; is there any kind of letter stating that. IG Paxton said that since the fact that there is an investigation is confidential, there should be no need for any documentation of that there was no adverse finding. Comm. Moore cited an individual who feels he needs such documentation. Paxton advised that the individual should contact his office.
• Commissioner Daley asked Paxton to estimate how many cases were referred to appropriate county, state or US legal offices for prosecution and results. Paxton estimated that about 100 cases had been referred and that none had been followed up.
• Commissioner Stamps inquired as to how many Payroll Protection Plan (“PPP”) cases were still being investigated or reviewed. IG Paxton stated that he estimated the remaining PPP cases would be wrapped up within the next couple of months.
• Commissioner Sean Morrison said he was very concerned about the PPP fraud cases as this was costing Federal taxpayers a considerable amount of money. He urged IG Paxton to continue following up on the cases with the U.S., IL and Cook County legal offices. He was interested to note that there were Cook County departments that did not have Do Not Hire lists, which meant that employees could possibly get rehired by another office in the County when they had committed fraud or other county employee violations. He indicated this was an issue that needs further consideration by the Board.

Observer:  Hollis Burgess

Legislative and Intergovernmental Relations Committee Meeting
April 15, 2026
Resolution Urging Illinois to Opt-In to Federal Scholarship Tax Credit Program Deferred

• The meeting began with comments from 14 Public Speakers. After one person spoke in favor of approval of the resolution “Urging the State of Illinois to opt-in to the Federal Scholarship Tax Credit Program” (Agenda Item 26-0974), Chairperson Britton stated that this item was being deferred and would not be voted on by the committee at this meeting, but comments were welcomed. Seven persons then spoke against approval of this item with most indicating such a program would only divert funds from public schools. 

Three resolutions dealing with environmental concerns were approved as a package: 

• Resolution “Urging Passage of the Climate Change Superfund Act” ( SB2981/HB4773) – which requires payments from entities deemed responsible for climate change to support climate resilient infrastructure and mitigation efforts. (Item 26-0977)
• Resolution “Urging Members of Congress to Reject Legal Immunity for Big Oil and Fossil Fuel Companies” - urging the US congress to reject all legislation granting fossil fuel companies immunity from climate-related lawsuits and shield them from legal and legislative accountability.  (Item 26-0978) 
• Resolution Urging the Passage of SB1531 (The Disposable Food Service Container Act) which would eliminate polystyrene foam disposable food service containers in Illinois by 2030. (Item 26-0978)
• Comm. Degnan spoke to the necessity of addressing the many environmental issues resulting from climate change and pollution and requiring those responsible for creating problems to pay for efforts to alleviate the effects. She stated that giving immunity to oil and fossil fuel companies should not be allowed. She also emphasized that the environment is everyone’s concern and should not be politicized. Several commissioners thanked her for bringing these issues forward. 

Observer - Cynthia Schilsky

Health and Hospital Committee Meeting
April 14, 2026 – (special meeting)
Commissioners Learn of Educational Efforts on CTE

Dr. Kiran Joshi, head of the Cook County Dept. of Public Health, and Chris Nowinksi of the Concussion and CTE Foundation, provided information on the damage awareness programs for Chronic Traumatic Encephlopathy (CTE). 

• CTE is a brain disease likely caused by repeated head injuries, often occurring in contact sports or military combat.
• Dr Joshi reported on the following educational awareness programs: School personnel education; Public education through social media channels; and working with Park District Association Partnership to raise awareness through newsletters and other events. 
• Multiple persons presented public testimony focused on the personal experience with CTE emphasizing education for both the public and medical community.  
• Commissioners Stamps, Miller, Morrison and McCaskill followed the presentation with more personal experience and the need to outline the risk factors for CTE and preventive measures. 

The motion to defer item # 26-0649 was passed unanimously.

Observer: Susan Avila 

Cook County Board of Commissioners Meeting
April 16, 2026
Board Continues to Approve Transfer of ARPA Dollars to Ensure Use by End of 2026

President Preckwinkle expressed the Board’s condolences to the family of former Commissioner Dennis Deer on the death of his widow.  Most items were either approved, referred to committee or received and filed with no discussion.

• Two items were approved which transfer unspent ARPA dollars from other programs to the County’s Down Payment Assistance Program tor prospective buyers of homes.  (Items 26-1120 and 26-1149).  Commissioner Scott expressed support and received leave to have a Club 720 representative also speak in favor.
• Two resolutions in support of pending Illinois legislation were passed:  IL SB2801 and HB4471 prohibiting licensed firearm dealers from selling or transferring any semi-automatic handgun that can be converted into a machine gun manually (item 26-1199); and HB4312/SB3020, to expand the definition of harassment to include electronic harassment and authorizing appropriate measures to protect victims of domestic violence (Item 26-1191). 
• All proposed re-appointments of individuals to various boards were approved.  The one new appointment of Olive Brown to the Housing Authority of Cook County was referred to the Legislation Committee (Item 26-1188)

