During the recent Multnomah County Board briefing on October 29, 2024, officials discussed critical issues surrounding funding and support for local nonprofit providers, particularly in the areas of mental health and addiction services. The meeting highlighted the challenges faced by these organizations in maintaining competitive wages amid rising costs and inflation.

A key point raised was the need for a broader coalition to address pay equity across the state. Multnomah County, as a single payer in a complex system, struggles to provide adequate wage increases when many nonprofit partners rely on multiple funding sources. This situation complicates their ability to set competitive wages, which is essential for attracting and retaining skilled workers in the health and human services sector.

The board emphasized the importance of continuing cost-of-living adjustments (COLAs) for nonprofit providers. In the past fiscal year, the county implemented an 8% increase for these organizations, acknowledging the financial pressures they face. However, the current fiscal year has seen a more modest 3.3% increase, which officials noted may not be sufficient to keep pace with inflation and rising operational costs.

Additionally, the Joint Office of Homeless Services presented updates on their contract rebasing efforts aimed at ensuring that existing shelter services are adequately funded. This process involves adjusting the operational budgets of programs to reflect actual costs, thereby enhancing their capacity to serve the community effectively. Currently, over $3 million has been allocated to approximately 15 different providers, with hopes to finalize negotiations soon.

The discussions at the meeting underscored the county's commitment to supporting its nonprofit partners while navigating the complexities of funding and service delivery. As Multnomah County continues to address these challenges, the outcomes of these efforts will be crucial for the well-being of residents relying on essential services.