The County of Monterey Board of Supervisors convened on September 30, 2025, to discuss the implications of the recently passed federal measure HR 1, which is expected to significantly impact local health and social services. The meeting featured presentations from key department heads, including Roderick Frank from Social Services, Elsa Jimenez from the Health Department, and Dr. Chad Harris from Natividad.

The session began with an overview of HR 1, a reconciliation bill passed on July 4, which is still under federal review. Frank highlighted that the county is proactively engaging with labor groups and relevant departments to assess potential impacts. He outlined several key changes expected to take effect in the coming years, particularly concerning the Medi-Cal and CalFresh programs.

Starting January 1, 2026, the reinstatement of the Medi-Cal asset test will require certain enrollees to meet a $130,000 asset limit, excluding primary residences and vehicles. This change is anticipated to affect approximately 13,000 individuals. Additionally, undocumented individuals currently enrolled in Medi-Cal will not be able to apply for new coverage, although those already enrolled can maintain their benefits.

The CalFresh program will also see significant changes, including new work requirements for able-bodied adults without dependents, impacting around 35,000 current enrollees. Furthermore, administrative costs for CalFresh will shift from federal to state funding, potentially increasing Monterey County's costs by about $2 million.

Jimenez discussed the financial implications for health services, noting that reimbursement rates for federally qualified health centers will decrease significantly for patients classified as having unsatisfactory immigration status. This change is expected to lead to a 22% decline in membership over the next four years.

Dr. Harris emphasized the urgency of the situation, particularly regarding the potential loss of $14 million in funding for Natividad due to the expiration of disproportionate share hospital funding. He reported that a government shutdown was imminent, which could halt all federal funding, including critical health services.

The meeting concluded with a commitment from the board to continue monitoring developments related to HR 1 and its effects on the community. The discussions underscored the need for ongoing communication and preparedness as the county navigates these significant changes in health and social services.