Among the items referred to Committee were 

• A request for the County Clerk’s office to appear to provide an update on the March elections and any new initiatives (Item 26-1147; referred to Legislation & Intergovt. Relations).
• Representatives from relevant departments to discuss improving processes in distribution of property tax revenues to the 685 taxing bodies in Cook County (Item 26-1230; referred to Legislation & Intergovt. Relations);
• Hiring consulting services to help with distribution of Federal dollars for housing and recovery from disasters in 2023-24 (Item 26-1064 referred as amended to Finance); 
• Continuation of the Recuritment Incentive and Retention Bonus Pay Program (Item 26-1251; referred to Finance)
• A public hearing on the state of Cook County Government’s labor (Item 26-1249, referred to Labor)

Public speakers included:

• Representative of Posen, IL, asking for assistance with expenses, particularly 911 dispatch. item 26-0868
• Minister asked to move funds from State’s Attorney and Sheriff’s Office to prevention programs.
• Two speakers on treatment of those jailed by county and conditions of jails.
• Two speakers on financial literacy issues and programs. Re item 26-1190
• Three people who aired personal problems with system (county or otherwise)
• Speaker complaining money and services going to immigrants instead of county residents

Observer:  Hollis Burgess

Finance Committee Meeting
March 11, 2026
Finance Recommends Use of Released Chicago TIF Funds for Food and Housing Assistance

The Finance Committee recommended Board approval for 4 items that will utilize some of the funds released as surplus by Chicago from the City’s Tax Increment Financing (TIF) Districts.  Upon learning that the County would be receiving an extra $19.9 M from Chicago, the Cook County Board included that in its 2026 budget and allocated it for one-time usage for existing programs for rental assistance, homeless services and food access.  These 4 items provide the specifics as to how the County will utilize the money:
26-0761 (food assistance)

• $10 M to be added to an existing agreement with the Greater Chicago Food Depository (GCFD) for food assistance.  This agreement has been funded by money received from the Federal Government under the American Rescue Plan Act (ARPA).  The Chief Operating Officer of the GCFD explained that $8 M will go to the purchase of food, while the remaining $2 M will be used for capacity building – which includes infrastructure such as storage space and refrigeration, etc.
• Comm Stamps asked that the GCFD talk about how the changes to eligibility for SNAP benefits will not only increase the need for food assistance, but will also impact local businesses.  Ms. Perry from the GCFD explained that the SNAP cuts amount to almost $200 Billion, which means an equivalent loss for businesses who would have sold that amount of food to SNAP recipients.
• It is estimated that 450,000 people could lose their SNAP benefits by May as a result of the changes to who is exempt from work requirements.  Comm. Trevor asked about the impact on part-time workers who often do not control the number of hours they are assigned.  The requirement is that if you are not exempt, you must work for at least 80 hours a month, but can satisfy that requirement with volunteer work.  Ms. Perry said that the State of Illinois has a web site where entities can post volunteer opportunities, and people can sign up there and have the necessary paperwork proof provided to meet eligibility:  https://serve.illinois.gov/en.html
• Comm. Sean Morrison asked whether there were any funds for educating people who lose their SNAP benefits about ways to qualify and/or helping them find jobs.  Comm. Daley responded that Cook County Health has programs to provide that education and the President’s office is coordinating efforts in that regard.  Tool kits should be sent out to Commissioners shortly and Comm. Scott asked for information on the Illinois web site so the Commissioners can share with their constituents.

26-0727 (emergency rental assistance) 

• $5.8 M to provide emergency rental assistance to tenant and landlords who have pending eviction cases in court.   The state funding for this program is expected to run out 2 to 3 months prior to June 30, the end of Illinois’ fiscal year, so before the State can provide more funding for the next fiscal year.  

26-0762 (homeless prevention)

• $3.4 M to the Alliance to End Homelessness in Suburban Cook County for a Problem-Solving Fund to provide creative, flexible, and cost-effective solutions for homelessness prevention and to provide emergency shelter services as needed.

26-0763 (sheltering programs)

• $465,600 added to an existing ARPA-funded agreement with shelter agency Beds Plus to continue hotel-based sheltering program; $42,000 to the shelter agency Respond Now; $67,500 to shelter agency Journeys; $63,000 to South Suburban PADS; and $50,000 to Housing Forward.
• With regard to all these homeless-prevention and sheltering programs, Comm. Gainer pointed out that a recent study says that Cook County needs 225,000 more affordable housing units.   So more building is necessary.  For the long term, Chicago and Suburban governments need to address the construction, building and zoning codes to eliminate impediments and lower the unit costs to building affordable housing.  Comm. Degnen supported that and says the County needs to look at their own rules.

Observer:  Priscilla Mims

Health & Hospital Committee
March 10, 2026
Public Health Dept. Outlines Its Use of Data and CCH Describes New Program to Reduce Staff Vacancies 

Two reports were presented to the Committee.
For the Cook County Health quarterly report to the Board (26-0733), the Public Health Department’s Chief Operating Officer, Kiran Joshi presented the Data for Action Report.  

