Senate passes Medicaid bill risking coverage for 11 million as challenges loom in House

July 02, 2025 | San Francisco City, San Francisco County, California


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Senate passes Medicaid bill risking coverage for 11 million as challenges loom in House
The San Francisco City Council meeting held on July 2, 2025, addressed several critical issues impacting the community, particularly concerning disability rights, state budget changes, and local program updates.

The meeting commenced with a celebration of Disability Pride Month, highlighting upcoming events to honor the 35th anniversary of the Americans with Disabilities Act (ADA). The council emphasized the importance of these events in fostering community engagement and awareness.

A significant portion of the discussion focused on recent developments at the federal level regarding healthcare legislation. A newly passed bill in the Senate could potentially affect 11 million individuals, with changes to Medicaid and Medi-Cal that may lead to increased disenrollment due to stricter reenrollment requirements and work mandates. The council expressed concern over the implications for vulnerable populations, particularly in rural areas, and awaited further developments as the bill moved to the House for approval.

On the state budget front, Governor Newsom signed a budget on June 27 that included some positive adjustments for residents with unsatisfactory immigration status, reducing a proposed premium from $100 to $30 per month. Additionally, the asset limits for individuals and couples were significantly raised, allowing for greater financial stability among community members. The continuation of the Home Safe program, with $83.8 million allocated for distribution across counties, was also celebrated as a vital resource for older adults and vulnerable individuals.

The local budget process was described as challenging, with the budget and appropriations committee recently approving the budget, which will now go to the Board of Supervisors for final approval. While no staff layoffs were reported, the council acknowledged that flat funding for food programs amid rising inflation would exacerbate food insecurity in the city.

The meeting also covered updates on the conservatorship program, with discussions on the complexities involved in serving clients and the need for more resources, including additional beds for those in need. A pilot program was introduced to reserve shelter beds for clients requiring immediate conservatorship, reflecting ongoing efforts to improve service delivery.

In closing, the council highlighted various upcoming events celebrating Disability Pride Month, including a grand opening for the Disability Cultural Center and a resolution by the Board of Supervisors to commemorate the ADA anniversary. The meeting concluded with recognition of Christine Ng, an In-Home Supportive Services social worker supervisor, as the employee of the month for her dedication and leadership.

Overall, the meeting underscored the city's commitment to supporting its most vulnerable residents while navigating the challenges posed by federal and state policy changes. The council remains focused on advocating for resources and programs that enhance community well-being.

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