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

Feb 25, 2026

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.

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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.

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