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Request a Demo‘Completely dysfunctional’: How public health funding disparities are causing dangerous inequities in care
When an HIV outbreak threatened a rural community in Scott County in late 2014, the county near the Kentucky border was thrust into a political and moral debate over whether syringe exchanges were an appropriate way to handle a dangerous outbreak caused by intravenous drug use.
But, the outbreak also uncovered what should have been a less controversial problem in the county: A lack of HIV testing.
At the time, Scott County’s health department, operating on a shoe-string budget with only five full time employees, did not offer such testing, and the local Planned Parenthood in the area that previously did so closed in 2013.
Had there been earlier testing — and an earlier response — to the HIV outbreak in Scott County, a 2018 study from two Yale University professors found, there could have been just 10 infections.
Or fewer.
Instead, hundreds of infections were attributed to the outbreak that rocked the Austin, Indiana, community of just 4,000, the largest HIV outbreak seen in Indiana history.
“It was just kind of a perfect storm of a lot of things. There wasn’t any free prevention testing going on,” said Michelle Matern, the Scott County Health Department administrator. “And then there was a lack of health education.”
The outbreak in Austin, as well as the more recent COVID-19 pandemic, demonstrates the necessity of public health departments and the services they could be providing if properly funded.
Before the pandemic, Indiana only spent $55 per capita on public funding, compared to the U.S. average of $91, according to a report from the Governor’s Public Health . In fact, of the health departments that provided data, all but four reported revenues beneath the national 25th percentile in local health department funding.
That matters in a state falling behind on nearly all health metrics, from obesity to early adult mortality. Perhaps the most important metric of all: Indiana ranked 40th in life expectancy in 2018, nearly two years below the U.S. rate. And the gap between the Hoosier state and the U.S. on that measure is only getting worse.
The Governor's Public Health Commission issued a report this summer making 32 recommendations to fix the public health funding problem, including a whopping $243 million increase in state funding per year to help rightsize public health departments.
That would be just enough to put Indiana at the average per capita funding for public health departments in the U.S. But getting state lawmakers — most of whom have no health expertise themselves — to commit to that level of funding when they return to the Statehouse in January is a tall order.
If you ask Indiana State Health Commissioner Dr. Kristina Box, it’s time for that investment in order to ensure care is equal across Indiana.
“Philosophically, I think it’s important that every Hoosier has access to having their best potential health,” she told State Affairs. “I’ve been an obstetrician and done deliveries for 30-plus years now, and I’ve never delivered a baby for a family that didn’t want the absolute best for that child.”
But health departments need to be able to play their part to ensure that’s possible, she said.
Disparities between counties
The stark reality of Indiana’s public health system is this: Where someone lives dictates the level of public health resources they have access to in a state with already inequitable health outcomes, in part because of how little funding the state itself contributes to the system.
“It shouldn’t matter where you live in the state of Indiana,” said Paul Halverson, dean of the Indiana University Richard M. Fairbanks School of Public Health. “Every resident of Indiana should be entitled to high quality public health services, because the reality is it’s not about the individual care, it’s about the care of the population.”
While the Marion County Health Department received $82.71 per resident in revenue, Shelby County received only $1.25 per resident in 2018, according to a 2020 Indiana Public Health System review from the Indiana University Richard M. Fairbanks School of Public Health.
The public, though, is often unaware of the wide-range of initiatives health departments touch, from food inspections to septic system reviews to disease and trauma prevention, which means the problem has gone unnoticed.
So what does the financial disparity mean in practice?
In a state that ranks 42 for smoking and tobacco use, only 15 county health departments, including the well-funded Marion County department, reported offering tobacco counseling services in 2021. More than 11,000 adult Hoosiers die each year due to smoking, according to the Campaign for Tobacco Free Kids.
Similarly, a child who lives in Vigo County, one of the top-four funded health departments in the state per the Fairbanks report, can get a physical at the child wellness clinic. In 2021, only four other counties reported providing any child well clinic services.
And in Vanderburgh County, which also has a better-funded department than most, the county engages with pregnant Hoosiers to provide wrap-around services for the first three years of their babies’ lives. Only eight other counties reported providing prenatal care services, despite Indiana’s status as the 9th worst state for infant mortality in 2020, according to the Centers for Disease Control.
Meanwhile, in 2021, at least 13 counties reported not providing blood lead screenings, despite the known health problems associated with lead exposure.
In fact, for years, the state health department didn’t follow Centers for Disease Control standards regarding when to investigate elevated blood levels in children. The reason: A lack of local health department funding and an unwillingness from state health leaders to implement another unfunded mandate that some local officials would just have to ignore.
The required basics aren’t necessarily being met in every county already. Box, the state health commissioner, said a local health department official told her they were responsible for emergency preparedness, food safety and septic systems. But because that employee was busy and didn’t really understand the food safety portion of the position, the county just wasn’t providing routine restaurant inspections.
Even in the larger Allen County Health Department, department administrator Mindy Waldron said it’s near impossible to focus on preventative measures, such as addressing the state’s dismal infant and maternal mortality rates or helping schools vaccinate children, when the county is already struggling to do the bare minimum required of it.
The department also has no trained epidemiologist, despite its status as the third largest health department in the state.
“We rob Peter to pay Paul every day to get to wherever we need to do these services,” Waldron said.
