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Sacramento supervisors approve constrained budget approach and keep Healthy Partners; board sets FY26‑27 priorities
Summary
After a full‑day workshop, the Sacramento County Board of Supervisors approved a constrained initial resource allocation and preserved the Healthy Partners program as part of FY26‑27 planning, directing staff to assume a modest across‑the‑board reduction while protecting the county's medically indigent services safety net.
The Sacramento County Board of Supervisors on Jan. 13 approved a constrained approach to next year’s budget and kept the Healthy Partners program in initial planning after a lengthy presentation and debate about state changes that shift health costs to counties.
Amanda Thomas, the county’s chief fiscal officer, told the board that changes in Medi‑Cal eligibility and other State and federal actions could raise county costs by tens of millions of dollars and that the county currently faces a structural gap. Thomas presented alternative starting points for department allocations and modeled CMISP (the County Medically Indigent Services Program) scenarios, noting that the minimum…
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