Video summary
On August 4, 2026, the Santa Cruz County Board of Supervisors convened a special meeting to address severe fiscal challenges driven by federal legislation and state budget constraints, specifically focusing on Item 3 which proposed declaring a state of fiscal distress and adopting an urgency ordinance for a temporary half-cent countywide sales tax. This proposal seeks voter approval via a November 3, 2026 ballot measure to raise $27 million annually over five years, aiming to mitigate the impacts of federal funding reductions under HR1 and other economic pressures. County CEO Nicole Coburn explained that counties administer critical safety net programs such as Medicaid, CalFresh, and behavioral health services, and warned that new federal work requirements and reimbursement cuts could cause annual losses exceeding $200 million for local providers. Having already absorbed millions in impacts and depleted significant reserves, the board framed this tax not as a replacement for lost funding but as a necessary triage solution to preserve essential services like emergency medical care, mental health support, food security, and housing stability for homeless individuals.
The discussion highlighted the strategic importance of the measure in preventing catastrophic outcomes, including reduced Medicaid enrollment, increased uncompensated care, ER overcrowding, and potential closures of facilities like Live Oak Landing and Hope Village. Supervisors emphasized that the tax would apply countywide, including cities and tourist areas, while explicitly excluding essential items such as groceries, diapers, formula, medication, and feminine hygiene products to minimize regressive impacts. While concerns were raised regarding the measure's duration and whether it would sunset if federal funding restored, staff clarified that the five-year term is fixed unless voters repeal it later, acknowledging that policy effects often lag behind administrative changes. Regarding oversight, the board decided against creating a new committee but agreed to utilize existing commissions like the Behavioral Health Advisory Board for guidance, with annual plans presented to the public for review, ensuring transparency without overburdening the administration.
Following public comment, which included support from Mayor Fred Keley and the Community Action Board alongside opposition from residents citing moral objections and concerns about taxation creating homelessness, the board moved forward with a resolution crafted to prioritize homelessness prevention and housing stabilization rather than listing every specific constituency. Supervisors Koig and Cummings voiced strong support, noting that strategic investments are vital to keep emergency rooms open and stabilize South County hospitals despite significant provider losses. The consensus among the board was that this temporary measure serves as a crucial "band-aid" until potential federal shifts occur, allowing the community to collectively support its most vulnerable residents while sharing the financial burden with visitors who contribute to the local economy.
Ultimately, the Santa Cruz Board of Supervisors unanimously passed the motion 5-0, solidifying the path toward a voter-approved sales tax designed to safeguard the county's safety net programs against impending fiscal cliffs. The meeting concluded with a clear directive to proceed with the necessary administrative steps to place the measure on the November ballot, ensuring that essential services remain intact for residents facing chronic homelessness and high utilization of emergency medical services. This decisive action reflects a unified effort to balance immediate financial realities with long-term community health goals, demonstrating that even in times of fiscal distress, the county remains committed to protecting its most vulnerable populations through collective responsibility and strategic resource allocation.
Read the full video transcript
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Good morning. I'd like to call to order
the August 4th, 2026 special meeting of
the Santa Cruz County Board of
Supervisors. Will the clerk please call
the role?
>> Good morning. Yes. Supervisor Dura,
>> present.
>> Koenig
>> here,
>> Hernandez
>> here,
>> Cummings
>> here,
>> and Martinez
>> present. Thank you.
>> We'll now begin with a moment of
silence. Would any of my colleagues like
to recognize anyone this morning for a
moment of silence?
Seeing none, I'm going to ask the room
to please join me for a moment of
silence.
Thank you. Please join me for the pledge
of allegiance.
I pledge algiance to the flag of the
United States of America and to the
republic for which it stands. One nation
under God, indivisible, with liberty and
justice for all.
Thank you.
So since today is a special meeting of
the board of supervisors, we are not
going to begin with or we're going to be
calling the one item on today's agenda.
We'll have an opportunity for public
comment on that item only towards the
end of the item. So at this time I will
call item number three consider adopting
a resolution declaring a state of fiscal
distress adopting an urgency ordinance
amending chapter 4.22 22 of the Santa
Cruz County Code to establish a
temporary supplemental 1 half cent
transactions and use tax to address
conditions of persistent fiscal
distress. adopting resolutions calling
for a special election on November 3rd,
2026 for a countywide measure to include
the retail transactions and use tax by 1
half cent for five years and
establishing budget priorities in the
sales tax measure pass if the sales tax
measure passes and take related actions.
Four fifths vote is required for this
item.
For today's process, we're going to
start with a staff report and then I'm
going to invite my colleagues to ask
their questions. We'll then go to the
public for any public comment and then
we'll return to the board for discussion
and action on this item. With that, I
would like to introduce our CEO Nicole
Coburn and Deputy CEO Spven Stafford for
this item. Welcome.
>> Thank you, Chair Martinez, and good
morning members of the board. Um uh I'm
going to be running through a
presentation and then at the end we'll
be happy to answer your questions. So
today we are here really about helping
to save our safety net in Santa Cruz
County. Federal and state funding
changes are creating a new fiscal
reality for our local safety net.
Federal reductions are already reaching
our local services and we're starting to
see the impacts. Um, this has also
impacted state budget choices that
determine how much of the these
pressures are reaching counties such as
ours. Our focus today, we're going to be
discussing the impacts on Santa Cruz
County, the county's capacity to deal
with these impacts and a temporary local
response for dealing what's happening
for addressing what's happening. So,
first I want to talk to you about um why
federal and state decisions are landing
so directly on Santa Cruz County.
So, counties here in the state of
California are the local delivery system
for many state federal and state safety
net programs. In some other states,
actually many other states, states
administer these safety net programs.
But in California, they've been
delegated to Cal counties. Counties
administer a wide variety of safety net
programs. These include medical, which
is Medicaid nationally, CalFresh, which
is SNAP nationally, um various
behavioral health programs, public
health programs, and various other human
services. State realignment has shifted
responsibility to counties but at the
same time have not provided enough
resources. Because of this, local
systems just do not have the ability to
fund national and state safety net
programs. Uh the structure matters
because the biggest changes from HR1 are
still ahead of us. We have not felt them
here locally.