The lack of funding also means employees are spread thin. Waldron oversees the 66-person department, writes grants, works as a community health educator, completes half of the emergency preparedness planning and handles any human resources issues that may come up. She has no assistant, so when she has the day off, she’s often still working.
“We’re on all the time, because there’s no other us,” Waldron said. “When people do leave employment, it’s usually because they are overworked.”
The root of the funding problem
A primary reason local Indiana health departments are poorly and inequitably funded is because on average more than 70% of their funding comes from county governments, whereas on average nationally, most local health departments only receive about 25% of their funding from local governments. Other funding comes from federal direct or pass-through payments, state dollars and services and fees.
St. Joseph County health officer Robert Einterz called the current system, with its lack of centralization, “completely dysfunctional.”
That means health departments are funded based on what local elected officials deem is most important, most of whom don’t have health expertise and some of whom are distrustful of some public health initiatives following the COVID-19 pandemic.
“Those counties have to use that [money] to address their court system, their jails, their roads and other things,” Box said. “There’s just oftentimes not really much money left to be able to invest in local public health.”
Sometimes elected leaders are also either reluctant to apply for federal grants, because they either don’t want the federal government involved in local government or because they don’t want to be stuck with the bill after the grant ends, health officials say.
In other cases, there is a classic chicken and the egg conflict. Because local health departments don’t have the resources to hire someone dedicated to evaluating federal grants, they don’t apply for certain time-consuming grants in order to get more resources.
Similarly the health department in Hendricks County missed out on a grant for an infant mortality review team because they didn’t have physical space for another employee, said Michael Aviah, a public health education specialist in the county.
Counties such as Hendricks have succeeded in part because it’s created partnerships with local nonprofits or hospitals, which enables it to complete health assessments and act on those results. But coordinating those partnerships takes resources, too. Hendricks County has a position dedicated to partnerships.
When a local health department has one person handling all environmental complaints, there just isn’t the staffing to dedicate to forging those relationships.
“There’s definitely a lot of energy and time and resources that goes into building and establishing those relationships,” Aviah said. “I could definitely see that being a barrier if you don’t have the capacity to do that.”
Rural counties feel the pinch
The problems caused by a shortage of funding is exacerbated in rural communities where county officials are forced to choose what to do with a smaller pool of money.
Owen County’s health department, for example, was among the lowest-funded health departments in the state per capita pre-pandemic. The rural county, which sits between Bloomington and Terre Haute, currently only has three full time positions and one part-time position in its health department, in addition to four contract employees funded by temporary grants that will all eventually end.
There’s plenty of services Christina McBride, the county’s health administrator and vital registrar, would like to provide if the department was provided more money, such as offering transportation to doctor appointments, providing physicals or even simply investigating and cleaning up more unsanitary, rodent-attracting trash complaint sites. The majority of doctors in the county are located in just one town within a two-mile area, and there’s no public transportation.
But the county of roughly only 21,000 people has a limited budget, about 1/17th the size of Marion County’s.
“This county is poor,” McBride said. “They’re in a financial bind all the time, so they’re not going to be willing to give us any extra.”
As of 2021, counties reported having a median of seven full-time health department employees, ranging anywhere from zero full time employees in 10,000-resident Martin County to 940 in Marion County. That means county employees are forced to take on multiple roles, sometimes without adequate training.
It also means that if an employee gets injured, sick or quits, communities are put in a bind and have to either rely on other cash-strapped health departments to lend a hand or temporarily stop providing the service.
In Ripley County, a rural community near Cincinnati with fewer than 30,000 people, the health department was forced to struggle with a staffing shortage after the person responsible for inspections of new construction quit, said Dr. David Welsh, the county’s health officer. That delayed permits on new construction for buildings and homes for weeks while the county looked for a backfill, despite some help from other communities and the state.
Welsh, and multiple other health officials, also expressed concerns about a lack of data available to counties, as well as the ability to analyze that data. Currently, schools in his community are dealing with high absentee rates. He’d like to know about disease upticks and be able to warn schools before it starts impacting school attendance.
“I’d like to get a heads up that the horse is trying to break out of the barn before it’s out of the barn and down the road,” Welsh said, “and that comes from acquiring data and analysis of data.”
Even in some larger counties, such as St. Joseph County, the lack of data is problematic. Einterz, the county’s health officer, emphasized that he’d like to be able to get a handle on why some people aren’t getting regular cancer screenings. That’s data he just doesn’t have.
The Solution
For the governor's Public Health Commission, the solution begins with an infusion of cash to each county health department. The commission asked state lawmakers to set aside an additional $243 million each year in this upcoming budget cycle.
Even with the weight of Gov. Eric Holcomb himself behind the Health Commission as well as that of Luke Kenley, a former influential senator who co-chaired the commission, getting support from a majority of lawmakers, including those who lead the budget-writing process, will be challenging.
“Even though the pandemic has put the spotlight on healthcare, we never had, during the entire time I was in the legislature, any kind of comprehensive review of the public health program,” Kenley said. “It’s like a brand new subject almost, and anytime you get into a new subject, then you’ve got to go back to ground zero and explain a lot of basics and get people up to speed.”
Budget writers are grappling with countless other budget requests this cycle, such as more education or mental health funding. There’s only so much to go around in a Republican state legislature dedicated to maintaining significant reserves and lowering taxes, amid concerns about inflation eating up any extra revenue.
Senate President Pro Tempore Rodric Bray said last month that he couldn’t see the legislature spending the combined $480 million in the next two-year budget that’s being requested for public health.
