The Alameda County Board of Supervisors Health Committee met on January 26, 2026, to discuss two major items: an expenditure plan for Measure A1 program income and an informational update from the Alameda Health System (AHS) regarding its financial status, the impact of federal HR1 cuts, and a planned reduction in force (RIF). The meeting included extensive public testimony from healthcare workers, patients, and community members opposing the AHS layoffs.
Okay, so good uh good morning. Morning, good morning, so we call the health committee to order the clerk could take the role. Supervisor Tam present supervisor Milan present before any instructions you need to provide in person. The meeting site is open to the public. If you'd like to speak on an item, you can fill the speakers card in here to me. And for remote participation, use the raise for hand function online. Right. So good morning, everybody. Sorry for the um inconvenience of being here. They're doing some work toll in the chambers. So we were displaced this morning. We're in this room. I'm not sure why the other rooms are there. But we'll do the best we can. It's great seeing so many people out this morning. We have an overflow room as well. Yeah, folks online and got some um major items here. So let's deal with item A. First item measure A1. Good morning, supervisors. My name is Michelle Starr. I'm the housing director under the community development agency. Uh, we're gonna be presenting a PowerPoint this morning and have a written staff report for you as well, which goes over the use and expenditure plan for uh additional revenue that has come in. Dylan Sweeney of my team should be there, and I believe he's gonna be doing the presentation, but if he's in the overflow room, um I'm gonna I'll I'll launch in. So if Dylan is there, if he could step up. There he is. Thank you. Good morning. Um, here to um Dylan Sweeney, I'm the programs and policy manager for Alameda County Housing and Community Development. Here to present uh the measure A1 program income benefit requirements and graphic expenditure plan. I was uh may know measure A1 was a voter approved general obligation bond, provided 580 million dollars. Purchased and improvement of the property to create affordable housing in Alameda County. Um the bond has now been fully issued from two tranches in 2019 and 2021. Um those funds were divided among five program areas uh rental development and basement opportunities, first-time home buyer programs, uh homeowner redevelopation and homeowner development, serving both homeowners and renters. Um and currently virtually all of those initial program funds have either been committed or expended, um, ending with the launch last winter of patron fund programs, first funds, tax default and property loan programs. I think it's worth noting that the county exceeded its targets for the production of new affordable housing units as well as its 20% of uh unsheltered homeless housing to that goes. Um, in addition to beating those targets, uh administration of the bond is required to comply with compliance and oversight. During responsible use of those public funds, they've been drafting and providing reports to the one annual over. Sorry, measure A1 oversight commitment and providing those to the supervisors, but today we are actually here to talk about program income. So, in addition to the 580 million dollars, um everyone has generated secondary funding streams. Well, so there are two sources for these streams. One is return funding project payments that are made. And the second is interest earned on invested bond proceeds. Um these are the uh the funds that were held before they were expended. Those 500 eight million dollars. So this is a source of income that will not be reoccurring. So to date, there has been 48 million uh and 240,000 dollars in program income. The vast majority of that 43 million is from that's from the bond issuance, and less administration that leaves 33 million four hundred and sixteen thousand change uh available for new housing investment. Um, so the since these are measure a one funds, they are still responsive to that measure A1 framework, as well as the Alameda County 10-year housing plan that was adopted last year in July 2025. So the expenditure plan that we provided like lessons that we learned during the implementation of Measure A1 and those five programs focused on maximizing the impact and leveraging uh the scarce funds that we have right now.