Santa Clara County leaders criticized Gov. Gavin Newsom’s May 14 budget revision as a major leadership failure. They said the proposal would add $231 million in losses to public hospitals in the upcoming fiscal year, rising to $322 million the following year, on top of funding cuts tied to President Donald Trump’s H.R. 1 spending bill. County leaders warned that public hospitals could face a double blow that threatens lifesaving care for patients without alternatives. The revision also proposed making mobile crisis response an optional Medi-Cal benefit, which would reduce reimbursements as a separate TRUST funding source expires in November. County leaders said they already made $200 million in cuts and secured voter-approved sales tax revenue to address a $787 million shortfall.
"Unless these changes are reversed, public hospitals across California will be hit with a double‑blow that puts lifesaving care at risk for patients who have nowhere else to turn."
"This cannot be California's response to the federal government ... I'm very concerned that if this is the direction the state is going - layered on top of H.R. 1 impacts - we will not be able to sustain critical services as a county organization."
"Newsom's budget proposal also deals a blow to Santa Clara County's pioneering mental health crisis response program known as Trusted Response Urgent Support Team (TRUST), which sends trained staff to mental health calls instead of police."
"The May revision proposes making mobile crisis response an optional benefit under Medi-Cal, which would reduce Medi-Cal reimbursements for the program as a separate TRUST funding source expires in November."
#california-state-budget #public-hospitals-funding #mental-health-crisis-response #medi-cal-reimbursement #santa-clara-county
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