Board of Commissioners Meeting September 16, 2026_COMPLETE

The Fulton County Board of Commissioners held their second regular meeting on September 16, 2026, addressing a range of topics including budget amendments, proclamations, and public comments. A significant portion of the meeting focused on the review and approval of the 2027 health insurance premium rates for county employees, with detailed discussions on the proposed 19.1% increase in Anthem health plan premiums. Commissioners expressed concerns about the high cost increases driven by private equity involvement, pharmaceutical expenses, and arbitration processes, debating options such as raising out-of-pocket maximums and negotiating better rates. Due to unresolved issues and the need for further data, the board approved all health insurance contracts except Anthem's, which was held for further review with a follow-up meeting scheduled for September 30, 2026. Additional procurement actions included approval of contracts for medical, pharmacy, dental, and vision plans (excluding Anthem), cooperative purchasing for fuel, and installation of gas-fired heaters. The board also approved the 2026 millage rates and discussed ethics code reforms and public comment rules. Motions related to budget allocations, contract renewals, and cooperative purchasing were passed with unanimous votes.