So, the largest impacts are coming. HR1,
the federal reconciliation bill, is
really a multi-year disinvestment, and
we're only beginning to see its full
effects. Initial funding and eligibility
changes are already underway. Um, there
have been various CalFresh changes that
have taken effect in 2026,
but the vast majority of changes that
will be impacting counties and our
residents begin after the November 2026
midterms. These include work
requirements, renewals, and provider
cuts which deepen the impacts in 2027
and 2028. We will be losing funding and
face increased costs with all of these
changes that are ahead of us. These
impacts are going to compound over time
and are going to impact our entire
health care system and the safety net.
These changes will not just stop at the
county budget. And I want to reinforce
this is going to ripple across the
entire local safety net.
So as I just mentioned um this is a very
interconnected system of care. This will
impact hospitals and emergency rooms,
ambulance and emergency services,
medical services, our safety net clinics
which include everything from primary
health care, preventative care, oral um
health care, um medical health
providers, food security and housing
partners. We have estimated that
potentially there is more than 200
million in a potential annual loss to
the local provider network including the
county and our community partners. So we
are going to have less coverage and less
reimbursement which means more
uncompensated care more crisis demand
within our county and greater cost
pressures across the entire system.
this um because the county is the
mandated service indigen health care
service provider and provides our safety
net um we will be faced with covering
more of these costs. At the same time we
have limited capacity to deal with these
impacts. As you know we only receive 13%
of the property tax dollar. Um, we have
limited ability to raise additional
taxes. Um, and so we have had to
identify what options are available to
us. We have estimated more than $150
million over the next five years in
impacts to the c county and some of our
community partners. But more broadly, we
mentioned that two $200 million number.
In the current fiscal year alone, we
have absorbed $25.6 million of impacts.
And I will talk a little bit more about
how we have done that.
So, uh, the federal actions really are
worsening an already difficult budget
situation. Um, we have balanced this
year's budget with one-time revenues and
are already supporting the safety net.
Because of this uh with our financial
situation
both including a structural problem and
the impacts from HR1, we are asking the
board to adopt a resolution declaring a
fiscal distress. Um we are wanting to
remind the board that we have used $43
million in one-time reserves to balance
the fiscal year 202627
budget. About half of this $21 million
were from Health and Human Services
reserves or restricted funds that went
to the safety net shortfalls. Nearly
half of our reserve use is supporting
this safety net contribution and federal
actions only worsen the county's fiscal
condition. This is the basis for
declaring a state of fiscal distress.
Against that backdrop, the proposal
before the board is intentionally
temporary and locally controlled.
The proposed measure creates a temporary
source of locally controlled revenue. Uh
we are asking the board to place a
measure on the ballot that is a half
cent countywide sales tax, a transaction
and use tax. It has a 5-year sunset that
would raise $27 million annually. This
would be placed on the November 3rd
ballot and the funds would stay in Santa
Cruz County. We really think it's
important for the community to decide uh
whether or not it wants to tax
themselves to help save the safety net,
which is going to impact all of us.
This scale is important because this
measure cannot replace the funding that
we are expected to lose.
Um, I also want to note that this
measure is best understood as triaging
the situation. It is not replacement
funding.
The $27 million in local revenue is only
a small portion of what we are expected
to lose countywide at over $200 million.
As I mentioned, this is really triaging
the most serious impacts and protecting
our critical local capacity. It's going
to buy us time over the next five years
as we are also working on other
solutions for these problems and that
makes the board's priorities important
in determining where the local the
limited local resources are going to be
spent.
So in terms of where the board intends
to guide the local funding, we have
identified six areas that are most
impacted by federal actions including
HR1. Uh we have presented the board with
a resolution establishing county budget
priorities. They include um the
categories you see here um that uh touch
on the emergency medical services I
mentioned and health care, the mental
health and substance use services, food
security, housing stability and
homelessness response and other
essential safety net services. These
priorities are going to guide spendings
but are not legal earmarks. Um this is a
general tax that is coming into the
general fund. So on an annual basis, we
are going to be working on developing an
annual spending plan that we will bring
to the board that I hope will address
the greatest needs. And because of that,
we need some flexibility as this
situation evolves and develops to
identify what those highest needs are
and come back with a plan that makes
most sense to address um what is most
critical in our community. The
resolution has been written to be
flexible because this is a general tax
and because we need to um have be able
to identify those greatest needs.
As I mentioned, this measure is one tool
within a broader multi-year fiscal
stabilization strategy. It's going to
help us but not entirely solve the
problem of preserving and saving our
safety net services. We are also working
diligently with local and state partners
for additional resources. Um we did get
some additional funds in the state
budget for this fiscal year for um some
of our safety net needs including um the
human services administration of medical
and calresh eligibility. This is but
just a small piece of what they are
faced with to administer the new
requirements. We did not get any
additional funding for addressing our
additional um costs that we're incur or
funding that we're going to lose for the
indigent health care system. And we
continue to advocate for help in that
area. We are also looking at county cost
controls and service redesign that will
help us potentially make better use of
county funds. we are really talking
about a structural uh bal rebalancing
over time including this five-year
period. And so with that broader
strategy in mind um I will move to the
final slide which lays out the specific
actions before the board today. So today
we are asking that the board de adopt a
resolution that declares a state of
fiscal distress that the board adopt uh
an urgency ordinance relating to the
transaction and use tax. That the board
adopt a resolution calling the November
3rd election with the proposed ballot
measure for the transaction and use
sales tax. We also have the resolution
adopting uh county budget funding
priorities. And then we are asking that
you direct us to return after the
election with imple any implementation
actions if the measure is successful and
passes with voters. And with that um
both myself and Sven Stafford um who
oversees the budget right now u will be
happy to answer your questions.
>> Thank you CEO Coburn. appreciate the
presentation. At this time, I'm going to
return to the board to ask any questions
that they have of the presentation.
Again, then we'll go to public comment
and then we'll return to the board for
our discussion and action. I'll start
with Supervisor Koig.
>> Thank you, Chair. Uh thank you for the
presentation. Um I my question is uh
really about something that you you
mentioned in the presentation but I just
want to make sure it's explicit which is
so even if this is a county general tax
we could still potentially use some of
those funds to help our uh help health
providers in the county. I mean for
example uh Watsonville Hospital,
Dominican Hospital or any other of the
um federally qualified health centers.
>> Yes. So, we're looking this as a
community measure. We are looking at to
help the county and our partners who are
also impacted by HR1. So, it could mean
the hospitals. It could mean our
federally qualified health centers. Um,
it will mean any of those partners that
are serving populations
on medical, CalFresh, and other benefits
that have been impacted by HR1.
