BOARD OF SUPERVISORS - 2026-01-27
Approves Epic Electronic Health Record Phase 2 Implementation, 5-0 unanimous
What happened
The San Mateo County Board of Supervisors meeting on January 27, 2026 focused heavily on federal HR1 impacts to safety net programs, with HSA projecting $2.6M in FY26-27 costs rising to $4-12M annually, and County Health estimating $24.9M in FY26-27 losses.
- Jurisdiction
- San Mateo County, CA
- Governing body
- Final authority
- Date
- January 27, 2026
- Decisions
- 6 zoning decisions
- Outcome
- Approved, 5-0 unanimous
Meeting Summary
The San Mateo County Board of Supervisors meeting on January 27, 2026 focused heavily on federal HR1 impacts to safety net programs, with HSA projecting $2.6M in FY26-27 costs rising to $4-12M annually, and County Health estimating $24.9M in FY26-27 losses.
Key Decisions (6)
Job Order Contracts for Facilities Maintenance
Epic Electronic Health Record Phase 2 Implementation
Peregrine Technologies Law Enforcement Data Platform
Market Signals (4)
Housing Demand
Federal HR1 changes expected to increase homelessness among older adults,…
Commercial Demand
Tourism bureau reports hotels 3-4x ahead of booking pace compared…
Infrastructure
County investing $62M in facilities maintenance through job order contracts,…
Sentiment
Tourism bureau CEO reports 750,000 visitors to Filoli in 2024,…
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