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Homeless Count Sees 26 Percent Drop from a Year Ago
30 Jun 2025Share Homeless Count Sees 26 Percent Drop from a Year Ago on Facebook Share Homeless Count Sees 26 Percent Drop from a Year Ago on Twitter Share Homeless Count Sees 26 Percent Drop from a Year Ago on Linkedin Email Homeless Count Sees 26 Percent Drop from a Year Ago linkThe 2025 Point-in-Time (PIT) Count reflects meaningful change, showing a 26% decrease in homelessness across Contra Costa County compared to last year. On a single night in January, 2,118 people were identified as experiencing homelessness, 725 fewer people than in 2024.This progress is a result of the hard work and collaboration across Contra Costa Health, our Health, Housing & Homeless Services (H3) team, and a strong network of community partners. Together, we are making a measurable impact.Additional highlights from the 2025 PIT Count include:Homelessness decreased by more than 30% in Central, East and West County.
Temporary and permanent housing beds increased by 34% since 2023.
Substantial local progress, including a 60% drop in Martinez, 46% in Richmond and 40% in Antioch.
These results underscore the importance of the services we provide to support some of our community’s most vulnerable residents.
CCH is working hard on many fronts to create more housing opportunities. In recent years, we’ve opened two Homekey facilities, including El Portal Place, which began welcoming residents in October. We know the work is far from over, but we also know it’s making a difference.
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Update on the State Budget
30 Jun 2025Share Update on the State Budget on Facebook Share Update on the State Budget on Twitter Share Update on the State Budget on Linkedin Email Update on the State Budget linkFollowing up on from our message about the May State budget revision, I wanted to give you a brief update on where things stand now.
Since May, the Legislature and Gov. Newsom have continued negotiating and the State passed its 2025-26 budget, which will take effect July 1. While this latest version of the budget reflects several compromises negotiated by lawmakers, it will still have a concerning impact on our community, especially adult undocumented immigrants. Here are a few of the health-related line items:
- The State will re-establish asset tests to determine Medi-Cal eligibility. Individuals with $130,000 in assets and couples with $195,000 in assets won’t be eligible for Medi-Cal anymore.
- Starting Jan. 1, 2026, the state will freeze enrollment in Medi-Cal for adults with undocumented immigration status (although those who already have Medi-Cal will be grandfathered in).
- Undocumented adults still on Medi-Cal will have to pay a monthly $30 premium to retain their benefits (down from $100 in the Governor’s May proposal) after Jan. 1, 2027.
- Dental benefits for undocumented adults on Medi-Cal are being eliminated after July 1, 2026.
- The State will also end enhanced reimbursement rates for undocumented adult visits at our Federally Qualified Health Centers starting July 1, 2026. As I mentioned before, this means we would receive much less funding for the same care.
There are roughly 50,000 adults on Medi-Cal with unsatisfactory immigration status in Contra Costa who are patients at CCRMC & Health Centers. It will be critical to get the uncovered portion of this population enrolled in Medi-Cal before the January 1 cutoff date.
I am worried that as a result of the changing Medi-Cal rules we will see more people delaying care and ending up in our emergency room – or worse -- when their conditions become critical.
It’s still to be determined exactly how all these changes will affect our operations. Obviously, some parts of the department (such as the Health Plan and our delivery systems that are funded largely by Medi-Cal) will be more impacted than others (regulatory programs like Environmental Health that rely on local fees). Meanwhile, the federal budget is still being negotiated and we don’t yet know how that will further change our outlook.
As things become clearer, department leadership will remain in contact with you all and share the latest information. Whatever happens, just remember -- our mission(External link) will remain the same and we will proudly continue to be the safety-net provider for our community.
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Honoring Juneteenth and Advancing Black Health
18 Jun 2025Share Honoring Juneteenth and Advancing Black Health on Facebook Share Honoring Juneteenth and Advancing Black Health on Twitter Share Honoring Juneteenth and Advancing Black Health on Linkedin Email Honoring Juneteenth and Advancing Black Health linkDear Colleagues:
Juneteenth marks the day in 1865 when Union troops arrived in Galveston, Texas, to enforce the liberation of the last enslaved people in the Confederacy, more than two years after the Emancipation Proclamation. Recognizing the significance of this historical moment, Juneteenth was declared a federal holiday in 2021 to honor the resilience and contributions of African Americans and to promote awareness of the ongoing struggle for racial equality. As a federal holiday, it serves as a reminder of the importance of freedom, justice, and the need to confront the legacy of slavery in America.That legacy includes the consequences of delayed justice – where rights and protections exist on paper but are not shared, enforced, or accessible to those who need them. As a public health system, we must confront that history by ensuring our services, decisions, and information reach everyone with intention and equity.