Obviously, this is not enough money to
go around. So, we're going to have to be
really diligent and thoughtful about how
we come up with that spending plan.
>> Yeah. I mean, I think that's just
important to to double double underline
is that this is, like you said, a
community measure. I mean, with the
county acting as the collector and
distributor of those funds and this
board deciding what where the highest
needs are that we should allocate those
to. But, um, I mean, I don't think
anyone is thrilled about the idea of
paying more taxes at a time when the
cost of living is already high. But at
the same time, we all depend on the
emergency room to be there. We don't
know if we're going to need it today or
tomorrow or or maybe not at all, but we
need it to be there. And our community
already has one of the lowest uh rates
of emergency beds per capita and uh we
just certainly cannot afford to lose any
more. Uh and so um you know they see
this as
uh really an essential action and one
that the community deserves the
opportunity to vote on this fall. Um and
we just need all options on the table at
this point. It's certainly not something
we can preclude going forward.
>> Thank you. Uh Supervisor Dura.
>> Um thank you. Um, can you help me
understand the difference between um the
phrase fiscal distress versus a fiscal
emergency? Are they the same thing or
are they different?
>> Um, there's a refinement there. I would
like to ask Jason Heather County Council
to
>> Yeah, they're different. They're
different. They're different phrases.
You know, the the the the idea of
declaring a fiscal emergency calls into
question the idea of creating a local
emergency under section 87, you know, 20
of the of the government code. And it
also invokes um some other statutes in
the revenue and taxation code related to
bankruptcy and the like. We're not doing
that.
>> Right. We're we are declaring a a state
of persistent fiscal distress in order
to educate the public and um and provide
a basis for the actions that your board
is being asked to take today.
>> Okay. And does the does a resolution of
fiscal distress have any bearing on our
ability to borrow money, our bond
rating, etc., etc., etc.?
>> No, we do not believe it does. And
actually by going forward with this
measure um it it indicates to anyone
from whom we are borrowing that we are
actively working on problems related to
our fiscal situation.
>> Okay. Um
and then
I do have a question just about our
structural
situation. Um, have we been working with
our labor partners to try to come to to
work together to come up with any
concessions or any um
>> is there any news there I guess is
>> yeah um so we have worked with our uh
our employees and labor partners on
ideas for dealing dealing with our
structural problem and we've gotten a
lot of ideas from staff what we doing
right now, and I'll let um Mr. Stafford
speak to it is um working on our fiscal
model to
try to figure out where we are related
to um our cost increases and um our
revenues and and figure out what we need
to discuss with labor unions going
forward in terms of if we are faced with
layoffs, what that means for groups. And
um Sven, do you have anything else to
add?
>> Yeah. No, I would just say that we
normally in our budget process, we do
our forecasting and planning work in
October, November, and we've accelerated
that to be already underway and hope to
have a concrete plan that we're working
on with our department budget staff and
and other staff. That's um you know,
gives us more time and ability to
collaborate with our labor partners and
other groups. So, um, just so the public
knows, we have already elim, and I I
know it's in the backup, but some people
don't have time to read that. Um, we've
already implemented
um the elimination of how many positions
in the county at this point? Is it 58 or
>> Yeah, I'd have to check what
>> I think we landed on almost 63 FTEES.
Okay. So, 63 FTEES are no longer
those positions have been eliminated.
>> Correct.
>> Um, simultaneously we have implemented
and I know the language that was used in
the backup were hiring controls, but
that essentially is a hiring freeze with
the exception of positions that um are
either
really important or hard to fill.
Correct.
>> Correct.
>> Yeah, that's correct. Um can you speak
to some of the other provisions, some of
the other things that we have um
implemented to um make sure that our
budget is as tight as possible and
responsible.
>> Yeah, absolutely. We've been, you know,
also trying to control travel costs. Um,
we've been, again, as Miss Coburn said,
looking at places in our budget where
um, where we think we can reasonably
reduce, working with staff to identify
those areas, and then um, and then we're
going to be bringing a series of items
to the board over the course of the fall
that will be taking proactive actions to
reduce our budget deficit in this
current year, which will help us in the
out years. And so we plan over the
course of September, October, November
that you all can expect several items
coming forward that will help us
actively manage our situation.
>> Okay. Thank you very much. I appreciate
it.
>> Supervisor Cummings.
>> Thank you, Chair. Thank you for the
presentation. I have a number of
questions. Um I'm just curious. So, when
we passed Measure K, it was anticipated
that it would generate about $10 million
per year in new revenue. And I just
wanted to just check in to see how much
have we been generating year-over-year
since the passage of Measure K. Like,
have we been achieving that $10 million
uh revenue earnings or like roughly how
much have we been generating since the
passage of Measure K?
>> Yeah, we have been generating over $10
million. I think it might be up to over
11 or 12 by now. Um, and so that's
coming into the general fund. That is
only assessed in the unincorporated area
and we can only use it on services that
benefit the unincorporated area. Um, and
so this tax is different in that this is
a countywide sales tax. This will be
assessed in the cities and the
unincorporated area and will be used
countywide. And that is why it generates
$27 million versus $10 million.
>> That's helpful because I was a little
confused with where it was going to be
levied and who was going to be impacted.
And I think it's important that the
voters understand so that in every
single jurisdiction the sales tax will
increase by half a cent.
>> It will. And um I should mention that we
there are three cities currently at the
sales tax cap. And so that is why we
have worked with Senator Leairard to put
forward legislation which is currently
SB762.
It has passed the legislature and is on
its way to the governor for signature to
allow us to go above the cap. And so we
have um a 5-year period to pass a
measure and uh assuming that the
governor signs. And so this is our first
effort to do that to help with these
impacts we're experiencing.
>> Thanks. Um I'm just wondering with this
the passage of the state budget, like
how is that going to impact the county?
It sounds like there was some, you know,
revenue that was unanticipated before
that that was included into the budget
that will help around these types of
services. I'm just curious if there's
any update on kind of how Santa Cruz is
going to be impacted by the state
budget.
>> Yeah, we are expecting additional
monies. Um I can say for human services
and eligibility, we don't have the final
allocations because that has to go
through the state process of determining
what each county gets. Um but we are
estimating based on our current
percentage of allocations to receive
about over $3 million over three years.
