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Trinity County health director warns HR 1 will increase eligibility redeterminations and workload for Medi‑Cal, CalFresh

Trinity County Board of Supervisors · February 25, 2026
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Summary

Health & Human Services Director Liz Hamilton told supervisors that federal HR 1 changes will shift eligibility redeterminations from 12 to 6 months and introduce work requirements that could affect about 2,387 local Medi‑Cal recipients; county staffers are preparing workforce and outreach measures.

Liz Hamilton, director of Trinity County Health & Human Services, told the Board of Supervisors on Feb. 17 that federal changes packaged as HR 1 (signed July 4, 2025) will require counties to return to six‑month eligibility redeterminations for expanded Medi‑Cal benefits and add work requirements that could significantly raise local administrative workload.

Hamilton said about 4,538 county residents were enrolled in Medi‑Cal and 2,783 in CalFresh as of Feb. 1. She estimated that 2,387 people in Trinity County could be subject to the new Medi‑Cal work…

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