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Santa Clara officials tell state HR 1 will hollow out Medi‑Cal and public hospitals, urge immediate backfill

Finance and Government Operations Committee, Santa Clara County · March 21, 2026
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

At a March 20 special Finance & Government Operations Committee meeting, county leaders and community providers warned that federal HR 1 will create roughly $1 billion in ongoing annual impacts to the county’s health system and urged the state to fund hospital parity, eligibility systems and workforce support to prevent service cuts.

Chair Betty Young called a special meeting to press state partners for help after federal changes known in the meeting as HR 1, which county officials said will sharply reduce Medi‑Cal and food‑assistance funding and threaten the local safety net. "We need to work together in unison and with focus to ensure the most vulnerable...aren't left to fend for themselves," Young said in opening remarks.

County Executive James Williams told the committee the county’s analysis projects more than $1,000,000,000 in ongoing annual reductions tied to the federal changes and described immediate local actions: an aggressive hiring freeze and $200,000,000 in midyear budget solutions adopted to balance the current fiscal year. Williams said the county’s top…

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