• Dr. Joshi focused on how data is used to advance health protection and equity; prevent disease; inform and engage the media, community partnerships, health education and outreach;  and provide guidance to schools and health care providers.  
• Typical data that is compiled includes: chronic diseases; social determinants; communicable diseases; healthcare access; and vaccination data.
• The Department has 10 epidemiologists and one fellow to pull together this information.
• Using Measles Protection as the health issue: the Department utilized the following steps: Detect  > Evaluate evidence and Develop strategies  >  Implement initiatives  >  Educate  >  Measure Impact.  As a result of detecting the declining measles vaccination rate, schools with the lowest rates were identified and targeted.  Then pop-up clinics were brought to these communities.  At the same time, a brochure and social media segments were produced to address misinformation.
• Other examples included the Protection of Providers & Patients by educating them on the importance of using face masks; in partnership with the Epilepsy Foundation of G. Chicago, improving Epilepsy Services; a Health Survey Data to shed light on community issues such as suicide; and looking at  E-cigarettes and vaping product use associated with lung injuries which is a serios problem among the young of our county.  
• Questions and comments from Commissioner Stamps and Degnan primarily focused on the vaping issue and the importance of educating the youth of its harm.  They also pushed the importance of short social media ads such as “if you are inhaling something that isn’t air, it’s probably bad for you”.   Dr. Joshi stated an emerging threat is the use of a small nicotine pouch that can be put between teeth and gum that is as addictive as cigarettes and vaping.

Dr. Eric Mikaitis, Chief Executive Officer of Cook County Health (CCH), presented an overview of the Health Catalyst-Chicago education and job pathways pilot with the City Colleges to address CCH’s 1600 vacancy gap, 900 of which are classified as “hard to fill”.  As a result, there is still a heavy reliance on outside staffing agencies which is 1.5 times more expensive and compromises patient continuity.  The goal is to transition from “reactive hiring to a proactive, local talent strategy.”

• By integrating City Colleges healthcare programs directly with CCH’s operational needs, CCH hopes to ensure students are Day 1 Ready.
• CCH will provide hands-on experience via clinical rotations at CCH facilities.
• Equity-First will focus on students from underserved Cook County zip codes to mirror the county CCH serves.
• Sustainability is to be achieved by reducing hiring times and retaining talent through implementation of continued education programs.
• Steps to implement:  working groups will begin meeting in March; a pilot externship program will be tested this summer; launch the first group under the program at Provident Hospital in January 2027. 
• Expectation is that this program will lead to improved patient care, agency reduction, and workforce diversity.
• Comm. Stamps wanted this drilled down to public high schools and then to elementary and was told that high school contacts under way.
• Comm. McCaskill urged that the program be expanded to the suburbs - particularly a caregiver program.
• In response to Comm. Daley, this program is limited to public schools.

Addressing the nurse hiring Issue:  

• The Human Resources Director noted that to date in 2026, there have been 72 offers with 61 acceptances; 41 net hires (hires vs losses); and 89 days to fill the job vs 120 days in 2025.  Also, CCH has reduced agency hires by 50% and vacancy rate was reduced by almost half in 2025.
• Comm. Stamps asked what is the best practice time to fill a job?  Response:  Under 90 days.

Observer:  Diane Edmundson

Asset Management Committee
March 11, 2026
Committee Approves More Money for Solar Panels and Restacking Projects

The Committee approved additional funding to one of the restacking projects, in this case moving departments out of leased quarters in 161 N. Clark to a former warehouse in Cicero.  The building requires a new roof, electrical, and HVAC work.   The County will also install solar panels as part of the roof work, so is increasing the work to be done this year in order to recover the federal green energy incentives and rebates that will be eliminated at the end of the year.   Sean Morrison asked Jamie Myers, Bureau Chief, to provide a breakdown of the costs for this additional work.  (26-0677)

Observer:  Kathi Graffam

Cook County Board of Commissioners Meeting
March 12, 2026
Majority of Meeting Spent on Public Comments from 44 Speakers

The meeting began with Public Comment that lasted for 2 hours and 22 minutes. 38 speakers spoke in person and 6 persons spoke virtually. Topics of concern were varied and the issues raised were:

• 8 persons expressed concern with the Domestic Violence/Family Courts
• 8 persons spoke in favor of the Build Cook programs and expressed gratitude to President Preckwinkle and commissioners, particularly Dr. McCaskill, for implementing the programs.
• 8 persons expressed dissatisfaction with the present Board of Commissioners for various reasons
• 6 persons asked for support of the various ordinances dealing with monies for homeless services and food programs.
• 3 persons read letters from detainees in the Cook County Jail.
• 2 persons expressed support for the Climate Super Fund ordinance (Agenda Item 26-0977) 
• 2 persons spoke in favor of the Forest Preserve District inclusion in a network of Underground Railroad Sites in the midwest. 
• 2 persons - speaking for school districts and libraries - spoke of the issues raised by the late distribution of the 2nd installment 2025 tax revenues.
• Other speakers raised various other issues. 

