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

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  
Nov. 18 & 19, 2025

Criminal Justice Committee
November 19, 2025

​Commissioners Approve Chicago-Cook County Violence Against Women Task Force

• With the Chicago City Council approving a companion resolution last week, the Committee voted to approve the creation of a Chicago-Cook County Violence against Women Task Force. (item 25-4095)
• The Taks Force is charged with providing recommendations to the City and County by July 1, 2026 for addressing domestic violence, which has had a huge surge in reported incidents over the past several years.
• Besides representatives from the County’s criminal justice officials, Commissioners Miller, Anaya, Degnen, and Gainer were appointed to the Task Force from the County’s side. Comm. Miller was the lead sponsor, and she said that this Task Force is an outgrowth of this Committee’s hearing last July during which many problems with the current government systems were identified.  

Observer:  Priscilla Mims

Finance Committee
November 19, 2025

Finance Approves Up to $10.53 M to House Those on Electronic Monitoring with No Place to Go
The Committee voted to approve

• 5 items from the Justice Advisory Commission to provide housing and some additional services for those ordered to pretrial detention on electronic monitoring at fees ranging from $136 to $200 per night.  County only pays per night fees when people are actually housed. Placements at the different facilities are offered to those who have no place to stay.  (items 25-3544, -3545, -3546, -3547, and -3548)
• Grants totaling $2.3 M (with $100,000 remaining to provide additional support) to 5 community financial institutions to assist them in doing small business lending.  Funding for this program is from the Equity Fund.  In response to questions from Comm. Anaya, the 5 institutions were selected by an external panel of experts from a group of 10 after a Request for Qualification (RFQ) process resulted in 15 responses, of which 10 were found by the Bureau of Economic Development to have met the requirements.  Comm. Anaya asked that in the future, Commissioners be notified of similar RFQs.  (item 25-3953)

The Comptroller reported that through Sept. 30 

• The County’s General Fund has a net favorable balance of $123 M and, on a cash basis, the Health Enterprise Fund has an unfavorable balance of $33.7 M.  The State of Illinois owes the County $98 M, but that amount is trending downward.  
• In response to a question from Comm. Sean Morrison, CFO Tanya Anthony said that there has been $1.2M in reduced Federal funding to date.  Comm. Morrison and Chair Daley asked that future monthly reports identify any loss of Federal funding. 

Observer:  Priscilla Mims

Legislative and Intergovernmental Relations Committee
November 19, 2025

Committee Extends Incentives for Landmark Buildings
Two ordinances dealing with the extension of tax incentives for certain classifications of property were approved by the Committee.

• The first ordinance amendment was an extension of classification incentives that were due to expire at the end of this year and extends the time frame until 2027. (Agenda Item 25-4178)
• The second amendment was for incentive renewal of Class L buildings. A representative from the Assessor’s office stated that this will allow for buildings with landmark status to continue to receive the incentive if certain parameters are met and municipalities agree with the extension of the incentive. (Agenda Item 25-4220)
• During public comment Ward Miller from Preservation Chicago and Kendra Parsons from Landmarks Illinois both spoke in support of renewing the incentives as they were important for restoration of landmark buildings. A representative from a Cultural Arts Center in Oak Park also spoke about how important an incentive was for allowing renovation of their landmark building so they now are able to provide free meeting space to the community. 
• Comm. Sean Morrison asked how long an exemption would be granted if renewed and the Assessor’s representative stated it would be for the same term as the original exemption was granted - mostly that is 12 years. He then stated that while he does support incentives as they are important for economic development he does caution that incentives should not be long term commitments. They are meant to provide owners a tax break to allow them to invest in properties so that they become economically viable and when they are they should no longer need the tax break.

Observer - Cynthia Schilsky

Asset Management Committee  
November 18, 2025

Commissioners Approve Purchase of 2 Buildings

• James Essex, Director of Real Estate Management, presented two proposals to buy buildings in which Cook County is leasing a major portion.   The department did the calculations on the cost of purchasing versus long term rental and determined these purchases will save the County money.
• The Commissioners approved both purchases.   The first was a building in Maywood currently occupied by the Sheriff and the Clerk of the Court (Item 25-4100).  The second was in Arlington Heights, currently occupied by County Health Services (Item 23-4101).

