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Orange County Health Board Power Shift
Description
Avelino Valencia’s controversial bill seeks to strip Orange County supervisors of their seats on CalOptima’s board, the county’s $4.7 billion health insurer for low-income residents, replacing them with county agency heads and a new selection committee. Valencia claims the move removes political influence, prioritizing medical expertise and cost-efficiency. But supervisors Janet Nguyen and Vicente Sarmiento call it an attack on oversight, especially after Andrew Do’s prison sentence, and warn it undermines accountability and representation — particularly removing two elected supervisors of color. Critics question why Orange County is singled out, and the bill’s dramatic rewrite — from a modest term-change proposal to a sweeping power shift — has only heightened tensions.
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