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County Supervisors Will Consider Reforming Medical Payment System As Cuts Loom – Patch

County Supervisors Will Consider Reforming Medical Payment System As Cuts Loom  Patch Changes under the Trump administration are projected to cause 68,761 San Diegans to lose Medi-Cal coverage. SAN DIEGO, CA — County supervisors Monday unveiled a reform plan…
One Place News   •   October 27, 2026   •   Updated October 27, 2026
County Supervisors Will Consider Reforming Medical Payment System As Cuts Loom – Patch

County Supervisors Will Consider Reforming Medical Payment System As Cuts Loom  Patch

Changes under the Trump administration are projected to cause 68,761 San Diegans to lose Medi-Cal coverage. SAN DIEGO, CA — County supervisors Monday unveiled a reform plan intended to keep more than 120,000 San Diegans from losing Medi-Cal coverage when program requirements change. Board Chair Terra Lawson-Remer and Vice Chair Monica Montgomery Steppe will present the reforms during Tuesday's Board of Supervisors meeting. The proposals follow recommendations from county staff after a March vote and are intended to modernize County Medical Services by removing barriers to health care, including property liens, credit checks, reimbursement agreements, some in-person appointments and red tape. "County Medical Services is supposed to help people who have nowhere else to turn, but some of its requirements have made getting care unnecessarily difficult," Montgomery Steppe said.

"These reforms are an important step toward making health care more accessible, and we know there is more work ahead as federal changes threaten coverage for thousands of San Diegans." Changes under the Trump administration are projected to cause 68,761 San Diegans to lose Medi-Cal coverage because of new federal work requirements. Another 67,630 people currently receiving full-scope Medi-Cal are projected to lose that coverage because of immigration eligibility changes, according to a statement from the supervisors. "San Diego County must be prepared now to protect our health care system from

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