And so we are having to spread that out
over the three years. Um and it will um
it's not going to solve all of our
problems. We are coming up with a plan
right now that we hope to present to the
board in September about how we wish to
spread those funds and what it would go
towards. Um and so Mr. Morris, our
director of human services, he can
answer further questions about that if
you have any.
>> Great. Thanks. Um I think I have two
more questions. Um so just
hypothetically speaking, if 2028
we see, you know, a change in the
federal administration, we see them
restore funding for these types of
services, what would then happen to the
revenue that be generated by these sales
taxes? Like would the sales tax sunset?
Would it still continue to be levied?
And if so, like how would that money be
used? because I know this is something
that's been coming up in terms of having
these conversations with people in the
community.
>> Yes. So if the administration changes in
2028, this measure is for 5 years. So it
would not sunset until 5 years after it
is implemented and unless there were
some action taken to um no longer levy
the tax, which I think might be
possible, but I'll defer to county
council. That would be something that
the voters would um would put on if they
wanted to no longer have the tax
collected.
>> Supervisor, I would just also note that
you know the previous election was 2024
and the biggest impacts are happening in
2027. So often even when there's a
administration change at the federal
level, the you know the impacts of when
those policies are able to take effect
are relatively slow.
>> Right. And I think it's just important
for the community to understand that so
that, you know, if we do see a change in
the federal administration, if people
saying, "Well, why are we still paying
this tax?" It's, you know, being able to
explain to them the reasons why. I think
it's really important for all of us,
especially as we're having these
conversations to convince people during
a time when people are pretty strapped
for cash why they should pass this.
Which brings me to my last question,
which is if this were to not pass under
the current impact from the federal
administration, what would that look
like and what does that translate to in
the community? because I feel like we're
talking a lot about indigent care, you
know, so care for, you know, our lowest
income people, but for people who have
higher means and more income, they say,
"Well, what's in it for me? Why should I
vote for this?" So, I'm wondering if you
can explain like if this were to not
pass, like how would the system be
impacted and how would that impact the
average citizen here in Santa Cruz and
the counties and the cities?
Yeah, I mean I expect so as more people
uh the central California Alliance for
Health projects a 27% decline in medical
membership. So those will be people who
are no longer receiving preventative
care. Um they will likely fall uh uh
show up at the emergency rooms for
emergency care which will place
additional pressures on our hospitals um
to serve both those um those people and
anyone else showing up for emergency
care. Um there will be less
reimbursement coming in to cover those
services. So what we are anticipating is
the entire health care system is going
to see an impact. It's likely that
people will have difficulty accessing
care. That cost for care will go up
because that care, the uncompensated
care will still need to be covered. So
that will be picked up by government and
private payers in other ways. And so
it's really um the impacts don't just
dis, you know, there will be impacts on
everyone within the whole community in
in different ways.
to supplement that answer. What's in the
what's in it for me question? If
Watsonville Community Hospital were to
close, for example, we would have one
hospital in this county. Anybody down in
South County that needed an emergency
room, whether you're rich, poor, or
otherwise, is going to be sitting on the
freeway heading to uh to North County.
So, that's that's a that's kind of a a
direct question. What's in it for me?
I appreciate it because it's just, you
know, again, at a time when people are
feeling pretty strapped for cash, trying
to make sure that we are able to explain
to them what the impacts are, why this
is important, I think is really critical
as we're moving towards putting this on
the ballot because we have two months to
convince voters that this is something
that they should support with ballots
dropping, mailing ballots dropping in
October. So, with very small timeline,
it's really important for us to be able
to explain why this is important. So
that's why I'm, you know, asking these
questions so that members of the public
really get a clear understanding as to
why we should be supporting this across
the board. Thank you.
>> And supervisor, I just want to know, you
know, we don't take this lightly. We
tried to advocate very hard for state
funding for indigent healthcare and um
unfortunately at that this time we don't
have any and so we are looking as this
as a solution for that. And so we really
want to help mitigate the negative
impacts that we anticipate could happen.
And so we want voters to know what's
happening. I don't think they do right
now because we haven't seen all of the
changes from HR1. And um it's very
important and I think we have a strong
message to convey.
Supervisor Hernandez.
>> So my question was uh with legislation
aimed at hindering and limiting local uh
tax measures uh for cities and counties,
have we made sure to make it bulletproof
despite this legislation 43 prop 43 I
believe it's it is uh to limit counties
or if not bulletproof at least assuring
that it's uh it has minimal impact on
us.
>> So Prop 43 is a separate measure. Yeah.
Yeah. Go ahead. Yes. The the answer is
yes. We've done whatever we could to
make it as bulletproof as possible.
>> Okay.
>> Yeah.
>> Thank you. Um I'll start off by just
really expressing my gratitude to um the
team for bringing forward a really
proactive
effort to address the impacts of HR1.
And when I look at this, you know, this
is really about preserving
life sustaining services for our entire
county. And I I really appreciate that.
Um, I'm going to ask you some questions
to kind of drill down on a particular
area because
we
already have a population in our
community that kind of has a
disproportionate impact on our health
care system. Um, so that's people who
are experiencing chron chronic
homelessness or the high utilizers of
our emergency services. Can you just
help me understand how HR1 may impact
that population? Will it make conditions
for that population worse or how that
might trickle to the general population?
>> Um yeah, and I would like to invite um
Director Morris up. um he can speak to
the populations that will be impacted by
HR1 based on what he is dealing with
along the lines of the eligibility
aspects of the work.
>> Thank you.
>> Welcome.
>> Yeah, good morning chair and board
members. Welcome back from your recess.
Um I'm assuming you want me to start
with speaking about medical HR1 impacts
on medical. Um, if so, let me just set
the stage that when Obamacare passed in
2014, formerly indigent, unsheltered
people on low-inccome were ineligible
for the federal Medicaid program. And a
game changer throughout the United
States of America is making people who
are indigent, lowincome, poor, and were
not otherwise linked to something like
age, blind, disabled, pregnant parenting
eligible for full scope medical. the
unsheltered population throughout the
country was eligible for medical and
communities like Santa Cruz and most of
California worked very very hard to help
people who are unsheltered who really
are struggling with day-to-day
activities of living to be able to apply
for medical and keep their medical and
we've done a really great job doing
that. That is the funding source for a
whole source of services that wrap
around and support people get and keep
their housing to HR1.
