AOC Participates in Governor’s Transportation Funding Workgroup

AOC Participates in Governor’s Transportation Funding Workgroup

On Friday, May 1, Gov. Kotek’s Rebuilding Our Transportation Vision Workgroup convened in Salem for its first meeting. Kotek appointed Umatilla County Commissioner Dan Dorran, who serves as the Co-Chair of the Association of Oregon Counties (AOC) Transportation and Community Development Steering Committee, to represent the association on her Workgroup.

The Workgroup is charged with developing a report to the governor and a framework for a comprehensive transportation package for consideration during the 2027 legislative session.

AOC staff joined representatives from the Oregon Department of Transportation and League of Oregon Cities at the kick-off meeting for a joint presentation and question and answer session on the condition of the state and local transportation system.  

All meetings will be streamed live on Oregon Department of Transportation’s YouTube page and recordings will be posted on the Workgroup home page. More details on the first meeting and a link to sign up for notifications about future meetings are available in this press release from the governor’s office. 

County commissioners, OACES members, and AOC staff will engage directly in this process. They will contribute through the workgroup and the technical advisory subgroups, which are tasked with informing the workgroup and, ultimately, crafting the report to the governor. AOC will provide regular updates at their Transportation and Community Development Steering Committee meetings and OACES meetings. 

Contributed by: Mallorie Roberts |  Legislative Affairs Director

Celebrating Oregon Counties

Celebrating Oregon Counties

National County Government Month, held annually in April, provides an opportunity to recognize the vital work of counties. As part of this celebration, the Association of Oregon Counties (AOC) launched a social media campaign spotlighting the critical services that counties provide to their residents. Over the course of the month, we highlighted several core services counties deliver, including:

  • Managing 62% of the state’s non-federal public road system
  • Operating recycling programs and educating residents and businesses about waste reduction
  • Protecting our residents and communities by administering immunizations, managing communicable diseases, providing behavioral health and substance use services, and supporting first-time mothers
  • Ensuring the accuracy and integrity of our democracy by maintaining ассurаtе vоtеr rеgіstrаtіоn records and ensuring thаt аll eligible voters аrе registered, preparing and mailing ballots, and collecting and counting all votes
  • Operating and maintaining county detention and court facilities and responding to disasters and emergencies

Thank you to members who joined this year’s celebration and engaged with our social media content. Your collaboration helps improve the public’s understanding of the value of county government and the essential services it provides. We also would like to extend our sincere gratitude to all our members and county staff for the critical work you perform every day. 

Although National County Government Month has come to a close, we are committed to highlighting the vital role counties play in shaping healthy, vibrant, and safe communities across Oregon. Moving forward, we will continue this effort by advocating for county interests, communicating their impact, and educating the public and our members on the crucial work counties perform.

Want to help elevate the important work happening in all 36 counties? Below are some helpful resources for counties to use in your storytelling efforts.  

In addition, the National Association of Counties offers tools to help counties communicate the importance of county government.

  • “We Are Counties” Campaign
    • A three-year campaign to highlight the role counties play across every part of community life. NACo’s participation toolkit features ready-to-use “Did you know” graphics, sample social media posts, press release templates, and more.
  • County Explorer Data
    • An interactive mapping tool featuring the latest available data for all 3,069 U.S. counties across 14 categories, more than 100 datasets, over 1,000 indicators and more than 10 types of county and state profiles.
  • County Governance Project
    • A comprehensive guide to county government structure, authority, services and finances. Dig into individualized state profiles and the national database to learn about the intricacies of county governance by state, share information with policymakers and educate the public on the importance of counties.
  • County Landscape Project
    • Whether examining the organizational structures, financial frameworks, services or intergovernmental roles of counties, the project serves as a critical reference for understanding county government at its core.
  • Counties Work Educational Game and Curriculum
    • NACo, together with iCivics, has created an online game and curriculum to educate students grade levels 6-12 about the important role and functions of county government.