“I think it might be difficult,” Bray said. “That’s a big bite.”
But health advocates point to other large dollar numbers: The extra costs associated with health problems in Indiana that could have been prevented.
Chronic diseases, for example, directly and indirectly cost $75.5 billion in Indiana each year, and smoking results in $3 billion in annual healthcare costs for Indiana, according to the Public Health Commission’s report.
Sen. Ed Charbonneau, chair of the Senate Health and Provider Services Committee, is hopeful he and other health advocates will be able to get the total requested funding in at least the second year of the budget.
The Valparaiso Republican is carrying the health commission’s bill this upcoming legislative session, which starts in January. In addition to providing extra funding for county health departments, his bill would create regional districts that would better allow the state health department to communicate and pass resources onto individual health departments.
He knows the funding specifically is a hard sell. Complicating the issue: Changing health outcomes won’t happen overnight even if funding is poured into the system.
“A big issue we’re going to have to deal with is education of the public and I think the legislators, about where we are, why this is important,” Charbonneau said. “One of the primary things for me going forward is changing the focus from treatment to prevention.”
It’s been about eight years since the HIV outbreak swept through Scott County. More than 200 people were infected, but health officials were eventually able to stem the tide, thanks largely to the help of a clinic offering syringe exchanges, information on recovery resources and, of course, HIV testing.
But in at least 60 other counties? HIV testing provided by local health departments remains out of reach, according to the health department’s 2021 report.
Some told State Affairs they don’t have the resources to offer it.
“There’s a dire need for it because a lot of people don’t know where they can get tested,” said Aviah, whose county no longer provides HIV testing. “It’s really important that we, the health departments, are able to provide that.”
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Bringing back barnstorming: Curtis Hill and his run for governor
A week after Hamas attacked Israel, Chris Just attached American and Israeli flags to the back of his Gladiator and drove to the second-annual Central Indy Jeep N’Vasion at the Johnson County Fairgrounds.
Wind blew over tents, and grim clouds approached. There, in Franklin on Oct. 14, 2023, a volunteer with former state Attorney General Curtis Hill’s gubernatorial campaign approached Just. Asked if his vote was already decided, Just said he hadn’t thought about it yet: “I know I’ll vote Republican, but I just don’t know who.” (Four years ago, Just voted for Libertarian Donald Rainwater after losing faith in Gov. Eric Holcomb.)
The volunteer brought over Hill, who introduced himself to Just. The two chatted about Jeeps, the event and topics unrelated to politics. After several minutes, Hill and Just posed for a picture in front of the Gladiator — flags prominently displayed behind them. “It gave me an introduction to who he was,” Just told State Affairs.
Presumptive voters like Just are the Hoosiers Hill’s campaign hopes to sway ahead of the May 7 primary. Polling in single digits, Hill will likely need them to prevail. In the six-candidate race, he has placed fifth in every poll conducted this year. And Hill has spent only a fraction (about $290,000) of the millions spent by other wealthy, self-funded candidates through the first three months of 2024.
In absence of the same financial treasures enjoyed by his opponents, Hill’s campaign has adopted a different approach, shunning pricey TV ads in favor of in-person events. His campaign chair since November, Jackie Horvath, said Hill, 63, flourishes in front of crowds. “Whether it be in front of thousands or in front of hundreds or tens or one-on-one, he just has that gift,” she said. Lincoln Day Dinners, for example, have been staples for the campaign, which believes enough voters will be convinced of Hill’s message to make traversing the state worth it. “You just have to be more targeted,” Horvath said.
Ahead of the primary, Hill has already earned political victories. In January, he was the first to call for the Indiana Department of Health to resume releasing terminated pregnancy reports to the public. The department had halted their release, arguing the individual reports could be reverse-engineered to identify women who have had an abortion. (The department still shares quarterly roundups with aggregate data of the individual reports.)
Hill, in a news release, said the department was “arrogantly disregarding the law” and its decision “directly contradicts the previous treatment” of the reports. He insists releasing them is the only way to ensure the state’s near-total abortion ban can be enforced.
Attorney General Todd Rokita’s office earlier this month issued an official opinion contending individual abortion reports are not medical records and can be released to the public. In a news conference announcing the opinion, Rokita credited Hill for highlighting the issue. Hill’s former opponent said voters should ask other gubernatorial candidates “where they stand on this.” During an April 23 debate, other Republican candidates said they would push for the reports to be released after Hill questioned them.
And in February, Hill implored Holcomb to deploy Indiana National Guard members to Texas, as more than a dozen other states have done. Days later, Holcomb committed to sending 50 members. He justified the decision by blaming the federal government for not properly enforcing immigration law at the border with Mexico.
Yet, despite his continued influence on Indiana politics, Hill has struggled to win over Republican voters.
“He’s kind of like that pain in your side that just won’t go away for Republicans, and I wonder if his campaign is more about spite than anything else,” said Julia Vaughn, executive director of Common Cause Indiana, a nonpartisan organization that advocates for transparent governance.
The fall
Perry Township Republicans held a Lincoln Day Dinner April 2 at The Atrium, an unassuming banquet and catering facility tucked away in a strip mall off of Thompson Road in Indianapolis. U.S. Rep. Jim Banks was scheduled to be the featured speaker, and the event drew many of the state’s most notable conservatives.
