A county presenter said the state is consolidating workforce boards from five to three and urged commissioners to monitor the process to ensure rural areas like Pratt County retain representation on the new boards.

County staff reported that Accomack County released a press statement opposing Verizon's plan to decommission copper service, joined by regional county associations; staff urged residents to file FCC comments where necessary, citing that some rural households rely on copper lines as a communication lifeline where broadband is not available.

FTAAC presented a provider-reimbursement proposal and roadmap to sequence transitional payment models; the commission voted to adopt the proposal, moving FTAC's work forward while FTAAC shifts focus to financing.

The board approved a $388,000 pilot to build pharmacy-based MOUD infrastructure after staff noted recent state legislation expanding pharmacists' authority; members called the project potentially scalable but flagged capacity and implementation questions.

Lake Agassiz Regional Library told the Clay County Board the system registered more than 5,000 new customers in 2026 and is asking signatories for a Laurel board 7% budget increase; Clay County's share is a 5.38% rise under a four‑year transition plan.

The commission voted to support the Office of the Insurance Commissioner’s planning study to design a primary-care financing and payment model (PMPM/common fund), with updates to the commission; Rep. Joe Schmick recorded the lone opposition.

Department staff described a three-tier American Job Center model focusing on regional hubs, comprehensive centers and outreach/virtual services, with new KPIs including rural service penetration, customer satisfaction and time-to-placement.

Public health administrator Aaron Fogerty told the county board the SunMeals summer distribution — newly sponsored by the county — reached over 600 households and more than 1,400 children across 45 ZIP codes, and prompted statewide attention and policy conversations on proxy pickup rules and rural access.

Saenz described 'all hands on deck' disaster logistics and said the food bank aims to expand mobile reach and implement a delivery/mail-distribution model within 2–3 years to serve rural and homebound residents.

DMS told PTAC it must complete an HHS/CMS-directed off-cycle provider revalidation within 24 months (by 06/06/2028) and that DME providers are categorized as high risk and will be revalidated first; DMS will accept recent CMS revalidation (within 12 months) to avoid duplicate work.

Nonprofit and private developers told the committee that a consolidated application is welcome but must be accompanied by reliable funding, simplified post‑award processes, construction financing and active preservation programs to keep existing units viable.

Members raised privacy and rural-access concerns about road usage charges, urged federal interoperability, and stressed the need to preserve a fair replacement for the gas tax. Lee Tian and Misty emphasized risks from location tracking and the limited viability of EVs in rural communities.

HCA staff told the committee HR 1 restricts states' ability to use state‑directed payments above Medicare levels and that existing arrangements will be reduced over time, an adjustment HCA estimates could affect up to $1.5 billion in hospital reimbursements statewide.

Stanislaus RTA officials told the Ceres City Council on July 13 they plan network changes — including shorter routes and new satellite hubs — to maintain coverage while cutting roughly 15% of service hours because of reduced revenue. The public comment period and board review will run through the fall.

The USDA-funded summer food program served 7,132 breakfasts and lunches combined across three sites and expanded access with a direct-ship meal-kit partnership that delivered 2,323 boxes (46,460 meals) to 1,040 addresses, with one shipment still pending and signups closing tonight.

County staff told commissioners an EMS billing specialist could increase revenue recovery over time but likely would not pay for itself in year one; staff also reported medic 6 is now staffed full-time after a recruit graduation and stationing decisions for Station 6 remain under discussion.

Lawmakers heard hours of testimony supporting House Bill 6079, which would direct auto-related sales tax receipts now routed to the general fund into the Comprehensive Transportation Fund; witnesses cited an estimated $220 million redirected and urged protections for rural transit and small businesses.