Contributed by: Erin Good | Communications Coordinator

Rural Health, Medicaid, and Other Health and Human Services Updates

Rural Health, Medicaid, and Other Health and Human Services Updates

In case you missed it: April 17 Local Government Advisory Committee (LGAC) on Health and Human Services (Meeting recording; Chat transcript)

Rural Health Initiatives; Catalyst Grant Applications Due May 26

The Office of Rural Health kicked off the April 17 LGAC meeting with an update on Emergency Medical Service (EMS) Workforce Recruitment and Retention/Mobile Integrated Health Programs in Rural Communities. Oregon’s 2024-2029 federal grant provides annual scholarships for EMS education, barrier removal for students, billing and coding workshops, leadership training, and other workforce development and retention costs. A new four-year ($250,000/year) Health Resources and Services Administration (HRSA) grant will support the Rural Oregon Mobile Integrated Health Program consortium, including technical assistance to expand mobile integrated service capacity to more rural communities. 

The Oregon Health Authority (OHA) provided an update on the rollout of the Rural Health Transformation Program (RHTP) which is slated to receive about $200 million in federal grant funds per year for the next five years. “Rural” is defined as “outside a 10-mile radius of a 40,000+ population center.”  

Of note for counties, up to 80 competitive Phase I (FY 2026-2027) “Catalyst” grants will be awarded this summer, ranging from $200,000 to $499,000. Applications are due May 26 at 3 p.m. PST. Additionally, the Conference of Local Health Officials this month approved a carve out in the RHTP for local public health programs to support rural health transformation program goals.

2026 Legislative Session Debriefs with ODHS and OHA

Agency staff provided post-session summaries from the Oregon Health Authority and the Oregon Department of Human Services.

Oregon Medicaid Benefits and Payments Reform 

Dr. Bruce Goldberg provided an update on the governor’s Medicaid sustainability workgroup. The workgroup is currently deliberating toward a set of recommendations to mitigate the destabilizing effects of H.R.1 on Medicaid enrollment and funding, including an estimated loss of $3.4 billion in federal funds in the 2027-2029 biennium. Goldberg noted that the starting principle is to maintain enrollment, which means the remaining levers for closing the funding gap are benefits and provider payments. Ideas under consideration include strategic investments in housing to lower hospital utilization and cost containment via reduction of administrative burden. 

The workgroup has identified cost drivers to be increased hospital and drug prices and increased utilization of behavioral health services, though a more precise analysis of the behavioral health utilization by provider type (out-of-state telehealth, in-state private providers, and community mental health program services, etc.) is needed. Community mental health program directors offered solutions, including greater capitalization on Certified Community Behavioral Health Clinics for enhanced funding and cost containment, reduction of administrative burden to increase local service capacity and correcting OHA’s interpretation of the federal Institution for Mental Diseases (IMD) exclusion which is currently leading to treatment facility closure and preventing newly funded facilities from opening.

Workgroup members include hospitals, Federally Qualified Health Centers, Coordinated Care Organizations, physician and labor representatives, but no representatives from a local mental health authority or a local public health authority. This is surprising in light of the crucial role that community mental health programs and local public health programs play in bending the state’s health care cost curve and serving the most at risk Oregonians. 

A public comment period will open after the final report is submitted to the governor in June, with the stated purpose of informing the governor’s recommended budget. LGAC is slated to invite the governor’s staff to its July 24 meeting to provide local system partner perspectives and recommendations on that work.

Upcoming Topics for Spring and Summer LGAC Meetings

Also slated for this spring and summer at the LGAC are discussions with the Department of Housing and Community Services on housing and homeless services programs coordination and operations, with the ODHS Office of Resilience and Emergency Management on preparation for the upcoming wildfire season, with OHA and ODHS on operationalizing new Medicaid eligibility requirements, and with OHA on the future of Public Health Modernization and coordinated communicable disease prevention and response.

Contributed by: Jessica Pratt | Legislative Affairs Manager