The document is a communication from the County Executive of Santa Clara, James R. Williams, to the Board of Supervisors regarding the recommended budget for the fiscal year 2026-2027 for departments under the Health and Hospital Committee. It lists the departments included in the review: Valley Health Plan, Public Health Department, Emergency Medical Services, Santa Clara Valley Healthcare (including Custody Health Services), and Behavioral Health Services Department.
Key points
Document is from the County of Santa Clara Office of the County Executive.
Date of the document is May 11, 2026.
The subject is the FY 2026-2027 Recommended Budget for the Health and Hospital Committee Departments.
Departments included in the budget review are: Valley Health Plan, Public Health Department, Emergency Medical Services, Santa Clara Valley Healthcare (including Custody Health Services), and Behavioral Health Services Department.
The communication is directed to the Board of Supervisors.
Generated for convenience from extracted text using AI. Review the official source document before relying on this summary.
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County of Santa Clara Office of the County Executive 128755 DATE: May 11, 2026 TO: Board of Supervisors FROM: James R. Williams, County Executive SUBJECT: FY 2026-2027 Recommended Budget for the Health and Hospital Committee Departments RECOMMENDED ACTION Review the County Executive's Fiscal Year 2026-2027 Recommended Budget for departments reporting to the Health and Hospital Committee. a. Valley Health Plan b. Public Health Department c. Emergency Medical Services d. Santa Clara Valley Healthcare, including Custody Health Services e. Behavioral Health Services Department Board of Supervisors: Sylvia Arenas, Betty Duong, Otto Lee, Susan Ellenberg, Margaret Abe-Koga County Executive: James R. Williams Page 1 of 1
The source text indicates this attachment appears to be a draft document.
The document contains public comments urging the Santa Clara County Board of Supervisors to retain funding for the Suicide Prevention Oversight Committee (SPOC). Various individuals express their strong support for the program, highlighting its effectiveness in preventing suicides and providing critical community support. Concerns are raised about a proposed budget that may eliminate the program, with arguments emphasizing the importance of maintaining experienced staff and community involvement in suicide prevention efforts. The comments reflect a consensus on the necessity of the SPOC in addressing ongoing mental health crises, particularly among youth.
Key points
Support for retaining the Santa Clara County Suicide Prevention Oversight Committee (SPOC).
Concerns about a proposed budget that may eliminate the SPOC program.
Emphasis on the effectiveness of SPOC in preventing suicides and providing community support.
Call for maintaining experienced staff and community involvement in suicide prevention efforts.
Recognition of the ongoing youth mental health crisis and the importance of specialized support.
Limitations
The text appears to be a draft as it contains multiple public comments and lacks a cohesive final format.
Some placeholders and unresolved sections are present, indicating incomplete information.
Generated for convenience from extracted text using AI. Review the official source document before relying on this summary.
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May 8, 2026 Dear Board Of Supervisors, We are writing in strong support of keeping intact the critical suicide prevention efforts of the Santa Clara County Behavioral Health Suicide Prevention Oversight Committee (SPOC) staff. Our team at the Stanford Center for Youth Mental Health and Wellbeing has worked closely with these highly skilled colleagues on innovative suicide prevention efforts for over a decade, including the successful development and implementation of the evidence-based TEMPOS tool and safe messaging trainings across the County and beyond. TEMPOS is an internationally recognized innovation in safe messaging that the SPOC team co-created with us based on their deep expertise in suicide prevention and postvention. Such expertise is highly specialized and comes with years of on the ground experience that is difficult to substitute. We are currently working with this team to bring safe messaging trainings to students and families through school and community presentations, and we look forward to continuing this important work alongside our colleagues. We are aware that Santa Clara County is proposing to eliminate this valuable suicide prevention program and its...
The document contains public comments supporting the retention of the Santa Clara County Suicide Prevention Oversight Committee (SPOC) and its associated programs. Project Safety Net (PSN) expresses appreciation for its collaboration with SPOC over 15 years, emphasizing the importance of SPOC in promoting youth wellbeing and mental health. The Peninsula Democratic Coalition also supports maintaining the suicide prevention program, criticizing a budget proposal that would eliminate it without public input.
Key points
Project Safety Net (PSN) supports retaining the Santa Clara County suicide prevention program and SPOC.
PSN has collaborated with SPOC for 15 years to promote youth mental health and suicide prevention.
Budget cuts to SPOC staffing are seen as detrimental to prevention work.
The Peninsula Democratic Coalition opposes the elimination of the suicide prevention program and calls for public involvement in decision-making.
Limitations
The document includes placeholders and unfilled sections, such as email addresses and specific budget details, which are not provided.
Generated for convenience from extracted text using AI. Review the official source document before relying on this summary.
