MENDOCINO CO., 1/16/26 — During the second session of the Mendocino County Health Summit organized by the county, health care administrators and professionals shared what challenges in funding and patient eligibility they are preparing to face due to the  budget cuts of the One Big Beautiful Bill Act, or H.R. 1, which President Donald Trump signed into law on  July 4, 2025. The act is expected to reduce federal Medicaid spending by more than $1 trillion over the next 10 years, according to the Congressional Budget Office. 

Governor Gavin Newsom released his proposed state budget Jan. 9, which contains more cuts and policy changes to eligibility for reimbursement and funding. Between federal and state cuts — in a county with nearly half of all residents on Medi-Cal — the prospects of non-insured patients,  overloaded emergency services and higher costs seem inevitable. It remains to be seen whether the county’s emergency services and clinics are capable of weathering the storm. And the human cost is only beginning to come into focus.