[{"_1":2,"_111":-5,"_112":-5},"loaderData",{"_3":4,"_26":27},"root",{"_5":6,"_17":10,"_18":19,"_20":21,"_22":10,"_23":-5,"_24":-5,"_25":10},"user",{"_7":8,"_9":10,"_11":10,"_12":-5,"_13":-5,"_14":15,"_16":-5},"roles",[],"isAuthenticated",false,"isPremium","planName","subscriptionStatus","featureFlags",{},"insightsBudget","isDevelopmentHost","userPreferences",{},"recaptchaSiteKey","6LcvOJcUAAAAAHsB-gPGfGktcRlKpH7OTIU_dMTD","isImpersonating","impersonation","affiliateStatus","isFreedomPortal","routes/v2/article/layout",{"_28":29,"_30":31},"notFound",true,"relatedArticles",[32,75,87,99],{"_33":34,"_35":36,"_37":38,"_39":40,"_41":42,"_43":44,"_45":46,"_47":48,"_49":50,"_51":52,"_53":54,"_55":56,"_57":58,"_59":60,"_61":62,"_63":64,"_65":66,"_67":68,"_69":70,"_71":68,"_72":73,"_74":73},"mediaId",5973005,"mediaKeyId","5834412-5cd196eab0af604ebc511439cde9f0b6","parentId",5834412,"title","Parent alleges county prosecution failures in public comment; county says law limits case disclosures","audioSeconds",398,"startMs",1059000,"endMs",1457000,"viewUrl","/Search/View?dp=1&key=5834412-5cd196eab0af604ebc511439cde9f0b6&start=1059&end=1457","thumbnailUrl","https://assets.pipeline.soar.com/5834412-5cd196eab0af604ebc511439cde9f0b6/thumbnail_1059000.jpg","articleUrl","/articles/5973005/Santa-Clara-County/California/Parent-alleges-county-prosecution-failures-in-public-comment-county-says-law-limits-case-disclosures","mediaUrl","https://secure.pipeline.soar.com/5973005-ac24d86acc204a904773d026a52cfe30/orig.mp4?Expires=1770413112&Signature=Yh-L-EJSsGIaX8DHXvcZFwZxpw0TcNxvTV17LnG39IseC4ggZ~HsoGL--~XTtoje8INfqdv42QzVrXEKHv0vaRwJZXGSp7E5R-2S8UAEsa6yvEiVrtJVg3ekwS9lhU5khBQ-wyUiU93H8T00j58rO9npDmB3AcYlg3E6LPCI88UVONDA7TqnXDkLqEt-b9zXSEz397iT4fzZeZ1eb8NmeN1RqWVVdoAbMWedY9DU3Kc0Z2LYAanfd68iVztaFPdle3I8i6CW5rMtFzsIdDLrblUIR1xwIlrpTb1LJvSetPWNS53SfxWX~0~2weSRq8OuycJ4xhHZ4O-aazCv87nZmQ__&Key-Pair-Id=KUT5TJCACFTXG","author","Santa Clara County","date","2025-09-26T19:40:56.413Z","article","A person who identified themself as a parent used the Health and Hospital Committee’s public‑comment period to allege the district attorney’s office had failed to act on child‑abuse reports and that those failures had led to further abuse. The speaker repeatedly named the county district attorney and bystanders associated with specific cases during the three‑minute comment.

County response and legal limits: county staff told the committee that state law restricts what public officials can say about particular child‑welfare investigations. “California law does prohibit disclosure of information relating to investigation of suspected child abuse and neglect,” a county staff member said, adding that child‑welfare agencies are required to cross‑report suspected abuse to law enforcement and that the county “takes all allegations of child abuse and neglect seriously and takes appropriate action.”

What the committee did: the remarks were made during the public‑comment period and did not trigger committee action. Committee members did not make factual findings about the allegations at the meeting and noted legal limits on discussing ongoing or past investigations.

