Forty medically vulnerable South Bay patients will lose their housing subsidies on Friday, Oct. 30, after Bay Area Community Health lost more than $400,000 a year in federal funding for people living with HIV/AIDS, the San Jose-based clinic network said. The money came from the U.S. Department of Housing and Urban Development's Housing Opportunities for Persons with AIDS program, known as HOPWA, NBC Bay Area reported Monday.

Bay Area Community Health, or BACH, runs community health centers from Hayward to Gilroy. President and CEO Dr. Zettie Page told NBC Bay Area the organization learned of the loss only about a week earlier. "We just became aware of this a week ago," she said. "So the what now is still on the table."

The clinics mainly serve people who are uninsured or underinsured, Page said, including people who move in and out of work, and stable housing is part of keeping them healthy. BACH has notified the 40 affected households that their subsidies end Oct. 30, less than two weeks away.

Mahan blames the Trump administration

San Jose Mayor Matt Mahan put the blame on federal decisions. "Forty vulnerable people potentially right out on the streets," he told NBC Bay Area. "Medically vulnerable. They cannot work. They have life-altering medical conditions." He added: "We need to shine a spotlight on the cruelty of the Trump administration's policies."

Mahan said San Jose can't cover the $400,000 itself because of its own budget shortfall. City leaders are working with the South Bay congressional delegation and hope Santa Clara County will release Measure A money set aside for emergencies like this one, he said. HUD had not responded to NBC Bay Area's request for comment as of Monday evening.

A nationwide delay in HOPWA renewals

BACH's loss comes as HOPWA grantees around the country wait on renewals. In a letter to HUD Secretary Scott Turner, more than 50 House members said many competitive HOPWA awards would expire Sept. 30, 2026, while HUD still had not released a notice of funding opportunity or told grantees whether their awards would be renewed. They urged the department to release the notice and speed up awards, warning that without the money, people with HIV/AIDS "will face the risk of homelessness."

Bay Area signers included Reps. Nancy Pelosi, Ro Khanna, Kevin Mullin, Mark DeSaulnier and Lateefah Simon, according to the office of Rep. Jerrold Nadler of New York, who helped lead the letter. Nadler's office also noted that President Trump's budget request in April 2026 proposed eliminating HOPWA funding entirely. NBC Bay Area's report did not say which HOPWA award BACH lost or whether it is among the delayed renewals.

What happens next

Unless replacement money is found, the subsidies end Oct. 30, heading into the winter and the holidays. It's the latest local fight over federal money, after the $8 billion BART San Jose and SF Portal transit funding dispute and Santa Cruz County's sales tax pitched against federal cuts.