This Juneteenth, I want to reaffirm that Contra Costa Health (CCH) is committed to upholding dignity, safety, and equity for all. We must not hinder the sharing and provision of care. Instead, let us be intentional in our outreach and services. Let us stand united for everyone and renew our commitment to creating a health system where access to quality healthcare and achievement of health equity are universal rights, not delayed or conditional.
Through our Black Infant Health program, Perinatal Equity Initiative, and other similarly focused efforts we are actively addressing systemic health disparities with culturally responsive, community-driven care. These programs connect families to essential resources, alleviate stress and isolation, and foster safer, more empowering pathways to wellness.
This commitment to equity is an integral part of our broader work, encompassing our collaborations with community organizations, our internal equity initiatives, and our engagement with the Office of Racial Equity and Social Justice.
Juneteenth calls us to celebrate progress, reckon with history, and recommit to a future where health and dignity belong to everyone. Thank you to each of you who helps make that future possible.
In celebration and gratitude,
Ori Tzvieli, MD MS
Chief Executive Officer and Health Director (Interim)
Health Officer, Contra Costa County
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Contra Costa County Statement Regarding Recent Immigration Enforcement Activities in Our Community
13 Jun 2025Share Contra Costa County Statement Regarding Recent Immigration Enforcement Activities in Our Community on Facebook Share Contra Costa County Statement Regarding Recent Immigration Enforcement Activities in Our Community on Twitter Share Contra Costa County Statement Regarding Recent Immigration Enforcement Activities in Our Community on Linkedin Email Contra Costa County Statement Regarding Recent Immigration Enforcement Activities in Our Community linkA message on behalf of Board of Supervisors Chair Andersen and the County Administrator's Office.
Contra Costa County stands with our immigrant communities. We know recent federal immigration actions have caused fear and confusion for many across our region and beyond. Our commitment to serving all people, regardless of immigration status, has not changed.
County services like healthcare, public assistance, and mental health support are provided to all, without exception. We operate within our legal authority, focusing on community trust and public safety —not immigration enforcement.
Our community is stronger because of our differences, and we remain committed to dignity, fairness, and access for all. We also support your right to express concern through peaceful protest. In times like these, showing up for each other — in voice, in action, and in care — is how we move forward.
Our strength lies in the people who call this County home. You are not alone, and we will continue to stand with you.
Need support or information?
- Visit Immigration Resources & Public Charge Information | EHSD [ehsd.org](External link) for information about immigration resources in our area
- Call or text 988 for 24/7, confidential support through the Contra Costa Crisis Center.
- The Contra Costa County Library is hosting a Know Your Rights online presentation on Monday, June 23 at 11 AM. Learn your rights when interacting with ICE and the immigration system. The program will have a live Spanish interpretation. To register click here(External link).
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El Condado de Contra Costa apoya a nuestras comunidades de inmigrantes. Sabemos que las recientes acciones federales de inmigración han causado miedo y confusión para muchos en nuestra región y más allá. Nuestro compromiso de servir a todas las personas, independientemente de su estatus migratorio, no ha cambiado.
Los servicios del condado, como la atención médica, la asistencia pública y el apoyo a la salud mental, se brindan a todos, sin excepción. Operamos dentro de nuestra autoridad legal, enfocándonos en la confianza de la comunidad y la seguridad pública, no en la aplicación de la ley de inmigración.
Nuestra comunidad es más fuerte debido a nuestras diferencias, y seguimos comprometidos con la dignidad, la equidad y el acceso para todos. También apoyamos su derecho a expresar su preocupación a través de la protesta pacífica. En tiempos como estos, nos apoyamos los unos a los otros, en la voz, en la acción y en el cuidado, es la forma en que avanzamos.
Nuestra fuerza radica en las personas que llaman hogar a este condado. No están solos, y continuaremos estando a su lado.
¿Necesita apoyo o información?
