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Alameda County Delays Alameda Health System Layoffs, Launches Working Group

Officials cite steep Medicaid losses under H.R. 1, with options due for review March 17.

Overview

  • The Board of Supervisors voted to temporarily defer Alameda Health System layoffs that were set to take effect March 9.
  • A working group of two supervisors, hospital leaders and labor representatives will shape alternatives, and AHS trustees are meeting today to consider the delay.
  • Options under study include revising behavioral health contract payments, adjusting AHS’s county line of credit, exploring different intensive outpatient service models, and targeting non‑patient‑facing roles.
  • AHS earlier examined cutting up to 372 jobs before narrowing the plan to about 188 positions and proposing closure of outpatient behavioral health programs at Highland and Fairmont hospitals.
  • The safety‑net system draws about 60% of its revenue from Medicaid and faces a projected $30 million gap this year and roughly $100 million annually in later years under H.R. 1, with a progress report due March 17.