Before the dinner started, Hill told State Affairs he doesn’t believe Hoosiers want “elite candidates.” He believes there is still a place for barnstorming around the state and delivering a message in person.
In 2016, Hill was elected state attorney general. Before that, he spent 14 years as the elected prosecutor for Elkhart County, where he was born and raised. The youngest of five children, Hill earned a Bachelor of Science in marketing and a Doctor of Jurisprudence at Indiana University, where he met his wife, Teresa, according to his campaign website. They are now parents of five.
During his time as attorney general, Hill was a champion of socially conservative causes, taking to Fox News to opine on national anthem protests, crime and homelessness in San Francisco. Many considered him a “rising star” in the Republican ranks.
But Hill’s once-promising political career derailed when the Indiana Supreme Court suspended his law license for groping four women at a party marking the end of the 2018 legislative session.
The court found “by clear and convincing evidence that [Hill] committed the criminal act of battery” against three female legislative staffers — ages 23 to 26 at the time — and a Democratic legislator. Hill has maintained his innocence, saying he never inappropriately touched the women.
Prior to the court’s decision, a special prosecutor declined to file criminal charges against Hill. The women filed a civil lawsuit in July 2020, claiming Hill committed battery against them. In early April, a Marion County judge called off a jury trial for the case, which remains pending. (Attorneys representing the women did not respond to a State Affairs request for comment.)
Following the state Supreme Court’s decision, Democrats and many Republicans — including Holcomb — called for Hill’s resignation. But Hill did not resign. Instead, he fulfilled his term and lost a close 2020 Republican attorney general nomination to Rokita.
Hill has since kept a mostly low profile. His most notable foray came in 2022, when he launched an unsuccessful bid to replace the late U.S. Rep. Jackie Walorski. (He lost to U.S. Rep. Rudy Yakym, who was backed by Walorski’s family.) In 2022, Hill was also supposed to be involved in a mock trial of Dr. Anthony Fauci, the former director of the National Institute of Allergy and Infectious Diseases. Hill said an episode was filmed, but technical difficulties caused it to “fizzle out.”
Hill has kept busy with his namesake law practice and a consulting business, Maverick Consulting LLC. He has worked with the anti-vaccine nonprofit Children’s Health Defense and Robert F. Kennedy Jr. as a consultant on “some post-pandemic matters.” And he participated in a senior fellowship at the conservative-leaning think tank Center for Urban Renewal and Education.
When he spends the weekend at home, Hill tries to make time for tennis with friends. They call themselves the Brandy Boys. Their Saturday routine: tennis, then breakfast and “a celebratory bottle of brandy that goes a long way.”
Hill told State Affairs the fallout from the court’s decision to suspend his license has been an “unfortunate chapter.” He said it was “a sign of the times when you’re a popular, particularly conservative figure, and knives come out.” Asked whether he would have done anything differently that night, Hill said he “probably would have gone home.”
His vision
On the campaign trail, Hill has advocated for a comprehensive tax plan. His proposals include cutting Indiana’s corporate income taxes and the state gas tax while also eliminating state income taxes for residents who are 18 to 35, according to his campaign website. But he says “wasteful spending” must be addressed before the tax breaks can be realized. (Hill has criticized Lt. Gov. Suzanne Crouch’s proposal to eliminate state income taxes for all residents.)
In addition, Hill’s campaign centers on stopping “the flood of illegal immigrants” and preserving “medical freedom.” At the COVID-19 pandemic’s zenith, Gov. Holcomb implemented a mask mandate in Indiana. Hill pounced on the decision, arguing Holcomb overstepped. “We had a government that failed us in many respects by providing misinformation, wrong information,” Hill said, pointing to guidance on mask usage changing as the pandemic progressed.
Hill maintains the damage done by government lockdowns “far exceeded the damage that was done by the virus itself, and we’re still seeing that a lot of businesses were scuttled. A lot of school kids have some learning and social behaviors that are offset because of the time that was taken away from the education process.”
Leah Wilson, executive director and co-founder of the nonprofit Stand for Health Freedom, said Hill “wasn’t tricked like others were” during the COVID-19 pandemic. “Most of the others you talk to say it was justified to cancel freedom for at least a few weeks,” she said of the other gubernatorial candidates. Because of that, Wilson’s organization endorses Hill. She said he is “not excitable, which allows him to be unwavering.”
Asked during debates about his other policies, Hill has compared the federal government to a “crack dealer” that attaches programmatic “entanglements” to its financial support of schools. If elected as Indiana’s next governor, he wants to do away with the entanglements, cut government regulations to help more child care facilities enter the market, empower locals to make their own economic development decisions, corral the Indiana Economic Development Corp. and end diversity, equity and inclusion practices in state government as well as “radical gender ideology” and “critical race theory” in classrooms.
“Objective truth is under assault on a regular basis,” Hill told State Affairs. “I think the manipulation of the justice system, the weaponization of race, the sexualization of our children call upon us to have a new administration of freedom.”
Asked about his chances of winning after several poor showings in recent polls, Hill said, “The only poll that matters is the poll on May 7.”
State Rep. Ed DeLaney, D-Indianapolis, said Hill had “managed to bring discredit to his office in an unusual and particularly terrible fashion.” In 2019, DeLaney authored a resolution urging the House to conduct an investigation of the allegations against Hill, but it wasn’t taken up.
