Request approval of a Resolution to support the growth and long-term sustainability of… conditional use permit
Case 26-0170
Approved 6-0ZoneWire called it
freeApproved 6-0
Fulton County Meetings
Board of Commissioners, March 18, 2026
Approves Resolution to advance Phase 3 of Project CARE - new South Fulton hospital, 6-0
5h 34m41,695 words
26 mentionsmotion to approveapprovedFulton County, GA
Just researching this meeting? Get free Fulton County alerts
What happened
The Fulton County Board of Commissioners approved a resolution (item 26-0156) expressing its intent to advance Phase 3 of Project CARE — a $900 million, 200-bed acute care hospital in Union City/South Fulton, funded $300M county bonds, $300M Grady philanthropy, and $300M Grady de…
Meeting key facts
- Jurisdiction
- Fulton County, GA
- Governing body
- Final authority
- Date
- March 18, 2026
- Decisions
- 22 zoning decisions
- Outcome
- Approved, 6-0
Free sample: decision 1 of 22
Resolution to advance Phase 3 of Project CARE - new South Fulton hospital
Board expressed intent to advance Phase 3 of Project CARE, a $900M, 200-bed (expandable to 400) acute care hospital in Union City/South Fulton, funded $300M county bonds, $300M Grady philanthropy, $300M Grady debt; total ~$1B with medical office building and freestanding ED. Cost overruns to be borne by Grady. Amended to require use of Morehouse School of Medicine and Emory residents/fellows/trainees. Passed 6-0.
- Clinical operations shall incorporate and utilize residents, fellows and trainees from Morehouse School of Medicine graduate medical education programs and Emory
- cost overruns borne by Grady
- authorizes county manager to begin negotiations with Grady and Fulton DeKalb Hospital Authority
The other decisions are listed below by title. The full write-up, verbatim conditions, and the audio at each vote are in Pro.
Meeting Summary
The Fulton County Board of Commissioners approved a resolution (item 26-0156) expressing its intent to advance Phase 3 of Project CARE — a $900 million, 200-bed acute care hospital in Union City/South Fulton, funded $300M county bonds, $300M Grady philanthropy, and $300M Grady de…
Key Decisions (22)
Approved
Resolution to advance Phase 3 of Project CARE - new South Fulton hospital
Vote: 6-0Conditions attached
Other
MARTA quarterly briefing
Approved
IT services contract from executive session
Vote: 5-0
Approved
Request for representation - executive session item six
Vote: 5-0
Approved
Request for representation - executive session item seven
Vote: 5-0
Denied
Request for representation - executive session item eight
Vote: 3-0 (failed)
Approved
Settlement participation agreement - executive session item nine
Vote: 5-0
Other
County operational report presentation
Approved
Issuance of general fund tax anticipation notes
Vote: 6-0
Approved
Equalize 2026 pensioner cost of living adjustment
Vote: 6-0
Approved
Extend ERP software upgrade contract
Vote: 6-0
Approved
Extend contract for computing devices
Vote: 6-0
Approved
Bear Creek Nature Center funding contract
Vote: 6-0
Approved
Arts and culture funding contracts (Chattahoochee Nature Center, Hammonds House, National Black Arts Festival, Art Center)
Vote: 6-0
Approved
Standby water system construction services contract
Vote: 6-0
Approved
North Fulton wastewater O&M contract extension
Vote: 6-0Conditions attached
Approved
Medical examiner remains pickup contract
Vote: 6-0
Tabled
Voter identification public education resolution
Approved
Small business support resolution for South Downtown / World Cup
Vote: 6-0
Tabled
Atlanta Volunteer Lawyers Foundation appropriation
Vote: 5-0 (motion to hold)
Other
2026 legislative session update
Approved
District 4 board appointments to fill vacancy
Vote: 4-0Conditions attached
Development Activity (10)
South Fulton / Union City Acute Care Hospital (Project CARE Phase 3)
Infrastructure
South Fulton Freestanding Emergency Department (Project CARE Phase 1)
Infrastructure
South Fulton Medical Office Building (Project CARE Phase 2)
Commercial
Market Signals (5)
Infrastructure
MARTA is advancing multiple BRT and rail corridor projects (Rapid…
Commercial Demand
South Downtown Atlanta storefronts remain vacant, prompting a county-funded pop-up…
Infrastructure
Fulton County is investing ~$1B (with Grady) to build a…
Who Spoke (58)
ChairCommissioner · 5Staff · 5Witness · 4Public · 15
On the record: the chair, 5 commissioners, 5 staff members, 4 witnesses, and 15 members of the public.
Agenda scorecard
Our pre-meeting forecast, graded against the recorded voteZoneWire called 1 of 1 land-use forecast on this agenda.
Request approval of Sanitary Sewer System Ownership, Operation, Maintenance, and Repair… subdivision
Case 26-0136
No vote recorded
2260 Old Milton Parkway subdivision
Case 26-0137
No vote recorded
Ono Road subdivision
Case 26-0138
No vote recorded
1580 Mayfield Road subdivision
Case 26-0139
No vote recorded
1580 Mayfield Road subdivision
Case 26-0140
No vote recorded
6000 Jones Road subdivision
Case 26-0141
No vote recorded
Request approval of an Indemnification, Maintenance, and Land Use Agreement for Private… subdivision
Case 26-0142
No vote recorded
More land-use items (2)
2 items with no recorded vote on this agenda
- 5555 Windward Parkway subdivisionCase 26-0143No vote recorded
- 5555 Windward Parkway subdivisionCase 26-0144No vote recorded
Meeting Intelligence Preview
Ask this meeting anything
Ask who voted, what conditions passed, and what staff recommended for "Board of Commissioners - 2026-03-18", with every answer cited to the transcript. Included with Pro.
Learn about Meeting Q&AGet every Fulton County meeting with full decisions, votes, and zoning details, within hours of each session.
Unlock every Fulton County, GA decision, vote, and analysis
7-day free trial. Cancel anytime.
Just want to know when new Fulton County meetings are posted? Get free email alerts below.
Follow Fulton County
Get the agenda when a meeting is posted, plus decision and analysis alerts.
We'll email you an activation link — one click, no password, unsubscribe anytime.
or