California State Association of Counties

The following statement in response to the Legislative Agreement (California Assembly Democrats & California Senate Democrats) can be attributed to California State Association of Counties (CSAC), Rural County Representatives of California (RCRC), Urban Counties of California (UCC), County Health Executives Association of California (CHEAC), County Medical Services Program (CMSP), California Association of Public Hospitals and Health Systems (CAPH), County Welfare Directors Association (CWDA) and County Behavioral Health Directors Association of California (CBHDA): https://www.counties.org/news-and-media-article/joint-county-family-statement-on-legislative-budget-agreement/

"Every res­id­ent in Colusa County could feel the con­sequences through longer wait times, reduced ser­vices, work­force short­ages, and dimin­ished access to care."

CSAC 2nd VP & Colusa County Supervisor Kent Boes, on local H.R. 1 impacts in the Appeal-Democrat.

Com­ment­ary: A Colusa County super­visor weighs in on how imperiled health­care access in rural Cali­for­nia could get worse because of H.R. 1 | Marysville Appeal-Democrat In Colusa County, where health­care access is already lim­ited and we rely on a single hos­pital to serve an entire region, H.R. 1 (also known as One Big Beau­ti­ful Bill) will dir­ectly determ­ine whether fam­il­ies can con­tinue to get care close to...

County leaders gathered in Kings County this week for the CSAC Regional Meeting, featuring a tour of local California High-Speed Rail construction and discussions on key regional issues.

Day Two panels explored voluntary land repurposing, water and , and achieving universal access in the San Joaquin Valley.

Thank you to our hosts, speakers, and county leaders for a productive and informative CSAC Regional Meeting!

In-Home Supportive Services offers life saving medical care for Californians.

The Governor's May Revision threatens to shift those costs to counties.

Thank you California Senate Democrats and California Assembly Democrats for rejecting these cuts. Counties need a that protects access to care.

Read more in the Los Angeles Times: https://www.latimes.com/california/story/2026-06-08/disability-rights-advocates-protest-proposed-cuts-to-in-home-support-services

CSAC CEO Graham Knaus joined the County of Butte and County of Glenn Boards of Supervisors today to recognize the accomplishments of this year's CSAC William "Bill" Chiat Institute graduates. Thank you, Butte and Glenn counties, for the warm welcome and continued partnership!

"Many Americans support efforts to rein in federal spending and restore fiscal discipline. But regardless of where you stand politically on H.R. 1, the consequences are now landing on counties." Shasta County Supervisor Matt Plummer & Trinity County Supervisor Ric Leutwyler.

Read the full article on H.R. 1 impacts in rural northern California and the unified county ask in the Shasta Scout.

Opinion: Healthcare and Food Benefits are at Risk in Rural California. Will the Governor and Legislature Act? – Shasta Scout The need for health care, behavioral health treatment, and food assistance will not disappear because federal funding drops. The burden simply shifts downstream to counties — forcing cuts to emergency rooms, food banks, sheriff’s deputies and already-overwhelmed local systems.

Joint County Family statement on today's Assembly (California Assembly Democrats) Proposal from CSAC, Rural County Representatives of California (RCRC), Urban Counties of California (UCC), County Health Executives Association of California (CHEAC), County Medical Services Program (CMSP), California Association of Public Hospitals and Health Systems (CAPH), County Welfare Directors Association (CWDA), and County Behavioral Health Directors Association of California (CBHDA).

Read the joint county family statement: https://www.counties.org/news-and-media-article/joint-county-family-statement-on-assembly-budget-proposal/

The 2026 CSAC Challenge Awards application window is now open! 🏆

Highlight the impactful work happening in your county and the teams behind it. Submit your application by September 18.

https://www.counties.org/what-we-do/challenge-awards

Happy Pride! 🏳️‍🌈 CSAC proudly celebrates and the LGBTQ+ community. This month, we honor and recognize the diversity of our members and counties across California.