Observer:  Kathi Graffam

Audit Committee    
November 19, 2025

Audit Finds Compliance with ARPA Requirements

• Heath Wolfe, County Auditor, presented a report of a review the Audit Department did on an ARPA project. The Rain Ready Plan is implementing green infrastructure projects to control rainwater in flood prone areas.   Mr. Wolfe explained that these reviews of ARPA projects are not audits; but to check that the projects are in compliance with ARPA requirements, and to suggest any needed management corrections.  They found that the monitoring process was adequate and the funds were being used as intended. (Item 25-4148).

Observer:  Kathi Graffam

Cook County Board of Commissioners Committee Meetings
October 22, 2025

Finance Committee
Committee Approves $20 M Grant For Illinois Quantum Microelectronics Park

The Committee approved a $20 M grant to the University of Illinois for the Illinois Quantum and Microelectronics Park on the former site of U.S. Steel on the southeast side of Chicago.  This grant will be used to provide the equipment necessary to keep the cryogenics facility cool.  The Secretary to the Board announced that there were about 100 written comments submitted opposing this proposal.  The Committee nevertheless approved the grant after addressing some of the concerns raised by commentators (Item 25-3761):

• Comm. Moore verified that (1) there are no plans to use water from Lake Michigan or the Calumet River to cool the equipment, (2) no dangerous chemicals will be put into the system and therefor there will be no chemical emissions or smoke, (3) there should be no health concerns raised by the facility.
• Comm. Trevor followed up on the fact that liquid helium and liquid nitrogen will be used, but like Fermilab in the western suburbs, there will be redundant safety features installed.  Even in the event that venting of helium and nitrogen would be necessary, she was assured that there will be no health risk to anyone nearby.
• Comm. Sean Morrison asked about the power supply.  Harley Johnson, Executive Director and CEO of the Park explained that it is not a data center so it will not require an extraordinary amount of energy to operate.  Further, there is sufficient power from the grid already existing.  
• Comm. Gainer had staff clarify exactly what the County’s contribution to the Park is: (1) this $20 M grant and (2) a Class A property tax incentive (previously approved) which reduces the percentage applied to the property assessment from 25% (the regular commercial percentage) to 10% (which is also what is applied to residential property).  
• Comm. Degnen pointed out that even with this reduction, there will be a significant increase in the property taxes paid at this property (well over the $20 M grant) which has stood essentially vacant for many years.
• Comm. Aguillar also pointed to the expected increased investment in the neighborhood with restaurants and other businesses to serve those working in the Park.
• Comm. Stamps expressed concerns about whether resulting increases in property values could negatively impact current residents and businesses.  Susan Campbell, Director of Planning & Development for the County, explained that Chicago was taking the lead on engaging the community as to how local residents and businesses can benefit.  Among other things, modules for the local schools and college have been provided on what quantum mechanics is and what job opportunities there are.
• Comm. Miller asked to be a co-sponsor and the item was approved with a vote of 13 ayes, 1 present (Comm. Vasquez) and 3 absent.

The Committee also approved the proposed allocation of $85.6 M of spending from the Equity and Inclusion Special Purpose Fund for 2026.  (Item 25-4003)  This approved allocation will be included in the proposed 2026 budget that the Board will be reviewing, amending, and approving in the coming weeks.  

