The session centered on the presentation of the FY27 General Fund 5-year forecast. The board discussed adjustments to interest revenue assumptions for the 2027 fiscal year, a reduction in revenue projections for recording fees, and an update regarding Business Income Tax (BIT) collection data and processing delays. The discussion also covered current inflation trends affecting Cost of Living Adjustments (COLA) for the county and a review of the remaining 2026 contingency fund balances.
Apr 22, 2026·
Enterprise
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Multnomah County Board of Commissioners Board Briefing
The board held a briefing to discuss the complexity of the Medicaid behavioral health system and to address challenges in service delivery and coordination. Key topics included the distinct roles and responsibilities of the county, state, and coordinated care organizations in managing behavioral health, the importance of fostering collaborative partnerships to serve the Medicaid population, and the fiscal realities impacting service provision. Additionally, participants reviewed recent strategic investments made in the behavioral health system, including redesigned models of care, low-barrier addiction treatment, crisis services, and electronic health record integration.
