President’s Message

Preparing for the Impact of H.R. 1: Rebuilding Our Safety Net in San Diego and Imperial Counties

As we look ahead to the potential implications of the One Big Beautiful Bill Act (H.R. 1), it is essential that we begin preparing now. Funding cuts, combined with work requirements for non-disabled Medicaid enrollees, an increase in the frequency of eligibility redeterminations, restricted eligibility for some immigrant groups, and tightened rules around provider taxes and state-directed payments, will require us to re-engage familiar strategies, adopt new ones, and strengthen our efforts to safeguard coverage for the most vulnerable residents of San Diego and Imperial counties.

When Parking Policy Becomes a Patient Care Problem

While it’s been hard to miss all the headlines about Balboa Park’s new parking fees — fewer restaurant patrons, declining museum visitors, and frustrated business owners — you’ve probably heard a lot less about how this change is affecting Naval Medical Center San Diego, also known as Balboa Medical Center.

A Fresh Start on Familiar Issues

2026 is here, bringing with it a new set of opportunities. In baseball terms, we’re in the first inning — just a few pitches in, but with a host of heavy hitters coming to the plate.

The Only Way Through Is Together

Two weeks ago, we came together with colleagues, policymakers, and community partners for the 2025 HASD&IC Annual Meeting. It was an honor to welcome more than 200 attendees and create a space to connect, reflect, and look ahead at the challenges and opportunities facing our hospitals and health systems.