Amid potential federal funding cuts under the Trump administration, Santa Clara County plans to allocate local funds to support LGBTQ+ initiatives, particularly gender-affirming care. County Executive James Williams proposed diverting $70 million in anticipated federal funds to guard against disruptions to services essential for the community, following recent legislative changes affecting Medicaid coverage. The approach includes separating certain programs from federal reliance and utilizing a reserve fund to maintain services despite federal policy shifts.
Williams emphasized that "it's our job to act as the safety net for those facing cuts that affect vital health services, including gender-affirming care."
The county's fiscal strategy includes pulling $70 million in expected federal funds to preemptively address potential cuts, ensuring critical support for the LGBTQ+ community.
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