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County health director warns of shrinking public‑health resources and seeks relief on administrative burden

Deschutes County Board of Commissioners · January 20, 2026

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Summary

Health department leaders told commissioners rising program demands and potential state budget cuts could reduce service capacity; staff asked the board to back efforts to reduce administrative burden (LC 202) and to advocate to protect public‑health funding in the short session.

Public‑health and behavioral‑health leads briefed the board on immediate staffing and funding pressures. Health staff reported they are monitoring several bills that could add reporting requirements or shift program responsibilities; they asked for the board's help in advocating against cuts and toward solutions that reduce administrative burden so scarce funding goes to direct services.

Staff referenced the county's small behavioral‑health outreach team and its shift to focus resources on hardest‑to‑serve populations and permanent‑supportive housing work. The county is participating in state work groups (the LC 202 catalog of administrative‑burden recommendations was mentioned) intended to speed procurement and reduce delays in program implementation. Commissioners stressed the need to prioritize services that prevent downstream criminal‑justice and emergency‑health costs and asked staff to press the legislature to avoid deep near‑term cuts.