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County briefed on state budget timing, SB 1400 and SB 1193, and $25 million distressed‑hospital proposal
Summary
Full Moon Strategies gave a state update to the Alameda County committee noting SB 1400 may reach the Senate floor, SB 1193 (opposed by the board) moved out of committee as amended, AB 108 would allocate $25 million for distressed hospitals, and the Legislative Analyst projects $20–30 billion in structural budget shortfalls in coming years.
Amy Costa of Full Moon Strategies briefed the Alameda County Personnel, Administration and Legislation Committee on state legislative timing and several bills on May 4, 2026.
Costa said the nonfiscal policy committee deadline had passed and attention now shifts to May 14, when appropriation suspense files will be released and the governor’s May revise is expected. "The county‑sponsored measure SB 1400 is now moving to consideration on the Senate floor," Costa said, adding Full Moon Strategies was coordinating with the author’s office. She also reported that SB 1193, a measure the board has opposed, was moved unanimously out of the Senate Local Government Committee as amended.
Costa highlighted a current‑year budget bill, AB 108, which she said is scheduled in the Senate Budget Committee and would allocate $25,000,000 in grant funding for distressed hospitals. She also summarized a Legislative Analyst’s Office report she linked for the committee: Costa said the LAO reported state spending has grown sharply since 2019 (she referenced about $100 billion in increased spending) and that the LAO projects structural deficits of roughly $20 billion to $30 billion annually over the coming years.
She warned that some of the recent revenue gains are concentrated in the technology sector and may not be sustainable. "There could be some reprieve in the budget year for certain programs. It just may not be ongoing," Costa said, urging caution as the May revise approaches.
Costa also noted that on May 6 the county’s director of Alameda County Health, Anika Chaudhry, would join an Urban County Caucus lobby day to meet the Alameda County delegation about HR 1 impacts and the May revise. Committee members asked about amendments to Senator Wahab’s bill; Costa said committee staff and the author’s office worked to change the bill’s definition of discretionary funding and that committee remarks focused on transparency.
Supervisors discussed strategies to address expected HR 1 impacts locally, including the potential use of Measure W funds for backfilling. The Alameda Health Consortium had sent a letter urging the state to protect federally qualified health centers from cuts, Costa said.
There were no public comments on the state update. The committee received the report; no votes or formal actions were taken.