Hill came into the gubernatorial race as a “hard-right, pro-Trump” candidate, DeLaney said, “but he hasn’t had money to send that message. And when, essentially, almost all of the candidates are sending that message, how does he distinguish himself? So, sadly for him, this distinction is the one that I pointed to: He got himself in this horrible situation.”
Horvath, Hill’s campaign chair, sees his situation differently. She described the allegations against Hill as a “he said, she said” scenario that has only been brought up sparingly on the campaign trail.
In The Atrium lobby, Hill spoke with his team, surrounded by bustling conservatives. Just, the Gladiator owner, walked through one of the facility’s entrances — he was there to support Andrew Ireland in the House District 90 race — and spotted Hill. The pair reminisced about the Jeep show. “He remembered exactly what the Jeep was; he remembered everything about it,” Just told State Affairs of his conversation with Hill.
Hill asked Just to “remember” him during the upcoming primary election, Just told State Affairs. Yet, after their April encounter, Just said he is “still kind of closed” on the candidate he plans to vote for.
“I still haven’t made up my mind yet,” Just said. But he acknowledged Hill “definitely left a mark.”
About Hill
- Age: 63
- Hometown: Elkhart
- Education: Bachelor of Science in marketing and Doctor of Jurisprudence from Indiana University
- Family: Wife, Teresa, and five children
- Job: Attorney, consultant
- Work history: Indiana’s 43rd attorney general (2017-2021), an attorney since 1988, consultant with Maverick Consulting LLC, Elkhart County prosecutor (2003-2017)
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Indiana makes history with record number of Black mayors, half of them women
FORT WAYNE, Ind. — Five years ago, Gary’s Karen Freeman-Wilson was the only Black female mayor in Indiana. After she lost a third Democratic nomination to Jerome Prince, there were none.
With Sharon Tucker’s Fort Wayne Democratic caucus upset win on Saturday in a seven-candidate race to succeed the late Mayor Tom Henry, Indiana now has four cities led by Black women. Each took a different path.
Democratic Vanderburgh County Councilwoman Stephanie Terry won the open seat in Evansville, the state’s third-largest city, while Democratic Councilwoman Angie Nelson Deuitch defeated Republican Michigan City Mayor Duane Parry with 60% of the vote the same day. In Lawrence, Councilwoman Deb Whitfield won the Democratic primary and then beat Republican Deputy Mayor David Hofmann after Mayor Steve Collier retired.
Tucker defeated House Minority Leader Phil GiaQuinta and Stephanie Crandall, a top aide to Mayor Henry, on the second ballot Saturday. A jubilant Tucker told the 92 precinct officials and an overflow crowd at Parkview Field: “Today you had the opportunity to make history by electing the first 5-foot-3 mayor. To be in a place where they’re fed, loved and cared for, that’s my vision for our community.”
Many saw GiaQuinta as the front-runner going into the caucus, with at-large Councilwoman Michelle Chambers in contention. But Tucker’s fiery speech before the first ballot couldn’t be denied. “I’m the only candidate who stands before you who has all those boxes checked on her résumé,” said Tucker, noting she was the only candidate to be elected at both the county and city levels. “You see, as 6th District representative, I have had the pleasure of sitting at the table with developers and investors and telling them how great our city is and encouraging them to make investments.
“I fully understand government,” she added.
The applause Tucker received quickly indicated a new order would soon be unveiled. About 15 minutes later, she led GiaQuinta 38-30 on the first ballot (Crandall had 10), with 47 needed to win. Tucker prevailed on the second ballot over GiaQuinta and Crandall after Chambers and Wayne Township Trustee Austin Knox dropped out, and two other candidates were eliminated due to a lack of votes.
In a press release, Fort Wayne Democratic Party officials said, “Today, Mayor Tucker proved that she has the energy and support of our party, and we look forward to supporting her as she works to continue moving our community forward.”
Tucker will be the second woman to serve as Fort Wayne mayor. After Mayor Win Moses resigned in 1985 following a campaign finance law conviction, Deputy Mayor Cosette Simon served for 11 days before Democratic precinct officials returned Moses to office.
Tucker replaces Mayor Henry, who was elected to a city-record fifth term last November. Henry, who announced in February that he had late-stage stomach cancer, died on March 28 at age 72.
What’s happening in Indiana is historic. Not only are four Black women leading Indiana cities, but also for the first time in the state’s history, eight Black mayors across the state are serving at the same time. The others are Mayors Eddie Melton of Gary, Anthony Copeland of East Chicago, Rod Roberson of Elkhart and Ronald Morrell Jr. of Marion. Morrell is Indiana’s first Black Republican mayor.
In February, the House unanimously passed a resolution acknowledging the historic moment.
“Whereas, It is important to acknowledge all Black leaders who are implementors of selflessness and upholders of high standards and order. The courage to lead is not easy but it is an honorable notion to take pride in; and Whereas, The Indiana Black Legislative Caucus shows its full support of the work these distinguished mayors have put forth, and it is a privilege to honor and acknowledge their names and their duty to serve the citizens of Indiana to the utmost capacity,” House Concurrent Resolution 21 states.
“I don’t know that we have ever had this many Black mayors in city halls across the state of Indiana,” Indianapolis Recorder columnist Marshawn Wolley wrote last November.
Terry told WFIE-TV after she declared victory in November: “Honestly, it’s surreal. I never believed an African American could really be in this position. The fact is our city is ready to move forward, that this city really is for everyone and that we can be inclusive.”
