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County officials warn HR1 Medicaid and SNAP cuts could strip more than $1 billion from Santa Clara County health system; Measure A pitched as partial fix

Los Gatos Town Council · September 16, 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

County officials told the Los Gatos Town Council that HR1's Medicaid and CalFresh changes will deeply cut county health-system revenue and eligibility, projecting immediate local shortfalls and urging partnership (including a proposed temporary 58-cent county sales tax, Measure A) to preserve trauma and emergency services.

Santa Clara County representatives told the Los Gatos Town Council on Sept. 16 that the federal budget law known as HR1 will sharply reduce Medicaid (Medical) and SNAP (CalFresh) funding, threatening local hospital services and programs.

Marico Saiak, chief of staff to Supervisor Margaret Abbyoka, and Brian Darrow of the county executive's office said HR1 makes two types of cuts that hit county-operated hospitals hard: reductions in direct supplemental payments to Medicaid providers and changes to eligibility (work-reporting requirements and more frequent renewals) that are projected to push many residents off coverage. Darrow said county analysis anticipates a multi-hundred-million-dollar shortfall in the near term and more than $1 billion in annualized…

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