Context and limitations: the allegations were made as public comment and are the speaker’s statements; they were not presented as findings by county officials. The county’s response emphasized legal confidentiality rules for child‑welfare investigations and the obligation for cross‑reporting between child welfare and law enforcement.","mediaType","Video","parentTitle","County of Santa Clara Health and Hospital Committee September 26, 2025 9:30 a.m.","oneSentenceSummary","During public comment a resident alleged the district attorney failed to report or prosecute child‑abuse allegations; county staff responded that California law restricts disclosure about specific child‑welfare investigations and that child‑welfare agencies cross‑report thoroughly.","taxTitle","Santa Clara County, California","taxId",2855,"location","headline","","shortSummary",{"_33":76,"_35":36,"_37":38,"_39":77,"_41":78,"_43":79,"_45":80,"_47":81,"_49":82,"_51":83,"_53":84,"_55":56,"_57":58,"_59":85,"_61":62,"_63":64,"_65":86,"_67":68,"_69":70,"_71":68,"_72":73,"_74":73},5973012,"County public health report shows wide health differences across Asian subgroups",941,5429000,6370000,"/Search/View?dp=1&key=5834412-5cd196eab0af604ebc511439cde9f0b6&start=5429&end=6370","https://assets.pipeline.soar.com/5834412-5cd196eab0af604ebc511439cde9f0b6/thumbnail_5429000.jpg","/articles/5973012/Santa-Clara-County/California/County-public-health-report-shows-wide-health-differences-across-Asian-subgroups","https://secure.pipeline.soar.com/5973012-f4457e741dd058566fa2d1ad05abe7dc/orig.mp4?Expires=1770413112&Signature=fsJBnSnCEPX51vuTedXap91hVdMqucQOv63821DaLbw-ntpzdBtysmvZvamQZdzoVWxlTrZnKwmwnBkgbpK5pxROmKfIk836kSK3pQdt~li1O79MGuijc4Ohm5ZdlCJQe6j6nfDKrifqhbVx6A~YKvcEvxUOguWLgXjE1tnKQqjc56DcyHK5kdCjPCJOplDCNtTrSdY2VcOdtYXsp0VIw-lT4prNltsXR-PtGtPW1wTZdFskZ4QgMZZQOwNsJMjDmojXz7j7Kg2XDvbjyu2gkAyNgiVqO~D3O5KZTupsmGbFkJLTgMn-flgWLU7MjgaQmW33eHHDsN89~gTftbAtxQ__&Key-Pair-Id=KUT5TJCACFTXG","Santa Clara County public health staff presented a disaggregated Asian and Pacific Islander health data report that finds substantial variation across Asian subgroups in education, income, mortality and life expectancy. “When we break down Asian as a whole group into its component subgroups, we note that Chinese and Asian Indians represent the largest Asian subgroups within the county,” Dr. Wayne Enenoria said, citing American Community Survey estimates.

Why it matters: county staff said treating Asians as a single aggregate masks important differences that affect public health planning and services. The report showed Chinese and Asian Indian residents are the largest subgroups by population, but Filipino and Vietnamese residents had higher all‑cause mortality and COVID‑19 death rates in 2020–2024, and life‑expectancy differences of up to seven years between subgroups.

Key findings: the presentation cited education and income gaps (example: bachelor’s‑degree attainment ranged from about 32.8% among Vietnamese residents to about 90.6% among Asian Indian residents in county data), median household income differences (the report listed Vietnamese median household income near $101,000 and Asian Indian near $231,208 in the county data excerpt) and cause‑specific death‑rate differences. The report also noted data limitations: smaller subgroups sometimes produce unstable rates and much public‑health surveillance data flows through state systems that currently lack standardized subgroup fields.

County action and constraints: staff said the county is working with the county executive’s office to inventory how race and ethnicity are collected across county agencies and to pursue improved, standardized collection where local systems allow it. The presentation noted the county recently updated its own workforce data to collect Asian subgroup and sexual‑orientation/gender‑identity information.

