Vice chair and other supervisors told HR the rising cost of family health plans is causing hardship and may be driving staff departures; the board asked HR to monitor attrition and start earlier committee conversations on renewals.

County employees and department leaders told supervisors the benefit changes and potential out‑of‑pocket costs could discourage applicants and prompt staff to leave; speakers cited Medi‑Cal interactions and low dependent enrollment as complicating factors.

Members highlight difficulties in obtaining prior authorization for weight loss medications and seek solutions.