HR1 is specifically the federal
government's effort to undo the Obama
administration's Affordable Care Act
expansion and do everything possible to
get people who are getting publicly
funded healthcare through Medicaid and
disenroll them.
HR1 adds something called work
requirements
or
exemptions.
To meet either of those, if you are
unsheltered, you either have to prove
that you are working towards getting a
job, which with the most struggling
unsheltered are going to be unable to do
so. And absent that, they are going to
have to meet a whole mindnumbing maze of
criteria to prove they meet exceptions.
And HR1 eliminated unsheltered as an
exemption category.
So throughout the country, anybody who
is unsheltered
under HR1, the universe of people is
going to have to find a way to help them
either meet work requirements or meet
exemptions, which is going to be very
difficult and they're going to lose
medical. When they lose medical, the
entire universe of funding sources that
pays and wrap services around them are
gone.
>> And when that happens, how might that
impact like the average voter, the
average community member?
Well, I I would be remiss if I didn't
briefly add the larger ecosystem of what
the federal government is doing because
they have also significantly funded
emergency housing vouchers and HUDbased
section 8 vouchers. When you put those
two together, the housing voucher is the
funding source for somebody on low
income to afford rental mate rental
market living shel the vouchers are
going away and the funding source to
provide services for people who are in
supportive housing go away. The end
product is we are going to see likely an
increase worst case scenario significant
increase throughout California in the
unsheltered population which has a
significant effect from people all ends
of the political spectrum worried
concerned angry upset fingerpointing and
all the progress we've made the last 10
years is going to devolve.
Thanks. And I think then my question to
CEO Coburn, how do you imagine this
ballot measure um either subsidizing or
supporting that particular population?
Well, you know, we have to be careful in
in using these funds to stand up new
programs or services. But we already
have an ex existing programs and
services that are at risk of losing
funding because of HR1. We have Live Oak
Landing. We have Hope Village. We have
various other facilities that we are
just opening up or have opened up that
provide a place to house those who are
have been chronically unhoused or have
situations. So, um, we are we would
hopefully look at using this measure to
help stabilize those facilities if we
can to maintain them as a resource for
the community to address our um,
homeless situation.
>> Thank you. Um, I appreciate that because
what I'm hearing is that, you know, we
already have a very vulnerable
population that has a pretty delicate
suite of services in place to try to
serve them. That system is threatened in
addition to really our overall health
safety net for for all of us um who may
seek emergency services. And so
hopefully if passed, this ballot measure
would be able to be used to really
stabilize the areas of greatest need to
ensure that there isn't a
disproportionate impact across any
particular um part of the system um
because there's going to be tremendous
need. My last question in a different
direction um can you just define who you
imagine to be community health centers?
It's listed in the priorities. Yeah. So,
we have both the county FQC's. We also
have a number of nonprofit FQC's.
They're run by Santa Cruz Community
Health Centers, um, Deientes, um, Salude
Paralo Laante. So, it's um, those are
the examples of what I'm referring to.
>> Great. I'm glad to hear our health
partners and our oral health partners
included in that as well. Thank you. Any
further questions from the board? With
that, then I'm going to please um open
up to public comment. If you're here to
speak on this item, I welcome you to
come join a line in front of the
microphone and we'll be setting public
comment period for two minutes each.
Welcome.
>> Madame Chair, members, good morning. My
name is Fred Keley. I'm the mayor of the
city of Santa Cruz. I want to thank the
chair and your county administrative
officer for many good things and your
board generally uh for being such great
partners in the health and human service
field.
Micro focused in on the those
experiencing homelessness and how
appreciative we are of the work we've
been able to do together to
significantly reduce the the unhoused
population uh living on the streets in
our community. We really thank the chair
and the CEO for the work in the last uh
30 hours uh where we had some thoughts
about some language that uh would lift
up essentially some focus on the good
work that we have all done to take uh
roughly 60% of our homeless population
has been reduced. And as you know, as we
get further and further into the good
work, we end up with uh folks who their
lives are are have multiple challenges
involved. And so we think that what
you're putting on the ballot is quite
good and quite helpful and the lack of
it would be really terrible with regard
to at least the the county seat. And so
if you are offering some additional
language today that would go to uh those
issues, we understand because we have
done these kinds of taxes the need uh to
be uh broad in its definition. narrowing
it down a little bit to raise the
emphasis with regard to those that are
still experiencing homelessness would be
uh especially helpful as we want to help
you get that number up uh where the
public is supporting this ballot measure
in November. So, madam chair, madam CEO,
thank you members. Thank you very much.
>> Hi, good morning chair and and
supervisors. I'm Helen Esto. the COO for
Community Action Board. Um, and as you
know, as the county's designated
community action agency,
um, tasked with partnering with the
community to eliminate poverty, we serve
over 10,000 low-income folks a year, um,
including families with children,
seniors, the disabled, um, unhoused
folks, uh, and low-income and immigrant
workers, including service and farm
workers. And we're the current service
provider for Hope Village that was just
referenced a little earlier.
So those we serve are struggling in this
community and the economy and
particularly impacted by the cuts and
services created by HR1
including impacts to essential and
safety net services including housing,
food, healthcare, job assistance and
legal services that are critical to
their day-to-day uh stability and
security. So, we appreciate the steps
and efficiencies the county's made in
creating this year's budget and those
ahead as you're looking forward. And I
know none of us is excited about uh
paying more in sales tax. But we also
know that cuts alone are not going to
repair the harm uh from HR1 and some of
the state uh impacts. So therefore, CAB
urges your board to adopt this fiscal
distress resolution and allow a special
community um election for the community
to decide right on the sales tax um as a
local solution to local critical needs.
So, additionally, we urge your board to
establish budget priorities uh for this
potential revenue prioritizing essential
and safety net services and establish an
oversight committee to ensure that you
know these priorities aren't enacted
over time. and CAB as always um
continues to stand ready to work in
partnership with the the county um to
ensure hopefully the passage and um also
services to our most vulnerable
continue. Thank you.
>> Good morning board. My name is Becky
Steinbrer. I live in uh rural part of
district 2. I'm here to declare a a
state of financial urgency for the
people. There are many in our community
on fixed income like myself who this is
going to hurt. This is a regressive tax
that will hurt those people, the very
people that you're saying need the help.
My family has to live within our means
and I think the county needs to do the
same. Yes, these are urgent times for
all of us and it is affecting everyone.
