Counties Warn: Decade‑old Realignment and AB 85 Changes Left Indigent Care Fragile
County officials told legislators that 1991 realignment and AB 85 redirections left local indigent programs underfunded and administratively uneven; many counties lack clinics or hospitals and cannot scale quickly without state help and a technical AB 85 correction.
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County witnesses and associations told the panel that structural changes over decades — 1991 realignment, AB 85 funding redirections and Medi‑Cal expansion — left county indigent care programs diminished or dormant and that restoring capacity will require statutory fixes and state partnership.
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