Lawrence Mayor Whitfield, giving her first State of the City address in February, said, “During the last year, many of you may have heard me say, ‘It’s time!’ To me, that turn of phrase has meant so many things in so many contexts. It means it’s time to bring new, forward-looking leadership to our city. It’s time to take the momentum of the past administrations and move forward to achieve our goals. And, of course, it’s time to unite our city and make sure we are connected on a deeper level than ever before.”
Mayor Terry told Evansville residents at her first State of the City address last month: “One hundred days ago, we launched a new era in Evansville. We broke two glass ceilings, swearing in the first Black mayor and the first female mayor in the city’s 212-year history. The energy, the enthusiasm, the hope that I felt that day have carried us through these first 100 days as we’ve finished assembling our team and gone right to work moving Evansville forward.”
Terry added, “I said at my inauguration that I knew I was going to be held to a higher standard, and I knew you were going to be watching. And I told you I was ready. I told you I was going to make sure Evansville is a city that works for everyone, and I knew you were going to hold me accountable for that. I knew I was going to hold myself accountable, too.”
Brian A. Howey is senior writer and columnist for Howey Politics Indiana/State Affairs. Find Howey on Facebook and X @hwypol.
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Brad Chambers sells himself as ‘business guy’ to lead Indiana
EDITOR’S NOTE: This is one in a series of profiles of the candidates running for Indiana governor.
Brad Chambers argues big ideas and actions are needed in the coming years to propel Indiana and its economy forward.
Chambers has already put $9.6 million of his own money toward that argument as he tries to transform himself from a successful real estate developer who was virtually unknown by the general public into the Republican nominee for governor.
The first steps for his entry into the governor’s race came during his time as Gov. Eric Holcomb’s state commerce secretary and leading the Indiana Economic Development Corp. — the agency tasked with attracting business growth to the state.
A big idea from Chambers’ time with the IEDC was the LEAP Lebanon Innovation District, a planned 9,000-acre hub for tech-related industries that has been a target of criticism from the other five Republican candidates in the May primary.
Chambers remains steadfast in defending the project as a needed asset to compete with other states for major projects and asserts Indiana needs more of that kind of leadership.
“What I bring to this race is I’m not making decisions — and LEAP is proof — I’m not making decisions on three-year election cycles because I’m not an elected official,” Chambers said during an interview with State Affairs. “I’m making decisions like a business guy — which is, ‘What’s good for Indiana?’ — no matter if I’m around to see it come to fruition or not.”
Path to business success
Chambers, 59, grew up in Indianapolis as a son of prominent businessman William Chambers, who participated in numerous civic organizations and was the finance chairman for Republican Dan Burton’s 1982 election to the first of his 15 U.S. House terms, according to the elder Chambers’ 1997 Indianapolis Star obituary.
Brad Chambers traces his business career back to a lawn mowing service he started with some friends while a Lawrence Central High School student.
He said he was using his share of the profits to pay his Indiana University tuition before one of the friends bought him out a few years later for $5,000. It became the seed money to purchase a repossessed house in Indianapolis as a rental property.
“I like to say it was divine intervention that I didn’t blow it,” Chambers said of the lawn service buyout.
That first property sparked his interest in the real estate business.
“I’m like, this is kind of fun, and so I ended up rooting around and by the time I graduated from IU, I had 31 rental units,” he said.
Those rentals were the start of Buckingham Companies, the development business Chambers founded. It now claims a portfolio of $3 billion in a variety of apartment, retail, hotel and business projects with more than 400 employees in nine states.
Buckingham’s prominent Indianapolis work includes the CityWay development, which has apartments, retail sites and the upscale Alexander hotel near Gainbridge Fieldhouse.
Chambers said he stepped away from day-to-day company leadership when Holcomb selected him in 2021 as state commerce secretary, a post he held for $1 a year before resigning last August to launch his gubernatorial campaign.
The breadth of Chambers’ business is represented in his candidate financial disclosure statement, which lists ownership of 63 properties in nine states and stakes in 279 real estate or other partnerships. He said he would keep his business interests separate from state actions if he became governor.
“Indiana is obviously important, but we’re a national company, we’re doing business all over the country,” Chambers said. “We understand the rules of the road there and our guys are running the business and they’re doing a great job.”
Road to the governor’s race
Holcomb recruited Chambers to the state commerce secretary job in 2021 after the position had been vacant for about four months.
Chambers said that about a year later, others began raising the idea of him running for governor in 2024 since Holcomb couldn’t seek reelection because of term limits.
“I never really gave it too much thought until [2023,] probably second quarter of ’23, and then started thinking about it in earnest,” Chambers said. “I’m not a politician. I’ve never run for [anything]. I didn’t know anything about it. So I had to understand it and then started doing what business guys do, which is evaluate, and it was a tough decision.”
Republican Fishers Mayor Scott Fadness said he got to know Chambers after he started leading the state’s economic development agency.
Fadness, who has been mayor of the Indianapolis suburb since 2015, said he quickly became impressed with Chambers’ willingness to talk in depth about big ideas.
Those conversations grew to include discussions about whether Chambers should run for governor, although Fadness said he largely explained the hurdles Chambers would face with his campaign.
“He could be living a very good life, doing a variety of other things,” Fadness told State Affairs. “I think he just felt compelled to run because he wants to move Indiana forward. That kind of leadership and that kind of motivation is a rarity in politics anymore, and I guess that’s what kind of made me gravitate towards him.”
