Santa Clara County is on the edge of a financial cliff due to devastating federal and state cuts to its health care and safety net services. If the county falters, San Jose won’t be left unscathed.
All 15 municipalities in the county will feel the impact of $1.4 billion in federal cuts to Medi-Cal through 2030, with one in four of the county’s nearly 2 million residents enrolled in the insurance program. But no city will feel it more than San Jose, which claims the lion’s share of the county’s services due to its sheer size.
The ripple effect will be severe starting in 2026-27. The county will need to pull general fund dollars to cover hospital services. By doing so there will be less money available for other services and programs…