St. Clair County confirms several health-advisory appointments after heated public comment 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 faced heated public debate as they confirmed new health advisory appointments, igniting concerns over medical autonomy and the future of public health in the community.

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St. Clair County adopts 2026 general fund budget; tabled Smiles on Wheels after opt-in request amid clinic dispute 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.

St. Clair County's adoption of the 2026 budget is stirring up controversy as residents voice concerns over clinic closures and the future of vital teen health services.

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