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County leaders warn HR 1 could strip hundreds of millions from local health system

Ventura County Board of Supervisors · November 19, 2025
AI-Generated Content: All content on this page was generated by AI to highlight key points from the meeting. For complete details and context, we recommend watching the full video. so we can fix them.

Summary

Gold Coast Health Plan and county financial staff told supervisors HR 1’s Medicaid and related policy changes could put roughly $100M+ of annual revenue at risk over several years, degrading the county health system's financial position and increasing uncompensated care.

County and health‑plan leaders told the Ventura County Board of Supervisors that federal legislation branded HR 1 could sharply reduce Medicaid (Medi‑Cal) funding, imperil supplemental state‑directed hospital payments and increase uncompensated care, producing a large multi‑year fiscal shortfall for county healthcare operations.

Dr. Felix Nunez, CEO of Gold Coast Health Plan, told the board the plan provides coverage for roughly 240,000 county residents and reinvests hundreds of millions into local providers; he warned HR 1 would reduce federal…

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