As House Republicans consider making deep cuts to Medicaid, Santa Clara County wants to transition to a “single plan” model for Medi-Cal managed care in hopes of improving reimbursement rates. But leadership of the Santa Clara Family Health Plan, a county-created public health agency, is pushing back, calling the move a “hostile takeover” in a recently filed lawsuit.

The change will require approval from the California Department of Health Care Services, and is expected to take several years. But at Tuesday’s Board of Supervisors meeting, the county took steps to facilitate the transition, with supervisors unanimously deciding to remove most of the existing governing board for the Family Health Plan, and install a new one that will be largely made up of county employees.

“There’s really

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