8.11.26 Board Briefing

The Multnomah County Board of Commissioners held a virtual board briefing on August 12, 2026, focusing primarily on two major topics: the revised draft Multnomah County ambulance service plan and updates on the House Bill 402 deflection program. The ambulance service plan discussion included detailed presentations on operational standards, response times, and a proposed tiered EMS system to address staffing shortages and rising call volumes. Commissioners engaged in questions about alignment with state standards, geographic response zones, complaint processes, and procurement plans for ambulance services, with a timeline aiming for implementation by September 2028. The board also discussed the deflection program's implementation status, data on engagement and completion rates, and challenges with law enforcement referrals, emphasizing the need for expanded referral pathways and utilization plans. Additionally, the briefing covered updates on the Preschool for All program, including tax policy scenarios, demographic forecasts, and a proposed two-year delay in a scheduled tax increase to ensure program sustainability. The CFO presented proposed code changes to allow refunds for certain tax years, with formal votes on these changes scheduled for later in August. The meeting included commitments to provide detailed data responses, redlined plan updates, and further engagement with community partners and stakeholders before final decisions.