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As California lawmakers finally reach a budget agreement, it's time to start assessing how the proposed deep cuts in health care services may affect your community.

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Steven (Steve) A. Escoboza is president and CEO of the Hospital Association of San Diego and Imperial Counties, a nonprofit trade association representing hospitals and health systems. Escoboza participates in the California Healthcare Association's Executive Management Group, attends meetings of the American Hospital Association Region Nine Policy Board and serves on the Conference of Metropolitan Hospitals Association Board. Locally, Escoboza is active on a number of state and local health-related boards and committees.

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Steven Debuskey is executive director of the Fresno Native American Health Center (FNAHC), a nonprofit community-based organization serving the health care needs of urban Native Americans and Alaska Natives in Fresno.

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Sharen Carey is executive director of the Big Sur Health Center, an independent, nonprofit, community health care facility serving Monterey County residents. The Big Sur Health Center was founded in 1979 by a determined physician, a nurse and several dedicated volunteers. Since inception the Big Sur Health Center has been and continues to be the only facility south of Carmel and north of Hearst Castle and Cambria -- almost 100 miles of rugged coast.

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Melissa Stafford Jones is vice president of the California Association of Public Hospitals and Health Systems, or CAPH, a nonprofit trade organization representing California's public hospitals and health systems since 1983. CAPH works to strengthen the capacity of its members to advance community health, ensure access to comprehensive, high-quality, culturally sensitive health care services for all Californians and educate the next generation of health care professionals.

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Lindsay K. Mann is CEO of Kaweah Delta Health Care District, a group of health care centers in the San Joaquin Valley. Kaweah Delta Health Care District provides a full spectrum of health care services on four campuses, including the largest acute care hospital in Tulare County, Kaweah Delta Hospital. Kaweah Delta Health Care District also operates Cypress Rehabilitation Center, Cypress Mental Health Center, The Lifestyle Center, Community Health Center and San Juan Health Center. Finally, Kaweah Delta maintains partnerships with Cypress Surgery Center and Quail Park Retirement Village.

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Ken Underwood is CEO of the San Benito Healthcare District, a nine-facility health care entity that includes Hazel Hawkins Memorial Hospital. In 1957, voters in San Benito County approved the formation of a "hospital district" to manage health care services in the county.

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Dr. J. Luis Batista is medical director for the Fresno Native American Health Center (FNAHC), a nonprofit community-based organization serving the health care needs of urban Native Americans and Alaska Natives in Fresno.

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Guenet Sebsibe is the field supervisor for the Infectious Disease and Epidemiology/Biostatistics programs at the UC Berkeley School of Public Health. Previously, she was program manager of cultural and linguistics services for the Alameda Alliance for Health, a nonprofit health plan established in 1996 to provide health care services to more than 94,500 Alameda County residents. The health plan offers most written materials in English, Spanish, Chinese and Vietnamese and offers free interpreter services in exam rooms and over the phone. The alliance prefers that patients do not use family or friends to interpret, emphasizing that a family member or friend's most important job is not to serve as an interpreter.

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Francisco Carrillo is founder, president and chief executive officer of the SIMNSA Health Plan, a licensed California health care service plan. In 2000, SIMNSA became the first Mexican organization to attain regulatory approval in the state of California, with the issuance of its Knox-Keene license. To this day, it is the only Mexican company to be licensed as such in the United States. In 1998, Carrillo played an instrumental role in the development and passage of legislation that amended California law and created opportunities for true cross-border health plans in California.

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