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Lake County supervisors unanimously authorize letter opposing proposed Medi‑Cal cut to mobile crisis services

Lake County Board of Supervisors · January 28, 2026
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Summary

After a presentation by the behavioral health director on proposed state budget changes that could shift mobile crisis costs onto counties, the board voted 5‑0 to authorize the chair to sign a letter supporting mobile crisis as a statewide Medi‑Cal benefit and opposing the proposed cost shift.

Lake County’s Board of Supervisors voted unanimously on Jan. 27 to authorize the chair to sign a letter supporting mobile crisis services as a statewide Medi‑Cal benefit and opposing a state budget proposal to shift the non‑federal share of the benefit to counties.

Elise Jones, Lake County Behavioral Health director, told the board that the California budget proposal under discussion could transfer roughly $200 million statewide in costs from the state to counties for the mobile crisis benefit. Jones said the county had not yet determined the local fiscal impact but that any local share could require service reductions if not addressed.

Supervisor Paiske moved to authorize the chair to sign the letter; the motion was seconded, called, and approved with the board recording an aye vote and the motion carrying "five‑zero." The board did not record individual member vote names in the discussion but announced the unanimous outcome.

The letter authorizes local advocacy to protect mobile crisis funding as part of Medi‑Cal and signals the board’s intent to use its legislative priorities and lobbyists to advocate in Sacramento and Washington on this and related health‑service funding issues. Director Jones and other staff said the action will be followed by continued monitoring of state budget proposals and potential fiscal analyses at the county level.