• This allocation includes carrying over funds allocated but not spent in 2025 for several programs, as well as using 1/2 of the Fund’s balance of $64.4 M for (1) Transforming Places initiatives ($5 M), (2) restarting the Guaranteed Income Pilot ($7.5 M), and (3) the Justice Advisory Council for gun violence prevention programs in partnership with the State and Chicago ($20 M in addition to the carry-forward of $17.6 M).  
• Funds being carried over are for the Cannabis Business Development Program, the Land Bank, the Community Engagement Pilot Program, Health Equity in all Policies led by the Department of Public Health, the collaborative work to reform the County’s property assessment and taxation system, the implementation of a regional income-based fare model for the Fair Trans Pilot, the implementation of digital navigators as part of the Digital Equity Action Plan, the improvement of community health and resilience led by the Dept. of Environment and Sustainability, and  the implementation of a comprehensive equity-centered grantmaking strategy to promote capacity building training and resources for community-based organizations.
• In addition, the Justice Advisory Council is going to carry over $3.2 M and will be allocated $31.8 M from the General Fund in 2026 to continue addressing community safety through a holistic approach.
• Comm. Gainer asked that the Board be provided quantifiable results from the money allocated in 2025 in conjunction with the upcoming budget review.  The President’s Chief of Staff Lanetta Hayes Turner explained that the annual report for the Equity Fund is published in Feb., so the report for 2024 is the last one currently available.  Comm. Gainer said that the Commissioners needed updated info since they will be voting on the budget In November.  Comm. Degnen asked about the assessment of the initial 2-year pilot for the Guaranteed Income Program for 2023 and 2024.  Ms. Turner said that that assessment, being prepared by the University of Chicago, is not expected until the 1st quarter of 2026.  Ms. Turner said that the County will be able to utilize the information from the assessment in defining the parameters for the 2026 program.

The Committee also took action:

• Approving the reallocation of $1.242 M of ARPA funds from Rental Assistance and Wrap-around Services for Returning Residents to Domestic Violence Intervention and Support Services in order to ensure the ARPA funds are spent by the end of 2026.  (Item 25-3541)  Comm. Anaya and others want more information as to what monies are going toward domestic violence.  A one-page summary will be provided to them listing all the domestic violence funding under the auspices of all the County officials.  
• Approving the use of $3 M of Corporate funds for the continuation of the demonstration of single-family homes utilizing modular technologies.  (Item 25-3759)  This is in addition to the $12 M in the proposed 2026 budget, which comes from the expected revenues from selling the modular properties developed using ARPA funds in the past for 4 developments.  The County was only able to get 2 developers for the past, but Comm. Gainer said that under a new Request for Proposal, now that the program has a track record, more developers should be interested with the expectation that the development costs will be reduced.  
• Voting to receive and file the Revenues and Expenses Report (Item 25-3998) and CCH monthly report (Item25-4110).   Chair Daley asked whether there were any negative impacts from not having received revenues from the 2nd installment property tax bills that have yet to be sent out.  The answer was not for the County.  He also asked about whether there is any impact yet on the Federal government shut-down, and the answer was that CCH received lower DSH (Medicaid Disproportionate Share Hospital) Payments than expected.  Comm. Gainer asked for a plan from Cook County Health on dealing with the Medicaid changes that are to begin in 2027.  CCH says that they are planning on a $107 M reduction in reimbursements annually, and are working on a plan now to deal with that.  Comm. Gainer urged CCH to ramp up to help people stay on Medicaid with reminders and other help to complete the necessary paperwork.  CCH said that they are looking at technological solutions to help with that.

Observer:  Priscilla Mims

Health & Hospitals Committee
Committee Approves CCH 2026-2028 Strategic Plan

Andrea Gibson, the Chief Strategy Officer for Cook County Health (CCH), presented the 2026-2028 Strategic Plan (Item 25-3864), which was approved by the Committee.

• Desire to replicate the better-than-expected results of Medicaid redetermination that occurred with County Care and implement system-wide ability to move more patients to health care coverage.  Currently only 10% of the patient population at CCH is covered by private insurance. 
• Strategic plan focuses on reducing time to hire to 90 days from the current time of 100 days. 
• Several Commissioners raised concern about length of time to secure primary care and specialty care appointments and what in the Strategic Plan has been put into place to address and reduce length of time to appointment.  Ms. Gibson had said that CCH hopes to reduce the wait times to no more than 30 days. 

The Committee also received an update on infectious diseases from Dr. Kiran Joshi, Chief Operating Officer of the Department of Public Health (Item 25-3815).

