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DAS director warns federal Medicaid changes could increase local demand; state budget preserves HomeSafe funding
Summary
Executive Director Kelly Dearman told the DAS commission that pending federal Medicaid changes and the state's 2025 budget will affect San Francisco older adults and vulnerable residents; the state budget preserved an $83.8 million HomeSafe allocation but local budgets remain tight.
SAN FRANCISCO — Kelly Dearman, executive director of the San Francisco Department of Disability and Aging Services (DAS), told the commission on July 2 that national and state budget developments could significantly affect older adults and adults with disabilities in the city.
Dearman said a large federal bill that passed the Senate and was headed back to the U.S. House could lead to changes in Medicaid (Medi‑Cal) enrollment rules and work requirements that she said “could mean 11,000,000 people could lose coverage” under the current draft language. She cautioned that the commission does not yet know local numbers but said the change to a six‑month reenrollment cycle and work requirements could produce administrative churn and more people seeking local services.
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