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Multnomah County to cut services after CareOregon delegation ends; board approves $2.4M bridge to retain staff
Summary
County health officials told commissioners HealthShare’s decision not to renew CareOregon delegation agreements will remove roughly $4.6 million in FY26 funding and eliminate programs funded by the CCO; the board approved one-time bridge funding of $2.4 million to retain about 17 FTE through June 2026 while staff design FY27 options.
Multnomah County commissioners on Monday approved emergency budget changes after HealthShare and CareOregon moved to end delegation agreements that had funded intensive care coordination programs.
Health department director Rachel Banks told the board the county faces two linked tasks: adopt a budget modification removing activities and revenue tied to the ending delegation agreement, and approve a separate one-time appropriation to preserve essential services while the county plans for fiscal year 2027. "The delegation agreements will end on December 31 of this year," Banks said, describing a shortfall that left the behavioral health benefit running at a deficit.
Jessica Jacobson, interim deputy director for clinical…
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