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WHY DOES THIS MATTER TO PUBLIC HEALTH? <br />CLINICAL SERVICES & COST SETTLEMENT: <br /> <br />•Required role with clinical services through mandated services <br /> <br />•Higher costs per service for health departments since we are also <br />complying with federal and state program requirements <br /> <br />•Cost settlement offsets that additional expense for local health departments <br /> <br />•Cost settlement could end; the role with clinical services would be <br />compromised <br /> <br />