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County workers urge board to delay ECM layoffs, warn of patient‑safety and homelessness risks
Summary
Dozens of county employees, union representatives and healthcare providers urged the Board of Supervisors to delay or prevent planned layoffs in the Enhanced Care Management (ECM) program, warning that replacing public‑health nurses and specialists with contractors could disrupt care coordination and increase emergency visits.
An extended public‑comment period at the Feb. 10 Contra Costa Board of Supervisors meeting drew dozens of county staff, union leaders and clinicians who urged the board to halt or delay proposed layoffs and restructuring in the Enhanced Care Management (ECM) program.
Speakers included union representatives, coordinated entry specialists, public health nurses, program managers and physicians who submitted letters of support. They described the ECM workforce as providing intensive, clinically informed case management to medically and…
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