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County officials warn federal reconciliation and state May revise could sharply cut Medi‑Cal and SNAP support
Summary
Angie Melton, a consultant with the Margolin Group, told the committee the House reconciliation bill and recent manager's amendments would accelerate Medicaid eligibility checks, cap supplemental payments and could reduce federal support for state‑only programs, creating large potential enrollment and revenue losses for Santa Clara County.
Angie Melton, a consultant with the Margolin Group, told the Santa Clara County Health and Hospital Committee that the House of Representatives passed a budget reconciliation bill that, as drafted, would substantially change Medicaid and nutrition assistance rules and could produce large coverage losses for California.
Melton said the House bill, which passed narrowly, would cap future state‑directed payments at a percentage of Medicare, prohibit new or increased provider taxes, accelerate eligibility redeterminations to every six months, and extend cost sharing for some Medicaid…
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