Many prominent Indiana business leaders have joined in supporting the Chambers campaign. Among those making sizable contributions are Eli Lilly and Co. CEO David Ricks ($100,000), Kittle Property Group CEO Jeffrey Kittle ($100,000), Indiana Pacers owner Herbert Simon ($50,000) and retired Lilly CEO and IEDC board member John Lechleiter ($50,000).
Chambers has been willing to sink own money — $9.6 million as of mid-April — into the campaign for his message that he’s “a business guy” focused on growing the state’s economy.
“That story resonates, but it’s six and a half million people to communicate with,” Chambers said of Indiana’s voting-age population. “It takes time and it takes resources.”
Critic calls LEAP District planning ‘underhanded’
Indianapolis-based Lilly was the first company making a major commitment to the LEAP District, with a $3.7 billion research and manufacturing campus now under construction.
Chambers points to the district as a major step toward making Indiana competitive with other states for major projects. He argues that Indiana lost out on perhaps landing a $20 billion Intel microchip plant to the Columbus, Ohio, area because it didn’t have a ready-to-build site available.
Chambers’ critics argue the LEAP District is an example of “top-down leadership” at the Indiana Economic Development Corp. that disregards the concerns of local residents and officials.
Project opponent Brian Daggy, a retired Boone County farmer, said Chambers hasn’t tried to engage with those whose homes would be affected by the LEAP District transforming what is now largely farmland into manufacturing and research facilities.
Daggy and his wife bought a house in the northern part of the district as their retirement spot a few months before finding out in late 2021 about the IEDC buying up land for the project. Daggy has turned down purchase offers and helped organize the Boone County Preservation Group, of which he’s now president.
Daggy said he understands wanting to see government operate more efficiently and business-like but that the IEDC under Chambers showed a disregard for the residents’ concerns.
“He has given all indication that he knows what’s best, and that’s what he’s gonna carry forward,” Daggy said. “It causes me concern, a lot of pause, thinking about that he would run the state in that kind of a manner.”
A proposed 35-mile pipeline to transport water from a Wabash River aquifer near Lafayette to the LEAP District has drawn opposition from the Tippecanoe County area over concerns such as a loss of irrigation for farmers and worries about environmental damage from pumping out potentially tens of millions of gallons of water a day.
Residents in the Lafayette area didn’t know the pumping tests were being carried out for the proposed pipeline last year until they suddenly didn’t have water from their wells or noticed sulfur odors from their water they had never smelled before, said Sandra Alvillar, president of the group Stop the Water Steal.
Chambers, Holcomb and Republican legislative leaders have said no work on building the pipeline will go ahead unless an ongoing aquifer study shows adequate supply.
Alvillar, however, called the IEDC’s planning for the pipeline “underhanded” and said Chambers and the agency have been focused on a public relations response rather than listening to local concerns.
“If they have not been transparent up to this point, once they’re safe in their little office, it’s not going to get better,” Alvillar said.
Chambers has kept his focus on the economy
Chambers has focused his bid for governor on economic issues and running a decidedly non-Trump-like campaign. He has largely avoided hot-button culture issues, pointing in his TV ads and public remarks to former Gov. Mitch Daniels, who had a similar emphasis while in office, as a leader he would emulate.
Chambers has touted his “Play to Win” plan as aiming to boost business growth in the state through steps such as more infrastructure investment and increased support for small businesses and entrepreneurs.
“The one thing that I know touches every Hoosier, not some Hooiers, is financial security and opportunity,” Chambers said. “Fundamental to quality of life is good education and public safety, and you can’t fix those or invest in those without a growing economy. I believe when people have financial security, their health is better, their kids are better, their housing is better and overall quality of life is better. So I’m just focused on the one topic where I have had some experience.”
Chambers remains an underdog in the governor’s race, as a State Affairs/Howey Politics Indiana poll in early April found U.S. Sen. Mike Braun with support from 44% of likely Republican primary voters.
Chambers, Lt. Gov. Suzanne Crouch and Eric Doden each received about 10% support — and roughly 6 in 10 respondents were unfamiliar with Chambers despite the millions of dollars he’s spent statewide on TV ads.
Fadness, the Fishers mayor, said he believed Chambers would bring a needed sense of urgency and decisiveness to the governor’s office and hoped Chambers’ focus on the state’s economy would still catch on with voters.
“Those may not be the talking points that garner the most attention from people or get the headlines, but those are the things that are going to decide the trajectory of our state for many years to come,” Fadness said. “I think they’re vitally important. But I also am, I guess, a realist in that I understand that those aren’t always what folks spend their time and attention on in a political race.”
about Chambers
- Age: 59
- Hometown: Indianapolis
- Education: Bachelor’s degree in finance from Indiana University
- Family: Married to Carol with an adult son, Nick
- Job: CEO of real estate development firm Buckingham Companies since founding it as a college student in 1984
- Work history: Indiana secretary of commerce under Gov. Eric Holcomb, 2021-23; previously chairman of the Indiana State Fair Commission
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- Suzanne Crouch positions herself as a ‘different’ candidate for the voiceless
- Mike Braun on why he wants to be in politics ‘at a level of significance’
- Who is Jamie Reitenour? Indianapolis mom mobilized volunteers to make governor’s ballot
Tom Davies is a Statehouse reporter for State Affairs Pro Indiana. Reach him at [email protected] or on X at @TomDaviesIND.
