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Alameda County staff say SB 617 passed Senate and state budget proposals could freeze Medi-Cal enrollment for some undocumented adults

Alameda County Board of Supervisors Personnel Administration and Legislation Committee · June 2, 2025
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Summary

County legislative staff reported that SB 617 (county-sponsored) passed the Senate floor and warned that the governor's May Revision proposals could include enrollment freezes and premiums for some undocumented adults while releasing further rounds of Proposition 1 behavioral health grants.

County legislative staff told the Personnel Administration and Legislation Committee on June 2 that the state'level calendar and the governor's May Revision are shaping decisions that could affect county programs and budgets.

Jessica Blakemore, county state-legislative staff, said the June 6 house-of-origin deadline is approaching and that the county-sponsored bill SB 617 passed the Senate floor with no recorded opposition and now moves to the Assembly. She asked supervisors to expect a full "power report" table listing the county's bills and suspense-file outcomes.

Blakemore said analysts and county delegations are monitoring the governor's May Revision, and that the Legislative Analyst's Office (LAO) had been asked for a detailed analysis of proposed Medi-Cal changes, which staff and Bay Area delegations hope will include alternative cost-saving options. "They asked for comprehensive information on the potential impacts of the May Revision proposals on enrollment freezes, premiums, and service reductions," she said.

The briefing noted two specific state-level developments: the governor announced $800 million in competitive Proposition 1 behavioral health grants (a second round following an earlier $3.3 billion round 1 release) and the Little Hoover Commission examined a draft reorganization plan that would create a California housing and homelessness agency and recommended continued oversight should the reorganization proceed.

Supervisors asked whether county staff were coordinating with the Alameda Alliance for Health (the county's Medi-Cal plan provider) about potential Medi-Cal rate and enrollment changes; staff said they were working with county Health Care Services and would connect with the Alliance. Staff also said they would meet with the LAO to provide county-specific Medi-Cal impact information.

The committee received no public comments on the state update and adjourned shortly afterward.