Following public comments, the business of the Board was conducted in the final hour of the meeting. Items of note include:
26-0788 - Zahra Ali, Chief Administrative Officer for the Bureau of Administration, provided highlights of the Fleet Report that was received and filed. She reported the following:

• Cook County has 1989 vehicles spread over 29 departments
• Average age is 9 years old with the average date of purchase being 2016
• 69.5% of the vehicles are for law enforcement.
• 29% are hybrid or electric which indicates an increase in compliance with the sustainability goals of the County.

26-0028 - A proposed contract from the Sheriff’s office for a Policy Dissemination Management System with Lexipol LLC. 

• Questions from Comm. Anaya, Degnan, Vasquez, and S. Morrison were concerned with the approval for the contract including a 1-year extension to the 2-year contract. 
• A representative from Contract Compliance indicated that the approval process approved by the board in November of 2024 stated that a renewal can be included in the initial contract approval if there is a monetary amount included in the contract. If approved, the contract would not need to come back to the Board for renewal unless there was an increase in the monetary amount. 
• Comm. S. Morrison did not realize this had been included in the rewrite of the Procurement Code, but Comm. Daley stated that there was discussion when this was approved. 
• Comm. Degnan thought it should just be a 3-year contract. 
• It was approved with Comm. S. Morrison, Anaya, Vasquez, Degnan and Stamps voting present. 

26-0418, 26-0429, 26-0430 - The appointments of Bruce Schiff, William Little, and Zenobia Johnson-Black to the Cook County Housing Authority were approved. Approval of these appointments had been deferred at the January Board meeting after being recommended, along with two others, at the January Legislation & Intergovt. Relations Committee meeting.. 

All New Agenda Items were considered at once:  some approved; some “received and filed;” and most referred to committees. The following items were highlighted: 

• Comm. Degnan highlighted item 26-0977, support for the passage of the Climate Super Fund; item 26-0978, urging Congress to reject legal immunity for big oil and fossil fuel companies; and item 26-0979, urging the Illinois Legislature to pass SB1531 - the Disposable Food Container Act. 
• Comm. Lowry spoke to the importance of item 26-1017, the establishment of a Youth Council to engage youth in shaping policy.

​Observer:  Cynthia Schilsky

Legislation and Intergovernmental Relations Committee 
February 4, 2026

Committee Supports State Firearm Legislation and Reviews Annual Board of Ethics Report
The agenda for the meeting included a Resolution in support of The Responsibility in Firearm Legislation (RIFL) Act.  (Item 26-0672). 

• This is legislation that is in the Illinois General Assembly (HB3320/SB2279) and includes provisions to reallocate some of the cost of gun violence to gun manufacturers. 
• During public comment Illinois State Sen. Robert Peters, Dr. Anthony Douglas from the University of Chicago, Jim McGrath speaking on behalf of Indivisible and several others spoke in favor of support for the Resolution and the Legislation. 
• Several Commissioners also spoke in favor of the legislation with Comm. Degnan citing the need to move forward with responsible gun legislation.
• The Resolution was approved and will go before the Cook County Board for final approval at the Feb. 5 meeting.

Jennifer King, the Executive Director for the Department of Human Rights and Ethics, presented highlights from the 2025 Board of Ethics Annual Report that was provided to the Board. 

• The Ethics Board consists of 5 volunteer members and at present there is 1 vacancy.
• The Department has 16 staff members with 2 vacancies. 
• The Department does investigations when complaints are filed and also does ethics training for all county employees. 
• They trained 10,339 employees including those from the Board of Review, the Sheriff’s Office, the President’s office and the Forest Preserve District. 
• They have recently developed new guidance on social media. 
• Posters outlining Prohibited Political Activity have been provided to all offices for posting.
• Will continue to reduce time for response to inquiries. 
• Have continuing opportunities for ongoing training for employees.

No comments or questions from the Commissioners. Report was received and filed. (Item 26-0511)
Observer - Cynthia Schilsky

Cook County Health and Hospitals Committee
February 3, 2026

CCH Reports on Impact of Federal Law

• A. Galeener, CountyCare Chief, presented a PowerPoint reporting on the impacts on the Cook County Health and Hospitals System (CCHHS)  as a result of the Federal H.R. 1 bill signed into law by President Trump on July 4, 2025.  The Impacts are due to changes in Medicaid, SNAP  (Supplemental Nutritional Assistance Program) and other items.  CountyCare H.R.1 internal planning sessions and Cook County Health (CCH) Medicaid Impact Workgroup are working on adjusting to expected loss of some Medicaid members due to work requirements, more frequent eligibility checks, and loss of eligibility for some immigrants.  This is expected to lead to increased charity care.  Cost savings of 100 million dollars is the goal of the Fiscal Resilience Project launched by CCH in December with itemized interventions listed in the PowerPoint. (Item 23-0202)  

