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Tahoe Forest to launch trial-of-labor-after-cesarean this fall; CEO highlights growth, cybersecurity and federal funding risks
Summary
At a July board meeting, Tahoe Forest Hospital District previewed a planned fall launch of trial of labor after cesarean (TOLAC/VBAC), reported large outpatient growth and flagged cybersecurity threats and pending federal Medicaid changes that could affect rural partners.
Tahoe Forest Hospital District officials told the board during a CEO update that the health system plans to begin offering trial of labor after cesarean (TOLAC, often called VBAC) this fall and that the program will be rolled out only after final logistical checks and staffing confirmations.
The announcement came as Anna Roth, president and CEO of Tahoe Forest Health System, summarized systemwide performance and strategic work. "We're working on these areas and...we're bringing it or calling it the true north initiative," Roth said, describing a multi‑year effort to strengthen care, improve access and optimize operations across the region.
Why it matters: TOLAC availability affects birthing options for people who previously had a cesarean and can reduce the need to travel to other facilities. The CEO update also framed several near‑term policy and financial changes—disproportionate share…
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