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BoardOperations From: Sent: To: Cc: Subject: Attachments: Peying Lee Monday, May 11, 2026 10:40 AM BoardOperations; Terao, Sherri; AbeKoga, Margaret Peter Stone; Mora Oommen; Steven Adelsheim; Shashank V. Joshi; TrackWatch Palo Alto [EXTERNAL] PSN Supports Full Retention of Santa Clara County Suicide Prevention Oversight Committee (SPOC) PSN Letter of Support for SPOC 2026.pdf Dear Board of Supervisors and Director Terao, Project Safety Net (PSN) strongly supports retaining our existing Santa Clara County suicide prevention program and Suicide Prevention Oversight Committee (SPOC). PSN deeply appreciates our 15-year collaboration with SPOC, which provides infrastructure for sustainable, comprehensive, and innovative suicide prevention in our county. SPOC is fundamental to PSN's work to promote youth wellbeing, mental health, and suicide prevention. Please see attached for PSN's letter of support. We strongly urge for the full retention of SPOC. Thank you, Peying Peying Lee - she/her Director of Community Partnerships Project Safety Net Cubberley Community Center | 4000 Middlefield Rd. T5 | Palo Alto, CA 94303 Main: 650.460.8302 | Direct: 650.460.8305 Email: Website:...
This document contains public comments expressing concerns about the imbalance between bureaucratic oversight positions and direct community service jobs within the Behavioral Health Services Department (BHSD). The comments highlight the growth of administrative roles at the expense of direct service positions, leading to reduced access to essential services for residents. The authors urge the Board to prioritize funding for direct public services and examine the growth of management positions compared to frontline staff.
Key points
Concerns about the increasing number of bureaucratic positions in BHSD.
Reduction and closure of direct service programs for the public.
Call for transparency regarding budget allocation between administration and community services.
Emphasis on the need for direct access to services like counseling and crisis support.
Request for the Board to prioritize funding for direct services over administrative growth.
Limitations
The document does not provide specific data or metrics regarding the number of positions or budget allocations.
There are unresolved placeholders for sender and recipient information.
Generated for convenience from extracted text using AI. Review the official source document before relying on this summary.
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From: To: Subject: Date: BoardOperations [EXTERNAL] The growing imbalance between bureaucratic oversight positions and direct community service jobs within BHSD Monday, May 11, 2026 2:41:17 PM Good morning Supervisors, I want to raise concern about the growing imbalance between bureaucratic oversight positions and direct community service jobs within BHSD. Year after year, we continue seeing more executive, director, manager, coordinator, and oversight positions added or protected, while the programs the public actually uses are reduced, limited, or closed altogether. The community is paying for layers of administration while losing access to direct services. Residents do not walk into a department asking for more managers — they ask for counselors, case workers, peer support, outreach workers, crisis response, housing navigation, and treatment access. One executive salary can often equal the cost of multiple frontline workers serving the public directly. Yet the growth appears concentrated at the top instead of in the field where people are struggling every day. We should be asking: How many management positions have been added compared to direct service staff? How much of the...
This document contains public comments regarding healthcare services in Santa Clara County. Dr. Ken Horowitz advocates for the inclusion of dentistry and integrative medicine in the CEO's recommended budget for primary care. Laura Nuno expresses concern over the reduction of services at St. Louise Regional Hospital, highlighting issues such as the closure of operating rooms and the need for local maternity care. She urges the County to consider selling the hospital to a system that will invest in its services.
Key points
Dr. Ken Horowitz requests the inclusion of dentists and integrative medicine physicians in the primary care budget.
Laura Nuno raises concerns about service reductions at St. Louise Regional Hospital.
Nuno mentions that patients are being directed to deliver babies in San Jose instead of St. Louise.
She highlights staffing shortages and wage freezes for frontline healthcare workers.
Nuno questions the County's decision to buy another hospital while neglecting St. Louise.
Limitations
The document contains placeholders for sender and recipient information.
Specific dates and details about the budget or hospital services are not fully provided.
Generated for convenience from extracted text using AI. Review the official source document before relying on this summary.
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From: To: Subject: Date: Ken Horowitz BoardOperations [EXTERNAL] Public Comment to CEO Recommended Budget on Santa Cara County Healthcare Section 4 (page 419) Sunday, May 10, 2026 4:21:11 PM Dear Supervisors As you consider the CEO’s recommended budget for SCVH for access and capacity for primary care in community satellite settings (page 419 added 29 FTE) 1. Please consider dentistry and oral health as primary care by adding dentists or dental hygienists to the list 2. Please consider employing physicians with training in integrative/functional medicine Thank you for your consideration Dr. Ken Horowitz Health Advisory Commission From: To: Subject: Date: Laura Nuno BoardOperations [EXTERNAL] May 11, Board Meeting. Monday, May 11, 2026 3:09:09 PM Good afternoon Supervisors, My name is Laura Nuno. I am a registered nurse with over 30 years of healthcare experience and a longtime South County resident. I am deeply concerned about the continued reduction of services at St. Louise Regional Hospital. Patients receiving prenatal care in Gilroy are being directed to deliver their babies in San Jose instead of locally at St. Louise. Operating room suites are being closed, physician call...