Proposed Resolution on CTE:

• The Committee approved a propose resolution supported by numerous Public Speakers and Commissioners that was sponsored by Commissioner Stamps to develop Chronic Traumatic Encephalopathy (CTE) damage awareness programs & help facilitate referrals to Concussion Clinics for athletes.  The Resolution also calls on the State and Federal governments to fund research on how the NCAA College Athletics Transfer Portal and “name, image, likeness” payment arrangements at a collegiate level impact CTE.  
• Dr. Joshi, Chief Operating Officer of the Cook County Dept. of Public Health presented a PowerPoint and answered questions, including from Comm. Anaya, Morita and McCaskill.  Comm. McCaskill asked is there concussion diagnosis, mental health screening and surveillance of athletes & education on preventable measures; are there demographics on CTE incidence?   
• Dr. Joshi said IL Youth Sports Concussion Act-2015 covers some of these factors. He would look into adding additional policy.  Highschool concussion rate is overall 14.35% ; among the black population has diminished since 2020 but increased in Hispanic & White students.  Com. Anaya had requested an amendment to the Resolution to include a Public Hearing.   The motion to defer item 26-0649 was adopted.

Observer:  Susan Kern, MD

Asset Management Committee
February 3, 2026

Updated Energy Benchmarking Ordinance Approved

• The Committee approved updating the Energy Benchmarking Ordinance with new definitions and timelines. Energy benchmarking means to track a building's energy and water consumption data, greenhouse gas emissions, and other relevant building information for 12 consecutive months, as required by the benchmarking tool, to quantify the building's energy use operational footprint.  That information is compared to other similar buildings. 
• This ordinance requires that the benchmarking be done on all buildings owned or operated by the County and that a report be given to the Board. (Item 26-0597)
• Commissioner Degnen proposed that the County require this benchmarking for all buildings in Cook County over a certain size, such as 10,000 square feet.   This would give County government a better understanding of the energy consumption in the County and for planning for grid requirements. Jamie Myers, Bureau Chief, said the Department would be interested in working with her on this proposal. 

Observer:  Kathi Graffam


Workforce, Housing & Community Development Committee 
February 3, 2026

Committee Supports Program for Job Training and Tools

• The Committee approved a resolution authorizing $150,000 and a 2 year agreement with Forefront as fiscal agent for Chicagoland Workforce Funders Alliance with emphasis on expanding services to suburban Cook County. (Item 26-0523)
• Commissioners Stamps and Anaya requested more information on outcomes of activities for accountability purposes. 
• Comm. Stamps particularly interested in getting real data about outcomes of job fairs.  She also wanted to make sure there were pathways for people to access secondary and community colleges, and that those entities had involvement in moving people to jobs. 
• Representatives advised that the focus and goal of the program was moving clients to substantial employment and careers. This funding would help expand substantially to suburban Cook.

Observer:  Hollis Burgess


Cook County Board of Commissioners Meeting
February 5, 2026

Board Continues to Hear of Problems Caused by Late Property Tax Bills

The Board either passed or referred to Committees almost all items with little to no discussion, including approving the recommendations from the Committees as detailed above.
Speakers during public comments included;  

• Mayor Michelle Nelson of Flossmoor said that Flossmoor has received only 62% of the estimated property taxes from the County. She pointed out that it had been 52 days since the property taxes were due from property owners and that this was after a 5-month delay in sending out the bills.  Mayor Nelson said that Flossmoor’s reserves had been cut in half and staff time had been diverted to deal with the delay in tax revenues.  She asked that the County commit to more transparency as to when revenues would be received.
• Elliot Esparza of the National Able Network said that the $1.2 M of ARPA funding that the Network received to provide tech education for veterans has worked -  they are getting jobs. 
• Marien Casillas Pabellon of the PASO Suburban Action Network (which works to develop leadership in the immigrant community) urged that the U.S. Immigration and Customs Enforcement (ICE) not be provided any resources here.  In the 3rd set of new agenda items was a resolution sponsored by Comm. Anaya urging Congress to NOT allocate additional funding to ICE or the Customs & Border Patrol.  This was referred to the Legislation & Intergovt. Relations Committee. (Item 26-0198)

From the 4th Set of New Items

• A resolution to hold a hearing on Chicago’s and Cook County’s workforce preparedness for the adoption of artificial intelligence.  The sponsor, Commissioner Gainer, said that the hearing would be held in the Workforce Committee meeting in March.

