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CSAC warns HR 1 could shift billions in health costs to counties; El Dorado supervisors back letters asking for state mitigation
Summary
The California State Association of Counties told the board that federal HR 1 could leave counties responsible for large new costs and extra eligibility work; the board approved letters asking the governor and legislative leaders to fund mitigation in the state budget.
Graham Knauss, CEO of the California State Association of Counties (CSAC), told the El Dorado County Board of Supervisors on April 7 that federal legislation known as HR 1 will materially change Medicaid (Medi-Cal) eligibility and could re-establish county obligations for indigent care, resulting in an estimated statewide fiscal exposure in the billions and sharply increased county eligibility workload.
Knauss said county analysis suggests HR 1 could lead to roughly 1.4 million people no longer covered by Medi-Cal; CSAC's planning assumption is that about one-third of those individuals will instead…
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