The document is a PowerPoint presentation for the SCVH Budget Workshop held on May 11, 2026, outlining strategic priorities and budget initiatives for FY 2026-2027. It focuses on maximizing revenue, managing costs, and improving operational efficiency across various healthcare services. The presentation details budget mitigation targets, including revenue enhancements, program restructuring, and operational efficiencies aimed at achieving a total budget target of $198.8 million. It also emphasizes the importance of maintaining essential services and improving access to care for the community.
Key points
Strategic priorities include maximizing revenue and managing costs.
Budget mitigation target for FY 2026-2027 is $198.8 million.
Revenue enhancements aim to optimize reimbursement and expand services.
Operational efficiencies focus on increasing productivity and controlling costs.
Essential services supported include trauma care, women's health, and mental health services.
Limitations
The document does not provide specific dates for budget implementation or outcomes.
Some placeholders and unresolved sections are present, affecting the completeness of the summary.
Generated for convenience from extracted text using AI. Review the official source document before relying on this summary.
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SCVH Budget Workshop May 11, 2026 Board of Supervisors Strategic Priorities & Focus Maximize Revenue Manage Costs • Strengthened revenue cycle performance • Manage expenditures within current County investment level • Payor contracting strategies • Federal and state advocacy to protect supplemental and directed payments • Improve operational efficiency • Maintain fiscal discipline and resource stewardship Outpatient Primary & Specialty Care Hospital Patient Access and Efficiency • Strengthen and improve timely access across primary and specialty care services • Improve hospital throughput, including emergency dept flow and length of stay • Support population health through expanded access and infrastructure • Leverage 4 hospitals and clinics as integrated health system Service Line Restructuring & Consolidation • Prioritize and invest in highimpact services that improve community health • Standardize care delivery across the system • Grow ancillary and surgical volumes to improve access and patient experience 2 Financial Sustainability FY 2025-2026 Mid-Year Budget Reduction Target Budget Mitigation Category FY 20252026 Mid-Year Revenue Improvements $40M Operational Efficiencies...
The document contains public comments from various individuals regarding proposed budget changes affecting mental health services in Santa Clara County. Key concerns include the potential closure of the Central Wellness and Benefits Center (CWBC) and the impact on vulnerable populations who rely on these services. Commenters emphasize the importance of maintaining continuity of care, the need for accessible mental health treatment, and the potential negative consequences of budget cuts on community health and stability.
Key points
Edith Sona, a Program Manager, highlights the negative impact of proposed budget changes on Substance Use Treatment Services, particularly for minor students.
Lorena Gonzalez, another Program Manager, expresses concern that eliminating her position would stall critical evidence-based programs.
Lisa Hameed urges the board to reconsider the closure of CWBC, emphasizing its long-standing role in providing consistent mental health care to vulnerable adults.
Sarah S. Kim stresses the importance of CWBC as a sanctuary for underserved individuals and warns of the risks associated with closing it.
Amy Lanteigne criticizes proposed budget cuts that would affect equity work within the Behavioral Health Services Department.
Velicia Diaz, a Psychiatric Social Worker, argues that closing CWBC would disrupt care for many clients and lead to worse long-term outcomes.
Limitations
The text contains several spelling and grammatical errors, which may affect clarity.
Some sections are incomplete or contain placeholders, such as names and specific details.
There are references to specific programs and initiatives without detailed descriptions or context.
Generated for convenience from extracted text using AI. Review the official source document before relying on this summary.
Extracted text preview · 10,857 chars
Good afternoon, Board, l'm Edith sona, l'm a 2g-year county emptoyee in Substance Use Treatment Services and Program Manager ll with Santa Ctara County, I manage the Atexian CFCS SUTS program. I want to hightight the reatities of the proposed budget changes. The current recommendation and accompanyingorganizationaI chart for BHSD witt putt our SUTS ctinicians providing on site care to students and witt ptace them in sunnyvate and Las P[umas MentatHeatth ctinics, not surs ctinics. The ptan is that they witt continue treating their ctients at the Mentat heatth Ctinics. That's not feasibte. we need to meet our clients where they're at, particutarty when they are minor students. They are entitled to confidentiaI treatment by Title 42 cFR part 2. There is a criticatwindow to attach these clients to treatment before serious heatth crisis impacts. The ptan to dissotve CFCS SUTS is the same as cutting CFCS SUTS, so the plan to reduce SUTS support for our students is the same as cutting SUTS support for our students. Lorena . - j:: i Good afternoon Boa rd, l' m Lorena Gonzalez 29 year county employeefrogram Manager ll and I am also a License Clinical Social Woiker. I manage and oversee...