Observer:  Priscilla Mims

Cook County Health and Hospitals Committee
January 13,2026
Commissioners Hear Public Health and Disparities Reports
Quarterly Public Health Report

• Dr Kiran Joshi, Chief Operating Officer of the Cook County Department of Public Health presented the quarterly COVID-19, and infectious disease PowerPoint update. The U.S. Center for Disease Control (CDC) announcement made on Jan. 5 now recommends childhood vaccines for fewer diseases with some vaccinations recommended only for some high-risk groups or after consultation with a health care provider: Hepatitis B, RSV, Rotavirus, Hepatitis A, Meningococcal disease, Flu, COVID and the 2nd dose of Human Papillomavirus (HPV). 
• Illinois vaccine recommendations differ from the CDC and will be made by the IL Immunization Advisory Committee.  Insurance companies will pay for them (PA-104-0439 signed into law in December 2025 by Governor Pritzker). 
• The Cook County Department of Public Health will continue to follow Illinois childhood vaccination recommendations. Commissioner Degnen wondered how many parents will follow CDC vs IL vaccination recommendations.   (Item 23-3815)

Semi-annual Disparities Report

• Dr Kalyani Perumal, Chair Division of Nephrology at Cook County Health provided an update on kidney disease/treatment in Cook County.  Risk highest in African Americans, with 3.4 times greater risk, followed by Hispanics with a 1.5 times greater risk than overall population.  9 of 10 adults are unaware of their disease. Ambulatory nephrology care is provided at Stroger/Blue Island/Provident & Core Center as well as renal clinics. 
• Extensive questions from Commissioners.  Com. Stamps: “how do we get the word out, is there a checklist for potential kidney disease?” Response: diabetes and hypertension are primary risk factors. Primary healthcare teams must use screening labs: blood for creatinine and urine for protein. Avoid pain medications that can affect kidney, follow low salt, low fat diet and exercise.  
• Com. Aguilar: “is lack of early detection a part of high incidence of kidney disease in Hispanics?”  Response: kidney disease screening needs to start in high school.  
• Com. Vasquez: “are there plans to expand kidney screening & services to other communities?” Response: yes.  
• Com. Anaya asked about early detection for kidney disease.  Response: screen for family history of kidney disease, diabetes, polycystic kidney disease, hypertension, autoimmune disorders—if present considered “high risk”.  (Item 26-0433)

Observer:  Susan Kern, MD

Finance Committee
January 14, 2026
Preliminary FY2025 Results Show County Finished in the Black

• Syril Thomas, the County Comptroller, reported that on a preliminary cash basis, the County’s General Fund ended Fiscal Year 2025 with a positive $111.3 M, composed of $109.4 M more in revenues than budgeted and $1.9 M lower expenses than budgeted.  The higher revenues were primarily attributed to the County’s sales tax.  Mr. Thomas also reported that on a preliminary, cash basis the Health Fund ended FY2025 with a positive $81.6 M, composed of lower than budgeted revenues of $239.6 M, but lower than budgeted expenses of $321.2 M.  The Federal government cancelled $4 M in grants to the County. (Item 26-0585)
• Cook County Health provided a report for FY2025 on an accrual basis, which is deemed more accurate than cash.  That reflects an overall positive result of $82 M, with lower revenues than budgeted of $240M, primarily due to decreases in Medicaid enrollment and the resulting increase in charity care as a result of Illinois no longer covering some non-citizens.  However, actual expenses were $321 M less than budgeted, primarily due to staff vacancies and a reduced use of contract labor.  $3 M of the total $4 M in Federal grants that were cancelled impacted the Health Fund.  (Item 26-0583)
• The Finance Committee approved a county-wide contract with Lexis Nexis Vital Check Network to process payments to the County made with credit or debit cards across all offices from Feb. 1, 2026 thru Jan. 31, 2031.  Zahra Ali, the Chief Administrative Officer, said that the Dept of Revenue will cover all costs in its budget, but that overall, the County expects to bring in more revenues by allowing payments via credit and debit cards.  (item 26-0220)

Observer:  Priscilla Mims

Audit Committee
January 14, 2026
2026 Audit Plan Approved

• Heath Wolfe, the County (internal) Auditor,  outlined the plan for audits during 2026 for Cook County Government and the Forest Preserve. This item had been deferred. Audit will utilize outside auditors for IT security audits, so more audits can be performed.
• Commissioner Gainer asked if the County needs to be prepared if the Federal Government investigates the County’s use of ARPA funds. She asked what percent of the $1.4 B in programs has been reviewed or audited, and is there an industry standard for number of audits for that amount of money.  Mr. Wolfe was not aware of a standard but would reach out to industry organizations for guidelines.  He also will provide the commissioners with the number of ARPA reviews and audits that have been done.
• Another issue is the Audit department staffing. Mr. Wolfe was hired 6 months ago. There are currently 9 openings and 23 filled positions.  There are three offers out on the openings. Mr. Wolfe has worked on the staffing.  Several job descriptions had to be rewritten.  He is utilizing industry job posting sites and his connections from previous positions.  Commissioner Gainer recommended using outside auditors to ensure good coverage of ARPA funds if necessary.  There will be a review of staffing after 3 months.  She recommended coming back to the Board for additional funds if indicated.  
• The audit plan was approved.  (Item 25-4392)

Observer:  Kathi Graffam

Cook County Environmental & Sustainability Committee
January 14, 2026
Committee Reviews Environmental Justice Policy Framework Report

• The Environmental Justice policy framework started in 2019, involved a team including community voices.  Many public events were scheduled in order to include and engage multiple communities. 
• From the research informing the report, common themes are (1) Air quality (inconsistent monitoring and industrial emissions); (2) Water and flooding (lead contamination); (3) Climate resiience; (4) Green space and food access (increased tree planting); (5) Community engagement (education for youth and multilingual engagement); (6) Policy implementation; and (7) Other (utility costs).
• There were very few responses opposed to the county developing an environmental justice policy. 

