The California Legislature has approved several Medi-Cal budget items that would remove barriers to care, such as the asset rule. Now it’s negotiating with the governor.

Roots Community Health Center will be the first clinic in the South Bay to specifically address the needs of African-American patients.

Valley Health Plan has managed to capture about 3 percent of the Santa Clara County market under Covered California, which is slightly below state levels. Though this figure pales in comparison to enrollment figures reported by the top four major healthcare providers, and it’s not as strong a figure as county officials expected two months away from the end-of-March enrollment deadline, it does represent a comparable market share to other small, local health plans, according to county officials.

It’s been nearly four years since I fought on the front lines of the health care reform battle, eventually resulting in the Affordable Care Act (a.k.a. Obamacare). But that feels like a lifetime ago, as the landmark policy now serves as a punchline. Not long from now, though, the joke will be on the critics.

Santa Clara County residents enjoy longer life expectancies and overall better health than the rest of the state and nation, but stark disparities based on wealth and race persist.

Unfunded retiree healthcare benefits threaten to take a $1.7 billion bite out of the Santa Clara County budget, a drastic uptick from the $425 million liability seen a decade ago. This and other matters will be on the Board of Supervisors agenda for a three-day budget workshop starting Tuesday next week.

The Santa Clara County Board of Supervisors votes Tuesday on whether to hold a special election June 4, with a possible June 30 runoff, to replace disgraced District 2 Supervisor George Shirakawa Jr. Other items on the agenda include hillside development, potential fundraisers on county property and a huge new contract for the Santa Clara Valley Health and Hospital System.

As we know, health care costs are escalating at double-digit rates. The continuous high costs are a burden to the self-insured, businesses and government. In San Jose, we have an unfunded health care liability of approximately $1.5 billion. The City of Stockton has been in the news for starting the process of bankruptcy under AB506, and much of their plight is due to the cost of health care benefits. San Jose should implement a incentive/mandatory wellness program in 2012 to reduce the cost of health care.