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Spokane County reviews federal priorities and warns against cutting SAMHSA and Medicaid funding

Spokane County Board of Commissioners · November 18, 2025
AI-Generated Content: All content on this page was generated by AI to highlight key points from the meeting. For complete details and context, we recommend watching the full video. so we can fix them.

Summary

County staff recommended keeping SAMHSA block grants and 9‑8‑8 funding separate and urged maintaining Medicaid funding amid looming federal appropriations negotiations, citing risks for local behavioral‑health and crisis services.

County staff told Spokane County commissioners on Nov. 17 that preserving federal behavioral‑health funding should be a top local priority as Congress continues negotiations on a short‑term funding bill and the next appropriations tranches.

A staff presenter told the board that combining SAMHSA block grants or reducing 9‑8‑8 funding could reduce the county’s flexibility and ability to support regional crisis services. The presenter said Washington’s region is operating a vertically integrated…

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