Last year, $418 million was spent across Sacramento County in an effort to solve the homeless crisis.
McCarty and the city council met jointly with the entire county Board of Supervisors and five other city mayors to help find better ways to get people off the streets.
The public hearing featured a series of presentations from homeless program coordinators and law enforcement.
"We've done a lot and put a lot of money into the homelessness issue and the needle hasn't changed a lot," Sacramento County Sheriff Jim Cooper said.
"We have been able to build relationships with folks and our navigation team has a better than 70% success rate at getting folks to accept shelter when they are living outdoors," said Sarah Bontrager, Elk Grove's housing services manager.
Sacramento County District Attorney Thien Ho said it's now turned into a criminal hotspot.
The conversations are taking place at a time when there's uncertainty over future funding.
After hours of testimony, there was no official action taken, but many elected leaders are pledging to work more closely with each other.
"This has to be our number one priority, regardless of what city you live in," Guerra said.
"It's not compassionate to let people die on the streets," Ho said. "It's not compassionate to let the community suffer with encampments."
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