- Visite Recursos de Inmigración e Información de Carga Pública | EHSD [ehsd.org](External link) para obtener información sobre recursos de inmigración en nuestra área
- Llame o envíe un mensaje de texto al 988 para obtener apoyo confidencial las 24 horas del día, los 7 días de la semana a través del Centro de Crisis de Contra Costa.
- La Biblioteca del Condado de Contra Costa está organizando una presentación en línea de Conozca sus Derechos el lunes 23 de junio a las 11 a.m. Conozca sus derechos al interactuar con ICE y el sistema de inmigración. El programa contará con una interpretación en vivo al español. Para inscribirse haga clic aquí(External link).
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Pride is More Than a Month
10 Jun 2025Share Pride is More Than a Month on Facebook Share Pride is More Than a Month on Twitter Share Pride is More Than a Month on Linkedin Email Pride is More Than a Month linkDear Colleagues:Today, several Contra Costa Health staff spoke at the Board of Supervisors meeting in honor of Pride Month, sharing their lived experiences and about the work we do together to support the LGBTQIA+ community. I want to thank them for bringing their voices to this moment.
The chance to work alongside people whose lives, identities and perspectives reflect the full diversity of our county energizes me and, I think, anyone who loves working in health. That richness of experience strengthens our mission and improves the care we provide.
From the Pride Initiative’s early days in 2009 to the Gender Clinic’s launch in 2016, CCH has worked to create inclusive spaces and services. Today, that work continues through gender-affirming care, peer support programs, provider training, and strong partnerships with Rainbow Community Center, PFLAG, and other community groups.
These efforts reflect our department’s deepest values: equity, respect, and care for all people. Because of your dedication, LGBTQ+ residents across Contra Costa have greater access to safe, welcoming care and support.
Pride Month is both a celebration and a call to action. It’s a time to honor how far we’ve come—and recommit to a future where everyone belongs.
Thank you for making that future possible.
In pride and gratitude,
Ori Tzvieli, MD MS
Chief Executive Officer and Health Director (Interim)
Health Officer, Contra Costa County -
Strengthening our Structure
05 Jun 2025Share Strengthening our Structure on Facebook Share Strengthening our Structure on Twitter Share Strengthening our Structure on Linkedin Email Strengthening our Structure linkDear Colleagues:As I shared last week, Contra Costa Health is evolving, not only in how we organize and support our teams, but also in how we respond to a changing fiscal landscape. As part of our ongoing transformation work, the Office of the Director is bringing together a range of essential services – including communications, quality, compliance, facilities, executive functions, and more – that every division depends on.
By organizing these areas under one umbrella, we are creating a structure that helps ensure all teams have clearer, more consistent access to the support they need. This new structure is led by our three deputy directors:
- Lavonna Martin oversees capital planning, health equity, Office of the Director administration, and Detention Health.
- Matt Kaufmann supervises communications, personnel, and an in-development, department-level office to coordinate compliance-related activities across the department.
- Rachael Birch leads our department-level quality efforts, strategic initiatives, and informatics and technology.
Several of these new offices are still under development, and we will share more about them in coming months. Each deputy director also supports the leadership of different divisions and branches. Together these directors help connect our day-to-day work with the broader resources of the department, reducing duplication, encouraging collaboration, and giving division leaders clear points of contact.
I am also excited to share several recent leadership transitions that reflect the deep talent within our organization:
- Dr. Sergio Urcuyo has been appointed Chief Medical Officer for Contra Costa Regional Medical Center & Health Centers (CCRMC&HC)
- Shannon Abella has stepped into the role of interim Chief Operating Officer for CCRMC&HC
- Helena Martey has taken on the role of interim Chief Nursing Officer for CCRMC&HC
- Mary Jane De Jesus-Saepham has been promoted to Health Services Personnel Manager
- Shulin Lin has joined CCH as Deputy Chief Financial Officer
Please join me in congratulating (and welcoming) these exceptional colleagues.
These changes are part of our broader effort to make CCH more connected, more coordinated, and more supportive of the people who make our mission possible. I am grateful to all of you for the work you do every day, and I look forward to continuing this journey together.
