Thoughts on the 2025-26 CCH Budget
Dear colleagues,
On Monday, interim CCH Chief Financial Officer Brian Buchanan and I presented Contra Costa Health’s proposed 2025-26 budget to the Board of Supervisors. I want to take a moment to speak directly to you about where we stand.
CCH has grown rapidly over the past decade, and our community relies on us more than ever. Contra Costa Health Plan membership has more than doubled since 2020, and in the past year served more than 323,000 unique Medi-Cal members, which is an all-time high. CCH services touch 1 out of 3 county residents, and we have been adding new programs like our youth stabilization unit at CCRMC that help us address critical needs in the community.
At the same time, we face real uncertainty about the future. Potential federal Medicaid cuts could have a major impact on our funding and the services we provide, and tens of thousands of county residents could lose their healthcare coverage. The details are not yet clear, and it may be months before we have a full picture.
The Board will consider adoption of the proposed 2025-26 budget at a hearing in May, but we will likely return to provide updates throughout the upcoming fiscal year as we gain more clarity about the federal budget.
What is clear is that our mission has never been more important. Whether or not the patient can pay, or whether or not we are reimbursed for services, it is our legal and moral obligation to offer the best possible care to anyone who needs it. We are the safety net for Contra Costa County. That will not change, no matter what happens in Washington.
We will continue to focus on what we can control: improving and ensuring access to care, strengthening prevention efforts, and making health more attainable for every person in our community. We have built a strong, resilient foundation. Together, we will navigate whatever lies ahead .
Thank you for all you do. Your work matters, today and every day. I will continue to share updates whenever there are developments.
Sincerely,
Ori
