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County projects half‑billion deficit next year and larger shortfalls to follow
Summary
County officials told the Monte Sereno council that combined federal cuts from HR 1 and related state actions could produce a roughly $513 million deficit next year and growing annual shortfalls potentially reaching about $1.4 billion by FY 2029–30, with most of the loss falling on county health services.
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During a Sept. 16 briefing to the Monte Sereno City Council, Deputy County Executive Casey Halkin presented multi‑year fiscal projections tied to HR 1, saying the county expects “a $513,000,000 deficit in next year's budget” and that the impact could more than double in subsequent years.
Halkin said the county estimates more than $1 billion in lost revenue to the county health system per year and projected an annual shortfall of roughly $1.4 billion by fiscal year 2029–30, of which she said about $1.3 billion would directly affect the county health system. She described those figures as part of the rationale for considering a temporary local sales tax measure on the November special election ballot to stabilize services.

