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CC 10-13-2025 Item No. 4 Accept Ad-Hoc Legislative Review Committee recommendation for Measure A_Written Communication_2CC 10-13-2025 Item No. 4 Accept Ad-Hoc Legislative Review Recommendation regarding Measure A Written Communications From:Kirsten Squarcia To:Kitty Moore; Lauren Sapudar Cc:Melissa Robertson Subject:RE: Written Communications Item 4Measure A LRC Item Date:Tuesday, October 14, 2025 4:19:03 PM Attachments:Pages from Measure A Comments.pdf Thank you Vice Mayor, we will post with the other written communications for item 4. Regards, Kirsten Kirsten Squarcia Interim Deputy City Manager/City Clerk​​​​ City Manager's Office KirstenS@cupertino.gov (408)777-3225 From: Kitty Moore <KMoore@cupertino.gov> Sent: Tuesday, October 14, 2025 3:55 PM To: Kirsten Squarcia <KirstenS@cupertino.gov>; Lauren Sapudar <LaurenS@cupertino.gov> Subject: Written Communications Item 4Measure A LRC Item Hi, Attached are the charts provided for Item 4 last evening. Thank you, Kitty Moore Kitty Moore Vice Mayor ​​​​ City Council KMoore@cupertino.gov (408)777-1389 Notes: •Finance and Government and the Hospital System spending increased •All other areas including Public Safety decreased as a percentage of the budget •The Board of Supervisors Approved purchasing 3 bankrupt hospitals •3 of 4 county hospitals are in San Jose 0% 10% 20% 30% 40% 50% 60% Finance and Government Public Safety and Justice Children, Seniors, and Families Santa Clara Valley Health and Hospital System Housing, Land Use, Environment, and Transportation Santa Clara County Changes to Spending by Policy Area Category FY 2015 to FY 2025 Percentage of Total Budget FY 2015 Percentage of Total Budget FY 2015 What are the Policy Areas? • Finance and Government: This area encompasses general governmental functions like managing the overall budget, financial planning, and ensuring accountability. It also includes services related to elections, vital records, and property records management. • Public Safety and Justice: Funding in this area supports the local justice system, which includes the District Attorney, detention facilities for adults and youth, Sheriff's Department policing services, and probation. It also includes related services such as protective services, criminal justice programs, and diversion and re-entry services. • Children, Seniors, and Families: This policy area focuses on programs and services that enhance the well-being of children, seniors, and families. It includes initiatives such as Advocacy and Flexible Support Services for children affected by gender-based violence, the Amigos Motel Shelter Program for families experiencing homelessness, and the Rapid Rehousing Program to help families secure permanent housing. It also covers investments in juvenile services, child welfare, and homelessness prevention. • Santa Clara Valley Health and Hospital System: This area provides funding for the county's public healthcare system. It includes services offered by hospitals like O'Connor Hospital, Valley Medical Center, St. Louise Regional Hospital, and the recently acquired Regional Medical Center. A significant portion of its funding comes from federal and state programs like Medicare and Medicaid (distributed as Medi-Cal). • Housing, Land Use, Environment, and Transportation: This area covers long-range planning in land use, environment, and transportation. It includes oversight of the Housing Trust Fund and reviews budget recommendations for departments like Planning and Development, Office of Supportive Housing, Agriculture and Environmental Management, Vector Control District, Environmental Health, Parks and Recreation, and Roads and Airports. It also involves addressing community development needs through programs like CDBG and HOME funds, which focus on affordable housing and assistance to low-income households. Healthcare expenditures comparison table for FY 2024–2025 County FY 2024-25 Total All- Funds Budget (in Billions) FY 2024-25 Healthcare Expenditures (in Billions) Approximate % of Total Expenditures Sources Santa Clara 13.7 7.5 55% County of Santa Clara FY 2025- 26 Recommended Budget, Mercury News Report on Adopted Budget, County News Release on Adopted Budget Alameda 4.6 1.1825 25.80% Alameda County FY 2024-25 Final Budget Summary, Alameda County Press Release Los Angeles 48.7 12.5 25.70% LA County FY 2024-25 Budget overview San Mateo 5.25 1.3 25.50% San Mateo County FY 2024-25 Adopted Budget detail, Budget Proposal summary San Diego 8.6 2.2 25.60% County of San Diego FY 2024- 25 Adopted Budget overview Note: Some total budget and healthcare expenditure figures were estimated or based on preliminary data, particularly for the counties with more complex reporting structures. For exact, detailed financial data, it is recommended to consult the full official budget documents available via the provided links. 0%10%20%30%40%50%60% Santa Clara Alameda Los Angeles San Mateo San Diego Healthcare Expenditures Comparison Table for FY 2024-2025, Healthcare as percentage of each County's Budget