At the Dec. 3 meeting, Fulton County commissioners approved a slate of administrative and operational renewals and procurement items. Key items passed unanimously included:

- Registration & Elections: renewal for ballot printing in the amount of $260,460 (motion passed) (SEG 2123-2132).
- Information Technology / AV: renewal for countywide audiovisual services and systems in an amount not to exceed $1,606,890.48 after staff explained refresh and support needs (SEG 2133-2150).
- External Affairs: renewal of communications and engagement services in an amount not to exceed $407,875 (discussion about digital strategy and print volumes occurred) (SEG 2205-2234; 2553-2562). The motion passed; commission discussed digital outreach, production and distribution plans.
- Behavioral Health: renewals comprising the Fulton County Behavioral Health Network totaling $15,861,360 (approved unanimously) (SEG 2769-3464).
- Sheriff / Inmate Medical Services: renewal of the NaphCare inmate medical services contract in a total not to exceed amount of $45,121,149.72 (including an estimated $6.6M medical pass‑through), with staff noting rebid planning for 2027–2028 (SEG 3465-3610). The board approved the renewal and discussed the need to review and update RFP language in light of consent‑decree obligations.

Other consent approvals included facility maintenance contracts for county buildings and jails, senior in‑home services renewals, and temporary staffing approvals for registration and elections. Commissioners asked procurement and department staff for more detailed project lists, reporting cadence, and vendor performance metrics in follow‑up discussions.