Requirements - Local Public Health Act - Minnesota Dept. of Health

Statute Requirements for the Local Public Health Act

Community health boards have statutory responsibility under the Local Public Health Act.

Accountability Requirements
Statutory Requirements
2017 Performance-Related Accountability Measure
Population Requirements

Community health boards must:

  • Identify local public health priorities and implement activities to address those priorities and the areas of public health responsibility;
  • Submit a community health assessment and community health improvement plan (at least every five years);
  • Implement a performance management process; and
  • Annually report on a set of performance measures.

The Local Public Health Assessment and Planning process helps community health boards complete community health assessments and community health improvement plans, and Annual Reporting ensures community health boards can use accurate information to improve public health.

Accountability Requirements

The Local Public Health Act (Minn. Stat. § 145A.131) outlines the accountability requirements for community health boards. Compliance is a requirement for community health boards accepting Local Public Health Act grant funds.

There are two components to compliance: statutory requirements, and performance-related accountability requirements.

Statutory Requirements

Community health boards must meet all of the duties outlined in Minn. Stat. § 145A.03-04. To report that it meets these statutory requirements, a community health board will have already answered a set of questions within the Local Public Health Act performance measures, in the module in REDCap titled Assure an Adequate Local Public Health Infrastructure: Minnesota-Specific Measures.

Specifically, the statutory requirements are:

  • Meet the composition requirements specified in Minn. Stat. § 145A.03
  • Hold at least two community health board meetings per year
  • Have, in place, written procedures for transacting business; and keep a public record of transactions, findings, and determinations, as required by Minn. Stat. § 145A.03, subd. 5
  • Employ/contract with a CHS administrator who meets the qualification requirements of Minn. Rule 4736.0110
  • Employ/contract with a medical consultant in accordance with Minn. Stat. § 145A.04, subd. 2a

Find instructions at: Local Public Health Act Performance Measures Reporting

Performance-Related Accountability Measure

Each year, community health boards focus in particular on one measure, as selected by the Commissioner of Health in consultation with SCHSAC. The community health board works to meet the measure over the course of the year, and is expected to report back to MDH in the following year while the period annual reporting is open.

Although the Performance-Related Accountability measure is the same for 2016 and 2017, it is revisited every year and may change in the future.

The 2017 Performance-Related Accountability Measure is the CHIP Annual Report: Measure 5.2.4: Monitor and revise, as needed, the strategies in the community health improvement plan (CHIP), in collaboration with broad participation from stakeholders and partners.

Community health boards report on the Performance-Related Accountability Measure in two ways:

1. Via Annual Reporting: Community health boards will have already answered whether they fully, partially, or cannot meet this measure, within the Local Public Health Act performance measures, in the module in REDCap titled Assure an Adequate Local Public Health Infrastructure: Capacity Measures from National Standards


2. Via Documentation: Community health boards will email additional, simple documentation to MDH explaining progress made and the process(es) used:

Learn More:

Population Requirements

The Local Public Health Act requires each community health board to serve a population of at least 30,000 people. If a single county doesn't meet the population requirement, it can form a community health board with one or more neighboring counties. If a community health board serves three or more contiguous counties, the minimum population requirement does not apply.

The number of community health boards in the system has varied over time and is subject to change. Community health boards are required to have a community health services administrator and a medical consultant. Members of the community health board are either elected or appointed; the membership, composition, and business practices of community health boards vary throughout the state