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State’s HR 1 award aims to expand rural crisis services; Spokane region evaluates mobile crisis readiness

Spokane Behavioral Health Advisory Board · July 29, 2026
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Summary

Spokane staff reported Washington received a $181 million HR 1 cooperative agreement for rural health transformation; the region is assessing mobile crisis expansion and workforce readiness in five largely rural counties.

Ashley reported the state applied for and received an HR 1 cooperative agreement for a five-year rural health transformation effort and cited a period-1 award of "$181,000,000" to support initiatives including behavioral health system expansion. She said the state and regional partners will prioritize workforce and sustainability while piloting mobile crisis expansion in counties that qualify as rural within the region.

Spokane’s BHASO and crisis providers are evaluating where mobile crisis expansion is feasible; Ashley said the region is initially focusing on New Alliance Behavioral Health (Stevens, Ferry, Lincoln counties) and Pend Oreille County Counseling, while Adams County has recently expanded capacity. The regional team will continue planning with the state and anticipates more formal plans by October–November ahead of the federal fiscal year.