I don't think putting another sales tax
on is an answer. I haven't heard any
discussion about um reducing salaries of
the upper management
only um the SEIU folks.
Where is the oversight on this?
I don't hear anything about oversight.
How will the people know that what you
say this tax would fund really does? It
sounds to me like it's supposed to be a
special tax to fund health care and
things, but then it said, "Oh, it's a
general tax because we need flexibility
on what we can use it for in the
future." That gives me no assurance that
this money would actually be used for
what you're telling us it would be. So,
where is the oversight committee? There
is no discussion of that and that should
be included in this.
Um, SB762 has not yet been passed and I
think it is uh quite a thing when the
legislature has to come in and help us
out with what I think is an
unconstitutional act. So I urge you not
to do this. I don't think it's
constitutional and it will harm people
more than it will help us. the people
are in struggling too and I think you
should look at your own salaries. Thank
you.
>> Good morning everybody. It's not CBA,
it's ABC. I come out of this really
trusting our CEO. What I can do is
personal.
I needed emergency. I needed because
have heart issue cancer at 89. I
personally worry about
others that are out there and so I'm
honored to be in the room and hope that
this passes and then what when we do is
the next step to help your team make
sure we get that vote out there. I don't
know which hat to wear, but we have here
the potential of my handout. Those of
you who know
what a gift we move forward to get the
people who are coming here playing
basketball to work with the board. Um, I
have the handout because most of you
know me as grandpa, but also I got an
email. I got a phone and I'm looking at
the room.
I look at August for your next meeting,
but I want to say personally, um, if it
wasn't for the emergency room, I
wouldn't be standing before you.
We've got to get to get that vote out,
the youth you see in Cababrio,
those different people. So, I'm looking
forward after this passes today. What's
the next step to make sure we get people
out there to vote for it? Thank you very
much. Just know I may invite you to my
90th birthday will come up in March 13
next year. Bye-bye.
>> Thank you. Anyone further in the room?
Seeing none, Madam Clerk, is there
anyone on the phone? Yes, chair.
Carol, your microphone is now available.
>> Good morning. This is Carol Bejorn and
thank you Becky for your comments.
You're um right on with everything you
said. So, we can't keep implementing a
quote unquote proposed solution that
creates the problem that we're trying to
solve.
So that's really the dilemma.
So this sales tax, any tax that you're
proposing is creating the problem. It's
creating the homelessness. It's creating
the drug problems. It's actually
creating the mental health crisis. It's
surprising to me that that's not obvious
at this point with the property taxes.
If you can't pay your property taxes,
your home is taken and you're on the
street. Okay, that's that's what's
happening.
Now, we're not going to solve these
problems with the same proposed
solutions. So, we need a brand new
solution. And I have an idea, a solution
that you've never heard before, and it
honors the natural law, which is what we
need to be doing here. A sales tax takes
property from your neighbor. I can't go
to my neighbor and demand that he pays
me $100. I can't get five of my
neighbors to vote on a piece of paper,
call it a ballot, and all all six of us
go to my neighbor and say, "Hey, you owe
us $100."
Voting on taxes is immoral because I
don't have a legal authority to take
property from my neighbor. You cannot
delegate an authority you don't have. I
cannot delegate to the government or to
anybody else to take property from my
neighbor because I don't have the
authority to take property from my
neighbor. We need to start honoring
people and their ability to earn their
own income and stop taking their funds.
If if we lived in a tax-free society, we
would not have homelessness. We would
not have drug problems. We would not
have a mental health crisis. You all
need to start realizing what's actually
causing the problems in the first place.
>> Thank you.
>> Call in user 4, your microphone is now
available.
>> My name is Gordon and I oppose this
sales tax. Stale taxes are regressive
and it's a bunch of Democrat pocky. I
hate sales taxes so much. People cannot
afford to live and these sales taxes
will money will be w our money our
taxpayer money will be wasted. We don't
do crap like that in Modoc County. That
money will be going to trades that have
their dicks chopped off. That money will
be going to to have the
bordies and fried chicken.
It'll be going in.
>> Are we okay cutting this off? Thank you.
Go ahead and cut it off. Thank you.
>> Are there any further callers?
>> Yes, there are.
Casey, your microphone is now available.
Casey, as a reminder, it's star six to
mute or unmute yourself. You may also
need to adjust your volume.
Casey, we're not able to hear you.
>> Chair, it appears the caller may be
having a technical issue on their end.
>> Thank you. Do we have any further
callers? That was our final speaker.
>> Okay. Then I'll now close public comment
and return to the board. I'm going to
start off just by responding to one of
the public comments from Mayor Keley who
came up to speak who referenced some
additional language. um when a motion is
made, um I was hoping that one of my
colleagues may bring forward language
that helps us um to strengthen some of
our budget priorities, particularly
adding a bullet point around
strengthening efforts to serve those
experiencing chronic homelessness and
high utilizers of emergency medical
services. So when a motion is made, I'
I'd u appreciate that if that was uh
included in some of the language. So
with that, I'll see who would like to
begin with discussion.
>> Supervisor Hernandez.
>> You know, I I just want to give also our
CEO further opportunity to answer any of
the questions from the public comment.
Uh I I will move the staff
recommendation, all related actions and
uh some of the the language that you
just mentioned as well. But I also want
to ask our uh council if it wouldn't
affect, you know, the bulletproof I was
talking about and making sure if that
wouldn't affect it, if we had further
language, uh it wouldn't affect the
chances of it getting pulled back from
the state. the the type of the type of
general language that um Supervisor
Martinez has just suggested. I don't
think that would be problematic, but you
you got to be careful about going too
far down the road of identifying any one
specific uh constituency or um uh
recipient
>> right
>> of funds.
>> Perfect. Okay. Well, I I I will add it
as well, too. But I would like to give
the opportunity for uh
>> So, just before we do, uh was that a
motion?
>> Yes.
>> So, we have a motion on the floor. Is
there a second?
>> A second.
>> So, we have a motion from Supervisor
Hernandez and a second from Supervisor
Derpa. Go ahead, Cio Coburn.
>> Oh, so and in terms of the additional
language, I think we still need to allow
that flexibility. So, I wonder if you
would be okay with in um item four in
the resolution if we could simply say
support homelessness, prevention,
housing stabilization, outreach, shelter
services, supportive housing,
coordinated entry, and other programs
that prevent homelessness, address
chronic homelessness, and protect recent
community programs or progress in
reducing homelessness.
