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County study session: HR1 and the state budget pose growing costs and administrative burdens for Medi‑Cal and CalFresh
Summary
Human Services Agency and County Health briefed supervisors on HR1 and state changes that will increase verification work, impose CalFresh administrative cuts, and could expose the county to payment‑error penalties; HSA estimated FY26‑27 exposure around $2.6M and FY27‑28 planning ranges of $4M–$12M depending on state actions.
San Mateo County officials told the Board on Jan. 27 that federal HR1 and related state budget choices will shift costs and administrative burdens to counties, increasing staff workload and posing material fiscal risk to the local safety net.
Human Services Agency Director Claire Cunningham summarized the program impacts: roughly 34,800 county residents receive CalFresh and an estimated 3,700 will initially face new work‑verification requirements; the county estimates an FY26‑27 administrative exposure of about $2.6 million tied to CalFresh match changes and verification work, with a planning range of $4 million to $12 million annually in later years if the state does not…
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