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Nevada County workshop warns HR 1 will shift costs to counties, threatens Medi‑Cal and CalFresh services
Summary
County staff and state/federal advocates told supervisors that HR 1 (federal law enacted July 2025) will increase local administrative costs, tighten Medicaid eligibility and create new state/federal funding risks; officials urged advocacy, contingency planning and use of realignment reserves.
At a Jan. 28 Nevada County workshop, county health officials and contracted lobbyists warned that HR 1 — federal legislation enacted in July 2025 — will impose new administrative and benefit-cost responsibilities that could significantly affect county services and budgets.
Karen Lang, a state advocacy partner, and Hassan Sarsour, a federal advocate with Paragon Government Relations, briefed the board on 2025 wins and the coming policy calendar. Ryan Gruber, director of the county Health and Human Services Agency, described specific program impacts: the termination of some SNAP/SNAP‑Ed funding, the return of some work‑requirement provisions to Medicaid, and a shift toward shorter Medi‑Cal redetermination intervals.…
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