"Santa Clara County has already started to feel the impacts of President Donald Trump's budget bill to the tune of $223 million this fiscal year as a result of lost federal revenues from Medicaid. It's the first wave of what is expected to be several rocky years financially for a county that operates four public hospitals and 15 clinics in the wake of Republicans' decision to slash $1 trillion from the federal Medicaid program over the next decade."
"In Santa Clara County, one in four residents rely on the publicly funded health insurance program for low-income and disabled individuals, which is known as Medi-Cal in California. While new work requirements that determine eligibility won't take effect until December 2026 a change that could result in several million state residents losing health care coverage County Executive James Williams said the county immediately felt the impact of the bill via cuts and freezes to several Medicaid-related revenue streams."
Santa Clara County already lost $223 million in federal Medicaid revenue this fiscal year after Republican-driven cuts to Medicaid. The county operates four public hospitals and 15 clinics and relies on Medi-Cal for one in four residents. New work requirements affecting eligibility begin in December 2026 and could cause millions statewide to lose coverage, but immediate impacts came from cuts and freezes to Medicaid-related payments that bridged reimbursement gaps. County Executive James Williams said supplemental payment reductions hit systems serving many Medi-Cal enrollees. County officials must identify about $200 million in health-system savings; mid-year budget actions will be decided in February.
Read at www.mercurynews.com
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