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File #: 89779    Version: Name: Extending the contract between the City of Madison and MACH Onehealth, Inc. dba Madison Street Medicine to provide those services and extend currently allocated funding through April 2026
Type: Resolution Status: Filed
File created: 8/30/2025 In control: FINANCE COMMITTEE
On agenda: 9/2/2025 Final action: 9/16/2025
Enactment date: 9/19/2025 Enactment #:
Title: SUBSTITUTE: Extending the contract between the City of Madison and MACH Onehealth, Inc. dba Madison Street Medicine to provide those services and extend currently allocated funding through April 2026, at an additional cost of $0 dollars from the City of Madison, and authorizes the use of up to $100,000 of additional funds from Dane County to pay for those services
Sponsors: Davy Mayer, Julia Matthews, Michael E. Verveer
Attachments: 1. Item 89779 RegistrantsReport-Final Report CDBG 9-4-2025.pdf, 2. Item 89779-Dairy Drive_Public Comments 9-4-2025 CDBG Committee.pdf, 3. File 89779 -- Public Comment, FC 09.08.2025.pdf, 4. File 89779 - Addtl FC Comment 9.16.25.pdf, 5. 89779v1.pdf, 6. 090825-091625_CC_public_comments.pdf, 7. 091625_CC_public_comments.pdf, 8. Dairy Drive Background memo - Sept 16 '25 sm.pdf, 9. 091725_CC_public_comments.pdf, 10. RegistrantsReport-CCHIC Committee 9-15-2025.pdf
Related files: 89274
Fiscal Note
The proposed resolution authorizes the extension of the supportive services contract between the City and MACH OneHealth (dba Madison Street Medicine (MSM)) through April 30, 2026. The original contract is set to expire on October 31, 2025. The campground is currently scheduled to close on September 30, 2025. The MSM contract is set to expire one month later to continue supporting people who are transitioning from the campground. The resolution proposes this contract extension could be supported using up to $100,000 of Dane County funds and $0 in additional City funds.

As of September 16, 2025, the availability of County funds in 2025 not been confirmed and it is unclear what other, non-City sources could be committed to continue operations through April 2026. The resolution commits $0 in City funds but does not account for how to close the funding gap in 2025 or 2026.

2025 Expenses
The estimated expenses for an additional 3 months of operations (October - December 2025) are below:
On-site supportive services contract: $120,400 (2 additional months)
Utilities, waste management, etc.: $15,000 (3 additional months)
General maintenance and repairs: $2,500 (3 additional months)
Total: $137,900

2025 Funding Sources
It is believed that Dane County retains approximately $100,000 in federal Emergency Rental Assistance (ERA) funding. Under U.S. Department of Treasury rules, federal ERA funds must be expended by September 30, 2025.

In order to utilize federal ERA funds, the Dane County Board would need to approve this use. County staff would also be responsible for contracting for services and completing all related compliance reporting. This funding could be used to pay for expenses incurred at Dairy Drive in August and September 2025, which would free up other funding sources to extend services. The balance of expenses (approximately $37,900) could be absorbed by the City’s budget designated for closing the site, as proposed in Legistar File 89274.

As...

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