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Contra Costa health officials warn HR1 and state changes could strip coverage from tens of thousands
Summary
County health and human services officials told the Board of Supervisors that federal HR 1 and state Medi‑Cal changes could put roughly 93,000 county residents at risk of reduced coverage and strip up to $307 million from the local health system through 2029; staff recommended expanding navigators, enrollment help, and reviewing the county basic health care program.
Contra Costa Health and the county Employment & Human Services Department told the Board of Supervisors that proposed federal and state policy changes — including HR 1 — would sharply reduce eligibility and funding for Medi‑Cal and related supplemental payments, putting hundreds of millions of dollars at risk and threatening coverage for a substantial number of county residents.
Dr. Grant Colfax, Contra Costa Health director, said the county estimates as many as 93,000 people could be affected by a combination of federal HR 1 provisions and state Medi‑Cal policy changes. “These changes will affect individuals and families, including the…
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