LEGISLATION COMMITTEE
Meeting Date: August 8, 2025
Subject: Health, Medicaid (Medi-Cal), and impacts from H.R. 1 and the state budget package
Submitted For: Legislation Committee
Contact: E. Struthers, 925-655-2045
Referral History:
On July 4, 2025, the federal reconciliation package (H.R. 1) was signed into law. H.R. 1 includes major fiscal and policy changes taking place over a ten-year period. Notably, H.R. 1 includes a $1 trillion cut to Medicaid (Medi-Cal, in California), which represents an estimated 14% reduction in federal support nationally to this core health program. These impacts are complex due to the various times at which different policies phase in, and the interaction between different policies, which both worsen the impacts and make it more difficult to model them.
While the federal reconciliation bill makes large changes to Medicaid policy, the FY25-26 State Budget package also includes numerous changes that impact Medi-Cal, making the policy landscape increasing complex. In Contra Costa County, Medi-Cal covers more than 28% residents, making it the primary source of health coverage for more than a quarter of our County's residents. For these reasons, understanding the major changes occurring within the Medicaid/Medi-Cal landscape are extremely important to ensuring the health and well-being of our community.
Referral Update:
Presenters invited by the County's Health Services Director will provide key policy context and information on the changes promulgated by H.R. 1 and the FY25-26 State Budget package.
Invited panelists include:
* Dr. Ori Tzvieli, Health Director and Acting CEO of Contra Costa Health
* Tracy Mendez, CEO of Aliados Health
* Rebecca Rozen, Regional Vice President of the Hospital Council Northern and Central California
Recommendation(s)/Next Step(s):
DISCUSS informational updates on Health, Medicaid (Medi-Cal), and impacts from H.R. 1 and the state budget package.
Fiscal Impact (if any):
None. Informational item onl...
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