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County officials warn proposed federal budget changes could threaten Medi‑Cal funding and hospital supplemental payments
Summary
County staff and policy advisers told the Health and Hospital Committee that several possible federal actions — changes to FMAP, eligibility barriers, and cuts to supplemental payments such as DSH — could significantly reduce funding for county health, and that timing and outcomes remain highly uncertain.
County policy staff and health system leaders briefed the Health and Hospital Committee on federal budget activity and said proposed measures in Washington could put significant parts of the county’s Medi‑Cal funding at risk.
Bert, the county’s federal/state policy adviser, explained that House and Senate budget resolutions currently diverge: the House resolution would create a pathway for large savings that are likely to affect Medicaid, while the Senate resolution does not include Medicaid cuts. He warned that the reconciliation process could take months and that December 31 remains the hard deadline if Congress intends to extend tax provisions tied to the…
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