Overview: In a recent meeting of the Clay County Board of Commissioners, discussions focused on the impending financial challenges posed by changes to long-term services and supports (LTSS) spending. The state legislature has introduced a contingent county cost share, set to begin on July 1, 2027, with an expected 5% share. This initiative is a response to rapidly increasing expenditures in disability waiver residential services. The board expressed concerns about the likelihood of receiving necessary legislative and federal approvals for the LTSS advisory council’s recommendations before the cost share takes effect. These uncertainties complicate the . . .