"Editor Moryt Milo, who moderated the Sept. 17 State of Health Care in Silicon Valley event, questioned panelists on the ramifications of $1 billion in federal Medicaid revenue cuts slated to hit the county's public health care system, and their plans to tackle an estimated total $4.4 billion revenue drop through fiscal year 2029-30. These cuts are the result of federal slashes under President Donald Trump's watershed budget bill H.R. 1."
"The panelists addressing the problem included Santa Clara Valley Healthcare CEO Paul Lorenz; Santa Clara County Behavioral Health Services Department Deputy Director Megan Wheelehan; Rachel Ruiz, Valley Physicians Group chair and pediatric gastroenterologist; Dolores Alvarado, Community Health Partnership CEO; and Pattie Beebe, a Santa Clara Valley Medical Center general staff developer and representative of the Registered Nurse Professionals Association. Panelists said the legislation, also known as the One Big Beautiful Bill Act, will ravage the second biggest county-owned, public hospital system in the state, which encompasses four hospitals and 15 health clinics. Lorenz said the cuts will affect one in four residents who rely on Medicaid countywide, known as Medi-Cal in California."
Santa Clara County faces $1 billion in federal Medicaid revenue cuts that contribute to an estimated $4.4 billion revenue shortfall through fiscal year 2029-30 under H.R. 1. The county-owned public hospital system serves one in four residents through Medi-Cal and comprises four hospitals and 15 clinics as the state's second-largest county-owned system. Measure A, a five-eighths cent sales tax increase on the Nov. 4 ballot, is projected to generate $330 million annually, covering roughly one-third of the anticipated gap. Even if Measure A passes, additional cuts and reorganization will be required as the system risks losing nearly a quarter of its $4.6 billion annual budget.
Read at San Jose Spotlight
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