What is next:

• Hire additional environmental justice staff
• More active engagement

Couple of notes:

• New hire: Tiffany Davis, Sr. Environmental Justice Specialist, from Colorado 
• Environmental justice public policy intersects with public health.
• The federal government declined the state’s request for federal funding for disaster relief related to the recent flooding. 

Observer:  Laura Davis 

Asset Management  Committee
Jan. 13, 2026
Contract to Analyze Preservation/Adaptive Reuse at Oak Forest Approved

• The Real Estate Department requested additional funds for the project that is evaluating if existing buildings on the Oak Forest Campus could be preserved and reused for County services.   The initial investigation identified 9 buildings that could be reused, with a potential savings of $61 M.   This request is to further analyze the potential use of those buildings.
• Commissioner Britten asked that the analysis include the potential revenue to the County by selling the buildings rather than rehabbing them.    
• The project was approved. (Item 26-0030)

Observer:  Kathi Graffam

Legislation and Intergovernmental Relations Committee
January 14, 2026
Committee Approves Appointments

• The Committee approved the appointment of 5 individuals to the Cook County Housing Authority Board. All appeared either in person or on Zoom and all had many years of various types of experience in Affordable Housing including finance, development, land use, and law.  
• The Committee also approved the appointment of 3 individuals to the Cook County Emergency System Telephone Board. Two of the three appeared online and both had law enforcement and emergency phone system experience. 
• Commissioners had no questions but did extend thanks for their willingness to serve on these volunteer boards.
• Appointments will be voted on by Cook County Board at their next meeting.

Observer - Cynthia Schilsky

Cook County Board of Commissioners Committee Meetings
December 16 & 17, 2025

Technology and Innovation Committee
December 17, 2025

Committee Focuses on Delays in Distributing Tax Dollars
During public comments, the Committee heard from several taxing bodies (school districts, south suburban municipalities) regarding their difficult financial situation due to delayed distribution of property tax revenues collected by the County.  The collection of these revenues was already delayed by several months due to the delay with the 2nd installment tax bills.

• The Treasurer’s staff reported that with respect to disbursements of tax revenue, there are still 9 open issues with Tyler Technologies that are being actively worked, and as soon as those issues are fully resolved, disbursements can begin.  
• Treasurer’s staff declined to give an estimate as to when the issues will be resolved, given past experience with Tyler.

The Committee separately approved:

• A one year $1.5M contract extension with GuideHouse, which provides overall project management for the tax system that Tyler is implementing.  If this project comes to completion within the year, the entire $1.5M may not be expended. There was some discussion regarding bringing project management totally within house, however this would require additional county staffing.
• A five-year renewal of the existing sole-source contract with WorkForce Software, that provides time and attendance systems.  There was some discussion of subcontracting by WorkForce consistent with the County’s diversity requirements.  However, as a sole source contract, this can be recommended by the County but not required.

Observer: Ed Spire

Health & Hospitals Committee
December 16, 2025

Public Health Department Reports on Behavioral Health Unit
Public Health Department Chief Operating Officer Dr. Kiran Yoshi and Behavior Health Director Hanna Kite gave the presentation and stated that Federal American Rescue Plan Act funds allowed the Cook County Department of Public Health (CCDPH) to significantly expand the behavioral health unit.   They also said the department will increase its focus on chronic disease prevention and maternal and child behavioral health starting in the first quarter of 2026.

Key information from the presentation, which can be found at 
https://cookcountyhealth.org/wp-content/uploads/Item-VIIIA-Quarterly-Report-from-CCDPH-11-21-25.pdf:
Mental Health & Positive Youth Development:  

• The Department of Public Health supports 27 funded partners to promote social and emotional learning and mentorship, including Big Brother/Big Sisters. 88% of Southland youth-engaged in that program said that they increased self-regulation and emotional management.  Other partners, Latina Women’s Support Group and Queer Prom, create safe spaces.  Other partners provide mental health and treatment education via telehealth sessions for youth and hosting sessions on executive functioning for both teens and parents

Suicide Prevention
15% (16,540) South Suburban high school students reported having seriously considered attempting suicide in 2022, and Hispanic residents suicide death rates nearly doubled between 2018-2023 in South Suburban Cook County. Prevention efforts include:

• Identify and support people at risk via 9-8-8 phone line and Mobile Crisis Response 
• Improve access and delivery of care.  Held focus groups with community members and providers as part of a strength and needs assessment.
• Promote healthy connections and create systems for ongoing aftercare
• Produce in-depth data and analysis to drive and support action

Opioid and Substance Use Prevention

• Since December 2020, over 186 naloxone doses distributed by CCDPH and partners have been used to combat overdoses. In 2025, billboard and other types of signs have been posted throughout key areas of the County.  1.4 million video views and 86,293 website clicks reported between August and October 2025 for the Get Naloxone ad campaign.  
• The CCDPH provides free training on how to recognize and respond to opioid-involved overdoses and produces analysis of opioid risk factors, root causes, and opportunities to influence policy and systems changes.
• In 2026, CCPHD will focus on more input from youth and supporting the creation of a more equitable crisis care system.

