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County officials warn half‑trillion in proposed Medicaid cuts would hit safety‑net care
Summary
A county briefing Tuesday outlined federal and state proposals to restructure Medicaid/Medi‑Cal that officials say could remove billions in funding supporting Santa Clara County’s public hospitals and behavioral health services, potentially creating shortfalls exceeding $1 billion locally.
Santa Clara County officials warned Tuesday that emerging federal and state proposals to restructure Medicaid — known locally as Medi‑Cal — could sharply reduce funding for the county’s safety‑net health system and behavioral health programs.
The county’s federal policy consultant, Bert Magolon, told the Health & Hospital Committee that the House Energy and Commerce Committee planned a markup the week following the meeting to unveil proposals with possible Medicaid cut targets ranging from about $500 billion to $880 billion nationwide. Magolon said Republican negotiators were discussing work requirements, changes to the federal match for the ACA expansion population and “per capita cap” style limits as possible mechanisms to reduce federal spending.
County Executive James Williams and other county officials told…
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