• With delays on the federal level, Illinois Department of Public Health (IDPH) convened the Illinois Immunization Advisory Committee (ILIAC). ILIAC consists of about 20 experts in epidemiology, infectious diseases, pediatrics, internal medicine, public health, pharmacy, and related fields. Dr. Joshi is a member. 
• IDPH issued vaccine guidance after receiving recommendations from ILIAC, examining guidance from medical specialty societies, and reviewing Illinois and national respiratory illness data. That guidance differs from that of the federal government.
• The federal government shutdown means most Center for Disease Control (CDC) data updates are on pause.  In addition, 1 in 3 CDC staff have been laid off with 50% additional budget cuts expected in 2026
• As of now there has been five measles cases in suburban Cook County in 2025. Each measles case requires a resource-intensive public health response

Observer:  Susan Avila

Audit Committee
Audit Department Makes Changes in Response To Quality Assessment Review

Auditor Heath Wolfe reported on the status of the deficiencies reported on the Quality Assessment Review. Mr. Wolfe was appointed auditor on June 30, 2025. Item 25-3504 was received and filed.

• Each year the Audit Department’s process and procedures are reviewed by an outside audit firm.  RSM LLP did the audit for the 24-25 fiscal year.
• The deficiencies included reporting structure, position openings, and continuing professional education.
• Mr. Wolfe explained the remediations already done, including that the department now reports to the Board instead of President Preckwinkle, the open positions are being posted on multiple professional job sites, and continuing education has been instituted according to industry standards.
• Commissioner Degnen asked how the number of audits will be increased. Mr. Wolfe has a goal of 30 audits a year.  An outside auditing firm will be brought in shortly to supplement work on this year’s audits.

Observer:  Kathi Graffam

Asset Management Committee
Commissioners Discuss the Construction Manager at Risk Projects

Earl Manning, Director of Capital Planning and Policy in the Bureau of Asset Management, answered Commissioners’ questions about projects managed by a Construction Manager at Risk (CMAR) and the department’s strategy on leasing space.

• Mr. Manning explained the report from the Real Estate Department on projects being managed by a CMAR.   This report was requested by the Commissioners when they approved the program. The specific report before the committee was the Stroger/Provident updating. The report included the projects, timeline, per cent completion, MWBE stats, and local hiring stats. Item 25-3717 was received and filed.
• Commissioner Degnen expressed concern that projects managed by a CMAR do not include enough work for the internal Cook County employees.  Mr. Manning said that some work is assigned to internal staff on projects and that is not included in the CMAR.
• Commissioner Scott asked if there should be a specific compliance manager for MWBE and local hires to ensure the CMAR is meeting the County’s standards.
• Separately, the department is in the process of leasing space in Maywood to allow some of the Sheriff’s operations in Maywood to be consolidated.  Commissioner Degnen asked what the long-term plan for the operations would be considering the County is spending money to update third party buildings.  Mr. Manning said they were in negotiations to buy the building. Item 25-3746 was approved.
• The annual ADA Improvement Report was received and filed, Item 25-3654.  The Department is working toward incorporating universal design in all buildings so all people can use them.

Observer:  Kathi Graffam

Technology & Innovation Committee
Meeting did not take place because there was not a quorum in the Board Room.  There were several Committee members who wanted to participate virtually, but the Board Rules and State law require there be a quorum physically in the room to be able to conduct business.  In the absence of the Chair, the Vice-Chair confirmed with the Chief Information Officer that no items on the agenda needed to be voted on for final action by the Board on Oct. 23.

Observer:  Victoria Cerinich

Cook County Board Of Commissioners
Committee Meetings 
​June 10, 2025

Health and Hospital Committee
The Committee passed the resolution declaring maternal morbidity and mortality as a public health crisis.  IL Senator Leticia Collins and Representative Camille Lilly gave supportive public testimony. (Item 25-2301)

For the quarterly report for the Cook County Department of Public Health (CCDPH) (Item 25-2513):

• Denise Gilbert, Director of Nursing at CCDPH, reviewed public health nursing initiatives within the Department. Hearing and Vision screening had been on hiatus, but has been reactivated and provides screening and assistance in referral for follow up care. Data informs their work, and it is also available to the community.  
• CCDPH website contains the Community Health Atlas which provides comprehensive population, health behavior, disease, maternal child health, and injury data for residents of suburban Cook County, and CCDPH’s jurisdiction. 
• CCDPH nurses developed EveryMotherEveryChild.org website for every stage of pregnancy, regardless of gender identity or sexual orientation with fact sheets. 