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Final Republican governor debate focuses on economics, abortion
INDIANAPOLIS — Five hopefuls vying for the chance to be Indiana’s next governor took each other to task — and at times fought the questions themselves — on economic development, social issues, election integrity and more during Tuesday’s Republican gubernatorial debate hosted at Indiana University-Purdue University Indianapolis.
The debate, the last of the primary cycle and sponsored by the Indiana Debate Commission, at times spiraled into revolt, as candidates disagreed with moderator Jon Schwantes’ yes-no questions on election integrity and immigration. In other moments, the candidates stuck to their various platforms on taxes, education and beyond.
Former state Secretary of Commerce Brad Chambers, Lt. Gov. Suzanne Crouch, Fort Wayne businessman Eric Doden, former state Attorney General Curtis Hill and Indianapolis mom Jamie Reitenour participated.
Sen. Mike Braun, who has thus far led the crowded field in the polls, informed the Debate Commission on Monday that he would not attend the debate. He returned to Washington, D.C., where he cast one of 19 dissenting votes against a $95 billion aid package for Ukraine, Israel and Taiwan. The bill passed the Senate on a 80-19 vote.
Braun’s rivals targeted him several times in his absence, but the five candidates on stage mostly focused on one another throughout the debate. Gov. Eric Holcomb, a frequent target in previous debates, was hardly mentioned.
Schwantes, host of the WFYI-FM series “Indiana Lawmakers,” read from a slate of questions submitted in part by state voters and selected by the Debate Commission.
Election integrity
The night’s first major clash occurred during yes-no questioning on the safety and authenticity of the country’s elections.
Each candidate except Reitenour said they were confident in Indiana’s election integrity. All acknowledged the 2020 election was not stolen.
Asked if Joe Biden was the duly elected president, Hill and Reitenour pushed back, saying “anomalies” were not properly investigated.
The candidates essentially refused to answer a question asking if they would accept the 2024 election results, saying it was too hypothetical.
Agreement on abortion
Several questions were asked about abortion, though the candidates largely agreed on the issue.
The group was asked whether the state’s current abortion ban, which includes exceptions for rape, maternal health and other limited circumstances, was sufficient.
Chambers, Doden and Crouch agreed it was.
Hill called for increased enforcement of the ban, saying the state’s health department is not providing the necessary reports for terminated pregnancies.
“I brought 2,411 unborn babies from Illinois to have them buried in Indiana to establish their humanity,” Hill said, referencing a 2020 action he took as attorney general.
Reitenour did not answer the question directly, saying only that “we need to be a state that says we are for life.”
The group refused to answer when Schwantes asked if they agreed with the Indiana Supreme Court, which he said found the maternal health exception to be necessary under state law.
The candidates also agreed on in vitro fertilization, saying it should be allowed in Indiana. Some conservative states have targeted the procedure as part of the abortion debate.
Return to the IEDC
The Indiana Economic Development Corp. (IEDC), and particularly its LEAP Innovation District project seeking to build a ready-made space for business in Lebanon, Indiana, was a return topic from past debates. Chambers and Doden previously led the organization, and Chambers rose in defense of the LEAP District.
Reitenour called the project “putting a whale of a company in the middle of the desert with no water.”
Doden also directly criticized it, saying the IEDC existed only to help businesses navigate government rules.
Hill called the IEDC “a shadow government” that needed to be “reined in.”
Crouch used the question to launch into her plan to get rid of the state’s income tax.
“It’s a terrific contrast between career politicians and small thinking,” Chambers said in response to the criticisms.
Chambers goes after Crouch
Crouch was asked whether it made financial sense to cut the income tax, which brings in billions in state revenue each year.
Chambers seized on the topic.
“It’s a political talking point if ever there was one,” he said. “She has not told us how much she’s going to have to cut education, public safety, police, mental health or health care.”
Crouch doubled down, noting the income tax is already phasing down to below 3% in the coming years.
“Let’s just keep going in that direction when we have excess surplus in revenues,” she said.
Differing education approaches
A question about improving Indiana schoolchildren’s test scores led to a contrast in policy approach.
Doden and Crouch focused on school choice and workplace development.
Chambers said students require individualized learning opportunities.
Reitenour railed against critical race theory and social-emotional learning, saying kindergarten through fifth grade students need more focus on educational fundamentals.
Hill urged schools to stop taking federal money that requires certain programs, which Crouch joined in supporting.
Closing statements
Candidates were allowed to summarize their candidacy in final closing statements.
Chambers focused on his economic plan, likening his hopes for the state to his career as a businessman.
“We believe it’s time for a CEO, someone to run [the state] like a business,” Chambers said.
Hill leaned into social issues, railing against abortion and claiming “there are only two genders.”
“Don’t let politicians give you a laundry list of conservative talking points and say that’s enough,” Hill said. “Prove you can do the job.”
Doden focused on his platform talking points: restoring small towns, growing the economy and expanding zero-cost adoption.
“We have more plans in writing than everyone on this stage combined,” Doden said.
Crouch returned to her key proposal, which would eliminate the state’s income tax.
“My opponents say it’s a gimmick, but what they’re really saying is the government needs more of your money and you need less of it,” Crouch said.
Reitenour said God called her to run and cast doubt on Indiana’s conservative reputation.
“We live in a state that says it’s a red state and believes in conservative values, and yet I am trying to figure out where the conservatives are in government,” she said.
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