Requirements of the Local Public Health Act
Community health boards are statutory responsibilities under the Local Public Health Act. Compliance consists of two components: 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.
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 in accordance with Minn. Stat. § 145A.04, subd. 2.
- Employ/contract with a medical consultant in accordance with Minn. Stat. § 145A.04, subd. 2a
- Identify local public health priorities and implement activities to address those priorities and the areas of public health responsibility Minn. Stat. § 145A.04, subd. 1
- Submit health priorities (as a proxy for the community health assessment) and community health improvement plan (at least every five years) Minn. Stat. § 145A.04, subd. 1 See also Assessment and planning for local public health - MN Dept. of Health;
- Implement a performance management process Minn. Stat. § 145A.04, subd. 1
- Annually report on a set of performance measures Minn. Stat. § 145A.04, subd. 1 (done through Local Public Health Act annual reporting).
Performance-related accountability requirement
The performance-related accountability requirement is a yearly "deep dive" into a single measure to support systemwide progress and improvement (MN Statute 145A.131 Local Public Health Grant Subd. 3. Accountability)
2026-2028 measure
For calendar years 2026, 2027, and 2028, community health boards will demonstrate their ability to meet the following national measures:
- Measure 9.1.1 Develop a performance management system (2026, 2027)
- Measure 9.1.2 Implement a performance management system (2028)
To learn more, please visit: Local Public Health Act Annual Reporting - MN Dept. of Health
2025 measure
Community health boards demonstrated their ability to meet Measure 2.2.5 Maintain a risk communication plan and a process for urgent 24/7 communication with response partners. This was reported by March 31, 2026.