Central Health and Sendero officials told the court that Sendero has an upfront advance for high-risk claims and faces uncertainty around CMS risk-adjustment payments and enrollment changes after federal policy shifts; Central Health said it expects reimbursement but flagged insurer bankruptcies and external risks.

County Health and Human Services and Ascension presented a hospital-based violence intervention program (HVIP) operating at two trauma centers and requested $250,000 in ongoing county funding for FY27 to maintain peer responder services and referrals for violently injured patients.