Commissioner Comments and Questions

• Overall, the Commissioners were very complimentary of the presentation and the department’s efforts.  However, there was a very robust discussion on the real problems in the districts and the lack of resources available when Commissioners call for specific help.  
• Com. Moore stated that their offices need help and want a partnership with the CCDPH.  He wants a “general” phone number for each of the districts to call.  Aguilar agrees with Moore on partnership.
• Com. Stamps commented on her district’s collaboration with the CCDPH on behavioral health issues and looks forward to its expansion to other Commissioner’s districts.  She also said that there is a disconnect between what we know exists and what we are financing.
• When asked, Dr. Joshi said that there is no evidence that the use of Naloxone leads to a rise in drug use but it does alleviate death.  Nationally, opioid overdose deaths are decreasing.
• Com. Kevin Morrison noted that the highest concentration of overdose deaths is on the west side and said he is hoping CCDPH will continue to expand youth outreach. 
• Com. Degnan stated there will need to be a line of funding from the state to increase services.
• Com. Trevor is concerned that the closure of hospital mental health units and the shrinking number of inpatient beds is making it harder for families to be involved.  She noted that there is a higher rate of suicide injuries among girls than boys.  Separately, she noted that the report states that boys are more likely to use firearms than girls in attempting suicide.  Dr. Joshi noted both of these are long-standing trends and that if a person owns a gun, he is much more likely to harm himself that someone else.

Observer:  Diane Edmundson

Finance Subcommittee on Litigation
December 17, 2025

Inspector General Reports on PPP Loan Investigations
Tirrell Paxton, Cook County Inspector General (IG), reported on the 3rd Quarter Report issued October 15, 2025 from the Office of the Independent Inspector General (OIIG) to the Subcommittee, with much of the attention focused on the investigations of fraud regarding the Federal government’s Payroll Protection Plan (PPP) loans made during Covid to County employees.

• The OIIG has closed 293 investigations of PPP loans, covering over $2 M dollars over the years, including 6 in the 3rd Quarter Report.  The OIIG found substantial evidence of fraud in 82 cases.  Of the others, some have been referred to other entities or the employees resigned, which ended the investigations prior to conclusion.  
• In response to questions from Commissioner Sean Morrison, the IG confirmed that all sustained cases have been referred for possible prosecution by either the U.S. Attorney or the Cook County State’s Attorney.  
• The IG also stated that other PPP cases involving employees of the Sheriff and the Clerk of the Circuit Court were being handled directly by those offices (with some assistance by the OIIG), and are not part of the 293 the OIIG has closed.  Comm. S. Morrison asked Chair Britton to inquire of those offices about those cases and report to the Subcommittee.  Comm. S. Morrison stressed that fraud by County employees needs to be prosecuted.
• The IG also reported that the OIIG has received 226 complaints during the 3rd quarter, with 62 of those being referred to management or outside entities for further processing.  There are 5 matters under investigation.  16 investigations were concluded in the 3rd quarter and are summarized in the Report, along with 8 from the prior quarter.
• The Report was received and filed.  (Item 25-4147)

Observers:  Hollis Burgess and Priscilla Mims

Audit Committee
December 17, 2025

County Auditor Reports on Past Open Recommendations and Audit Plans for 2026

• Auditor Heath Wolfe reported on open recommendations from audits as of October 2025.    Representatives from the six departments with open recommendations told the Board that they were in agreement with the findings and were working on changes to policies and systems. Five departments said the findings would be resolved by first quarter of 2026. The Animal Control department was still negotiating with its system vendor on the needed changes, so could not give a finish date. Commissioner Degnen encouraged them to have it done within six months.  The report was received and filed (Item 25-4368).
• Mr. Wolfe outlined the plan for audits during 2026 for Cook County Government and the Forest Preserve. The audits will focus on basics:  are we paying the right people at the right time for the right amount.  The Audit Dept. will utilize outside auditors for IT security audits, so more audits can be performed.  The Item (25-4392) was deferred because it included two government entities.   It will be rewritten and submitted next month.
• Mr. Wolfe  presented a report the review of the ARPA project, Gun Crimes Strategy, administered by the State’s Attorney Office. The audit found that the monitoring process was adequate and the funds were being used as intended. The report was received and filed (Item 25-4399).

Observer:  Kathi Graffam