Um Coburn, can you be um can you
specifically say where you're
suggesting?
>> So on page two of the resolution
supporting budget priorities
in um on the second page under bullet
four
towards the end where it says and other
programs that prevent homelessness
address chronic homelessness.
I'm not sure the high utilizers if we
need to be that specific. um address
chronic homelessness and protect recent
community progress.
>> Got it. I I'll accept it.
>> An agreement.
>> Further discussion.
Supervisor Koig.
>> Thank you. Um, I'm supportive of the
motion and I just I think that we need
to make it really clear to the community
that we're not taking this opportunity
to radically expand services. I mean,
really what we're we're looking at here
is this is a moment where the best way
to help yourself is in fact to help
others because preserving those
emergency services means ultimately
ensuring that they're only being used
when they absolutely have to be. And
that means for our population
experiencing homelessness, for people
who are high utilizers of the emergency
room, trying to reduce the number of
times that they're going to the
emergency room with preventative care.
And so um that's the extent to which we
are also investing in these other
services besides uh just emergency
services is to support emergency
services, right? It really all comes
back to that as the bottom line. Um, and
so, you know, as as as the presentation
made very clear, I mean, $27 million a
year is not $200 million a year. It's
not going to completely cover uh the
losses we're seeing and particularly
that um our our health providers are
seeing, but it's with strategic
investments, hopefully we can at least
just keep our emergency rooms open and
available when people need them. And so
that's the basis which with which I'm
supporting uh this action today is
really in service of that first part of
our resolution there or the priorities
to protect emergency medical services
and healthcare and then everything else
um that goes to do that strategically as
well.
>> Thank you supervisor Dura.
Um
so have other communities um around us
um adopted a similar tax measure
that you're aware of?
>> Yes. So Santa Clara County had measure A
and um it passed uh with voters in March
at the primary and it was also a
five-year sales tax measure. it was a
different percentage. Um, but it's
generating a significant amount of money
to deal with these similar issues. And
um, LA County also passed a measure,
actually measure A in Santa Clara County
passed previously. The LA County measure
just passed at the March primary and
other jurisdictions are looking at this
as well. Um, as far as I know, we are
the there are other counties in our
legislation seeking to go above the cap,
but we're the only county so far that
has is proposing action.
>> Okay.
Um, thank you very much. You know, we
here in Santa Cruz County are facing
right now and and this and we've known
about this, there's been an on-ramp to
this, but we're facing a crisis right
now in our healthcare system. Um and uh
no more it no more is at most evident in
the loss of almost 20 providers with
dignity health. So people that have
Medicare have lost their providers. Uh
the Palo Alto medical foundation is not
accepting um those patients and so you
have an entire population of older
people on and disabled people on
Medicare that have lost their providers
at this point. Um, people are feeling
this. Um, it it's all over social media.
I lost my provider. My mom has lost her
provider. Um, we're the county is
experiencing a crisis. Um, and if
there is something that we could do to
stabilize people that are the most
vulnerable in our population, we must do
that. We are a compassionate county and
um
and I I I while I understand that nobody
wants to pay a half cent sales tax
moving forward, um it we've seen over
and over how Watsonville Hospital has
continued to struggle. $25 million a
year is not going to save that hospital.
So, we must employ
uh an array of um
ideas to help stabilize our South County
hospital. However, um
with the progress that we've made in
terms of housing the most vulnerable in
our community, people with um serious
mental health issues or substance use
issues that are no longer on the street.
Um
it would be catastrophic for that
particular segment of the population to
lose their benefits, to lose their
inhome supportive services workers that
help keep them safe and supported in
their homes and uh for those reasons I
um I'm supporting this. Um is there you
we heard from the community is there
room for an oversight committee? How
will this money be managed? And will
there be a community oversight of this
or is this just
>> We've talked about um an oversight
committee. This is a general tax, not a
special tax. And so um we there's
differences in that. Um I uh there are
reasons why an oversight committee in
this situation would not be recommended.
Um at the same time we want to be fully
transparent, develop a plan in
coordination with the community. Um
county staff are actively a part of
various collaboratives and coalitions
and we are engaging in a what I believe
is a very thoughtful way to try to
figure out um discuss the needs and um
address the impacts within the county.
So, I would recommend that we bring
forward a plan for these funds to the
board that the public can weigh in on
that is backed by data that addresses
the highest needs in the county and that
the board can hear from the public and
decide whether or not the recommended
plan makes sense, make changes, and then
adopt it. And we will do that on a
year-by-year basis. Would
it be a thoughtful thing to develop some
type of a commission to help with
studying these issues or
um we have a couple venues we're already
looking at these issues including the
parro valley collaborative and the
shield committee which is an ad hoc
committee and will eventually need to
disband. Um, so there's a potential for
the board to have a standing committee
to talk about this. Um, I an advisory
commission would be just that advisory.
It would require staff capacity to
manage that. Um, we could think about
what that would look like, but at this
time I'm not recommending an an official
body to accompany this.
>> Okay. Thank you, Supervisor Cummings.
had a couple other questions. Um, first
kind of following up on Supervisor
Serpa's last question, I'm just
wondering what commissions might already
exist where this theme could be fit into
kind of like a workflow that they could
help address. I know before we had a
behavioral health commission. We, you
know, we got a bunch of commissions out
there, some of which deal with health,
some of which we've gotten rid of. But
I'm just wondering if there is a
commission out there that may where this
topic might fit in terms of I mean we do
have an emergency services commission.
Right.
>> We do. We have a number of commissions
that touch on various topics that are
subject of this measure. Um we could
potentially pose some questions to them
to help guide some thoughts. Um
behavioral health advisory board is one
in the emergency medical services
commission is another. Um we have um
various others that might also be
relevant. If you could let us think
about the commissions, what currently
exists and how it might fit into this. I
I would appreciate that.
>> Yeah, I think I mean based on Supervisor
Dura's comments, which I I agree with.
Um you know, we do already have a number
of bodies that where members of those
commissions I'm sure would be interested
in better understanding how these
federal impacts are impacting us. really
starting to think about what we can do
as a community to help address those
impacts in addition to the revenue that
we're generating. So, I think that as
we're starting to have conversations of
where the money is going to go,
utilizing our commissions to help
provide us with some advice, I think
would be really useful. Um, and it' be a
really good use of their time as well.
