"County officials approved a couple of agreements as a means of looking for ways of cost cutting now that changes on the state level will significantly roll back funding at the health’s department disposal.


 


The Bartholomew County Commissioners on Monday approved two agreements related to translation services and waste disposal at the county health department.


 


An agreement with Heartland Interpretation & Translation Services LLC outlines that translation will be provided to patients needing it at $1.30 per minute as opposed to the $1.59 to $1.65 per minute rate they are provided with the county’s current vendor, Stratus.


 


The second agreement approved for the health department regarding disposal of waste is with Indianapolis-based Medical Waste Solutions, replacing two separate vendors and resulting in what county officials said would be a cost savings.


 


Director of Nursing Amanda Organist told commissioners that the new agreements are part of an effort “to reduce some costs that we have due to some funding adjustments that the health department will be having.”


 


Organist was referring to slashes lawmakers made to the Health First Indiana Initiative last session. Passed in 2023 and aimed at improving the state’s health outcomes, Health First Indiana gave participating counties funding for things such as immunizations, chronic disease prevention, and maternal and child health.


 


 


A priority of Health First Indiana at its inception was to bring health departments in smaller counties up to speed with larger ones in providing basic services. The program was also in response to Indiana’s generally poor public health spending rating when compared to states across the country, state health officials said previously. In addition to matching funds, each county opting into the program must comply with extensive reporting and metrics requirements.


 


The Indiana General Assembly appropriated $225 million for the program when it was passed, with $75 million going out in 2024 and $150 million in 2025. The latest approved budget cuts that down to $40 million per year.


 


Bartholomew County received $1.8 million in Health First Indiana funding this year, and Organist told commissioners that will be down to $429,865 in 2026.


 


“It’s substantial,” Organist said, explaining that she’s looking for ways to save where they can. With the new translation vendor, the county would have saved about $400 last month, according to Organist.


 


 


Before the initiative, the county health department received $84,058 in state funding in 2023 through the Local Health Maintenance Fund/Trust, according to state records.


 


Translation services are used with patients daily, speaking a variety of languages from Spanish to Haitian Creole to American Sign Language, county officials said.


 


Commissioner Larry Kleinhenz, R-District 1, said he was going to “be a stick in the mud here,” recounting how when he lived two years in Japan he didn’t receive free translation when he visited a doctor.


 


“I guess my question is: is it fair for taxpayers to pay for a translator for someone that’s coming into our health department for services?” the commissioner asked, wondering: “Why don’t you put the onus on them to bring someone with them that can either understand the language or—”


 


 


Organist said the patient might understand the language, but have trouble with specific terminology being used. She also said that some of what is translated during appointments may not necessarily be appropriate for a child brought along with a parent to their appointment, for example.


 


“We just need to make sure that everyone has informed consent,” Organist said.


 


Commissioner Tony London, R-District 3, asked Organist what is done for translation at private doctor’s offices. The director of nursing noted that Columbus Regional Health, for example, uses the vendor the county is poised to transition away from.


 


Kleinhenz asked if there is an option to charge the customer for translation services, to which Organist said she didn’t know, but would look into it because he asked. London wondered if there would be an option to bill the services to the patient’s insurance."


By Brad Davis -May 22, 2025


https://www.therepublic.com/2025/05/22/county-proposes-cutting-back-on-translation-services-as-part-of-state-cuts/


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