Legislation Details

File #: 26-1620    Version: 1
Type: Appointment Status: Agenda Ready
File created: 8/17/2026 In control: Board of Supervisors
On agenda: 8/25/2026 Final action:
Title: Recommend appointment of Solano County Supervisor Cassandra James or Sonoma County Supervisor Chris Coursey to serve on the County Medical Services Program (CMSP) Governing Board with a term effective immediately following the election and expires on December 31, 2027. (No Fiscal Impact)
Attachments: 1. Letter, 2. Ballot
Date Ver.Action ByActionResultAction DetailsMeeting DetailsVideo
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TO: Board of Supervisors
FROM: Neha Hoskins, Clerk of the Board of Supervisors
REPORT BY: Neha Hoskins, Clerk of the Board of Supervisors
SUBJECT: Recommendation for Appointment to the CMSP Governing Board


RECOMMENDATION
title
Recommend appointment of Solano County Supervisor Cassandra James or Sonoma County Supervisor Chris Coursey to serve on the County Medical Services Program (CMSP) Governing Board with a term effective immediately following the election and expires on December 31, 2027. (No Fiscal Impact)
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BACKGROUND
The County Medical Services program is a joint county/state program that provides medical and dental care to individuals ages 21-64, who live in California's thirty-four rural counties. The program, created in 1983, is administered by the State Department of Health Services, Office of County Health Services. The beneficiaries of the program are "medically indigent adults" who have no other source of medical insurance. CMSP is designed to provide a safety net for individuals who otherwise could not obtain medical and dental care.

The rules for nominating and electing board members to the County Medical Services Program (CMSP) Governing Board are governed primarily by California Welfare and Institutions Code Section 16809. The statute establishes an 11-member board composed of four distinct categories of county officials, each selected by their respective peer group of officials from participating CMSP counties, convened at the call of the governing board chair. The four categories of county officials are:

1. Three county supervisors - each must be a sitting member of a county board of supervisors;
2. Three county administrative officers;
3. Two county welfare directors; and
4. Two county health officials.

All voting members must hold office or employment in a participating CMSP county, and no two persons from the same county may serve simultaneously. Members generally serve three-year terms, unless an appointment is made to...

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