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Staff details potential local impacts of HR 1: Medi-Cal, CalFresh and rural hospital risks
Summary
County staff told the board that provisions of federal HR 1 will shift larger shares of CalFresh and Medi-Cal costs to the state beginning in 2027, a change that county staff said could reduce coverage and strain rural hospitals.
County staff briefed the board on federal HR 1 and a state bill affecting emergency flows, summarizing the policy changes and potential local impacts on public assistance programs and rural health providers.
Joanne Johnson, project coordinator for the county administration office, told supervisors that HR 1 will change how CalFresh (California's name for SNAP) and Medi-Cal (California's Medicaid program) are administered beginning in 2027. Johnson said the state's share of CalFresh administrative costs would increase to 75% from the current 50% split and that…
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