Committee action: the Health and Hospital Committee received the report and directed staff to continue work on data standardization and to consider programmatic implications; supervisors asked about sustaining community health worker programs that use disaggregated data to target outreach.","A new county report disaggregating Asian and Pacific Islander data shows significant differences in education, income, COVID‑19 mortality and life expectancy among Asian subgroups in Santa Clara County; officials said data gaps and state reporting systems limit some analyses.",{"_33":88,"_35":36,"_37":38,"_39":89,"_41":90,"_43":91,"_45":92,"_47":93,"_49":94,"_51":95,"_53":96,"_55":56,"_57":58,"_59":97,"_61":62,"_63":64,"_65":98,"_67":68,"_69":70,"_71":68,"_72":73,"_74":73},5973017,"County EMS review set timeline, plans RFP; pilot nurse‑navigator program to expand to dispatch centers",1435,3352000,4787000,"/Search/View?dp=1&key=5834412-5cd196eab0af604ebc511439cde9f0b6&start=3352&end=4787","https://assets.pipeline.soar.com/5834412-5cd196eab0af604ebc511439cde9f0b6/thumbnail_3352000.jpg","/articles/5973017/Santa-Clara-County/California/County-EMS-review-set-timeline-plans-RFP-pilot-nursenavigator-program-to-expand-to-dispatch-centers","https://secure.pipeline.soar.com/5973017-9877831af3453de0bda7f5f1a78dee14/orig.mp4?Expires=1770413112&Signature=oRX2jrmiZIOVPfJ9g4Zye7DlD7craZf3X2QmRQQUWrVa7of42bcKylbWebQl72MvJajieyQl~eDu2BkAZCKFpJEP9S5WjSGYFows8ZTbgYkImHhSfmsFEc6Yy0mo~TKjRpWvRdVZA95E5fUorYKwiPkU9~EFyHWqA6x-dsWv2o3XxCEMKVZGslN6wXX11mSl2-v9gfpnUBWVsWwE2fbOqmDk-35tknUWr~dYLUWephyWV38hxFd6FV99ZAb4SnOzoZnwRcar8uNe33WVVd7JwcxpUtt72KRyfIaOf7J8VY2aofjSwTotn6nUe-2JncZUd-tnOEnVBI5AdqTUnYQXTQ__&Key-Pair-Id=KUT5TJCACFTXG","County EMS leaders updated the Health and Hospital Committee on the EMS system assessment, an ambulance request‑for‑proposals process and a Nurse Navigator pilot designed to reduce unnecessary ambulance transports. “All data analysis has been submitted for analysis and completed by our consultant,” EMS Chief Nick Clay said, describing data collection and the next community engagement steps.

Why it matters: the county’s ambulance contract expires in December with unilateral option years available; a competitive procurement is planned but dependent on state review and forthcoming state regulations. Clay said the RFP must be submitted to the state for review in mid‑2026; the county expects a state review period and a multi‑year timeline that could lead to a new contract and an implementation date around 2029 for any new provider.

Assessment and RFP timeline: Clay said the county’s consultant, AP Triton, will deliver ambulance delivery models after community and stakeholder surveys. The county asked supervisors for input on groups to include in outreach and said the draft assessment should be available for local review by year end.

State regulation gaps: supervisors expressed concern that the state has not finalized key regulations in the ambulance/EMS chapter. Committee members and staff described a prolonged regulatory vacuum that has spawned litigation and inconsistent approaches across California. One supervisor asked staff to engage the county’s intergovernmental relations team and legislators about the need for clear state rules.

Nurse Navigator and operations: the committee heard results from a Nurse Navigator pilot that began in November; Clay summarized how it works: at low‑acuity 911 calls dispatchers offer a nurse consultation, the nurse asks questions and can recommend at‑home care, clinic referral, pharmacy pickup or nonemergency transport. “The total time on task for this from the moment the 911 call is answered to the nurse navigation disposition is about 10 minutes,” Clay said. The pilot covered roughly 1% of calls in the test area and identified operational, training and data gaps; Clay said countywide deployment could reduce system costs and free ambulances for higher‑acuity calls.

Computer‑aided dispatch overlay and data: EMS staff told the committee they will deploy an overlay system (Marvelous) to the county CAD to improve ambulance placement, unit recommendations and data reporting. The county anticipates fuller Marvelous deployment in November and said richer data feeds will support future RFP design and performance monitoring.

