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Clallam County reorganizes jail medical and behavioral health budgets into new Sheriff Clinical Services department

5405026 · July 15, 2025
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Summary

The county notified the board of reductions and supplemental appropriations that will shift juvenile services and jail medical funding into a new Sheriff Clinical Services department funded in part by HCA reentry demonstration grant monies.

Clallam County commissioners on July 15 were notified of planned budget reductions and supplemental appropriations that will move funding from juvenile services and jail medical budgets into a newly created Sheriff Clinical Services department.

County staff said the change consolidates medical and behavioral health services for the county jail under a combined clinical model funded in part by the Washington Health Care Authority (HCA) reentry demonstration initiative. The board heard notice of two budget reductions — $1,726,000 for juvenile services and $1,898,369 for sheriff jail medical — that will be considered for adoption on July 29. Staff said the changes reflect an internal reallocation, not additional net general fund spending, and include additional HCA revenue received earlier than budgeted this fiscal year.

Separately, staff presented a package of supplemental appropriations that would establish the new department and provide related funding. The largest supplemental appropriation listed was $4,983,869 for the Sheriff Clinical Services department; other supplements include $45,000 for sheriff operations (Operation Stone Garden overtime), $470,000 for Clallam Bay/CQ sewer pump station work, $403,219 for the Coleman Beach water system (Department of Health grant) and $694,364 for developmental disabilities program revenue.

Commissioners asked for a clear organizational chart showing line‑item moves before final adoption; staff said the chart was near completion and would be provided. County staff noted that some of the additional HCA funds were received this year and therefore required budget adjustments to align revenues and expenditures.

Why it matters: consolidating medical and behavioral health functions in the jail changes how the county pays for correctional health services and may affect staffing, contracts and oversight. The reorganization is structured to use HCA reentry demonstration funding; the formal budget shifts and supplemental appropriations are scheduled for the July 29 meeting.

What’s next: the board will consider adoption of the noticed budget reductions and supplemental appropriations at its July 29 meeting; staff will circulate an organizational chart and further detail on line‑item reallocations prior to final action.