Employees and advisory-board members urged commissioners to allow documentation and a proposed independent investigation to be reviewed before completing an evaluation of Medical Director Dr. Nevin. Administrator said Sept. 23, 2026 will be the closing date to submit materials for corporate-counsel review.

Dr. Nevin told the board the cyclospora outbreak’s onset curve peaked the week of July 5 and cases fell sharply afterward; delayed lab reporting made later report dates appear to extend the outbreak.

A standing-room public and commissioners debated changes to Dr. Remington Nevin’s medical-director contract — including a controversial unanimous-termination clause and the creation of a deputy position — after more than two hours of sharply divided public comment; a committee vote to forward the contract failed and the item was set for further review in August.

After an evening of mixed public testimony about the county’s health leadership and direction, the Board moved multiple advisory appointments — including Paul Urban and Dr. Steven Smith — and confirmed Joseph Hayes and Dawn Faulk in at-large ballots. Citizens sharply debated the role and influence of the county medical director and the advisory board.

The St. Clair County Board of Commissioners adopted the 2026 general fund budget Nov. 20 and approved a bundle of contracts and grants. The board removed a Smiles on Wheels agreement at staff request while the health advisory board continues work on an opt-in model; public commenters urged preservation of local teen clinic services.