Committee action: the committee received the EMS assessment and RFP update and the annual EMS and quality reports (items 6–8) and voted to receive the reports. Vice Chairperson Abe Koga and Chairperson Lee both voted yes.","Santa Clara County EMS staff told supervisors the ambulance‑services request for proposals remains on a multiyear timeline and depends on state review; the county will expand a Nurse Navigator pilot and deploy a new ambulance‑management overlay (Marvelous) to increase ambulance availability.",{"_33":100,"_35":36,"_37":38,"_39":101,"_41":102,"_43":103,"_45":104,"_47":105,"_49":106,"_51":107,"_53":108,"_55":56,"_57":58,"_59":109,"_61":62,"_63":64,"_65":110,"_67":68,"_69":70,"_71":68,"_72":73,"_74":73},5973023,"County officials warn federal budget standoff could raise premiums and shrink coverage; state action preserves vaccine access",6340,1456000,7796000,"/Search/View?dp=1&key=5834412-5cd196eab0af604ebc511439cde9f0b6&start=1456&end=7796","https://assets.pipeline.soar.com/5834412-5cd196eab0af604ebc511439cde9f0b6/thumbnail_1456000.jpg","/articles/5973023/Santa-Clara-County/California/County-officials-warn-federal-budget-standoff-could-raise-premiums-and-shrink-coverage-state-action-preserves-vaccine-access","https://secure.pipeline.soar.com/5973023-123786305e2d947ace593bdcc1284dca/orig.mp4?Expires=1770413112&Signature=N3rj7K2pOkUz8CoadEH3pYvsnPrVt15kC-04uyBATqa-lFy7CLmAQQ6TK6RyN28JVlFgU1fEImYPGsiM56bVNgiB0EyezuQHM3Q4u94TZiV1YToaQeuc0nVYT2NnrnT5CGM5zBC~l314X~kivzcGmISoAzmVd1B4mqDUyIrjhHigYRrQkMAkd3kF1YZU0k6GzNzkuLIkAIxq6Kt~b02FcWwbUqFZtCDl0Tt0QQJpjTqSy3wn0jwUl4t8Lghk6xQW6cnhrFpnP6uZyyA~TGctQtPNW~V9zh1Z~solr-wodMP2JT1nDEhVMjOh59ZtEpYWxWLf~ofFbywl4msDDCCnbg__&Key-Pair-Id=KUT5TJCACFTXG","Santa Clara County health staff told the Health and Hospital Committee that a likely federal budget showdown and provisions in HR 1 could sharply raise premiums for people who buy insurance on the health exchanges and increase the number of uninsured. “The biggest issue before the congress and really the only issue before the congress right now is the prospect of a government shutdown next week,” policy consultant Bert Margolin said during the committee’s presentation.

Why it matters: committee members were warned that two federal actions in particular — proposed Medicaid reductions in HR 1 and expiration of enhanced premium tax credits — would have immediate and widespread effects on county health systems and patients. “More than 20,000,000 Americans will face these higher premiums next year,” Margolin said, citing analyses of the premium-tax-credit changes, and he quoted the Kaiser Family Foundation’s estimate that premiums could rise about 75 percent on average if the credits expire.

Margolin outlined the two baskets of Democratic demands in Congress: reversal of Medicaid cuts in HR 1 and extension of the enhanced premium tax credits that currently lower exchange premiums. He said Democrats are pushing the issue to highlight harm from the cuts, and that the tax-credit question has cross‑party interest because the credits boosted enrollment even in many red states. “These credits are given credit for double the enrollment in the exchanges, since 2020,” Margolin said.

County staff also flagged other federal risks: potential disruption to telehealth reimbursement and the role of Office of Management and Budget guidance during a shutdown. “There is an argument that if there’s a government shutdown, those telehealth visits would not be reimbursable,” Margolin said, adding that county leaders are watching that issue closely.

Health‑system and vaccine access: committee members also heard a separate briefing from county public health officials about federal vaccine-advisory actions and how state and county steps are preserving access locally. The county’s public health official said California enacted trailer‑bill language ensuring that, in the state, “anyone 6 months and older is able to get the updated vaccine this season,” and that state policy requires insurers regulated by California to cover COVID vaccine for eligible people.

“There is no link between autism and vaccines,” the county health official said in response to recent federal statements that generated public confusion. The official added that the county will continue to offer COVID‑19 and influenza vaccines and is working with health systems and pharmacies to expand access as supply arrives.

What the committee did: the Health and Hospital Committee received the federal/state policy briefing; supervisors asked county staff to continue tracking federal negotiations, telehealth reimbursement, DSH (disproportionate share hospital) deferrals, and to brief the board as needed.

County context and next steps: presenters said a shutdown is possible and that the timing and duration are uncertain. Margolin and county staff urged monitoring for immediate operational impacts (telehealth payments, federal staff designations) and the longer-term fiscal risk from reduced federal support. The county is also coordinating with hospital partners to model local impacts and to protect vaccine access through state mechanisms.","Presenters told the Health and Hospital Committee the pending federal budget fight, including cuts in HR 1 and a likely shutdown, could sharply raise health insurance premiums and reduce coverage. County and state actions aim to blunt vaccine access disruptions after confusing federal vaccine guidance.","actionData","errors"]

Article not found

Parent alleges county prosecution failures in public comment; county says law limits case disclosures

County public health report shows wide health differences across Asian subgroups

County EMS review set timeline, plans RFP; pilot nurse‑navigator program to expand to dispatch centers

County officials warn federal budget standoff could raise premiums and shrink coverage; state action preserves vaccine access