With Appreciation,
Ori Tzvieli, MD MS
Chief Executive Officer and Health Director (Interim)
Health Officer, Contra Costa County -
State Budget Outlook and New Department Policies
28 May 2025Share State Budget Outlook and New Department Policies on Facebook Share State Budget Outlook and New Department Policies on Twitter Share State Budget Outlook and New Department Policies on Linkedin Email State Budget Outlook and New Department Policies linkDear Colleagues:With both state and federal budgets still in flux, we are taking measured steps to navigate uncertainty in the months ahead. I want to share a brief update about what we know so far and share what we are working on to ensure Contra Costa Health remains stable and focused on its mission.
To start, we are implementing two department-wide policy changes, effective today:
- Hiring pause. Any new hiring or filling of current vacancies must receive freeze approval from the Office of the Director.
- Travel approval. All out-of-county travel will require prior approval from the Office of the Director.
These measures are intended to help us manage resources carefully while we learn more about the evolving budget picture. If you have questions or need to request an exception, please contact your division head.
Earlier this month, Governor Newsom released his revised state budget proposal (the “May Revise”). While the final budget will be negotiated through June, some proposals, especially around Medi-Cal, could affect many of the people we serve.
The most significant proposed changes include ending new Medi-Cal enrollment for adults with unsatisfactory immigration status in January 2026, and requiring those who remain enrolled to pay a $100 monthly premium beginning in 2027. If adopted, these changes could cause as many as 40,000 CCH patients to lose their healthcare in the next two years.
CCH is the safety-net provider for our County, so I want to assure everyone that we will continue to serve this population. However, when patients have less access to primary and preventive care, we are more likely to see them only when their health concerns become serious enough to drive them to emergency departments.
The May Revise also proposes ending enhanced reimbursement rates for undocumented adult visits at our Federally Qualified Health Centers, meaning we would receive much less funding for the same care.
Altogether, these proposed changes could result in as much as $25 million in reduced revenue in FY 2025–26, and up to $35 million in FY 2026–27. Federal funding changes are also expected later this year, adding to the uncertainty and potentially further reducing the number of people eligible for Medicaid (Medi-Cal). Our county leadership is working with our state and federal partner organizations to protect health coverage as much as possible.
It’s important to note that CCH does not currently anticipate any reductions in services or staff. The transformation efforts already underway are helping us stay adaptive and resilient.
Before closing, I want to take a moment to acknowledge the recent passing of former Contra Costa Supervisor Federal Glover. Supervisor Glover was a lifelong public servant and steadfast champion for health and equity in our community. His leadership helped shape many CCH programs and partnerships. Our thoughts are with his family, loved ones, and the many people whose lives he touched.
I will continue to share updates as we know more. Thank you for your flexibility, thoughtfulness, and unwavering commitment to the people of Contra Costa.
Sincerely,
Ori Tzvieli, MD MS
Chief Executive Officer and Health Director (Interim)
Health Officer, Contra Costa County -
Prop 1 Funding to Expand Behavioral Health Services in Contra Costa
14 May 2025Share Prop 1 Funding to Expand Behavioral Health Services in Contra Costa on Facebook Share Prop 1 Funding to Expand Behavioral Health Services in Contra Costa on Twitter Share Prop 1 Funding to Expand Behavioral Health Services in Contra Costa on Linkedin Email Prop 1 Funding to Expand Behavioral Health Services in Contra Costa linkContra Costa Health (CCH) has secured about $98 million in state funding to build three new facilities to better serve county residents in need of mental health and recovery services.
The funding comes from California’s Behavioral Health Continuum Infrastructure Program (BHCIP), a multi-year state initiative to improve behavioral healthcare infrastructure paid through Proposition 1.
Gov. Gavin Newsom and the state Department of Health Care Services (DHCS) announced the awards this week.
“We are grateful to Gov. Newsom and DHCS for recognizing the need to invest in this kind of infrastructure in Contra Costa County,” said Candace Andersen, chair of the county Board of Supervisors. “We desperately need more beds for residential care and treatment.”
Projects selected for funding include:
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Delta Recovery Center (Oakley)
A campus to include a 16 bed-adult residential treatment center and a 16-bed mental health rehabilitation center.
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Los Medanos Recovery Center (Pittsburg)
A hub including a sobering center, crisis triage center, withdrawal management program and outpatient behavioral healthcare services.
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Sherman Recovery Center (Pleasant Hill)
A 16-bed adult residential treatment and transitional residential facility designed to support adults with behavioral health needs in a structured setting.