For the CCDPH’s semi-annual Disparities Report (Item 25-2612):

• There is a long, slow decline in vaccination coverage in suburban Cook County. Schools with vaccination rates that are lower than 91% are scattered throughout the County. 
• Action by CCDPH includes a focus where there is greatest need:  schools with vaccination rates between 82-88% (lowest protection) AND high a high ranking on the Social Vulnerability Index.  That Index quantifies the potential for a community to experience greater negative effects for external stresses on human health, such as disasters or outbreaks.
• CCDPH is establishing vaccine clinics, patient education and targeted communication via media and community partnership.

League Observer: Susan Avila 

Audit Committee
The Committee reviewed the Audit Report on the Housing and Resources for Justice Involved Individuals, which is an ARPA-funded pilot project. (Item 25-2747)

• The Justice Advisory Council (JAC) is managing the program that helps recently released people find housing and pay the first three months’ rent.   The program will also provide prorated support depending on the person’s income and effort for the rest of a one-year lease.  
• The original plan was to house 300 people but only 26 had been successfully served at the time of the audit. During the audit process it was noted that subrecipient agencies were not timely reporting metrics and payroll costs were not reported correctly.  Both had been corrected by the time the audit was completed. 
• The JAC determined that it needed to revise the program and provide more assistance in obtaining the housing. The JAC has added relocation coordinators that walk the participants through the search and paperwork. The JAC also found other agencies that could refer people.   Since last November, 56 people have been housed and the JAC is working with about 13 people a month.
• Since the program has less participants than planned, its budget has been amended and some of the funds have been diverted to other ARPA programs.  The JAC is investigating private grants to keep the program going beyond 2026.
• Commissioner Gainer suggested they also work with the Land Bank that has connections with contractors that build rental property.  

League Observer:  Kathi Graffam

Finance Committee

• There was just one item on the agenda:  Commissioner Sean Morrison’s proposed ordinance amendment proposing to add language to the Class 2-12 real estate classification, Item 25-2835.  Commissioner Morrison explained that there would be no vote on the item, but that this meeting was an opportunity to discuss the proposal.  After obtaining more information and further discussion, the Board could then decide whether to make any changes to the requirements for the Classification or leave it as is.  Accordingly, the item was deferred after discussion.
• Comm. Morrison said that he understood the intent of the 2-12 classification was to give small business owners who live above their business a tax break by taxing the entire property at the residential rate of 10 percent of the assessed value.  However, the current language of the ordinance for 2-12 classification does not require the owner to live at the property. In contrast, other properties under a different classification are split, with the portion that is commercial being taxed at 25% of the assessed value and the residential portion taxed at 10% of the assessed value.  
• Comm. Morrison’s proposal would add the requirement that the owner use the property as the principal place of residence, receive a homeowner’s exemption, and file a yearly declaration of eligibility for the 2-12 classification with the Assessor each year.
• Comm. Morrison said that his staff found there were almost 14,000 properties classified as 2-12 currently and that the staff looked at about 6900 and found that about 50% had tax bills going to entities other than the owners of the property.  He has estimated that an additional $171 M would be collected if the property was split between commercial and residential.
• The Assessor’s Office was represented by the Chief of Staff, Scott Smith, and the Chief Legal Advisor. Mr. Smith said that about 1/5 of the current 2-12 properties do have homeowners’ exemptions.  He said that typically these properties are assessed at $100,000 or less. There was concern about what additional workload the office might be expected to do if the 2-12 classification was changed.  The office will provide more information in response to Comm. Morrison’s questions.  
• Comm. Trevor expressed concern that other renters in the building might not be able to continue to afford to live there if the property taxes increased for the entire property as a result of the property having to be split between residential and commercial.  She said that there should be a transition plan in place should a change in the classification be made.

League Observer:  Priscilla Mims

Workforce Housing and Community Development Committee

• There was no discussion, but the Committee approved a proposed loan of $2.6 M from the HOME Investment Partnership Program to Carefree Development for the construction of Carefree Village, a 55-unit affordable rental housing for seniors located in Oak Forest.

League Observer:  Susan Gegory