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Alameda County Health lays out FY26–27 MOE: behavioral health drives majority of agency budget
Summary
Alameda County Health Director Anika Chowdhury presented a $1.369B MOE appropriation and $1.166B in revenue, with behavioral health accounting for roughly 60% of the agency’s budget; she highlighted investments in housing/homelessness coordination, HealthPAC, EPIC EHR and behavioral health bridge housing while warning of cost shifts from Prop 1 and HR1.
Anika Chowdhury, Alameda County’s Health Care Services director, told the Board of Supervisors on April 14 that the department’s FY26–27 preliminary maintenance‑of‑effort budget will propose about $1.369 billion in appropriations and roughly $1.166 billion in revenue. She said the appropriation represents a modest year‑over‑year increase but that the agency faces major programmatic pressure from rising salary and benefit costs and the loss of one‑time revenues.
Chowdhury said the behavioral health department (ACBHD) represents roughly 60% of the agency’s appropriation — about $815.8 million — and that CBO contracts make up a large share of those funds. Other major components include the…
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