San Diego County · issues
Civic issues
Topics getting the most attention in San Diego County public meetings, ranked by how frequently they come up.
County Medical Services and Healthcare Safety Net Reforms
The county's last-resort health program for uninsured residents is being modernized ahead of H.R. 1's Medi-Cal cuts — liens, credit checks, and in-person requirements are gone. Bigger eligibility expansions depend on future funding, possibly from Measure B.
Tijuana River Valley Pollution Emergency
The Saturn Boulevard pipe extension moves forward with a city agreement and construction contract, part of the county's capture-and-clean push for South Bay communities living with sewage pollution.
Safety Net Bridge Program for Medi-Cal Disenrollment
A 12-month, $20.4 million bridge to keep residents losing Medi-Cal or CalFresh connected to primary care, prescriptions, and food while they navigate new federal work requirements.
Housing for All Framework and Innovative Housing Trust Fund
The county adopted the Housing for All framework to streamline housing programs and reviewed the trust fund's 5-year progress in financing affordable housing developments region-wide.
El Niño and Severe Weather Emergency Preparedness
The county is ramping up preparations for severe winter storms by ratifying an emergency proclamation, allocating $1 million in reserves, and inspecting flood control infrastructure.