Concerns over hospital closures in California took center stage during the Santa Clara County Health and Hospital Committee meeting on September 26, 2025. The committee highlighted the alarming trend of hospital shutdowns linked to HR 1, with at least three hospitals—Glenn County, Inyo County, and Hazel Hawkins Hospital in San Benito County—facing imminent closure.

The implications of HR 1 are already being felt across the state, prompting discussions about potential actions in the upcoming 2026 elections. The committee noted that while cities may not experience direct impacts from HR 1, the financial strain on hospitals is significant. Los Angeles County has projected a staggering $1.85 billion revenue loss due to the legislation, aligning with the fiscal challenges anticipated in Santa Clara County.

Committee members expressed concern about the ripple effects of these closures, particularly on nearby facilities like St. Louis Hospital, which may see an influx of patients from affected areas. Plans for further discussions on how to bolster St. Louis's capabilities to handle this potential increase in demand were suggested, with an off-agenda report expected to provide more insights into the anticipated impacts.

As the situation develops, the committee remains vigilant, recognizing the urgent need for strategic planning to address the healthcare landscape in the wake of these closures.