Um, and so, but definitely want to give
you all the flexibility to figure out
where it makes sense for them to weigh
in. Um the next question I have um based
on the fact that we had Mayor Keely here
from the city of Santa Cruz. I'm just
wondering what conversations have been
had with the other jurisdictions because
if we're going to move this today and
let's say Scots Valley says we want to
have X included or Capital says we want
to have something else included, we
won't be able to go back and make those
changes. So I'm just wondering what
conversations have been had and where
are the other jurisdictions in terms of
their support for this measure since it
will impact them as well. Yeah, I mean,
I've been very transparent and clear
with all of the city managers that were
pursuing this from the very beginning
when this was brought up as an idea. Um,
I've been informing them all along the
way of SB762
and its progress. Santa Cruz City and
Watsonville City are both have been
supportive of our legislation and are on
record as supporting. um Capitol and
Scots Valley have not um voiced uh
specific support formally, but they are
fully aware. They know these impacts and
we've we've been talking with all of
them about this and so this should not
come as a surprise and um this
resolution with budget priorities is
guidance. It like I said, it's not a
legal framework. the board will always
we will always be able to pivot if we
need to. So if something comes up that a
particular city is expressing is an
urgent need, we of course would take
that under consideration.
>> And then um last question just for the
sake of transparency, what would this
tax apply to?
>> So this is
>> or what would be or rather let me
rephrase that. What would be
>> what would be exempt? groceries and
other essential services like diapers,
formula and things are not do not incur
a sales tax. And so um I know I realize
that uh sales tax is often mentioned as
regressive. Um I I do acknowledge the
arguments for that, but at the same time
there are things that are exempt that
this tax does not apply to.
>> Right. And medication is also included
in that. Yes. Right. So I I'll just wrap
up my comments. I wanted to make sure
that that was clear because I think that
as people are hearing another sales tax,
they're thinking this is going to apply
to, you know, my my day-to-day needs.
And the reality is that, you know, for
things like, as you're mentioning,
groceries, feminine hygiene products,
diapers, medication, like this, it
doesn't apply to that. And so, um, you
know, it's it's going to hit people,
it's not going to hit people in a place
where like their day-to-day, you know,
needs are going to be, um, impacted. Um,
I will say that again, and I've
mentioned this before, I I do wish we
would have made this declaration
a while ago when we kind of saw these
impacts coming because I think we it's
going to be a challenge and it's going
to be a lift for us to get the community
to understand why we need to support
this at this point in time. It is
extremely important. um that we that we
move forward with this. Um it will not
just impact people who are low income.
It's going to impact everyone at every
income level. I think Supervisor Ser
was, you know, when she mentioned how
there's a lot of service providers that
are leaving, the higher health care
costs get and the inability for people
to pay, it's just going to drive um
healthcare further and further out of
our community. Um, and so, you know,
this is an opportunity for us to put a
band-aid on a gaping wound with the
hopes that we will be able to have the
shift in our federal administration in
the coming years. And hopefully we can
get this short up. But in the meantime,
one of the things that I think I
appreciate the most out of living in
Santa Cruz and being in Santa Cruz is
that when we have tough times, people
want to come together. They want to
help. They want to do what they can to
support one another. And this is an
opportunity for us to really do that.
And one thing I also just want to make
sure that's clear is that the benefit of
this being a sales tax and not a partial
tax or a bond is the fact that many
people who are coming here, many
tourists who are visiting our community
are going to be paying this tax. People
always say, "What can we do to get the
tourists to pay more? This is it." Um
because when people are going out to
dinner, when they're going to, you know,
a concert, when they're going to the
boardwalk, they're going to be paying
this tax. And so it's not going to fall
on the backs of everybody living in the
community. It's going to be something
that people outside the community are
going to be paying into as well. And so
I think we need to be clear that we're
going to be doing everything that we can
to help support our community, but we're
also going to be having others who are
coming from outside support our
community as well through the passage of
the sales tax. So I'm hoping that the
voters will vote yes on this in
November. And I'm happy to support the
uh motion.
>> Thank you. Supervisor Hernandez.
>> Yes. Comments. You know, I'm supportive
of this item because, you know, we are
facing a period of fiscal uncertainty
looming from the recent uh federal
legislation,
HR1 specifically. And so, we need to
protect our most vulnerable. And I think
this is about continuing uh our safety
net, and that is one of our most
important roles uh here in the county, I
believe. So, I'll be supportive.
>> Thank you. Um, I appreciate hearing the
reflections from my colleagues and I too
will be supporting this action today. I
want to make it really clear that this
is coming before the board because of
one reason and that's because we have a
federal administration that is targeting
our vulnerable populations and is
attempting to dismantle the Affordable
Care Act. And we have many residents who
ask, "What can we do? What can we do to
stand up against this federal
administration?
This ballot measure is an opportunity
for them to do something. This is an
opportunity for our community to step up
and say that we support those who are
vulnerable in this community. We do not
want our safety net to fall apart. We do
not want people to fall through the
cracks. And so as a local community, we
are going to
do what we need to do. We're going to
stretch for this short period of time in
order to support those who are in need
in this community. So, I'm very grateful
to our CEO um and my colleagues for
allowing us to move forward with this. I
also want to extend my gratitude to
Senator Leard who's been working very
hard to move our legislation forward.
Um, and I
want to thank the public for their
consideration of our attempt to support
and help those who are vulnerable in
Santa Cruz County. So, with that, I am
We have a motion on the floor and a
second. Madame Clerk, are you clear on
the motion?
>> For the clarity of the record, if the
amendment language that will be going uh
in the resolution could be restated,
that would be appreciated.
Do you want me to I can restate it. So
then on page four of the resolution
establishing budget priorities bullet
four the end of that sentence will say
other and other programs that prevent
homelessness
address chronic homelessness
and protect recent community progress in
reducing homelessness.
Thank you, CEO Kerburn.
>> Madam Clerk, will you please call the
role?
>> Yes. Supervisor Deserpa,
>> I.
>> Koenig,
>> I.
>> Hernandez,
>> I.
>> Cummings,
>> I.
>> And Martinez,
>> I. Motion passes 5 to zero.
That concludes the only item on today's
special agenda. So, we will adjourn the
meeting at 10:13. We'll see you next
week.
Oh, I know you.
>> I know you.
I've seen you and enjoy your public
comment for years.