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County staff warn HR1 could strip coverage from thousands; board readies outreach and budget review

San Luis Obispo County Board of Supervisors · February 10, 2026
AI-Generated Content: All content on this page was generated by AI to highlight key points from the meeting. For complete details and context, we recommend watching the full video. so we can fix them.

Summary

County staff told supervisors HR1's new work and eligibility rules could put an estimated 13,000 Medi-Cal recipients and about 3,200 CalFresh participants at risk, increase CalFresh administrative costs by roughly $1.6 million annually, and force the county to plan for higher indigent care demand. Supervisors and partners discussed outreach, navigation hubs and workforce ties.

County staff presented a consolidated briefing on Feb. 10 outlining how the federal HR 1 changes could reshuffle health and nutrition coverage in San Luis Obispo County and raise local costs.

"HR 1 makes significant changes to Medicaid rules including tighter eligibility requirements, more frequent eligibility redeterminations, and expanded work requirements," Addison Gregory, administrative analyst in the executive office, told the board during a data-driven presentation that drew on state and county estimates.

The presentation estimated roughly 66,000 residents currently rely on Medi-Cal and about 29,000 participate in CalFresh. Staff projected that when HR 1 work…

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