“These investments help us to meet people where they are, offering meaningful treatment and support close to home,” Contra Costa Supervisor Ken Carlson said. “They are a vital part of our ongoing efforts to reduce emergency room visits, reduce contact with the criminal justice system, and support recovery in our community.”
The Board of Supervisors yesterday appointed Supervisors Carlson and Andersen as its representatives on the recently established Behavioral Health Commission, which advises the full board on matters relating to mental health, substance use disorder and behavioral health in the county.
Contra Costa County owns the properties on which all three facilities will be built. More details about the projects and their timelines will be released in early summer.
“We have a critical need for these programs to better serve Contra Costa residents throughout the County and close to their home communities. The addition of these facilities will expand access to essential care to better support people who are in need of and would benefit from the mental health treatment services to be provided,” said Dr. Suzanne Tavano, Director of Behavioral Health Services for CCH. “This investment will make our county healthier, safer and more able to provide appropriate care for all our residents.”
Statewide, Proposition 1 funding is expected to create over 5,000 residential treatment beds and expand outpatient capacity by 21,800, with a focus on helping individuals who are homeless or at risk of institutionalization.
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Delta Recovery Center (Oakley)
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Prop 1 to Fund Three New Behavioral Health Centers in Contra Costa
13 May 2025Share Prop 1 to Fund Three New Behavioral Health Centers in Contra Costa on Facebook Share Prop 1 to Fund Three New Behavioral Health Centers in Contra Costa on Twitter Share Prop 1 to Fund Three New Behavioral Health Centers in Contra Costa on Linkedin Email Prop 1 to Fund Three New Behavioral Health Centers in Contra Costa linkDear Colleagues,I’m pleased to share some exciting news about a major investment in the future of behavioral healthcare in our county.
Late last week, Contra Costa Health was awarded approximately $98 million in state funds through the Behavioral Health Continuum Infrastructure Program (BHCIP), part of the Proposition 1 bond initiative announced by Governor Newsom.
This is a historic investment not only for California, but for Contra Costa, where three major new projects will soon begin development. The funding will support:
Delta Recovery Center, a 16-bed adult residential treatment and 16-bed mental health rehabilitation center in Oakley
Sherman Recovery Center, a 16-bed Adult Residential Treatment facility in Pleasant Hill
Los Medanos Recovery Center, offering a Sobering Center, Crisis Triage, Withdrawal Management, and Outpatient Services in Pittsburg
These projects will expand access to high-quality care in the communities where our patients live, reduce avoidable emergency department visits and contacts with the criminal justice system, and improve the lives of residents who have serious mental illness or substance use disorder.I want to thank everyone who contributed to developing these proposals and guiding them through a highly competitive process.
We’ll be sharing more information as timelines and details are finalized. For now, please take a moment to recognize what this means: Many more people in Contra Costa will get the support they need, when and where they need it.
With gratitude,
Ori Tzvieli, MD MS
Chief Executive Officer and Health Director (Interim)
Health Officer, Contra Costa County -
A very happy Nurses Week to all!
07 May 2025Share A very happy Nurses Week to all! on Facebook Share A very happy Nurses Week to all! on Twitter Share A very happy Nurses Week to all! on Linkedin Email A very happy Nurses Week to all! linkDear Colleagues:Let’s take a moment today to honor the 1,600+ nurses of Contra Costa Health, whose skill, compassion and commitment are at the heart of our mission.
They serve across nearly every part of our department, from the hospital to our health centers to the county detention system, in behavioral health clinics, shelters and on our crisis teams, in homes and in neighborhoods.
They care for people during life’s most vulnerable moments, and they do so with grace, courage and professionalism. They are educators, advocates, problem-solvers and leaders. They improve countless lives in Contra Costa County every day, and we are all better for their contributions.
To our nurses: We see you. We appreciate you. And we are grateful for your unwavering dedication not just this week, which happens to be National Nurses’ Week (May 6-12), but all year long.
Please join me in thanking the nurses around you for the extraordinary work they do and the humanity they bring to our healthcare system. Let us also support and care for each other, as we continue this essential work together.
Also, please enjoy this short video(External link) (also above) featuring nurses from all over the department.
With deep appreciation,
Ori Tzvieli, MD MS
Chief Executive Officer and Health Director (Interim)
Health Officer, Contra Costa County